{
"description": "The 'substanceExposureRisk' extension is a structured and more flexible alternative to AllergyIntolerance.code for making positive or negative allergy or intolerance statements. This extension provides the capability to make \\\"no known allergy\\\" (or \\\"no risk of adverse reaction\\\") statements regarding any coded substance/product (including cases when a pre-coordinated \\\"no allergy to x\\\" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.",
"_filename": "StructureDefinition-allergyintolerance-substanceExposureRisk.json",
"package_name": "hl7.fhir.uv.extensions",
"date": "2015-02-21",
"derivation": "constraint",
"publisher": "HL7 International / Patient Care",
"contextInvariant": [ "AllergyIntolerance.code.empty()" ],
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"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
} ]
} ],
"name": "AISubstanceExposureRisk",
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"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping",
"identity": "v2"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "Extension",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": "AllergyIntolerance Substance Exposure Risk",
"package_version": "5.2.0-ballot",
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"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "pc"
}, {
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"valueInteger": 3
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
"valueCode": "can-bind"
} ],
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"path": "Extension",
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"isModifier": false,
"short": "Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/product",
"max": "1",
"id": "Extension",
"comment": "The 'substanceExposureRisk' extension is a structured and more flexible alternative to AllergyIntolerance.code for making positive or negative allergy or intolerance statements. This extension provides the capability to make \"no known allergy\" (or \"no risk of adverse reaction\") statements regarding any coded substance/product (including cases when a pre-coordinated \"no allergy to x\" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.",
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"max": "*",
"min": 0,
"path": "Extension"
}
}, {
"path": "Extension.id",
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"isModifier": false,
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"identity": "rim"
} ],
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}, {
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"severity": "error",
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} ],
"path": "Extension.extension",
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"short": "Additional content defined by implementations",
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"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension",
"comment": "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.",
"base": {
"max": "*",
"min": 0,
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}, {
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}, {
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"expression": "extension.exists() != value.exists()"
} ],
"path": "Extension.extension",
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"definition": "Code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk or is known not to have an associated risk of an adverse reaction upon exposure.",
"isModifier": false,
"short": "Substance (or pharmaceutical product)",
"mapping": [ {
"map": "AL1-3 / IAM-3",
"identity": "v2"
}, {
"map": ".participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"sliceName": "substance",
"max": "1",
"id": "Extension.extension:substance",
"comment": "It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text.",
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},
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}, {
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"identity": "rim"
} ],
"type": [ {
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"valueUrl": "id"
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} ],
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}, {
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"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Extension.extension.extension",
"min": 0,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
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"discriminator": [ {
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"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "0",
"id": "Extension.extension:substance.extension",
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"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "substance",
"mapping": [ {
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"identity": "rim"
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"type": [ {
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"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:substance.url",
"comment": "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.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Extension.extension.value[x]",
"min": 1,
"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).",
"isModifier": false,
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/substance-code",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SubstanceCode"
} ],
"description": "Codes defining the type of the substance (including pharmaceutical products)."
},
"max": "1",
"id": "Extension.extension:substance.value[x]",
"condition": [ "ext-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Extension.extension",
"min": 1,
"definition": "The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product.",
"isModifier": false,
"short": "known-reaction-risk | no-known-reaction-risk",
"type": [ {
"code": "Extension"
} ],
"sliceName": "exposureRisk",
"max": "1",
"id": "Extension.extension:exposureRisk",
"comment": "exposureRisk is a modifier of the substance.",
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"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Extension.extension.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
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"valueUrl": "id"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:exposureRisk.id",
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"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Extension.extension.extension",
"min": 0,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
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"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "0",
"id": "Extension.extension:exposureRisk.extension",
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"max": "*",
"min": 0,
"path": "Element.extension"
},
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}, {
"path": "Extension.extension.url",
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"definition": "Source of the definition for the extension code - a logical name or a URL.",
"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "exposureRisk",
"mapping": [ {
"map": "N/A",
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} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:exposureRisk.url",
"comment": "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.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Extension.extension.value[x]",
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"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).",
"isModifier": false,
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/allerg-intol-substance-exp-risk",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "AllergyIntoleranceSubstanceExposureRisk"
} ],
"description": "The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products)."
},
"max": "1",
"id": "Extension.extension:exposureRisk.value[x]",
"condition": [ "ext-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
}, {
"path": "Extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.url",
"comment": "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.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"isSummary": false
}, {
"constraint": [ {
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"human": "All FHIR elements must have a @value or children",
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} ],
"path": "Extension.value[x]",
"min": 0,
"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).",
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}, {
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}, {
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}, {
"code": "uri"
}, {
"code": "url"
}, {
"code": "uuid"
}, {
"code": "Address"
}, {
"code": "Age"
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"code": "Annotation"
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"code": "Attachment"
}, {
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"code": "CodeableReference"
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"code": "Coding"
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"code": "Count"
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"code": "Duration"
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"code": "Identifier"
}, {
"code": "Money"
}, {
"code": "Period"
}, {
"code": "Quantity"
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"code": "Range"
}, {
"code": "Ratio"
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"code": "RatioRange"
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"code": "Reference"
}, {
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}, {
"code": "Signature"
}, {
"code": "Timing"
}, {
"code": "ContactDetail"
}, {
"code": "DataRequirement"
}, {
"code": "Expression"
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"code": "ParameterDefinition"
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"code": "RelatedArtifact"
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"code": "TriggerDefinition"
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"code": "UsageContext"
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"code": "Availability"
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"code": "ExtendedContactDetail"
}, {
"code": "Dosage"
}, {
"code": "Meta"
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"max": "0",
"id": "Extension.value[x]",
"condition": [ "ext-1" ],
"base": {
"max": "1",
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"path": "Extension.value[x]"
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"isSummary": false
} ]
},
"status": "active",
"id": "09c2e0e7-4978-4190-8f08-7330d4ae8236",
"kind": "complex-type",
"url": "http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk",
"identifier": [ {
"value": "urn:oid:2.16.840.1.113883.4.642.5.1296",
"system": "urn:ietf:rfc:3986"
} ],
"context": [ {
"type": "element",
"expression": "AllergyIntolerance"
} ],
"version": "5.2.0-ballot",
"differential": {
"element": [ {
"id": "Extension",
"max": "1",
"min": 0,
"path": "Extension",
"short": "Exposure risk of adverse reaction (allergy or intolerance) to the specified substance/product",
"comment": "The 'substanceExposureRisk' extension is a structured and more flexible alternative to AllergyIntolerance.code for making positive or negative allergy or intolerance statements. This extension provides the capability to make \"no known allergy\" (or \"no risk of adverse reaction\") statements regarding any coded substance/product (including cases when a pre-coordinated \"no allergy to x\" concept for that substance/product does not exist). If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.",
"definition": "A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product."
}, {
"path": "Extension.extension",
"min": 1,
"definition": "Code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk or is known not to have an associated risk of an adverse reaction upon exposure.",
"short": "Substance (or pharmaceutical product)",
"mapping": [ {
"map": "AL1-3 / IAM-3",
"identity": "v2"
}, {
"map": ".participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"sliceName": "substance",
"max": "1",
"id": "Extension.extension:substance",
"comment": "It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text."
}, {
"id": "Extension.extension:substance.extension",
"max": "0",
"path": "Extension.extension.extension"
}, {
"id": "Extension.extension:substance.url",
"path": "Extension.extension.url",
"type": [ {
"code": "uri"
} ],
"fixedUri": "substance"
}, {
"id": "Extension.extension:substance.value[x]",
"min": 1,
"path": "Extension.extension.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/substance-code",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SubstanceCode"
} ],
"description": "Codes defining the type of the substance (including pharmaceutical products)."
}
}, {
"path": "Extension.extension",
"min": 1,
"definition": "The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product.",
"short": "known-reaction-risk | no-known-reaction-risk",
"type": [ {
"code": "Extension"
} ],
"sliceName": "exposureRisk",
"max": "1",
"id": "Extension.extension:exposureRisk",
"comment": "exposureRisk is a modifier of the substance."
}, {
"id": "Extension.extension:exposureRisk.extension",
"max": "0",
"path": "Extension.extension.extension"
}, {
"id": "Extension.extension:exposureRisk.url",
"path": "Extension.extension.url",
"type": [ {
"code": "uri"
} ],
"fixedUri": "exposureRisk"
}, {
"id": "Extension.extension:exposureRisk.value[x]",
"min": 1,
"path": "Extension.extension.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/allerg-intol-substance-exp-risk",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "AllergyIntoleranceSubstanceExposureRisk"
} ],
"description": "The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products)."
}
}, {
"id": "Extension.url",
"path": "Extension.url",
"fixedUri": "http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk"
}, {
"id": "Extension.value[x]",
"max": "0",
"min": 0,
"path": "Extension.value[x]"
} ]
},
"contact": [ {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/patientcare",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension"
}