Standard Health Record FHIR Implementation Guide

SHR SurgicalProcedurePerformed Profile

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

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

 a fhir:StructureDefinition;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "shr-procedure-SurgicalProcedurePerformed"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <p><b>SHR SurgicalProcedurePerformed Profile</b></p>\n  <p/>\n  <p><b>SHR Mapping Summary</b></p>\n  <p><pre>shr.procedure.SurgicalProcedurePerformed maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure:\n  DirectSite maps to http://hl7.org/fhir/StructureDefinition/procedure-targetBodySite\n  IndirectSite maps to http://hl7.org/fhir/StructureDefinition/procedure-approachBodySite\n  SurgicalApproach maps to http://hl7.org/fhir/StructureDefinition/procedure-approachBodySite\n</pre></p>\n</div>"
  ];
  fhir:StructureDefinition.url [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-SurgicalProcedurePerformed"];
  fhir:StructureDefinition.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://standardhealthrecord.org" ];
     fhir:Identifier.value [ fhir:value "shr.procedure.SurgicalProcedurePerformed" ]
  ];
  fhir:StructureDefinition.version [ fhir:value "0.0.1"];
  fhir:StructureDefinition.name [ fhir:value "SHR SurgicalProcedurePerformed Profile"];
  fhir:StructureDefinition.status [ fhir:value "draft"];
  fhir:StructureDefinition.date [ fhir:value "2017-12-20"^^xsd:date];
  fhir:StructureDefinition.publisher [ fhir:value "The MITRE Corporation: Standard Health Record Collaborative"];
  fhir:StructureDefinition.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://standardhealthrecord.org" ]     ]
  ];
  fhir:StructureDefinition.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ];
       fhir:Coding.display [ fhir:value "United States Minor Outlying Islands (the)" ]     ]
  ];
  fhir:StructureDefinition.fhirVersion [ fhir:value "3.0.1"];
  fhir:StructureDefinition.mapping [
     fhir:index 0;
     fhir:StructureDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ];
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://unknown.org/Argonaut DQ DSTU2" ];
     fhir:StructureDefinition.mapping.name [ fhir:value "Argonaut DQ DSTU2" ]
  ], [
     fhir:index 1;
     fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ];
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ];
     fhir:StructureDefinition.mapping.name [ fhir:value "RIM Mapping" ]
  ], [
     fhir:index 2;
     fhir:StructureDefinition.mapping.identity [ fhir:value "w5" ];
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/w5" ];
     fhir:StructureDefinition.mapping.name [ fhir:value "W5 Mapping" ]
  ], [
     fhir:index 3;
     fhir:StructureDefinition.mapping.identity [ fhir:value "v2" ];
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v2" ];
     fhir:StructureDefinition.mapping.name [ fhir:value "HL7 v2 Mapping" ]
  ];
  fhir:StructureDefinition.kind [ fhir:value "resource"];
  fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean];
  fhir:StructureDefinition.type [ fhir:value "Procedure"];
  fhir:StructureDefinition.baseDefinition [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"];
  fhir:StructureDefinition.derivation [ fhir:value "constraint"];
  fhir:StructureDefinition.snapshot [
     fhir:StructureDefinition.snapshot.element [
       fhir:index 0;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure" ];
       fhir:ElementDefinition.short [ fhir:value "SHR SurgicalProcedurePerformed Profile" ];
       fhir:ElementDefinition.definition [ fhir:value "The US Core Condition Profile is based upon the core FHIR Procedure Resource and created to meet the 2015 Edition Common Clinical Data Set 'Procedures' requirements." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-2" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "contained.contained.empty()" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:contained)" ];
         fhir:ElementDefinition.constraint.source [ fhir:value "DomainResource" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain any narrative" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "contained.text.empty()" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:text)" ];
         fhir:ElementDefinition.constraint.source [ fhir:value "DomainResource" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-4" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ];
         fhir:ElementDefinition.constraint.source [ fhir:value "DomainResource" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-3" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "contained.where(('#'+id in %resource.descendants().reference).not()).empty()" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))" ];
         fhir:ElementDefinition.constraint.source [ fhir:value "DomainResource" ]       ], [
         fhir:index 4;
         fhir:ElementDefinition.constraint.key [ fhir:value "pro-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "Reason not done is only permitted if notDone indicator is true" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "notDoneReason.empty() or notDone = true" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:notDoneReason)) or f:notDone/@value=true()" ];
         fhir:ElementDefinition.constraint.source [ fhir:value "Procedure" ]       ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Entity. Role, or Act" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Procedure[moodCode=EVN]" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "clinical.general" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Procedure" ]       ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.id" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.id" ];
       fhir:ElementDefinition.short [ fhir:value "Logical id of this artifact" ];
       fhir:ElementDefinition.definition [ fhir:value "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ];
       fhir:ElementDefinition.comment [ fhir:value "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Resource.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.meta" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.meta" ];
       fhir:ElementDefinition.short [ fhir:value "Metadata about the resource" ];
       fhir:ElementDefinition.definition [ fhir:value "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Resource.meta" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Meta" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.implicitRules" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.implicitRules" ];
       fhir:ElementDefinition.short [ fhir:value "A set of rules under which this content was created" ];
       fhir:ElementDefinition.definition [ fhir:value "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content." ];
       fhir:ElementDefinition.comment [ fhir:value "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Resource.implicitRules" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 4;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.language" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.language" ];
       fhir:ElementDefinition.short [ fhir:value "Language of the resource content" ];
       fhir:ElementDefinition.definition [ fhir:value "The base language in which the resource is written." ];
       fhir:ElementDefinition.comment [ fhir:value "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Resource.language" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ];
           fhir:Extension.valueReference [
             fhir:link <http://hl7.org/fhir/ValueSet/all-languages>;
             fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ]           ]         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.valueString [ fhir:value "Language" ]         ], [
           fhir:index 2;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
           fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ];
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.description [ fhir:value "A human language." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/languages>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/languages" ]         ]       ]     ], [
       fhir:index 5;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.text" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.text" ];
       fhir:ElementDefinition.short [ fhir:value "Text summary of the resource, for human interpretation" ];
       fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains a summary of the resource, and 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." ];
       fhir:ElementDefinition.comment [ fhir:value "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later." ];
       fhir:ElementDefinition.alias [
         fhir:value "narrative";
         fhir:index 0       ], [
         fhir:value "html";
         fhir:index 1       ], [
         fhir:value "xhtml";
         fhir:index 2       ], [
         fhir:value "display";
         fhir:index 3       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.text" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
       fhir:ElementDefinition.condition [
         fhir:value "dom-1";
         fhir:index 0       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Act.text?" ]       ]     ], [
       fhir:index 6;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.contained" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.contained" ];
       fhir:ElementDefinition.short [ fhir:value "Contained, inline Resources" ];
       fhir:ElementDefinition.definition [ fhir:value "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." ];
       fhir:ElementDefinition.comment [ fhir:value "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again." ];
       fhir:ElementDefinition.alias [
         fhir:value "inline resources";
         fhir:index 0       ], [
         fhir:value "anonymous resources";
         fhir:index 1       ], [
         fhir:value "contained resources";
         fhir:index 2       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.contained" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Resource" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 7;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.slicing [
         fhir:Element.id [ fhir:value "319" ];
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]         ];
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the 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." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 8;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:surgicalapproach" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "indirectsite" ];
       fhir:ElementDefinition.definition [ fhir:value "The indirect site for this procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/procedure-approachBodySite" ]       ]     ], [
       fhir:index 9;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:directsite" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "directsite" ];
       fhir:ElementDefinition.definition [ fhir:value "The site where the procedure is performed." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/procedure-targetBodySite" ]       ]     ], [
       fhir:index 10;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:relatedencounter" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "relatedencounter" ];
       fhir:ElementDefinition.definition [ fhir:value "If content was generated during a patient encounter, related encounter is the encounter where the information was gained." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension" ]       ]     ], [
       fhir:index 11;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:author" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "author" ];
       fhir:ElementDefinition.definition [ fhir:value "The person or organization who created the entry and is responsible for (and may certify) the content." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension" ]       ]     ], [
       fhir:index 12;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:informant" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "informant" ];
       fhir:ElementDefinition.definition [ fhir:value "The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Informant-extension" ]       ]     ], [
       fhir:index 13;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:type" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "type" ];
       fhir:ElementDefinition.definition [ fhir:value "The most specific code (lowest level term) describing the kind or sort of thing being represented." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Type-extension" ]       ]     ], [
       fhir:index 14;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:type.id" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 15;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:type.extension:extension" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "extension" ];
       fhir:ElementDefinition.short [ fhir:value "Extension" ];
       fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ]     ], [
       fhir:index 16;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:type.url" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.url" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ];
       fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ];
       fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.fixedUri [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Type-extension" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 17;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:type.valueCodeableConcept" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.valueCodeableConcept" ];
       fhir:ElementDefinition.short [ fhir:value "Value of extension" ];
       fhir:ElementDefinition.definition [ fhir:value "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 18;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:category" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "category" ];
       fhir:ElementDefinition.definition [ fhir:value "A class or division of people or things having particular shared characteristics" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Category-extension" ]       ]     ], [
       fhir:index 19;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:performedcontext" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "performedcontext" ];
       fhir:ElementDefinition.definition [ fhir:value "ActionContext indicating actual performance or execution of a healthcare-related action, e.g., 3rd dose of Hepatitis B vaccine administered on Dec 4th 2012, appendectomy performed today." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-PerformedContext-extension" ]       ]     ], [
       fhir:index 20;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:subject" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "subject" ];
       fhir:ElementDefinition.definition [ fhir:value "The person or thing that this entry relates to, usually the Person of Record. However, not all entries have health information specifically about the patient, but in different contexts, could refer to a fetus, family member (living or dead), device, location, organization, finding, condition, or intervention." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Subject-extension" ]       ]     ], [
       fhir:index 21;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:subject.id" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 22;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:subject.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension" ];
       fhir:ElementDefinition.slicing [
         fhir:Element.id [ fhir:value "24" ];
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]         ];
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Extension" ];
       fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ]     ], [
       fhir:index 23;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:subject.extension:patient" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "patient" ];
       fhir:ElementDefinition.definition [ fhir:value "A person in the role of a patient, including extended demographic information about the subject of this health record." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Patient-extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 24;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:subject.extension:group" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "group" ];
       fhir:ElementDefinition.definition [ fhir:value "A set of entities (personnel, material, or places) to be considered together. May be a pool of like-type resources, a team, or combination of personnel, material and places." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Group-extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 25;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:subject.extension:device" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "device" ];
       fhir:ElementDefinition.definition [ fhir:value "A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-device-Device-extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 26;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:subject.extension:location" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "location" ];
       fhir:ElementDefinition.definition [ fhir:value "A position, site, or point in space where something can be found." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Location-extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 27;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:subject.extension:relatedperson" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "relatedperson" ];
       fhir:ElementDefinition.definition [ fhir:value "A person in a role defined in relationship to a patient" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-RelatedPerson-extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 28;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:subject.extension:organization" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "organization" ];
       fhir:ElementDefinition.definition [ fhir:value "A social or legal structure formed by human beings." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Organization-extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 29;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:subject.url" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.url" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ];
       fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ];
       fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.fixedUri [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Subject-extension" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 30;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:subject.value[x]" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.value[x]" ];
       fhir:ElementDefinition.short [ fhir:value "Value of extension" ];
       fhir:ElementDefinition.definition [ fhir:value "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "base64Binary" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.type.code [ fhir:value "date" ]       ], [
         fhir:index 4;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]       ], [
         fhir:index 5;
         fhir:ElementDefinition.type.code [ fhir:value "decimal" ]       ], [
         fhir:index 6;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ], [
         fhir:index 7;
         fhir:ElementDefinition.type.code [ fhir:value "instant" ]       ], [
         fhir:index 8;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]       ], [
         fhir:index 9;
         fhir:ElementDefinition.type.code [ fhir:value "markdown" ]       ], [
         fhir:index 10;
         fhir:ElementDefinition.type.code [ fhir:value "oid" ]       ], [
         fhir:index 11;
         fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ]       ], [
         fhir:index 12;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ], [
         fhir:index 13;
         fhir:ElementDefinition.type.code [ fhir:value "time" ]       ], [
         fhir:index 14;
         fhir:ElementDefinition.type.code [ fhir:value "unsignedInt" ]       ], [
         fhir:index 15;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ], [
         fhir:index 16;
         fhir:ElementDefinition.type.code [ fhir:value "Address" ]       ], [
         fhir:index 17;
         fhir:ElementDefinition.type.code [ fhir:value "Age" ]       ], [
         fhir:index 18;
         fhir:ElementDefinition.type.code [ fhir:value "Annotation" ]       ], [
         fhir:index 19;
         fhir:ElementDefinition.type.code [ fhir:value "Attachment" ]       ], [
         fhir:index 20;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ], [
         fhir:index 21;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]       ], [
         fhir:index 22;
         fhir:ElementDefinition.type.code [ fhir:value "ContactPoint" ]       ], [
         fhir:index 23;
         fhir:ElementDefinition.type.code [ fhir:value "Count" ]       ], [
         fhir:index 24;
         fhir:ElementDefinition.type.code [ fhir:value "Distance" ]       ], [
         fhir:index 25;
         fhir:ElementDefinition.type.code [ fhir:value "Duration" ]       ], [
         fhir:index 26;
         fhir:ElementDefinition.type.code [ fhir:value "HumanName" ]       ], [
         fhir:index 27;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]       ], [
         fhir:index 28;
         fhir:ElementDefinition.type.code [ fhir:value "Money" ]       ], [
         fhir:index 29;
         fhir:ElementDefinition.type.code [ fhir:value "Period" ]       ], [
         fhir:index 30;
         fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]       ], [
         fhir:index 31;
         fhir:ElementDefinition.type.code [ fhir:value "Range" ]       ], [
         fhir:index 32;
         fhir:ElementDefinition.type.code [ fhir:value "Ratio" ]       ], [
         fhir:index 33;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ]       ], [
         fhir:index 34;
         fhir:ElementDefinition.type.code [ fhir:value "SampledData" ]       ], [
         fhir:index 35;
         fhir:ElementDefinition.type.code [ fhir:value "Signature" ]       ], [
         fhir:index 36;
         fhir:ElementDefinition.type.code [ fhir:value "Timing" ]       ], [
         fhir:index 37;
         fhir:ElementDefinition.type.code [ fhir:value "Meta" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 31;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:bodysite" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "bodysite" ];
       fhir:ElementDefinition.definition [ fhir:value "A location or structure in the body, including tissues, regions, cavities, and spaces, for example, right elbow, or left ventricle of the heart." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-BodySite-extension" ]       ]     ], [
       fhir:index 32;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:associatedstudy" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "associatedstudy" ];
       fhir:ElementDefinition.definition [ fhir:value "The clinical trial or other formal study related to this procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-AssociatedStudy-extension" ]       ]     ], [
       fhir:index 33;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:partof" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "partof" ];
       fhir:ElementDefinition.definition [ fhir:value "The larger entity that this is a portion of." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-PartOf-extension" ]       ]     ], [
       fhir:index 34;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:partof.id" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 35;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:partof.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension" ];
       fhir:ElementDefinition.slicing [
         fhir:Element.id [ fhir:value "313" ];
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]         ];
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Extension" ];
       fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ]     ], [
       fhir:index 36;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:partof.extension:content" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "content" ];
       fhir:ElementDefinition.definition [ fhir:value "An item that can constitute the payload of an Entry, aka an EntryElement." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Content-extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 37;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:partof.extension:content.id" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 38;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:partof.extension:content.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension.extension" ];
       fhir:ElementDefinition.slicing [
         fhir:Element.id [ fhir:value "16" ];
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]         ];
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Extension" ];
       fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ]     ], [
       fhir:index 39;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:partof.extension:content.extension:relatedencounter" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "relatedencounter" ];
       fhir:ElementDefinition.definition [ fhir:value "If content was generated during a patient encounter, related encounter is the encounter where the information was gained." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 40;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:partof.extension:content.extension:author" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "author" ];
       fhir:ElementDefinition.definition [ fhir:value "The person or organization who created the entry and is responsible for (and may certify) the content." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 41;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:partof.extension:content.extension:informant" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "informant" ];
       fhir:ElementDefinition.definition [ fhir:value "The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Informant-extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 42;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:partof.extension:content.url" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension.url" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ];
       fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ];
       fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.fixedUri [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Content-extension" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 43;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:partof.extension:content.value[x]" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.extension.value[x]" ];
       fhir:ElementDefinition.short [ fhir:value "Value of extension" ];
       fhir:ElementDefinition.definition [ fhir:value "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "base64Binary" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.type.code [ fhir:value "date" ]       ], [
         fhir:index 4;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]       ], [
         fhir:index 5;
         fhir:ElementDefinition.type.code [ fhir:value "decimal" ]       ], [
         fhir:index 6;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ], [
         fhir:index 7;
         fhir:ElementDefinition.type.code [ fhir:value "instant" ]       ], [
         fhir:index 8;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]       ], [
         fhir:index 9;
         fhir:ElementDefinition.type.code [ fhir:value "markdown" ]       ], [
         fhir:index 10;
         fhir:ElementDefinition.type.code [ fhir:value "oid" ]       ], [
         fhir:index 11;
         fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ]       ], [
         fhir:index 12;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ], [
         fhir:index 13;
         fhir:ElementDefinition.type.code [ fhir:value "time" ]       ], [
         fhir:index 14;
         fhir:ElementDefinition.type.code [ fhir:value "unsignedInt" ]       ], [
         fhir:index 15;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ], [
         fhir:index 16;
         fhir:ElementDefinition.type.code [ fhir:value "Address" ]       ], [
         fhir:index 17;
         fhir:ElementDefinition.type.code [ fhir:value "Age" ]       ], [
         fhir:index 18;
         fhir:ElementDefinition.type.code [ fhir:value "Annotation" ]       ], [
         fhir:index 19;
         fhir:ElementDefinition.type.code [ fhir:value "Attachment" ]       ], [
         fhir:index 20;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ], [
         fhir:index 21;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]       ], [
         fhir:index 22;
         fhir:ElementDefinition.type.code [ fhir:value "ContactPoint" ]       ], [
         fhir:index 23;
         fhir:ElementDefinition.type.code [ fhir:value "Count" ]       ], [
         fhir:index 24;
         fhir:ElementDefinition.type.code [ fhir:value "Distance" ]       ], [
         fhir:index 25;
         fhir:ElementDefinition.type.code [ fhir:value "Duration" ]       ], [
         fhir:index 26;
         fhir:ElementDefinition.type.code [ fhir:value "HumanName" ]       ], [
         fhir:index 27;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]       ], [
         fhir:index 28;
         fhir:ElementDefinition.type.code [ fhir:value "Money" ]       ], [
         fhir:index 29;
         fhir:ElementDefinition.type.code [ fhir:value "Period" ]       ], [
         fhir:index 30;
         fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]       ], [
         fhir:index 31;
         fhir:ElementDefinition.type.code [ fhir:value "Range" ]       ], [
         fhir:index 32;
         fhir:ElementDefinition.type.code [ fhir:value "Ratio" ]       ], [
         fhir:index 33;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ]       ], [
         fhir:index 34;
         fhir:ElementDefinition.type.code [ fhir:value "SampledData" ]       ], [
         fhir:index 35;
         fhir:ElementDefinition.type.code [ fhir:value "Signature" ]       ], [
         fhir:index 36;
         fhir:ElementDefinition.type.code [ fhir:value "Timing" ]       ], [
         fhir:index 37;
         fhir:ElementDefinition.type.code [ fhir:value "Meta" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 44;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:partof.url" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.url" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ];
       fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ];
       fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.fixedUri [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-PartOf-extension" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 45;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:partof.value[x]" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.value[x]" ];
       fhir:ElementDefinition.short [ fhir:value "Value of extension" ];
       fhir:ElementDefinition.definition [ fhir:value "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "base64Binary" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.type.code [ fhir:value "date" ]       ], [
         fhir:index 4;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]       ], [
         fhir:index 5;
         fhir:ElementDefinition.type.code [ fhir:value "decimal" ]       ], [
         fhir:index 6;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ], [
         fhir:index 7;
         fhir:ElementDefinition.type.code [ fhir:value "instant" ]       ], [
         fhir:index 8;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]       ], [
         fhir:index 9;
         fhir:ElementDefinition.type.code [ fhir:value "markdown" ]       ], [
         fhir:index 10;
         fhir:ElementDefinition.type.code [ fhir:value "oid" ]       ], [
         fhir:index 11;
         fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ]       ], [
         fhir:index 12;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ], [
         fhir:index 13;
         fhir:ElementDefinition.type.code [ fhir:value "time" ]       ], [
         fhir:index 14;
         fhir:ElementDefinition.type.code [ fhir:value "unsignedInt" ]       ], [
         fhir:index 15;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ], [
         fhir:index 16;
         fhir:ElementDefinition.type.code [ fhir:value "Address" ]       ], [
         fhir:index 17;
         fhir:ElementDefinition.type.code [ fhir:value "Age" ]       ], [
         fhir:index 18;
         fhir:ElementDefinition.type.code [ fhir:value "Annotation" ]       ], [
         fhir:index 19;
         fhir:ElementDefinition.type.code [ fhir:value "Attachment" ]       ], [
         fhir:index 20;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ], [
         fhir:index 21;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]       ], [
         fhir:index 22;
         fhir:ElementDefinition.type.code [ fhir:value "ContactPoint" ]       ], [
         fhir:index 23;
         fhir:ElementDefinition.type.code [ fhir:value "Count" ]       ], [
         fhir:index 24;
         fhir:ElementDefinition.type.code [ fhir:value "Distance" ]       ], [
         fhir:index 25;
         fhir:ElementDefinition.type.code [ fhir:value "Duration" ]       ], [
         fhir:index 26;
         fhir:ElementDefinition.type.code [ fhir:value "HumanName" ]       ], [
         fhir:index 27;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]       ], [
         fhir:index 28;
         fhir:ElementDefinition.type.code [ fhir:value "Money" ]       ], [
         fhir:index 29;
         fhir:ElementDefinition.type.code [ fhir:value "Period" ]       ], [
         fhir:index 30;
         fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]       ], [
         fhir:index 31;
         fhir:ElementDefinition.type.code [ fhir:value "Range" ]       ], [
         fhir:index 32;
         fhir:ElementDefinition.type.code [ fhir:value "Ratio" ]       ], [
         fhir:index 33;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ]       ], [
         fhir:index 34;
         fhir:ElementDefinition.type.code [ fhir:value "SampledData" ]       ], [
         fhir:index 35;
         fhir:ElementDefinition.type.code [ fhir:value "Signature" ]       ], [
         fhir:index 36;
         fhir:ElementDefinition.type.code [ fhir:value "Timing" ]       ], [
         fhir:index 37;
         fhir:ElementDefinition.type.code [ fhir:value "Meta" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 46;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:annotation" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "annotation" ];
       fhir:ElementDefinition.definition [ fhir:value "An added or follow-up note, often after the fact, that contains metadata about who made the statement and when." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Annotation-extension" ]       ]     ], [
       fhir:index 47;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:directsitecode" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "directsitecode" ];
       fhir:ElementDefinition.definition [ fhir:value "The site where the procedure is performed." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-DirectSiteCode-extension" ]       ]     ], [
       fhir:index 48;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:indirectsitecode" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "indirectsitecode" ];
       fhir:ElementDefinition.definition [ fhir:value "The indirect site for this procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectSiteCode-extension" ]       ]     ], [
       fhir:index 49;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:access" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "access" ];
       fhir:ElementDefinition.definition [ fhir:value "The route used to access the site of a procedure. It is used to distinguish open, closed, and percutaneous procedures." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-Access-extension" ]       ]     ], [
       fhir:index 50;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:usingdevice" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "usingdevice" ];
       fhir:ElementDefinition.definition [ fhir:value "The device used to perform the procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingDevice-extension" ]       ]     ], [
       fhir:index 51;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:usingdevicecode" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "usingdevicecode" ];
       fhir:ElementDefinition.definition [ fhir:value "The device used to perform the procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingDeviceCode-extension" ]       ]     ], [
       fhir:index 52;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:usingaccessdevice" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "usingaccessdevice" ];
       fhir:ElementDefinition.definition [ fhir:value "The access device used to perform the procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingAccessDevice-extension" ]       ]     ], [
       fhir:index 53;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:usingaccessdevicecode" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "usingaccessdevicecode" ];
       fhir:ElementDefinition.definition [ fhir:value "The access device used to perform the procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingAccessDeviceCode-extension" ]       ]     ], [
       fhir:index 54;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:indirectdevice" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "indirectdevice" ];
       fhir:ElementDefinition.definition [ fhir:value "An indirect device used for this procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectDevice-extension" ]       ]     ], [
       fhir:index 55;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:indirectdevicecode" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "indirectdevicecode" ];
       fhir:ElementDefinition.definition [ fhir:value "An indirect device used for this procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectDeviceCode-extension" ]       ]     ], [
       fhir:index 56;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. 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." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.modifierExtension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 57;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.identifier" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.identifier" ];
       fhir:ElementDefinition.short [ fhir:value "External Identifiers for this procedure" ];
       fhir:ElementDefinition.definition [ fhir:value "This records identifiers associated with this procedure 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)." ];
       fhir:ElementDefinition.requirements [ fhir:value "Need to allow connection to a wider workflow." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.identifier" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".id" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "id" ]       ]     ], [
       fhir:index 58;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.definition" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.definition" ];
       fhir:ElementDefinition.short [ fhir:value "Instantiates protocol or definition" ];
       fhir:ElementDefinition.definition [ fhir:value "A protocol, guideline, orderset or other definition that was adhered to in whole or in part by this procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.definition" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/PlanDefinition" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/ActivityDefinition" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/HealthcareService" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=DEFN].target" ]       ]     ], [
       fhir:index 59;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.basedOn" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.basedOn" ];
       fhir:ElementDefinition.short [ fhir:value "A request for this procedure" ];
       fhir:ElementDefinition.definition [ fhir:value "A reference to a resource that contains details of the request for this procedure." ];
       fhir:ElementDefinition.alias [
         fhir:value "fulfills";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.basedOn" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/CarePlan" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/ProcedureRequest" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/ReferralRequest" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT,  moodCode=RQO].code" ]       ]     ], [
       fhir:index 60;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.partOf" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.partOf" ];
       fhir:ElementDefinition.short [ fhir:value "Part of referenced event" ];
       fhir:ElementDefinition.definition [ fhir:value "A larger event of which this particular procedure is a component or step." ];
       fhir:ElementDefinition.comment [ fhir:value "The MedicationAdministration has a partOf reference to Procedure, but this is not a circular reference.  For a surgical procedure, the anesthesia related medicationAdministration is part of the procedure.  For an IV medication administration,  the procedure to insert the IV port is part of the medication administration." ];
       fhir:ElementDefinition.alias [
         fhir:value "container";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.partOf" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Procedure" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationAdministration" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]" ]       ]     ], [
       fhir:index 61;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.status" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.status" ];
       fhir:ElementDefinition.short [ fhir:value "preparation | in-progress | suspended | aborted | completed | entered-in-error | unknown" ];
       fhir:ElementDefinition.definition [ fhir:value "A code specifying the state of the procedure. Generally this will be in-progress or completed state." ];
       fhir:ElementDefinition.comment [ fhir:value "The unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.status" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/event-status>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/event-status" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "statusCode" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "status" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Procedure.status" ]       ]     ], [
       fhir:index 62;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.notDone" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.notDone" ];
       fhir:ElementDefinition.short [ fhir:value "True if procedure was not performed as scheduled" ];
       fhir:ElementDefinition.definition [ fhir:value "Set this to true if the record is saying that the procedure was NOT performed." ];
       fhir:ElementDefinition.comment [ fhir:value "If true, it means the procedure did not occur as described.  Typically it would be accompanied by attributes describing the type of activity.  It might also be accompanied by body site information or time information (i.e. no procedure was done to the left arm or no procedure was done in this 2-year period).  Specifying additional information such as performer, outcome, etc. is generally inappropriate.  For example, it's not that useful to say \"There was no appendectomy done at 12:03pm June 6th by Dr. Smith with a successful outcome\" as it implies that there *could* have been an appendectomy done at any other time, by any other clinician or with any other outcome.\n\nThis element is labeled as a modifier because it indicates that a procedure didn't happen." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.notDone" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]       ];
       fhir:ElementDefinition.defaultValueBoolean [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".actionNegationInd" ]       ]     ], [
       fhir:index 63;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.notDoneReason" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.notDoneReason" ];
       fhir:ElementDefinition.short [ fhir:value "Reason procedure was not performed" ];
       fhir:ElementDefinition.definition [ fhir:value "A code indicating why the procedure was not performed." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.notDoneReason" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.condition [
         fhir:value "pro-1";
         fhir:index 0       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.valueString [ fhir:value "ProcedureNegationReason" ]         ];
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
         fhir:ElementDefinition.binding.description [ fhir:value "A code that identifies the reason a procedure was not performed." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/procedure-not-performed-reason>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/procedure-not-performed-reason" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".reason.Observation.value" ]       ]     ], [
       fhir:index 64;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.category" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.category" ];
       fhir:ElementDefinition.short [ fhir:value "Classification of the procedure" ];
       fhir:ElementDefinition.definition [ fhir:value "A code that classifies the procedure for searching, sorting and display purposes (e.g. \"Surgical Procedure\")." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.category" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.valueString [ fhir:value "ProcedureCategory" ]         ];
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
         fhir:ElementDefinition.binding.description [ fhir:value "A code that classifies a procedure for searching, sorting and display purposes." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/procedure-category>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/procedure-category" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "class" ]       ]     ], [
       fhir:index 65;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.code" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.code" ];
       fhir:ElementDefinition.short [ fhir:value "SNOMED-CT | ICD-10 | CPT-4" ];
       fhir:ElementDefinition.definition [ fhir:value "The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. \"Laparoscopic Appendectomy\")." ];
       fhir:ElementDefinition.requirements [ fhir:value "0..1 to account for primarily narrative only resources." ];
       fhir:ElementDefinition.alias [
         fhir:value "type";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.code" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ];
           fhir:Extension.valueReference [
             fhir:link <http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code>;
             fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code" ]           ]         ];
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes describing the type of  Procedure" ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-44/OBR-45" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "what" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Procedure.code" ]       ]     ], [
       fhir:index 66;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.subject" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.subject" ];
       fhir:ElementDefinition.short [ fhir:value "Who the procedure was performed on" ];
       fhir:ElementDefinition.definition [ fhir:value "The person, animal or group on which the procedure was performed." ];
       fhir:ElementDefinition.alias [
         fhir:value "patient";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.subject" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" ]       ];
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "PID-3" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=SBJ].role" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "who.focus" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Procedure.subject" ]       ]     ], [
       fhir:index 67;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.context" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.context" ];
       fhir:ElementDefinition.short [ fhir:value "Encounter or episode associated with the procedure" ];
       fhir:ElementDefinition.definition [ fhir:value "The encounter during which the procedure was performed." ];
       fhir:ElementDefinition.alias [
         fhir:value "encounter";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.context" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "PV1-19" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "context" ]       ]     ], [
       fhir:index 68;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.performed[x]" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.performed[x]" ];
       fhir:ElementDefinition.short [ fhir:value "Date/Period the procedure was performed" ];
       fhir:ElementDefinition.definition [ fhir:value "The date(time)/period over which the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.performed[x]" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "Period" ]       ];
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-7" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".effectiveTime" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "when.done" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.mapping.identity [ fhir:value "argonaut-dq-dstu2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Procedure.performed[x]" ]       ]     ], [
       fhir:index 69;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.performer" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.performer" ];
       fhir:ElementDefinition.short [ fhir:value "The people who performed the procedure" ];
       fhir:ElementDefinition.definition [ fhir:value "Limited to 'real' people rather than equipment." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.performer" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() | (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.constraint.source [ fhir:value "Element" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=PRF]" ]       ]     ], [
       fhir:index 70;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.performer.id" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.performer.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 71;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.performer.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.performer.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. 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." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 72;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.performer.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.performer.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element, 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." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ], [
         fhir:value "modifiers";
         fhir:index 2       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 73;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.performer.role" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.performer.role" ];
       fhir:ElementDefinition.short [ fhir:value "The role the actor was in" ];
       fhir:ElementDefinition.definition [ fhir:value "For example: surgeon, anaethetist, endoscopist." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.performer.role" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.valueString [ fhir:value "ProcedurePerformerRole" ]         ];
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
         fhir:ElementDefinition.binding.description [ fhir:value "A code that identifies the role of a performer of the procedure." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/performer-role>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/performer-role" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".functionCode" ]       ]     ], [
       fhir:index 74;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.performer.actor" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.performer.actor" ];
       fhir:ElementDefinition.short [ fhir:value "The reference to the practitioner" ];
       fhir:ElementDefinition.definition [ fhir:value "The practitioner who was involved in the procedure." ];
       fhir:ElementDefinition.requirements [ fhir:value "A reference to Device supports use cases, such as pacemakers." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.performer.actor" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Patient" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ]       ], [
         fhir:index 4;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Device" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "ORC-19/PRT-5" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".role" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "who.actor" ]       ]     ], [
       fhir:index 75;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.performer.onBehalfOf" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.performer.onBehalfOf" ];
       fhir:ElementDefinition.short [ fhir:value "Organization the device or practitioner was acting for" ];
       fhir:ElementDefinition.definition [ fhir:value "The organization the device or practitioner was acting on behalf of." ];
       fhir:ElementDefinition.requirements [ fhir:value "Practitioners and Devices can be associated with multiple organizations.  This element indicates which organization they were acting on behalf of when performing the action." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.performer.onBehalfOf" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".scoper" ]       ]     ], [
       fhir:index 76;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.location" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.location" ];
       fhir:ElementDefinition.short [ fhir:value "Where the procedure happened" ];
       fhir:ElementDefinition.definition [ fhir:value "The location where the procedure actually happened.  E.g. a newborn at home, a tracheostomy at a restaurant." ];
       fhir:ElementDefinition.requirements [ fhir:value "Ties a procedure to where the records are likely kept." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.location" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Location" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=LOC].role[classCode=SDLOC]" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "where" ]       ]     ], [
       fhir:index 77;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.reasonCode" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.reasonCode" ];
       fhir:ElementDefinition.short [ fhir:value "Coded reason procedure performed" ];
       fhir:ElementDefinition.definition [ fhir:value "The coded reason why the procedure was performed. This may be coded entity of some type, or may simply be present as text." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.reasonCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.valueString [ fhir:value "ProcedureReason" ]         ];
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
         fhir:ElementDefinition.binding.description [ fhir:value "A code that identifies the reason a procedure is  required." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/procedure-reason>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/procedure-reason" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".reasonCode" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "why" ]       ]     ], [
       fhir:index 78;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.reasonReference" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.reasonReference" ];
       fhir:ElementDefinition.short [ fhir:value "Condition that is the reason the procedure performed" ];
       fhir:ElementDefinition.definition [ fhir:value "The condition that is the reason why the procedure was performed." ];
       fhir:ElementDefinition.comment [ fhir:value "e.g. endoscopy for dilatation and biopsy, combination diagnosis and therapeutic." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.reasonReference" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Condition" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".reasonCode" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "why" ]       ]     ], [
       fhir:index 79;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.bodySite" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.bodySite" ];
       fhir:ElementDefinition.short [ fhir:value "Target body sites" ];
       fhir:ElementDefinition.definition [ fhir:value "Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.bodySite" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.valueString [ fhir:value "BodySite" ]         ];
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes describing anatomical locations. May include laterality." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/body-site>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/body-site" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-20" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".targetSiteCode" ]       ]     ], [
       fhir:index 80;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.outcome" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.outcome" ];
       fhir:ElementDefinition.short [ fhir:value "The result of procedure" ];
       fhir:ElementDefinition.definition [ fhir:value "The outcome of the procedure - did it resolve reasons for the procedure being performed?" ];
       fhir:ElementDefinition.comment [ fhir:value "If outcome contains narrative text only, it can be captured using the CodeableConcept.text." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.outcome" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.valueString [ fhir:value "ProcedureOutcome" ]         ];
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
         fhir:ElementDefinition.binding.description [ fhir:value "An outcome of a procedure - whether it was resolved or otherwise." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/procedure-outcome>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/procedure-outcome" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=OUT].target.text" ]       ]     ], [
       fhir:index 81;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.report" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.report" ];
       fhir:ElementDefinition.short [ fhir:value "Any report resulting from the procedure" ];
       fhir:ElementDefinition.definition [ fhir:value "This could be a histology result, pathology report, surgical report, etc.." ];
       fhir:ElementDefinition.comment [ fhir:value "There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.report" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]" ]       ]     ], [
       fhir:index 82;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.complication" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.complication" ];
       fhir:ElementDefinition.short [ fhir:value "Complication following the procedure" ];
       fhir:ElementDefinition.definition [ fhir:value "Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues." ];
       fhir:ElementDefinition.comment [ fhir:value "If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.complication" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.valueString [ fhir:value "ProcedureComplication" ]         ];
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes describing complications that resulted from a procedure." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/condition-code>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/condition-code" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value" ]       ]     ], [
       fhir:index 83;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.complicationDetail" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.complicationDetail" ];
       fhir:ElementDefinition.short [ fhir:value "A condition that is a result of the procedure" ];
       fhir:ElementDefinition.definition [ fhir:value "Any complications that occurred during the procedure, or in the immediate post-performance period." ];
       fhir:ElementDefinition.requirements [ fhir:value "This is used to document a condition that is a result of the procedure, not the condition that was the reason for the procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.complicationDetail" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Condition" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value" ]       ]     ], [
       fhir:index 84;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.followUp" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.followUp" ];
       fhir:ElementDefinition.short [ fhir:value "Instructions for follow up" ];
       fhir:ElementDefinition.definition [ fhir:value "If the procedure required specific follow up - e.g. removal of sutures. The followup may be represented as a simple note, or could potentially be more complex in which case the CarePlan resource can be used." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.followUp" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.valueString [ fhir:value "ProcedureFollowUp" ]         ];
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Specific follow up required for a procedure e.g. removal of sutures." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/procedure-followup>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/procedure-followup" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code" ]       ]     ], [
       fhir:index 85;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.note" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.note" ];
       fhir:ElementDefinition.short [ fhir:value "Additional information about the procedure" ];
       fhir:ElementDefinition.definition [ fhir:value "Any other notes about the procedure.  E.g. the operative notes." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.note" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Annotation" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "NTE" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value" ]       ]     ], [
       fhir:index 86;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.focalDevice" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.focalDevice" ];
       fhir:ElementDefinition.short [ fhir:value "Device changed in procedure" ];
       fhir:ElementDefinition.definition [ fhir:value "A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.focalDevice" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() | (children().count() > id.count())" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.constraint.source [ fhir:value "Element" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=DEV].role[classCode=MANU]" ]       ]     ], [
       fhir:index 87;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.focalDevice.id" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.focalDevice.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 88;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.focalDevice.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.focalDevice.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. 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." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 89;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.focalDevice.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.focalDevice.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element, 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." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ], [
         fhir:value "modifiers";
         fhir:index 2       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 90;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.focalDevice.action" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.focalDevice.action" ];
       fhir:ElementDefinition.short [ fhir:value "Kind of change to device" ];
       fhir:ElementDefinition.definition [ fhir:value "The kind of change that happened to the device during the procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.focalDevice.action" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.valueString [ fhir:value "DeviceActionKind" ]         ];
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.binding.description [ fhir:value "A kind of change that happened to the device during the procedure." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/device-action>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/device-action" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"procedure device action\"].value=:procedure device action codes" ]       ]     ], [
       fhir:index 91;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.focalDevice.manipulated" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.focalDevice.manipulated" ];
       fhir:ElementDefinition.short [ fhir:value "Device that was changed" ];
       fhir:ElementDefinition.definition [ fhir:value "The device that was manipulated (changed) during the procedure." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.focalDevice.manipulated" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Device" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=DEV].role[classCode=SDLOC]" ]       ]     ], [
       fhir:index 92;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.usedReference" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.usedReference" ];
       fhir:ElementDefinition.short [ fhir:value "Items used during procedure" ];
       fhir:ElementDefinition.definition [ fhir:value "Identifies medications, devices and any other substance used as part of the procedure." ];
       fhir:ElementDefinition.comment [ fhir:value "For devices actually implanted or removed, use Procedure.device." ];
       fhir:ElementDefinition.requirements [ fhir:value "Used for tracking contamination, etc." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.usedReference" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Device" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Medication" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Substance" ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=DEV].role[classCode=MANU] or\n.participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)" ]       ]     ], [
       fhir:index 93;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.usedCode" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.usedCode" ];
       fhir:ElementDefinition.short [ fhir:value "Coded items used during the procedure" ];
       fhir:ElementDefinition.definition [ fhir:value "Identifies coded items that were used as part of the procedure." ];
       fhir:ElementDefinition.comment [ fhir:value "For devices actually implanted or removed, use Procedure.device." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Procedure.usedCode" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.valueString [ fhir:value "ProcedureUsed" ]         ];
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes describing items used during a procedure" ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/device-kind>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/device-kind" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=Dev].role[classCode=MANU]" ]       ]     ]
  ];
  fhir:StructureDefinition.differential [
     fhir:StructureDefinition.differential.element [
       fhir:index 0;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure" ];
       fhir:ElementDefinition.short [ fhir:value "SHR SurgicalProcedurePerformed Profile" ];
       fhir:ElementDefinition.definition [ fhir:value "The US Core Condition Profile is based upon the core FHIR Procedure Resource and created to meet the 2015 Edition Common Clinical Data Set 'Procedures' requirements." ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:surgicalapproach" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "indirectsite" ];
       fhir:ElementDefinition.definition [ fhir:value "The indirect site for this procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/procedure-approachBodySite" ]       ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:directsite" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "directsite" ];
       fhir:ElementDefinition.definition [ fhir:value "The site where the procedure is performed." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/procedure-targetBodySite" ]       ]     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:relatedencounter" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "relatedencounter" ];
       fhir:ElementDefinition.definition [ fhir:value "If content was generated during a patient encounter, related encounter is the encounter where the information was gained." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-RelatedEncounter-extension" ]       ]     ], [
       fhir:index 4;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:author" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "author" ];
       fhir:ElementDefinition.definition [ fhir:value "The person or organization who created the entry and is responsible for (and may certify) the content." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Author-extension" ]       ]     ], [
       fhir:index 5;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:informant" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "informant" ];
       fhir:ElementDefinition.definition [ fhir:value "The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Informant-extension" ]       ]     ], [
       fhir:index 6;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:type" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "type" ];
       fhir:ElementDefinition.definition [ fhir:value "The most specific code (lowest level term) describing the kind or sort of thing being represented." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-Type-extension" ]       ]     ], [
       fhir:index 7;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:type.valueCodeableConcept" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension.valueCodeableConcept" ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code" ]         ]       ]     ], [
       fhir:index 8;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:category" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "category" ];
       fhir:ElementDefinition.definition [ fhir:value "A class or division of people or things having particular shared characteristics" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Category-extension" ]       ]     ], [
       fhir:index 9;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:performedcontext" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "performedcontext" ];
       fhir:ElementDefinition.definition [ fhir:value "ActionContext indicating actual performance or execution of a healthcare-related action, e.g., 3rd dose of Hepatitis B vaccine administered on Dec 4th 2012, appendectomy performed today." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-action-PerformedContext-extension" ]       ]     ], [
       fhir:index 10;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:subject" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "subject" ];
       fhir:ElementDefinition.definition [ fhir:value "The person or thing that this entry relates to, usually the Person of Record. However, not all entries have health information specifically about the patient, but in different contexts, could refer to a fetus, family member (living or dead), device, location, organization, finding, condition, or intervention." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-Subject-extension" ]       ]     ], [
       fhir:index 11;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:bodysite" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "bodysite" ];
       fhir:ElementDefinition.definition [ fhir:value "A location or structure in the body, including tissues, regions, cavities, and spaces, for example, right elbow, or left ventricle of the heart." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-BodySite-extension" ]       ]     ], [
       fhir:index 12;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:associatedstudy" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "associatedstudy" ];
       fhir:ElementDefinition.definition [ fhir:value "The clinical trial or other formal study related to this procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-AssociatedStudy-extension" ]       ]     ], [
       fhir:index 13;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:partof" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "partof" ];
       fhir:ElementDefinition.definition [ fhir:value "The larger entity that this is a portion of." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-entity-PartOf-extension" ]       ]     ], [
       fhir:index 14;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:annotation" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "annotation" ];
       fhir:ElementDefinition.definition [ fhir:value "An added or follow-up note, often after the fact, that contains metadata about who made the statement and when." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Annotation-extension" ]       ]     ], [
       fhir:index 15;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:directsitecode" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "directsitecode" ];
       fhir:ElementDefinition.definition [ fhir:value "The site where the procedure is performed." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-DirectSiteCode-extension" ]       ]     ], [
       fhir:index 16;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:indirectsitecode" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "indirectsitecode" ];
       fhir:ElementDefinition.definition [ fhir:value "The indirect site for this procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectSiteCode-extension" ]       ]     ], [
       fhir:index 17;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:access" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "access" ];
       fhir:ElementDefinition.definition [ fhir:value "The route used to access the site of a procedure. It is used to distinguish open, closed, and percutaneous procedures." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-Access-extension" ]       ]     ], [
       fhir:index 18;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:usingdevice" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "usingdevice" ];
       fhir:ElementDefinition.definition [ fhir:value "The device used to perform the procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingDevice-extension" ]       ]     ], [
       fhir:index 19;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:usingdevicecode" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "usingdevicecode" ];
       fhir:ElementDefinition.definition [ fhir:value "The device used to perform the procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingDeviceCode-extension" ]       ]     ], [
       fhir:index 20;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:usingaccessdevice" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "usingaccessdevice" ];
       fhir:ElementDefinition.definition [ fhir:value "The access device used to perform the procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingAccessDevice-extension" ]       ]     ], [
       fhir:index 21;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:usingaccessdevicecode" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "usingaccessdevicecode" ];
       fhir:ElementDefinition.definition [ fhir:value "The access device used to perform the procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-UsingAccessDeviceCode-extension" ]       ]     ], [
       fhir:index 22;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:indirectdevice" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "indirectdevice" ];
       fhir:ElementDefinition.definition [ fhir:value "An indirect device used for this procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectDevice-extension" ]       ]     ], [
       fhir:index 23;
       fhir:Element.id [ fhir:value "Procedure:shr-procedure-SurgicalProcedurePerformed.extension:indirectdevicecode" ];
       fhir:ElementDefinition.path [ fhir:value "Procedure.extension" ];
       fhir:ElementDefinition.sliceName [ fhir:value "indirectdevicecode" ];
       fhir:ElementDefinition.definition [ fhir:value "An indirect device used for this procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [ fhir:value "http://standardhealthrecord.org/fhir/StructureDefinition/shr-procedure-IndirectDeviceCode-extension" ]       ]     ]
  ].

<http://hl7.org/fhir/ValueSet/all-languages> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/languages> a fhir:ValueSet.

<http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code> a fhir:us.

<http://hl7.org/fhir/ValueSet/event-status> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/procedure-not-performed-reason> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/procedure-category> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/performer-role> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/procedure-reason> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/body-site> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/procedure-outcome> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/condition-code> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/procedure-followup> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/device-action> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/device-kind> a fhir:ValueSet.

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

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.