description: The date (and optionally time) when the {{title}} was last significantly changed. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the {{title}} changes. package_name: hl7.fhir.r5.examples derivation: constraint name: date type: Extension elements: extension: {index: 0} url: pattern: {type: Uri, value: 'http://hl7.org/fhir/StructureDefinition/artifact-date'} index: 1 value: choices: [valueDateTime] index: 3 valueDateTime: {type: dateTime, choiceOf: value, index: 4} package_version: 5.0.0-snapshot3 extensions: {} class: extension kind: complex-type url: http://hl7.org/fhir/StructureDefinition/artifact-date base: http://hl7.org/fhir/StructureDefinition/Extension version: 5.0.0-snapshot3 required: [valueDateTime, value]