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This is a HL7 FHIR server, and as you appear to be accessing this page from a web browser you are seeing a HTML version of the requested resource(s). You can also access this URL from a FHIR client as a ReSTful API call. For more details please see the HL7 FHIR specification.
<?xml version="1.0" encoding="UTF-8" standalone="no"?><StructureDefinition xmlns="http://hl7.org/fhir">
   <id value="GPConnect-Appointment-1"/>
   <meta>
      <lastUpdated value="2018-09-21T11:54:03.97+01:00"/>
   </meta>
   <url value="https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-Appointment-1"/>
   <version value="1.5.0"/>
   <name value="GPConnect-Appointment-1"/>
   <status value="active"/>
   <date value="2019-11-04"/>
   <publisher value="NHS Digital"/>
   <contact>
      <name value="Interoperability Team"/>
      <telecom>
         <system value="email"/>
         <value value="interoperabilityteam@nhs.net"/>
         <use value="work"/>
      </telecom>
   </contact>
   <description value="The Appointment resource provides information on the booking of a healthcare event."/>
   <copyright value="Copyright © 2019 NHS Digital"/>
   <fhirVersion value="3.0.1"/>
   <kind value="resource"/>
   <abstract value="false"/>
   <type value="Appointment"/>
   <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Appointment"/>
   <derivation value="constraint"/>
   <snapshot>
      <element id="Appointment">
         <path value="Appointment"/>
         <short value="A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)"/>
         <definition value="A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)."/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Resource"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <constraint>
            <key value="dom-2"/>
            <severity value="error"/>
            <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
            <expression value="contained.contained.empty()"/>
            <xpath value="not(parent::f:contained and f:contained)"/>
         </constraint>
         <constraint>
            <key value="dom-1"/>
            <severity value="error"/>
            <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
            <expression value="contained.text.empty()"/>
            <xpath value="not(parent::f:contained and f:text)"/>
         </constraint>
         <constraint>
            <key value="dom-4"/>
            <severity value="error"/>
            <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
            <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
            <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
         </constraint>
         <constraint>
            <key value="dom-3"/>
            <severity value="error"/>
            <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
            <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/>
            <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/>
         </constraint>
         <constraint>
            <key value="app-3"/>
            <severity value="error"/>
            <human value="Only proposed or cancelled appointments can be missing start/end dates"/>
            <expression value="(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled'))"/>
            <xpath value="((exists(f:start) and exists(f:end)) or (f:status/@value='proposed') or (f:status/@value='cancelled'))"/>
         </constraint>
         <constraint>
            <key value="app-2"/>
            <severity value="error"/>
            <human value="Either start and end are specified, or neither"/>
            <expression value="start.empty() xor end.exists()"/>
            <xpath value="((exists(f:start) and exists(f:end)) or (not(exists(f:start)) and not(exists(f:end))))"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="Entity. Role, or Act"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="Act[@moodCode <= 'INT']"/>
         </mapping>
         <mapping>
            <identity value="ical"/>
            <map value="VEVENT"/>
         </mapping>
         <mapping>
            <identity value="w5"/>
            <map value="workflow.scheduling"/>
         </mapping>
      </element>
      <element id="Appointment.id">
         <path value="Appointment.id"/>
         <short value="Logical id of this artifact"/>
         <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
         <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Resource.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="id"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.meta">
         <path value="Appointment.meta"/>
         <short value="Metadata about the resource"/>
         <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Resource.meta"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="Meta"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.implicitRules">
         <path value="Appointment.implicitRules"/>
         <short value="A set of rules under which this content was created"/>
         <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
         <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.   This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Resource.implicitRules"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="uri"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isModifier value="true"/>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.language">
         <path value="Appointment.language"/>
         <short value="Language of the resource content"/>
         <definition value="The base language in which the resource is written."/>
         <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Resource.language"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="code"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <binding>
            <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
               <valueReference>
                  <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
               </valueReference>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
               <valueString value="Language"/>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
               <valueBoolean value="true"/>
            </extension>
            <strength value="extensible"/>
            <description value="A human language."/>
            <valueSetReference>
               <reference value="http://hl7.org/fhir/ValueSet/languages"/>
            </valueSetReference>
         </binding>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.text">
         <path value="Appointment.text"/>
         <short value="Text summary of the resource, for human interpretation"/>
         <definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
         <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later."/>
         <alias value="narrative"/>
         <alias value="html"/>
         <alias value="xhtml"/>
         <alias value="display"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="DomainResource.text"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="Narrative"/>
         </type>
         <condition value="ele-1"/>
         <condition value="dom-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="Act.text?"/>
         </mapping>
      </element>
      <element id="Appointment.contained">
         <path value="Appointment.contained"/>
         <short value="Contained, inline Resources"/>
         <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
         <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
         <alias value="inline resources"/>
         <alias value="anonymous resources"/>
         <alias value="contained resources"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="DomainResource.contained"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Resource"/>
         </type>
         <mapping>
            <identity value="rim"/>
            <map value="Entity. Role, or Act"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.extension">
         <path value="Appointment.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="DomainResource.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.extension:appointmentCancellationReason">
         <path value="Appointment.extension"/>
         <sliceName value="appointmentCancellationReason"/>
         <short value="The reason the appointment was cancelled"/>
         <definition value="The reason the appointment was cancelled."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="DomainResource.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
            <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-GPConnect-AppointmentCancellationReason-1"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.extension:bookingOrganisation">
         <path value="Appointment.extension"/>
         <sliceName value="bookingOrganisation"/>
         <short value="An extension to record the organisation booking the appointment"/>
         <definition value="An extension to record the organisation booking the appointment."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="DomainResource.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
            <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-GPConnect-BookingOrganisation-1"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mustSupport value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.extension:practitionerRole">
         <path value="Appointment.extension"/>
         <sliceName value="practitionerRole"/>
         <short value="An extension to record the role of the Practitioner of a scheduled Appointment"/>
         <definition value="An extension to record the role of the Practitioner of a scheduled Appointment."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="DomainResource.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
            <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-GPConnect-PractitionerRole-1"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mustSupport value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.extension:deliveryChannel">
         <path value="Appointment.extension"/>
         <sliceName value="deliveryChannel"/>
         <short value="An extension to record the delivery channel of a scheduled Appointment"/>
         <definition value="An extension to record the delivery channel of a scheduled Appointment."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="DomainResource.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
            <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-GPConnect-DeliveryChannel-2"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mustSupport value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.modifierExtension">
         <path value="Appointment.modifierExtension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Extensions that cannot be ignored"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="DomainResource.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <isModifier value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.identifier">
         <path value="Appointment.identifier"/>
         <short value="External Ids for this item"/>
         <definition value="This records identifiers associated with this appointment concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation)."/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Appointment.identifier"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Identifier"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"/>
         </mapping>
         <mapping>
            <identity value="servd"/>
            <map value="Identifier"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="SCH-1, SCH-2, ARQ-1, ARQ-2"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".id"/>
         </mapping>
         <mapping>
            <identity value="ical"/>
            <map value="UID"/>
         </mapping>
         <mapping>
            <identity value="w5"/>
            <map value="id"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.id">
         <path value="Appointment.identifier.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.extension">
         <path value="Appointment.identifier.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.use">
         <path value="Appointment.identifier.use"/>
         <short value="usual | official | temp | secondary (If known)"/>
         <definition value="The purpose of this identifier."/>
         <comment value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary."/>
         <requirements value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers."/>
         <min value="0"/>
         <max value="0"/>
         <base>
            <path value="Identifier.use"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="code"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isModifier value="true"/>
         <isSummary value="true"/>
         <binding>
            <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
               <valueString value="IdentifierUse"/>
            </extension>
            <strength value="required"/>
            <description value="Identifies the purpose for this identifier, if known ."/>
            <valueSetReference>
               <reference value="http://hl7.org/fhir/ValueSet/identifier-use"/>
            </valueSetReference>
         </binding>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="N/A"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="Role.code or implied by context"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.type">
         <path value="Appointment.identifier.type"/>
         <short value="Description of identifier"/>
         <definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose."/>
         <comment value="This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type."/>
         <requirements value="Allows users to make use of identifiers when the identifier system is not known."/>
         <min value="0"/>
         <max value="0"/>
         <base>
            <path value="Identifier.type"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="CodeableConcept"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <binding>
            <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
               <valueString value="IdentifierType"/>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
               <valueBoolean value="true"/>
            </extension>
            <strength value="extensible"/>
            <description value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose."/>
            <valueSetReference>
               <reference value="http://hl7.org/fhir/ValueSet/identifier-type"/>
            </valueSetReference>
         </binding>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CD"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CX.5"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="Role.code or implied by context"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.type.id">
         <path value="Appointment.identifier.type.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.type.extension">
         <path value="Appointment.identifier.type.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.type.coding">
         <path value="Appointment.identifier.type.coding"/>
         <short value="Code defined by a terminology system"/>
         <definition value="A reference to a code defined by a terminology system."/>
         <comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/>
         <requirements value="Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings."/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Coding"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CV"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.type.coding.id">
         <path value="Appointment.identifier.type.coding.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.type.coding.extension">
         <path value="Appointment.identifier.type.coding.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.type.coding.system">
         <path value="Appointment.identifier.type.coding.system"/>
         <short value="Identity of the terminology system"/>
         <definition value="The identification of the code system that defines the meaning of the symbol in the code."/>
         <comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously."/>
         <requirements value="Need to be unambiguous about the source of the definition of the symbol."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.system"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="uri"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.3"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./codeSystem"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.type.coding.version">
         <path value="Appointment.identifier.type.coding.version"/>
         <short value="Version of the system - if relevant"/>
         <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
         <comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.version"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.7"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./codeSystemVersion"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.type.coding.code">
         <path value="Appointment.identifier.type.coding.code"/>
         <short value="Symbol in syntax defined by the system"/>
         <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <requirements value="Need to refer to a particular code in the system."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.code"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="code"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.1"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./code"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.type.coding.display">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.identifier.type.coding.display"/>
         <short value="Representation defined by the system"/>
         <definition value="A representation of the meaning of the code in the system, following the rules of the system."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know  the system."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.display"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.2 - but note this is not well followed"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CV.displayName"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.type.coding.userSelected">
         <path value="Appointment.identifier.type.coding.userSelected"/>
         <short value="If this coding was chosen directly by the user"/>
         <definition value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)."/>
         <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
         <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.userSelected"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="boolean"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="Sometimes implied by being first"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CD.codingRationale"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source "true";     fhir:target dt:CDCoding.codingRationale\#O   ]"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.type.text">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.identifier.type.text"/>
         <short value="Plain text representation of the concept"/>
         <definition value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
         <comment value="Very often the text is the same as a displayName of one of the codings."/>
         <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./originalText[mediaType/code="text/plain"]/data"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.system">
         <path value="Appointment.identifier.system"/>
         <short value="The namespace for the identifier value"/>
         <definition value="Establishes the namespace for the value - that is, a URL that describes a set values that are unique."/>
         <comment value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier"/>
         <requirements value="There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers."/>
         <min value="1"/>
         <max value="1"/>
         <base>
            <path value="Identifier.system"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="uri"/>
         </type>
         <example>
            <label value="General"/>
            <valueUri value="http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri"/>
         </example>
         <example>
            <label value="General"/>
            <valueUri value="https://fhir.nhs.uk/Id/gpconnect-appointment-identifier"/>
         </example>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CX.4 / EI-2-4"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="II.root or Role.id.root"/>
         </mapping>
         <mapping>
            <identity value="servd"/>
            <map value="./IdentifierType"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.value">
         <path value="Appointment.identifier.value"/>
         <short value="The value that is unique"/>
         <definition value="The portion of the identifier typically relevant to the user and which is unique within the context of the system."/>
         <comment value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html)."/>
         <min value="1"/>
         <max value="1"/>
         <base>
            <path value="Identifier.value"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <example>
            <label value="General"/>
            <valueString value="123456"/>
         </example>
         <example>
            <label value="General"/>
            <valueString value="898976578"/>
         </example>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CX.1 / EI.1"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"/>
         </mapping>
         <mapping>
            <identity value="servd"/>
            <map value="./Value"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.period">
         <path value="Appointment.identifier.period"/>
         <short value="Time period when id is/was valid for use"/>
         <definition value="Time period during which identifier is/was valid for use."/>
         <comment value="This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). If duration is required, specify the type as Interval|Duration."/>
         <min value="0"/>
         <max value="0"/>
         <base>
            <path value="Identifier.period"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="Period"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="per-1"/>
            <severity value="error"/>
            <human value="If present, start SHALL have a lower value than end"/>
            <expression value="start.empty() or end.empty() or (start <= end)"/>
            <xpath value="not(exists(f:start)) or not(exists(f:end)) or (f:start/@value <= f:end/@value)"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="DR"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CX.7 + CX.8"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="Role.effectiveTime or implied by context"/>
         </mapping>
         <mapping>
            <identity value="servd"/>
            <map value="./StartDate and ./EndDate"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.period.id">
         <path value="Appointment.identifier.period.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.period.extension">
         <path value="Appointment.identifier.period.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.period.start">
         <path value="Appointment.identifier.period.start"/>
         <short value="Starting time with inclusive boundary"/>
         <definition value="The start of the period. The boundary is inclusive."/>
         <comment value="If the low element is missing, the meaning is that the low boundary is not known."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Period.start"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="dateTime"/>
         </type>
         <condition value="ele-1"/>
         <condition value="per-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="DR.1"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./low"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.period.end">
         <path value="Appointment.identifier.period.end"/>
         <short value="End time with inclusive boundary, if not ongoing"/>
         <definition value="The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time."/>
         <comment value="The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Period.end"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="dateTime"/>
         </type>
         <meaningWhenMissing value="If the end of the period is missing, it means that the period is ongoing"/>
         <condition value="ele-1"/>
         <condition value="per-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="DR.2"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./high"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.assigner">
         <path value="Appointment.identifier.assigner"/>
         <short value="Organization that issued id (may be just text)"/>
         <definition value="Organization that issued/manages the identifier."/>
         <comment value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization."/>
         <min value="0"/>
         <max value="0"/>
         <base>
            <path value="Identifier.assigner"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="Reference"/>
            <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ref-1"/>
            <severity value="error"/>
            <human value="SHALL have a contained resource if a local reference is provided"/>
            <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))"/>
            <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CX.4 / (CX.4,CX.9,CX.10)"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper"/>
         </mapping>
         <mapping>
            <identity value="servd"/>
            <map value="./IdentifierIssuingAuthority"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.assigner.id">
         <path value="Appointment.identifier.assigner.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.assigner.extension">
         <path value="Appointment.identifier.assigner.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.assigner.reference">
         <path value="Appointment.identifier.assigner.reference"/>
         <short value="Literal reference, Relative, internal or absolute URL"/>
         <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/>
         <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Reference.reference"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <condition value="ref-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.assigner.identifier">
         <path value="Appointment.identifier.assigner.identifier"/>
         <short value="Logical reference, when literal reference is not known"/>
         <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
         <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.   When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference  Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Reference.identifier"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="Identifier"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"/>
         </mapping>
         <mapping>
            <identity value="servd"/>
            <map value="Identifier"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".identifier"/>
         </mapping>
      </element>
      <element id="Appointment.identifier.assigner.display">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.identifier.assigner.display"/>
         <short value="Text alternative for the resource"/>
         <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/>
         <comment value="This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Reference.display"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.status">
         <path value="Appointment.status"/>
         <short value="proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error"/>
         <definition value="The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status."/>
         <comment value="If the Appointment's status is "cancelled" then all participants are expected to have their calendars released for the appointment period, and as such any Slots that were marked as BUSY can be re-set to FREE.  This element is labeled as a modifier because the status contains the code entered-in-error that mark the Appointment as not currently valid."/>
         <min value="1"/>
         <max value="1"/>
         <base>
            <path value="Appointment.status"/>
            <min value="1"/>
            <max value="1"/>
         </base>
         <type>
            <code value="code"/>
         </type>
         <example>
            <label value="General"/>
            <valueCode value="booked"/>
         </example>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isModifier value="true"/>
         <isSummary value="true"/>
         <binding>
            <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
               <valueString value="AppointmentStatus"/>
            </extension>
            <strength value="required"/>
            <description value="The free/busy status of an appointment."/>
            <valueSetReference>
               <reference value="http://hl7.org/fhir/ValueSet/appointmentstatus"/>
            </valueSetReference>
         </binding>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="SCH-25"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".statusCode"/>
         </mapping>
         <mapping>
            <identity value="w5"/>
            <map value="status"/>
         </mapping>
      </element>
      <element id="Appointment.serviceCategory">
         <path value="Appointment.serviceCategory"/>
         <short value="A broad categorisation of the service that is to be performed during this appointment"/>
         <definition value="A broad categorisation of the service that is to be performed during this appointment."/>
         <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/>
         <min value="0"/>
         <max value="0"/>
         <base>
            <path value="Appointment.serviceCategory"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="CodeableConcept"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <binding>
            <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
               <valueString value="service-category"/>
            </extension>
            <strength value="example"/>
            <valueSetReference>
               <reference value="http://hl7.org/fhir/ValueSet/service-category"/>
            </valueSetReference>
         </binding>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CD"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="n/a, might be inferred from the ServiceDeliveryLocation"/>
         </mapping>
      </element>
      <element id="Appointment.serviceCategory.id">
         <path value="Appointment.serviceCategory.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.serviceCategory.extension">
         <path value="Appointment.serviceCategory.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.serviceCategory.coding">
         <path value="Appointment.serviceCategory.coding"/>
         <short value="Code defined by a terminology system"/>
         <definition value="A reference to a code defined by a terminology system."/>
         <comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/>
         <requirements value="Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings."/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Coding"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CV"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
         </mapping>
      </element>
      <element id="Appointment.serviceCategory.coding.id">
         <path value="Appointment.serviceCategory.coding.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.serviceCategory.coding.extension">
         <path value="Appointment.serviceCategory.coding.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.serviceCategory.coding.system">
         <path value="Appointment.serviceCategory.coding.system"/>
         <short value="Identity of the terminology system"/>
         <definition value="The identification of the code system that defines the meaning of the symbol in the code."/>
         <comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously."/>
         <requirements value="Need to be unambiguous about the source of the definition of the symbol."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.system"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="uri"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.3"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./codeSystem"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
         </mapping>
      </element>
      <element id="Appointment.serviceCategory.coding.version">
         <path value="Appointment.serviceCategory.coding.version"/>
         <short value="Version of the system - if relevant"/>
         <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
         <comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.version"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.7"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./codeSystemVersion"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
         </mapping>
      </element>
      <element id="Appointment.serviceCategory.coding.code">
         <path value="Appointment.serviceCategory.coding.code"/>
         <short value="Symbol in syntax defined by the system"/>
         <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <requirements value="Need to refer to a particular code in the system."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.code"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="code"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.1"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./code"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
         </mapping>
      </element>
      <element id="Appointment.serviceCategory.coding.display">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.serviceCategory.coding.display"/>
         <short value="Representation defined by the system"/>
         <definition value="A representation of the meaning of the code in the system, following the rules of the system."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know  the system."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.display"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.2 - but note this is not well followed"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CV.displayName"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
         </mapping>
      </element>
      <element id="Appointment.serviceCategory.coding.userSelected">
         <path value="Appointment.serviceCategory.coding.userSelected"/>
         <short value="If this coding was chosen directly by the user"/>
         <definition value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)."/>
         <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
         <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.userSelected"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="boolean"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="Sometimes implied by being first"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CD.codingRationale"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source "true";     fhir:target dt:CDCoding.codingRationale\#O   ]"/>
         </mapping>
      </element>
      <element id="Appointment.serviceCategory.text">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.serviceCategory.text"/>
         <short value="Plain text representation of the concept"/>
         <definition value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
         <comment value="Very often the text is the same as a displayName of one of the codings."/>
         <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./originalText[mediaType/code="text/plain"]/data"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
         </mapping>
      </element>
      <element id="Appointment.serviceType">
         <path value="Appointment.serviceType"/>
         <short value="The specific service that is to be performed during this appointment"/>
         <definition value="The specific service that is to be performed during this appointment."/>
         <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/>
         <min value="0"/>
         <max value="0"/>
         <base>
            <path value="Appointment.serviceType"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="CodeableConcept"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <binding>
            <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
               <valueString value="service-type"/>
            </extension>
            <strength value="example"/>
            <valueSetReference>
               <reference value="http://hl7.org/fhir/ValueSet/service-type"/>
            </valueSetReference>
         </binding>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CD"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="n/a, might be inferred from the ServiceDeliveryLocation"/>
         </mapping>
      </element>
      <element id="Appointment.serviceType.id">
         <path value="Appointment.serviceType.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.serviceType.extension">
         <path value="Appointment.serviceType.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.serviceType.coding">
         <path value="Appointment.serviceType.coding"/>
         <short value="Code defined by a terminology system"/>
         <definition value="A reference to a code defined by a terminology system."/>
         <comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/>
         <requirements value="Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings."/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Coding"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CV"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
         </mapping>
      </element>
      <element id="Appointment.serviceType.coding.id">
         <path value="Appointment.serviceType.coding.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.serviceType.coding.extension">
         <path value="Appointment.serviceType.coding.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.serviceType.coding.system">
         <path value="Appointment.serviceType.coding.system"/>
         <short value="Identity of the terminology system"/>
         <definition value="The identification of the code system that defines the meaning of the symbol in the code."/>
         <comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously."/>
         <requirements value="Need to be unambiguous about the source of the definition of the symbol."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.system"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="uri"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.3"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./codeSystem"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
         </mapping>
      </element>
      <element id="Appointment.serviceType.coding.version">
         <path value="Appointment.serviceType.coding.version"/>
         <short value="Version of the system - if relevant"/>
         <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
         <comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.version"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.7"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./codeSystemVersion"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
         </mapping>
      </element>
      <element id="Appointment.serviceType.coding.code">
         <path value="Appointment.serviceType.coding.code"/>
         <short value="Symbol in syntax defined by the system"/>
         <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <requirements value="Need to refer to a particular code in the system."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.code"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="code"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.1"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./code"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
         </mapping>
      </element>
      <element id="Appointment.serviceType.coding.display">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.serviceType.coding.display"/>
         <short value="Representation defined by the system"/>
         <definition value="A representation of the meaning of the code in the system, following the rules of the system."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know  the system."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.display"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.2 - but note this is not well followed"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CV.displayName"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
         </mapping>
      </element>
      <element id="Appointment.serviceType.coding.userSelected">
         <path value="Appointment.serviceType.coding.userSelected"/>
         <short value="If this coding was chosen directly by the user"/>
         <definition value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)."/>
         <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
         <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.userSelected"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="boolean"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="Sometimes implied by being first"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CD.codingRationale"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source "true";     fhir:target dt:CDCoding.codingRationale\#O   ]"/>
         </mapping>
      </element>
      <element id="Appointment.serviceType.text">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.serviceType.text"/>
         <short value="Plain text representation of the concept"/>
         <definition value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
         <comment value="Very often the text is the same as a displayName of one of the codings."/>
         <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./originalText[mediaType/code="text/plain"]/data"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
         </mapping>
      </element>
      <element id="Appointment.specialty">
         <path value="Appointment.specialty"/>
         <short value="The specialty of a practitioner that would be required to perform the service requested in this appointment"/>
         <definition value="The specialty of a practitioner that would be required to perform the service requested in this appointment."/>
         <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Appointment.specialty"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="CodeableConcept"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <binding>
            <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
               <valueString value="specialty"/>
            </extension>
            <strength value="preferred"/>
            <valueSetReference>
               <reference value="http://hl7.org/fhir/ValueSet/c80-practice-codes"/>
            </valueSetReference>
         </binding>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CD"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".performer.AssignedPerson.code"/>
         </mapping>
         <mapping>
            <identity value="w5"/>
            <map value="class"/>
         </mapping>
      </element>
      <element id="Appointment.specialty.id">
         <path value="Appointment.specialty.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.specialty.extension">
         <path value="Appointment.specialty.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.specialty.coding">
         <path value="Appointment.specialty.coding"/>
         <short value="Code defined by a terminology system"/>
         <definition value="A reference to a code defined by a terminology system."/>
         <comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/>
         <requirements value="Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings."/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Coding"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CV"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
         </mapping>
      </element>
      <element id="Appointment.specialty.coding.id">
         <path value="Appointment.specialty.coding.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.specialty.coding.extension">
         <path value="Appointment.specialty.coding.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.specialty.coding.system">
         <path value="Appointment.specialty.coding.system"/>
         <short value="Identity of the terminology system"/>
         <definition value="The identification of the code system that defines the meaning of the symbol in the code."/>
         <comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously."/>
         <requirements value="Need to be unambiguous about the source of the definition of the symbol."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.system"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="uri"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.3"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./codeSystem"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
         </mapping>
      </element>
      <element id="Appointment.specialty.coding.version">
         <path value="Appointment.specialty.coding.version"/>
         <short value="Version of the system - if relevant"/>
         <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
         <comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.version"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.7"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./codeSystemVersion"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
         </mapping>
      </element>
      <element id="Appointment.specialty.coding.code">
         <path value="Appointment.specialty.coding.code"/>
         <short value="Symbol in syntax defined by the system"/>
         <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <requirements value="Need to refer to a particular code in the system."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.code"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="code"/>
         </type>
         <example>
            <label value="General"/>
            <valueCode value="394733009"/>
         </example>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.1"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./code"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
         </mapping>
      </element>
      <element id="Appointment.specialty.coding.display">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.specialty.coding.display"/>
         <short value="Representation defined by the system"/>
         <definition value="A representation of the meaning of the code in the system, following the rules of the system."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know  the system."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.display"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <example>
            <label value="General"/>
            <valueString value="Medical specialty--OTHER--NOT LISTED"/>
         </example>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.2 - but note this is not well followed"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CV.displayName"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
         </mapping>
      </element>
      <element id="Appointment.specialty.coding.userSelected">
         <path value="Appointment.specialty.coding.userSelected"/>
         <short value="If this coding was chosen directly by the user"/>
         <definition value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)."/>
         <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
         <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.userSelected"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="boolean"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="Sometimes implied by being first"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CD.codingRationale"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source "true";     fhir:target dt:CDCoding.codingRationale\#O   ]"/>
         </mapping>
      </element>
      <element id="Appointment.specialty.text">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.specialty.text"/>
         <short value="Plain text representation of the concept"/>
         <definition value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
         <comment value="Very often the text is the same as a displayName of one of the codings."/>
         <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./originalText[mediaType/code="text/plain"]/data"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
         </mapping>
      </element>
      <element id="Appointment.appointmentType">
         <path value="Appointment.appointmentType"/>
         <short value="The style of appointment or patient that has been booked in the slot (not service type)"/>
         <definition value="The style of appointment or patient that has been booked in the slot (not service type)."/>
         <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/>
         <min value="0"/>
         <max value="0"/>
         <base>
            <path value="Appointment.appointmentType"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="CodeableConcept"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <binding>
            <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
               <valueString value="appointment-type"/>
            </extension>
            <strength value="preferred"/>
            <valueSetReference>
               <reference value="http://hl7.org/fhir/ValueSet/v2-0276"/>
            </valueSetReference>
         </binding>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CD"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="ARQ-7"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".code"/>
         </mapping>
      </element>
      <element id="Appointment.appointmentType.id">
         <path value="Appointment.appointmentType.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.appointmentType.extension">
         <path value="Appointment.appointmentType.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.appointmentType.coding">
         <path value="Appointment.appointmentType.coding"/>
         <short value="Code defined by a terminology system"/>
         <definition value="A reference to a code defined by a terminology system."/>
         <comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/>
         <requirements value="Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings."/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Coding"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CV"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
         </mapping>
      </element>
      <element id="Appointment.appointmentType.coding.id">
         <path value="Appointment.appointmentType.coding.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.appointmentType.coding.extension">
         <path value="Appointment.appointmentType.coding.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.appointmentType.coding.system">
         <path value="Appointment.appointmentType.coding.system"/>
         <short value="Identity of the terminology system"/>
         <definition value="The identification of the code system that defines the meaning of the symbol in the code."/>
         <comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously."/>
         <requirements value="Need to be unambiguous about the source of the definition of the symbol."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.system"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="uri"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.3"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./codeSystem"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
         </mapping>
      </element>
      <element id="Appointment.appointmentType.coding.version">
         <path value="Appointment.appointmentType.coding.version"/>
         <short value="Version of the system - if relevant"/>
         <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
         <comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.version"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.7"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./codeSystemVersion"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
         </mapping>
      </element>
      <element id="Appointment.appointmentType.coding.code">
         <path value="Appointment.appointmentType.coding.code"/>
         <short value="Symbol in syntax defined by the system"/>
         <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <requirements value="Need to refer to a particular code in the system."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.code"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="code"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.1"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./code"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
         </mapping>
      </element>
      <element id="Appointment.appointmentType.coding.display">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.appointmentType.coding.display"/>
         <short value="Representation defined by the system"/>
         <definition value="A representation of the meaning of the code in the system, following the rules of the system."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know  the system."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.display"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.2 - but note this is not well followed"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CV.displayName"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
         </mapping>
      </element>
      <element id="Appointment.appointmentType.coding.userSelected">
         <path value="Appointment.appointmentType.coding.userSelected"/>
         <short value="If this coding was chosen directly by the user"/>
         <definition value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)."/>
         <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
         <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Coding.userSelected"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="boolean"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="Sometimes implied by being first"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CD.codingRationale"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source "true";     fhir:target dt:CDCoding.codingRationale\#O   ]"/>
         </mapping>
      </element>
      <element id="Appointment.appointmentType.text">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.appointmentType.text"/>
         <short value="Plain text representation of the concept"/>
         <definition value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
         <comment value="Very often the text is the same as a displayName of one of the codings."/>
         <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./originalText[mediaType/code="text/plain"]/data"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
         </mapping>
      </element>
      <element id="Appointment.reason">
         <path value="Appointment.reason"/>
         <short value="Reason this appointment is scheduled"/>
         <definition value="The reason that this appointment is being scheduled. This is more clinical than administrative."/>
         <comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Appointment.reason"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="CodeableConcept"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <binding>
            <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
               <valueString value="ApptReason"/>
            </extension>
            <strength value="required"/>
            <description value="The Reason for the appointment to take place."/>
            <valueSetReference>
               <reference value="http://hl7.org/fhir/ValueSet/encounter-reason"/>
            </valueSetReference>
         </binding>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CD"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="AIS-3, SCH-7"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".reasonCode"/>
         </mapping>
      </element>
      <element id="Appointment.reason.id">
         <path value="Appointment.reason.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.reason.extension">
         <path value="Appointment.reason.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.reason.coding">
         <path value="Appointment.reason.coding"/>
         <short value="Code defined by a terminology system"/>
         <definition value="A reference to a code defined by a terminology system."/>
         <comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/>
         <requirements value="Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings."/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Coding"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CV"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
         </mapping>
      </element>
      <element id="Appointment.reason.coding.id">
         <path value="Appointment.reason.coding.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.reason.coding.extension">
         <path value="Appointment.reason.coding.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.reason.coding.system">
         <path value="Appointment.reason.coding.system"/>
         <short value="Identity of the terminology system"/>
         <definition value="The identification of the code system that defines the meaning of the symbol in the code."/>
         <comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously."/>
         <requirements value="Need to be unambiguous about the source of the definition of the symbol."/>
         <min value="1"/>
         <max value="1"/>
         <base>
            <path value="Coding.system"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="uri"/>
         </type>
         <fixedUri value="http://snomed.info/sct"/>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.3"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./codeSystem"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
         </mapping>
      </element>
      <element id="Appointment.reason.coding.version">
         <path value="Appointment.reason.coding.version"/>
         <short value="Version of the system - if relevant"/>
         <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
         <comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
         <min value="0"/>
         <max value="0"/>
         <base>
            <path value="Coding.version"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.7"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./codeSystemVersion"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
         </mapping>
      </element>
      <element id="Appointment.reason.coding.code">
         <path value="Appointment.reason.coding.code"/>
         <short value="Symbol in syntax defined by the system"/>
         <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <requirements value="Need to refer to a particular code in the system."/>
         <min value="1"/>
         <max value="1"/>
         <base>
            <path value="Coding.code"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="code"/>
         </type>
         <example>
            <label value="General"/>
            <valueCode value="17436001"/>
         </example>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.1"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./code"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
         </mapping>
      </element>
      <element id="Appointment.reason.coding.display">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.reason.coding.display"/>
         <short value="Representation defined by the system"/>
         <definition value="A representation of the meaning of the code in the system, following the rules of the system."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know  the system."/>
         <min value="1"/>
         <max value="1"/>
         <base>
            <path value="Coding.display"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <example>
            <label value="General"/>
            <valueString value="Medical consultation with outpatient"/>
         </example>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.2 - but note this is not well followed"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CV.displayName"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
         </mapping>
      </element>
      <element id="Appointment.reason.coding.userSelected">
         <path value="Appointment.reason.coding.userSelected"/>
         <short value="If this coding was chosen directly by the user"/>
         <definition value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)."/>
         <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
         <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
         <min value="0"/>
         <max value="0"/>
         <base>
            <path value="Coding.userSelected"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="boolean"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="Sometimes implied by being first"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="CD.codingRationale"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source "true";     fhir:target dt:CDCoding.codingRationale\#O   ]"/>
         </mapping>
      </element>
      <element id="Appointment.reason.text">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.reason.text"/>
         <short value="Plain text representation of the concept"/>
         <definition value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
         <comment value="Very often the text is the same as a displayName of one of the codings."/>
         <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="./originalText[mediaType/code="text/plain"]/data"/>
         </mapping>
         <mapping>
            <identity value="orim"/>
            <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
         </mapping>
      </element>
      <element id="Appointment.indication">
         <path value="Appointment.indication"/>
         <short value="Reason the appointment is to takes place (resource)"/>
         <definition value="Reason the appointment has been scheduled to take place, as specified using information from another resource. When the patient arrives and the encounter begins it may be used as the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure."/>
         <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."/>
         <min value="0"/>
         <max value="0"/>
         <base>
            <path value="Appointment.indication"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Reference"/>
            <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
         </type>
         <type>
            <code value="Reference"/>
            <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ref-1"/>
            <severity value="error"/>
            <human value="SHALL have a contained resource if a local reference is provided"/>
            <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))"/>
            <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".inboundRelationship[@typeCode = 'RSON'].observation"/>
         </mapping>
      </element>
      <element id="Appointment.indication.id">
         <path value="Appointment.indication.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.indication.extension">
         <path value="Appointment.indication.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.indication.reference">
         <path value="Appointment.indication.reference"/>
         <short value="Literal reference, Relative, internal or absolute URL"/>
         <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/>
         <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Reference.reference"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <condition value="ref-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.indication.identifier">
         <path value="Appointment.indication.identifier"/>
         <short value="Logical reference, when literal reference is not known"/>
         <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
         <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.   When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference  Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Reference.identifier"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="Identifier"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"/>
         </mapping>
         <mapping>
            <identity value="servd"/>
            <map value="Identifier"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".identifier"/>
         </mapping>
      </element>
      <element id="Appointment.indication.display">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.indication.display"/>
         <short value="Text alternative for the resource"/>
         <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/>
         <comment value="This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Reference.display"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.priority">
         <path value="Appointment.priority"/>
         <short value="Gives the priority of the appointment. Can be used to make informed decisions if needing to re-prioritize appointments. (The iCal Standard specifies 0 as undefined, 1 as highest, 9 as lowest priority)"/>
         <definition value="The priority of the appointment. Can be used to make informed decisions if needing to re-prioritize appointments. (The iCal Standard specifies 0 as undefined, 1 as highest, 9 as lowest priority)."/>
         <comment value="Seeking implementer feedback on this property and how interoperable it is.  Using an extension to record a codeableconcept for named values may be tested at a future connectathon."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Appointment.priority"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="unsignedInt"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="ARQ-12, SCH-11.6 / TQ1-9"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".priorityCode"/>
         </mapping>
         <mapping>
            <identity value="ical"/>
            <map value="PRIORITY"/>
         </mapping>
         <mapping>
            <identity value="w5"/>
            <map value="class"/>
         </mapping>
      </element>
      <element id="Appointment.description">
         <path value="Appointment.description"/>
         <short value="Shown on a subject line in a meeting request, or appointment list"/>
         <definition value="The brief description of the appointment as would be shown on a subject line in a meeting request, or appointment list. Detailed or expanded information should be put in the comment field."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="1"/>
         <max value="1"/>
         <base>
            <path value="Appointment.description"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="NTE-3"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".text"/>
         </mapping>
         <mapping>
            <identity value="ical"/>
            <map value="DESCRIPTION"/>
         </mapping>
      </element>
      <element id="Appointment.supportingInformation">
         <path value="Appointment.supportingInformation"/>
         <short value="Additional information to support the appointment"/>
         <definition value="Additional information to support the appointment provided when making the appointment."/>
         <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."/>
         <min value="0"/>
         <max value="0"/>
         <base>
            <path value="Appointment.supportingInformation"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Reference"/>
            <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ref-1"/>
            <severity value="error"/>
            <human value="SHALL have a contained resource if a local reference is provided"/>
            <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))"/>
            <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".inboundRelationship[@typeCode = 'SPRT'].observation"/>
         </mapping>
         <mapping>
            <identity value="w5"/>
            <map value="context"/>
         </mapping>
      </element>
      <element id="Appointment.supportingInformation.id">
         <path value="Appointment.supportingInformation.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.supportingInformation.extension">
         <path value="Appointment.supportingInformation.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.supportingInformation.reference">
         <path value="Appointment.supportingInformation.reference"/>
         <short value="Literal reference, Relative, internal or absolute URL"/>
         <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/>
         <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Reference.reference"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <condition value="ref-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.supportingInformation.identifier">
         <path value="Appointment.supportingInformation.identifier"/>
         <short value="Logical reference, when literal reference is not known"/>
         <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
         <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.   When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference  Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Reference.identifier"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="Identifier"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"/>
         </mapping>
         <mapping>
            <identity value="servd"/>
            <map value="Identifier"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".identifier"/>
         </mapping>
      </element>
      <element id="Appointment.supportingInformation.display">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.supportingInformation.display"/>
         <short value="Text alternative for the resource"/>
         <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/>
         <comment value="This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Reference.display"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.start">
         <path value="Appointment.start"/>
         <short value="When appointment is to take place"/>
         <definition value="Date/Time that the appointment is to take place."/>
         <comment value="Note: This is intended for precisely observed times, typically system logs etc., and not human-reported times - for them, see date and dateTime below. Time zone is always required"/>
         <min value="1"/>
         <max value="1"/>
         <base>
            <path value="Appointment.start"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="instant"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="ARQ-11.1, SCH-11.4 / TQ1-7"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".effectiveTime.low"/>
         </mapping>
         <mapping>
            <identity value="w5"/>
            <map value="when.init"/>
         </mapping>
      </element>
      <element id="Appointment.end">
         <path value="Appointment.end"/>
         <short value="When appointment is to conclude"/>
         <definition value="Date/Time that the appointment is to conclude."/>
         <comment value="Note: This is intended for precisely observed times, typically system logs etc., and not human-reported times - for them, see date and dateTime below. Time zone is always required"/>
         <min value="1"/>
         <max value="1"/>
         <base>
            <path value="Appointment.end"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="instant"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="SCH-11.5 / TQ1-8/ calculated based on the start and the duration which is in ARQ-9"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".effectiveTime.high"/>
         </mapping>
         <mapping>
            <identity value="w5"/>
            <map value="when.done"/>
         </mapping>
      </element>
      <element id="Appointment.minutesDuration">
         <path value="Appointment.minutesDuration"/>
         <short value="Can be less than start/end (e.g. estimate)"/>
         <definition value="Number of minutes that the appointment is to take. This can be less than the duration between the start and end times (where actual time of appointment is only an estimate or is a planned appointment request)."/>
         <comment value="32 bit number; for values larger than this, use decimal"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Appointment.minutesDuration"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="positiveInt"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".activityTime[@xsi:type = ('SXPR_TS', 'PIVL_TS')].width"/>
         </mapping>
      </element>
      <element id="Appointment.slot">
         <path value="Appointment.slot"/>
         <short value="The slots that this appointment is filling"/>
         <definition value="The slots from the participants' schedules that will be filled by the appointment."/>
         <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."/>
         <min value="1"/>
         <max value="*"/>
         <base>
            <path value="Appointment.slot"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Reference"/>
            <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-Slot-1"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ref-1"/>
            <severity value="error"/>
            <human value="SHALL have a contained resource if a local reference is provided"/>
            <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))"/>
            <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".outboundRelationship[@typeCode = 'REFR'].act[@classCode = 'ACT'][@moodCode = 'SLOT']"/>
         </mapping>
      </element>
      <element id="Appointment.slot.id">
         <path value="Appointment.slot.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.slot.extension">
         <path value="Appointment.slot.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.slot.reference">
         <path value="Appointment.slot.reference"/>
         <short value="Literal reference, Relative, internal or absolute URL"/>
         <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/>
         <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Reference.reference"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <example>
            <label value="General"/>
            <valueString value="Slot/79a37bc3-8d22-4805-b1a7-8cf8ceca9217"/>
         </example>
         <condition value="ele-1"/>
         <condition value="ref-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.slot.identifier">
         <path value="Appointment.slot.identifier"/>
         <short value="Logical reference, when literal reference is not known"/>
         <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
         <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.   When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference  Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Reference.identifier"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="Identifier"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"/>
         </mapping>
         <mapping>
            <identity value="servd"/>
            <map value="Identifier"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".identifier"/>
         </mapping>
      </element>
      <element id="Appointment.slot.display">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.slot.display"/>
         <short value="Text alternative for the resource"/>
         <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/>
         <comment value="This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Reference.display"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <example>
            <label value="General"/>
            <valueString value="Appointment Slot - Out of Hours GP Clinic - 19:30 - 19:45"/>
         </example>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.created">
         <path value="Appointment.created"/>
         <short value="The date that this appointment was initially created"/>
         <definition value="The date that this appointment was initially created. This could be different to the meta.lastModified value on the initial entry, as this could have been before the resource was created on the FHIR server, and should remain unchanged over the lifespan of the appointment."/>
         <comment value="This property is required for many use cases where the age of an appointment is considered in processing workflows for scheduling and billing of appointments."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Appointment.created"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="dateTime"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".author.time"/>
         </mapping>
      </element>
      <element id="Appointment.comment">
         <path value="Appointment.comment"/>
         <short value="Any additional comments about the appointment"/>
         <definition value="Additional comments about the appointment."/>
         <comment value="Additional text to aid in facilitating the appointment. For instance, a comment might be, "patient should proceed immediately to infusion room upon arrival"  Where this is a planned appointment and the start/end dates are not set then this field can be used to provide additional guidance on the details of the appointment request, including any restrictions on when to book it."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Appointment.comment"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <example>
            <label value="General"/>
            <valueString value="Discussion on problem 'Increased pain in right arm.'"/>
         </example>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="NTE-3"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".subjectOf.observation[@moodCode = 'EVN'][code = 'annotation'].value"/>
         </mapping>
         <mapping>
            <identity value="ical"/>
            <map value="COMMENT"/>
         </mapping>
      </element>
      <element id="Appointment.incomingReferral">
         <path value="Appointment.incomingReferral"/>
         <short value="The ReferralRequest provided as information to allocate to the Encounter"/>
         <definition value="The referral request this appointment is allocated to assess (incoming referral)."/>
         <comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository."/>
         <min value="0"/>
         <max value="0"/>
         <base>
            <path value="Appointment.incomingReferral"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Reference"/>
            <targetProfile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ref-1"/>
            <severity value="error"/>
            <human value="SHALL have a contained resource if a local reference is provided"/>
            <expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))"/>
            <xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".outboundRelationship[@typeCode = 'FLFS'].act[@classCode < 'ActCareProvisionRequestType'][@moodCode = 'RQO']"/>
         </mapping>
      </element>
      <element id="Appointment.incomingReferral.id">
         <path value="Appointment.incomingReferral.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
      </element>
      <element id="Appointment.incomingReferral.extension">
         <path value="Appointment.incomingReferral.extension"/>
         <slicing>
            <discriminator>
               <type value="value"/>
               <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
         </slicing>
         <short value="Additional Content defined by implementations"/>
         <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
         <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
         <alias value="extensions"/>
         <alias value="user content"/>
         <min value="0"/>
         <max value="*"/>
         <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
         </base>
         <type>
            <code value="Extension"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.incomingReferral.reference">
         <path value="Appointment.incomingReferral.reference"/>
         <short value="Literal reference, Relative, internal or absolute URL"/>
         <definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources."/>
         <comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Reference.reference"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <condition value="ref-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.incomingReferral.identifier">
         <path value="Appointment.incomingReferral.identifier"/>
         <short value="Logical reference, when literal reference is not known"/>
         <definition value="An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
         <comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.   When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference  Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Reference.identifier"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="Identifier"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]"/>
         </mapping>
         <mapping>
            <identity value="servd"/>
            <map value="Identifier"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value=".identifier"/>
         </mapping>
      </element>
      <element id="Appointment.incomingReferral.display">
         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
         </extension>
         <path value="Appointment.incomingReferral.display"/>
         <short value="Text alternative for the resource"/>
         <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/>
         <comment value="This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it."/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Reference.display"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <isSummary value="true"/>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
         </mapping>
      </element>
      <element id="Appointment.participant">
         <path value="Appointment.participant"/>
         <short value="Participants involved in appointment"/>
         <definition value="List of participants involved in the appointment."/>
         <min value="1"/>
         <max value="*"/>
         <base>
            <path value="Appointment.participant"/>
            <min value="1"/>
            <max value="*"/>
         </base>
         <type>
            <code value="BackboneElement"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div"/>
         </constraint>
         <constraint>
            <key value="app-1"/>
            <severity value="error"/>
            <human value="Either the type or actor on the participant SHALL be specified"/>
            <expression value="type.exists() or actor.exists()"/>
            <xpath value="(exists(f:type) or exists(f:actor))"/>
         </constraint>
         <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
         </mapping>
         <mapping>
            <identity value="v2"/>
            <map value="PID, AIP, AIG, AIL"/>
         </mapping>
         <mapping>
            <identity value="rim"/>
            <map value="performer | reusableDevice | subject | location"/>
         </mapping>
         <mapping>
            <identity value="ical"/>
            <map value="ATTENDEE component to be created"/>
         </mapping>
      </element>
      <element id="Appointment.participant.id">
         <path value="Appointment.participant.id"/>
         <representation value="xmlAttr"/>
         <short value="xml:id (or equivalent in JSON)"/>
         <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
         <comment value="Note that FHIR strings may not exceed 1MB in size"/>
         <min value="0"/>
         <max value="1"/>
         <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
         </base>
         <type>
            <code value="string"/>
         </type>
         <condition value="ele-1"/>
         <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression value="hasValue() | (children().count() > id.count())"/>
            <xpath value="@value|f:*|h:div