diff --git a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/StructureDefinitionRenderer.java b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/StructureDefinitionRenderer.java
index 64441758a..f273cfe52 100644
--- a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/StructureDefinitionRenderer.java
+++ b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/StructureDefinitionRenderer.java
@@ -4985,7 +4985,7 @@ public class StructureDefinitionRenderer extends ResourceRenderer {
       HierarchicalTableGenerator gen = new HierarchicalTableGenerator(context, imageFolder, inlineGraphics, true, defFile, rc.getUniqueLocalPrefix());
       gen.setTreelines(false);
       TableModel model = initElementTable(gen, corePath, true, profile.getId()+"e", true, TableGenerationMode.XHTML);
-      new ElementTable(context, groups, this).build(gen, model);
+      new ElementTable(context, groups, this, ToolingExtensions.hasExtensionValue(profile, ToolingExtensions.EXT_PROFILE_VIEW_HINT, "element-view-replace-cardinality")).build(gen, model);
           
       try { 
         return gen.generate(model, imagePath, 0, outputTracker); 
diff --git a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/utils/ElementTable.java b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/utils/ElementTable.java
index 6dd3262ff..05b190f74 100644
--- a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/utils/ElementTable.java
+++ b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/utils/ElementTable.java
@@ -468,11 +468,13 @@ public class ElementTable {
   private RenderingContext context;
   private List<TableGroup> groups;
   private DataRenderer dr;
+  private boolean replaceCardinality;
   
-  public ElementTable(RenderingContext context, List<TableGroup> groups, DataRenderer dr) {
+  public ElementTable(RenderingContext context, List<TableGroup> groups, DataRenderer dr, boolean replaceCardinality) {
     this.context = context;
     this.groups = groups;
     this.dr = dr;
+    this.replaceCardinality = replaceCardinality;
   }
 
   public void build(HierarchicalTableGenerator gen, TableModel table) throws FHIRFormatError, DefinitionException, IOException {
@@ -542,7 +544,9 @@ public class ElementTable {
     cell.setInnerTable(true);
     cell.addText(e.getName()).addStyle("font-weight: bold");
     cell.addPiece(gen.new Piece("br"));
-    if ("1".equals(e.min) && "1".equals(e.max)) {
+    if (!replaceCardinality) {
+      cell.addText("Cardinality: "+e.min+".."+e.max);  
+    } else if ("1".equals(e.min) && "1".equals(e.max)) {
       cell.addText("Required");
     } else if ("0".equals(e.min) && "*".equals(e.max)) {
       cell.addText("Optional, Repeating");
@@ -790,7 +794,9 @@ public class ElementTable {
     x.code().tx(name);
     String min = c.value.primitiveValue();
     String max = c.value2.primitiveValue(); 
-    if ("1".equals(min) && "1".equals(max)) {
+    if (!replaceCardinality) {
+      x.tx("has cardinality: "+min+".."+max);  
+    } else if ("1".equals(min) && "1".equals(max)) {
       x.tx("is required");
     } else if ("0".equals(min) && "*".equals(max)) {
       x.tx("is Optional and repeats");
diff --git a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/utils/ToolingExtensions.java b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/utils/ToolingExtensions.java
index 4eba72976..377e1a4bd 100644
--- a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/utils/ToolingExtensions.java
+++ b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/utils/ToolingExtensions.java
@@ -99,6 +99,7 @@ import org.hl7.fhir.r5.model.Property;
 import org.hl7.fhir.r5.model.Questionnaire.QuestionnaireItemComponent;
 import org.hl7.fhir.r5.model.Questionnaire.QuestionnaireItemType;
 import org.hl7.fhir.r5.model.StringType;
+import org.hl7.fhir.r5.model.StructureDefinition;
 import org.hl7.fhir.r5.model.UriType;
 import org.hl7.fhir.r5.model.UrlType;
 import org.hl7.fhir.r5.model.ValueSet.ConceptReferenceComponent;
@@ -1236,4 +1237,13 @@ public class ToolingExtensions {
     return res;
   }
 
+  public static boolean hasExtensionValue(StructureDefinition src, String url, String value) {
+    for (Extension ext : src.getExtension()) {
+      if (url.equals(ext.getUrl()) && ext.hasValue() && value.equals(ext.getValue().primitiveValue())) {
+        return true;
+      }
+    }
+    return false;
+  }
+
 }
\ No newline at end of file