{
  "description": "An ingredient of a manufactured item or pharmaceutical product.",
  "_filename": "ingredient.profile.json",
  "package_name": "hl7.fhir.r5.examples",
  "date": "2021-05-03T21:59:52+10:00",
  "derivation": "specialization",
  "meta": {
    "lastUpdated": "2021-05-03T21:59:52.634+10:00"
  },
  "publisher": "Health Level Seven International (Biomedical Research and Regulation)",
  "fhirVersion": "4.6.0",
  "name": "Ingredient",
  "mapping": [ {
    "uri": "https://en.wikipedia.org/wiki/Identification_of_medicinal_products",
    "name": "IDMP Mapping",
    "identity": "idmp"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  } ],
  "abstract": false,
  "type": "Ingredient",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "4.6.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
    "valueString": "Specialized.Medication Definition"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "trial-use"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger": 1
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode": "anonymous"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "brr"
  } ],
  "snapshot": {
    "element": [ {
      "constraint": [ {
        "key": "dom-2",
        "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
        "xpath": "not(parent::f:contained and f:contained)",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.contained.empty()"
      }, {
        "key": "dom-3",
        "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
        "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"
      }, {
        "key": "dom-4",
        "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
        "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
      }, {
        "key": "dom-5",
        "human": "If a resource is contained in another resource, it SHALL NOT have a security label",
        "xpath": "not(exists(f:contained/*/f:meta/f:security))",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.meta.security.empty()"
      }, {
        "key": "dom-6",
        "human": "A resource should have narrative for robust management",
        "xpath": "exists(f:text/h:div)",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "warning",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean": true
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
        } ],
        "expression": "text.`div`.exists()"
      } ],
      "path": "Ingredient",
      "min": 0,
      "definition": "An ingredient of a manufactured item or pharmaceutical product.",
      "isModifier": false,
      "short": "An ingredient of a manufactured item or pharmaceutical product",
      "mapping": [ {
        "map": "Entity. Role, or Act",
        "identity": "rim"
      }, {
        "map": "Ingredient",
        "identity": "idmp"
      }, {
        "map": "administrative.medication",
        "identity": "w5"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Ingredient"
      },
      "isSummary": false
    }, {
      "path": "Ingredient.id",
      "min": 0,
      "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
      "isModifier": false,
      "short": "Logical id of this artifact",
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri": "id"
        } ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.id",
      "comment": "Typically, the resource has an id except for cases like the create operation, conditional updates.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.id"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.meta",
      "min": 0,
      "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
      "isModifier": false,
      "short": "Metadata about the resource",
      "type": [ {
        "code": "Meta"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.meta",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.meta"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.implicitRules",
      "min": 0,
      "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
      "isModifier": true,
      "short": "A set of rules under which this content was created",
      "type": [ {
        "code": "uri"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.implicitRules",
      "comment": "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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.implicitRules"
      },
      "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.language",
      "min": 0,
      "definition": "The base language in which the resource is written.",
      "isModifier": false,
      "short": "Language of the resource content",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": false,
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/ValueSet/languages",
        "extension": [ {
          "url": "http://hl7.org/fhir/build/StructureDefinition/definition",
          "valueString": "A human language."
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "Language"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ],
        "description": "IETF language tag"
      },
      "max": "1",
      "id": "Ingredient.language",
      "comment": "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).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.language"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.text",
      "min": 0,
      "definition": "A human-readable narrative that contains a summary of the resource and can 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.",
      "isModifier": false,
      "short": "Text summary of the resource, for human interpretation",
      "mapping": [ {
        "map": "Act.text?",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "mustSupport": false,
      "alias": [ "narrative", "html", "xhtml", "display" ],
      "max": "1",
      "id": "Ingredient.text",
      "comment": "Contained resources do not have a 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 information is added later.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "DomainResource.text"
      },
      "isSummary": false
    }, {
      "path": "Ingredient.contained",
      "min": 0,
      "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope.",
      "isModifier": false,
      "short": "Contained, inline Resources",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Resource"
      } ],
      "mustSupport": false,
      "alias": [ "inline resources", "anonymous resources", "contained resources" ],
      "max": "*",
      "id": "Ingredient.contained",
      "comment": "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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.contained"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "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",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Ingredient.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "mustSupport": false,
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Ingredient.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,
        "path": "DomainResource.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "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",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Ingredient.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "mustSupport": false,
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Ingredient.modifierExtension",
      "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,
        "path": "DomainResource.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.identifier",
      "min": 0,
      "definition": "The identifier(s) of this Ingredient that are assigned by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate.",
      "isModifier": false,
      "short": "An identifier or code by which the ingredient can be referenced",
      "mapping": [ {
        "map": "n/a",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.identifier",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.identifier"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.role",
      "min": 1,
      "definition": "A classification of the ingredient identifying its purpose within the product, e.g. active, inactive.",
      "isModifier": false,
      "short": "A classification of the ingredient identifying its purpose within the product, e.g. active, inactive",
      "mapping": [ {
        "map": "Ingredient.Ingredient Role",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.role",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Ingredient.role"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.function",
      "min": 0,
      "definition": "A classification of the ingredient identifying its precise purpose(s) in the drug product. This extends the Ingredient.role to add more detail. Example: Antioxidant, Alkalizing Agent.",
      "isModifier": false,
      "short": "A classification of the ingredient identifying its precise purpose(s) in the drug product. This extends the Ingredient.role to add more detail. Example: Antioxidant, Alkalizing Agent",
      "mapping": [ {
        "map": "n/a",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient.function",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Ingredient.function"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.group",
      "min": 0,
      "definition": "A classification of the ingredient according to where in the physical item it tends to be used, such the outer shell of a tablet, inner body or ink.",
      "isModifier": false,
      "short": "A classification of the ingredient according to where in the physical item it tends to be used, such the outer shell of a tablet, inner body or ink",
      "mapping": [ {
        "map": "n/a",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.group",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.group"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.description",
      "min": 0,
      "definition": "A general description of the ingredient, or any supporting text. May be used for an unstructured list of excipients.",
      "isModifier": false,
      "short": "A general description of the ingredient, or any supporting text. May be used for an unstructured list of excipients",
      "mapping": [ {
        "map": "n/a",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "markdown"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.description",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.description"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.allergenicIndicator",
      "min": 0,
      "definition": "If the ingredient is a known or suspected allergen.",
      "isModifier": false,
      "short": "If the ingredient is a known or suspected allergen",
      "mapping": [ {
        "map": "Ingredient.Allergenic Indicator",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.allergenicIndicator",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.allergenicIndicator"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.manufacturer",
      "min": 0,
      "definition": "The organization that manufactures this ingredient.",
      "isModifier": false,
      "short": "The organization that manufactures this ingredient",
      "mapping": [ {
        "map": "Ingredient.Manufacturer / Establishment (Organisation)",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ]
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient.manufacturer",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Ingredient.manufacturer"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance",
      "min": 0,
      "definition": "The substance that comprises this ingredient.",
      "isModifier": false,
      "short": "The substance that comprises this ingredient",
      "mapping": [ {
        "map": "Ingredient.Substance",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.substance"
      },
      "isSummary": true
    }, {
      "path": "Ingredient.substance.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",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri": "id"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Ingredient.substance.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "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",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Ingredient.substance.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Ingredient.substance.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,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "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",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Ingredient.substance.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Ingredient.substance.modifierExtension",
      "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,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.code",
      "min": 1,
      "definition": "A code or full resource that represents the ingredient substance.",
      "isModifier": false,
      "short": "A code or full resource that represents the ingredient substance",
      "mapping": [ {
        "map": "Substance.Substance",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableReference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/SubstanceDefinition", "http://hl7.org/fhir/StructureDefinition/Substance" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.code",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Ingredient.substance.code"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.strength",
      "min": 0,
      "definition": "The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item. When there is a range of strengths, this represents the lower limit.",
      "isModifier": false,
      "short": "The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item. When there is a range of strengths, this represents the lower limit",
      "mapping": [ {
        "map": "Specified Substance.Strength",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient.substance.strength",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Ingredient.substance.strength"
      },
      "isSummary": true
    }, {
      "path": "Ingredient.substance.strength.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",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri": "id"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Ingredient.substance.strength.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "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",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Ingredient.substance.strength.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Ingredient.substance.strength.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,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "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",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Ingredient.substance.strength.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Ingredient.substance.strength.modifierExtension",
      "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,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.strength.presentation[x]",
      "min": 0,
      "definition": "The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item.",
      "isModifier": false,
      "short": "The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item",
      "mapping": [ {
        "map": "Strength.Strength (Presentation)",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "Ratio"
      }, {
        "code": "CodeableConcept"
      }, {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.presentation[x]",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.substance.strength.presentation[x]"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.strength.presentationHighLimit[x]",
      "min": 0,
      "definition": "An upper limit for the quantity of substance in the unit of presentation. When there is a range of strengths, this represents the upper limit.",
      "isModifier": true,
      "short": "An upper limit for the quantity of substance in the unit of presentation. When there is a range of strengths, this represents the upper limit",
      "mapping": [ {
        "map": "Strength.Strength (Presentation)",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "Ratio"
      }, {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.presentationHighLimit[x]",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.substance.strength.presentationHighLimit[x]"
      },
      "isModifierReason": "If this is present it implies that the whole strength is expressed as a range, due to uncertainty or variation",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.strength.presentationText",
      "min": 0,
      "definition": "A textual represention of either the whole of the presentation strength or a part of it - with the rest being in Strength.presentation as a ratio.",
      "isModifier": false,
      "short": "A textual represention of either the whole of the presentation strength or a part of it - with the rest being in Strength.presentation as a ratio",
      "mapping": [ {
        "map": "n/a",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.presentationText",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.substance.strength.presentationText"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.strength.concentration[x]",
      "min": 0,
      "definition": "The strength per unitary volume (or mass).",
      "isModifier": false,
      "short": "The strength per unitary volume (or mass)",
      "mapping": [ {
        "map": "Strength.Strength (Concentration)",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "Ratio"
      }, {
        "code": "CodeableConcept"
      }, {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.concentration[x]",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.substance.strength.concentration[x]"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.strength.concentrationHighLimit[x]",
      "min": 0,
      "definition": "An upper limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the lower limit.",
      "isModifier": true,
      "short": "An upper limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the lower limit",
      "mapping": [ {
        "map": "Strength.Strength (Concentration)",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "Ratio"
      }, {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.concentrationHighLimit[x]",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.substance.strength.concentrationHighLimit[x]"
      },
      "isModifierReason": "If this is present it implies that the whole strength is expressed as a range, due to uncertainty or variation",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.strength.concentrationText",
      "min": 0,
      "definition": "A textual represention of either the whole of the concentration strength or a part of it - with the rest being in Strength.concentration as a ratio.",
      "isModifier": false,
      "short": "A textual represention of either the whole of the concentration strength or a part of it - with the rest being in Strength.concentration as a ratio",
      "mapping": [ {
        "map": "n/a",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.concentrationText",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.substance.strength.concentrationText"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.strength.basis",
      "min": 0,
      "definition": "A code that indicates if the strength is, for example, based on the ingredient substance as stated or on the substance base (when the ingredient is a salt).",
      "isModifier": false,
      "short": "A code that indicates if the strength is, for example, based on the ingredient substance as stated or on the substance base (when the ingredient is a salt)",
      "mapping": [ {
        "map": "n/a",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.basis",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.substance.strength.basis"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.strength.measurementPoint",
      "min": 0,
      "definition": "For when strength is measured at a particular point or distance.",
      "isModifier": false,
      "short": "For when strength is measured at a particular point or distance",
      "mapping": [ {
        "map": "Strength.Measurement Point",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.measurementPoint",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.substance.strength.measurementPoint"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.strength.country",
      "min": 0,
      "definition": "The country or countries for which the strength range applies.",
      "isModifier": false,
      "short": "The country or countries for which the strength range applies",
      "mapping": [ {
        "map": "Strength.Country",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient.substance.strength.country",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Ingredient.substance.strength.country"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.strength.referenceStrength",
      "min": 0,
      "definition": "Strength expressed in terms of a reference substance.",
      "isModifier": false,
      "short": "Strength expressed in terms of a reference substance",
      "mapping": [ {
        "map": "Strength.Reference Strength",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient.substance.strength.referenceStrength",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Ingredient.substance.strength.referenceStrength"
      },
      "isSummary": true
    }, {
      "path": "Ingredient.substance.strength.referenceStrength.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",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri": "id"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Ingredient.substance.strength.referenceStrength.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "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",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Ingredient.substance.strength.referenceStrength.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Ingredient.substance.strength.referenceStrength.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,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "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",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Ingredient.substance.strength.referenceStrength.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Ingredient.substance.strength.referenceStrength.modifierExtension",
      "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,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.strength.referenceStrength.substance",
      "min": 0,
      "definition": "Relevant reference substance.",
      "isModifier": false,
      "short": "Relevant reference substance",
      "mapping": [ {
        "map": "Reference Strength.Reference Specified Substance",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableReference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/SubstanceDefinition", "http://hl7.org/fhir/StructureDefinition/Substance" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.referenceStrength.substance",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.substance.strength.referenceStrength.substance"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.strength.referenceStrength.strength[x]",
      "min": 1,
      "definition": "Strength expressed in terms of a reference substance. When there is a range of strengths, this represents the lower limit.",
      "isModifier": false,
      "short": "Strength expressed in terms of a reference substance. When there is a range of strengths, this represents the lower limit",
      "mapping": [ {
        "map": "Reference Strength.Reference Strength",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "Ratio"
      }, {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.referenceStrength.strength[x]",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Ingredient.substance.strength.referenceStrength.strength[x]"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.strength.referenceStrength.strengthHighLimit[x]",
      "min": 0,
      "definition": "Strength expressed in terms of a reference substance. When there is a range of strengths, this represents the upper limit.",
      "isModifier": false,
      "short": "Strength expressed in terms of a reference substance. When there is a range of strengths, this represents the upper limit",
      "mapping": [ {
        "map": "Reference Strength.Reference Strength",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "Ratio"
      }, {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.referenceStrength.strengthHighLimit[x]",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.substance.strength.referenceStrength.strengthHighLimit[x]"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.strength.referenceStrength.measurementPoint",
      "min": 0,
      "definition": "For when strength is measured at a particular point or distance.",
      "isModifier": false,
      "short": "For when strength is measured at a particular point or distance",
      "mapping": [ {
        "map": "Reference Strength.Measurement Point",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.referenceStrength.measurementPoint",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.substance.strength.referenceStrength.measurementPoint"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.substance.strength.referenceStrength.country",
      "min": 0,
      "definition": "The country or countries for which the strength range applies.",
      "isModifier": false,
      "short": "The country or countries for which the strength range applies",
      "mapping": [ {
        "map": "Reference Strength.Country",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient.substance.strength.referenceStrength.country",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Ingredient.substance.strength.referenceStrength.country"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.specifiedSubstance",
      "min": 0,
      "definition": "A specified substance that comprises this ingredient.",
      "isModifier": false,
      "short": "A specified substance that comprises this ingredient",
      "mapping": [ {
        "map": "Ingredient.Specified Substance",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient.specifiedSubstance",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Ingredient.specifiedSubstance"
      },
      "isSummary": true
    }, {
      "path": "Ingredient.specifiedSubstance.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",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUri": "id"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Ingredient.specifiedSubstance.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "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",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Ingredient.specifiedSubstance.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Ingredient.specifiedSubstance.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,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "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",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Ingredient.specifiedSubstance.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Ingredient.specifiedSubstance.modifierExtension",
      "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,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.specifiedSubstance.code",
      "min": 1,
      "definition": "Substance as a 'specified substance', implying extra substance related characteristics.",
      "isModifier": false,
      "short": "Substance as a 'specified substance', implying extra substance related characteristics",
      "mapping": [ {
        "map": "Specified Substance.Specified Substance",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableReference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/SubstanceDefinition", "http://hl7.org/fhir/StructureDefinition/Substance" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.specifiedSubstance.code",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Ingredient.specifiedSubstance.code"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.specifiedSubstance.group",
      "min": 1,
      "definition": "The group of specified substance, e.g. group 1 to 4, where the group categorises the level of \ndescription of the substance according to standardised sets of properties.",
      "isModifier": false,
      "short": "The group of specified substance, e.g. group 1 to 4, where the group categorises the level of \ndescription of the substance according to standardised sets of properties",
      "mapping": [ {
        "map": "Specified Substance.Specified Substance Group",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.specifiedSubstance.group",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Ingredient.specifiedSubstance.group"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.specifiedSubstance.confidentiality",
      "min": 0,
      "definition": "Confidentiality level of the specified substance as the ingredient.",
      "isModifier": false,
      "short": "Confidentiality level of the specified substance as the ingredient",
      "mapping": [ {
        "map": "Specified Substance.Confidentiality Indicator",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.specifiedSubstance.confidentiality",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Ingredient.specifiedSubstance.confidentiality"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Ingredient.specifiedSubstance.strength",
      "min": 0,
      "definition": "Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product.",
      "isModifier": false,
      "short": "Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product",
      "mapping": [ {
        "map": "Substance.Strength",
        "identity": "idmp"
      } ],
      "contentReference": "#Ingredient.substance.strength",
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient.specifiedSubstance.strength",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Ingredient.specifiedSubstance.strength"
      },
      "isSummary": true
    } ]
  },
  "status": "draft",
  "id": "41d67f3a-b4f0-4f13-b991-7f61189640cd",
  "kind": "resource",
  "url": "http://hl7.org/fhir/StructureDefinition/Ingredient",
  "version": "4.6.0",
  "differential": {
    "element": [ {
      "path": "Ingredient",
      "min": 0,
      "definition": "An ingredient of a manufactured item or pharmaceutical product.",
      "isModifier": false,
      "short": "An ingredient of a manufactured item or pharmaceutical product",
      "mapping": [ {
        "map": "Ingredient",
        "identity": "idmp"
      }, {
        "map": "administrative.medication",
        "identity": "w5"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient"
    }, {
      "path": "Ingredient.identifier",
      "min": 0,
      "definition": "The identifier(s) of this Ingredient that are assigned by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate.",
      "isModifier": false,
      "short": "An identifier or code by which the ingredient can be referenced",
      "mapping": [ {
        "map": "n/a",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.identifier",
      "isSummary": true
    }, {
      "path": "Ingredient.role",
      "min": 1,
      "definition": "A classification of the ingredient identifying its purpose within the product, e.g. active, inactive.",
      "isModifier": false,
      "short": "A classification of the ingredient identifying its purpose within the product, e.g. active, inactive",
      "mapping": [ {
        "map": "Ingredient.Ingredient Role",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.role",
      "isSummary": true
    }, {
      "path": "Ingredient.function",
      "min": 0,
      "definition": "A classification of the ingredient identifying its precise purpose(s) in the drug product. This extends the Ingredient.role to add more detail. Example: Antioxidant, Alkalizing Agent.",
      "isModifier": false,
      "short": "A classification of the ingredient identifying its precise purpose(s) in the drug product. This extends the Ingredient.role to add more detail. Example: Antioxidant, Alkalizing Agent",
      "mapping": [ {
        "map": "n/a",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient.function",
      "isSummary": true
    }, {
      "path": "Ingredient.group",
      "min": 0,
      "definition": "A classification of the ingredient according to where in the physical item it tends to be used, such the outer shell of a tablet, inner body or ink.",
      "isModifier": false,
      "short": "A classification of the ingredient according to where in the physical item it tends to be used, such the outer shell of a tablet, inner body or ink",
      "mapping": [ {
        "map": "n/a",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableConcept"
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      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.group",
      "isSummary": true
    }, {
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      "definition": "A general description of the ingredient, or any supporting text. May be used for an unstructured list of excipients.",
      "isModifier": false,
      "short": "A general description of the ingredient, or any supporting text. May be used for an unstructured list of excipients",
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        "map": "n/a",
        "identity": "idmp"
      } ],
      "type": [ {
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      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.description",
      "isSummary": true
    }, {
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      "min": 0,
      "definition": "If the ingredient is a known or suspected allergen.",
      "isModifier": false,
      "short": "If the ingredient is a known or suspected allergen",
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        "map": "Ingredient.Allergenic Indicator",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.allergenicIndicator",
      "isSummary": true
    }, {
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      "min": 0,
      "definition": "The organization that manufactures this ingredient.",
      "isModifier": false,
      "short": "The organization that manufactures this ingredient",
      "mapping": [ {
        "map": "Ingredient.Manufacturer / Establishment (Organisation)",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ]
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient.manufacturer",
      "isSummary": true
    }, {
      "path": "Ingredient.substance",
      "min": 0,
      "definition": "The substance that comprises this ingredient.",
      "isModifier": false,
      "short": "The substance that comprises this ingredient",
      "mapping": [ {
        "map": "Ingredient.Substance",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance",
      "isSummary": true
    }, {
      "path": "Ingredient.substance.code",
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      "definition": "A code or full resource that represents the ingredient substance.",
      "isModifier": false,
      "short": "A code or full resource that represents the ingredient substance",
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        "map": "Substance.Substance",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableReference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/SubstanceDefinition", "http://hl7.org/fhir/StructureDefinition/Substance" ]
      } ],
      "mustSupport": false,
      "max": "1",
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      "isSummary": true
    }, {
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      "min": 0,
      "definition": "The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item. When there is a range of strengths, this represents the lower limit.",
      "isModifier": false,
      "short": "The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item. When there is a range of strengths, this represents the lower limit",
      "mapping": [ {
        "map": "Specified Substance.Strength",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient.substance.strength",
      "isSummary": true
    }, {
      "path": "Ingredient.substance.strength.presentation[x]",
      "min": 0,
      "definition": "The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item.",
      "isModifier": false,
      "short": "The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item",
      "mapping": [ {
        "map": "Strength.Strength (Presentation)",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "Ratio"
      }, {
        "code": "CodeableConcept"
      }, {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.presentation[x]",
      "isSummary": true
    }, {
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      "min": 0,
      "definition": "An upper limit for the quantity of substance in the unit of presentation. When there is a range of strengths, this represents the upper limit.",
      "isModifier": true,
      "short": "An upper limit for the quantity of substance in the unit of presentation. When there is a range of strengths, this represents the upper limit",
      "mapping": [ {
        "map": "Strength.Strength (Presentation)",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "Ratio"
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        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.presentationHighLimit[x]",
      "isModifierReason": "If this is present it implies that the whole strength is expressed as a range, due to uncertainty or variation",
      "isSummary": true
    }, {
      "path": "Ingredient.substance.strength.presentationText",
      "min": 0,
      "definition": "A textual represention of either the whole of the presentation strength or a part of it - with the rest being in Strength.presentation as a ratio.",
      "isModifier": false,
      "short": "A textual represention of either the whole of the presentation strength or a part of it - with the rest being in Strength.presentation as a ratio",
      "mapping": [ {
        "map": "n/a",
        "identity": "idmp"
      } ],
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      } ],
      "mustSupport": false,
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      "isSummary": true
    }, {
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      "min": 0,
      "definition": "The strength per unitary volume (or mass).",
      "isModifier": false,
      "short": "The strength per unitary volume (or mass)",
      "mapping": [ {
        "map": "Strength.Strength (Concentration)",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "Ratio"
      }, {
        "code": "CodeableConcept"
      }, {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.concentration[x]",
      "isSummary": true
    }, {
      "path": "Ingredient.substance.strength.concentrationHighLimit[x]",
      "min": 0,
      "definition": "An upper limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the lower limit.",
      "isModifier": true,
      "short": "An upper limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the lower limit",
      "mapping": [ {
        "map": "Strength.Strength (Concentration)",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "Ratio"
      }, {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.concentrationHighLimit[x]",
      "isModifierReason": "If this is present it implies that the whole strength is expressed as a range, due to uncertainty or variation",
      "isSummary": true
    }, {
      "path": "Ingredient.substance.strength.concentrationText",
      "min": 0,
      "definition": "A textual represention of either the whole of the concentration strength or a part of it - with the rest being in Strength.concentration as a ratio.",
      "isModifier": false,
      "short": "A textual represention of either the whole of the concentration strength or a part of it - with the rest being in Strength.concentration as a ratio",
      "mapping": [ {
        "map": "n/a",
        "identity": "idmp"
      } ],
      "type": [ {
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      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.concentrationText",
      "isSummary": true
    }, {
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      "min": 0,
      "definition": "A code that indicates if the strength is, for example, based on the ingredient substance as stated or on the substance base (when the ingredient is a salt).",
      "isModifier": false,
      "short": "A code that indicates if the strength is, for example, based on the ingredient substance as stated or on the substance base (when the ingredient is a salt)",
      "mapping": [ {
        "map": "n/a",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.basis",
      "isSummary": true
    }, {
      "path": "Ingredient.substance.strength.measurementPoint",
      "min": 0,
      "definition": "For when strength is measured at a particular point or distance.",
      "isModifier": false,
      "short": "For when strength is measured at a particular point or distance",
      "mapping": [ {
        "map": "Strength.Measurement Point",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.measurementPoint",
      "isSummary": true
    }, {
      "path": "Ingredient.substance.strength.country",
      "min": 0,
      "definition": "The country or countries for which the strength range applies.",
      "isModifier": false,
      "short": "The country or countries for which the strength range applies",
      "mapping": [ {
        "map": "Strength.Country",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient.substance.strength.country",
      "isSummary": true
    }, {
      "path": "Ingredient.substance.strength.referenceStrength",
      "min": 0,
      "definition": "Strength expressed in terms of a reference substance.",
      "isModifier": false,
      "short": "Strength expressed in terms of a reference substance",
      "mapping": [ {
        "map": "Strength.Reference Strength",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient.substance.strength.referenceStrength",
      "isSummary": true
    }, {
      "path": "Ingredient.substance.strength.referenceStrength.substance",
      "min": 0,
      "definition": "Relevant reference substance.",
      "isModifier": false,
      "short": "Relevant reference substance",
      "mapping": [ {
        "map": "Reference Strength.Reference Specified Substance",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableReference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/SubstanceDefinition", "http://hl7.org/fhir/StructureDefinition/Substance" ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.referenceStrength.substance",
      "isSummary": true
    }, {
      "path": "Ingredient.substance.strength.referenceStrength.strength[x]",
      "min": 1,
      "definition": "Strength expressed in terms of a reference substance. When there is a range of strengths, this represents the lower limit.",
      "isModifier": false,
      "short": "Strength expressed in terms of a reference substance. When there is a range of strengths, this represents the lower limit",
      "mapping": [ {
        "map": "Reference Strength.Reference Strength",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "Ratio"
      }, {
        "code": "Quantity"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.referenceStrength.strength[x]",
      "isSummary": true
    }, {
      "path": "Ingredient.substance.strength.referenceStrength.strengthHighLimit[x]",
      "min": 0,
      "definition": "Strength expressed in terms of a reference substance. When there is a range of strengths, this represents the upper limit.",
      "isModifier": false,
      "short": "Strength expressed in terms of a reference substance. When there is a range of strengths, this represents the upper limit",
      "mapping": [ {
        "map": "Reference Strength.Reference Strength",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "Ratio"
      }, {
        "code": "Quantity"
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      "mustSupport": false,
      "max": "1",
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      "isSummary": true
    }, {
      "path": "Ingredient.substance.strength.referenceStrength.measurementPoint",
      "min": 0,
      "definition": "For when strength is measured at a particular point or distance.",
      "isModifier": false,
      "short": "For when strength is measured at a particular point or distance",
      "mapping": [ {
        "map": "Reference Strength.Measurement Point",
        "identity": "idmp"
      } ],
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      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.substance.strength.referenceStrength.measurementPoint",
      "isSummary": true
    }, {
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      "min": 0,
      "definition": "The country or countries for which the strength range applies.",
      "isModifier": false,
      "short": "The country or countries for which the strength range applies",
      "mapping": [ {
        "map": "Reference Strength.Country",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient.substance.strength.referenceStrength.country",
      "isSummary": true
    }, {
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      "min": 0,
      "definition": "A specified substance that comprises this ingredient.",
      "isModifier": false,
      "short": "A specified substance that comprises this ingredient",
      "mapping": [ {
        "map": "Ingredient.Specified Substance",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient.specifiedSubstance",
      "isSummary": true
    }, {
      "path": "Ingredient.specifiedSubstance.code",
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      "definition": "Substance as a 'specified substance', implying extra substance related characteristics.",
      "isModifier": false,
      "short": "Substance as a 'specified substance', implying extra substance related characteristics",
      "mapping": [ {
        "map": "Specified Substance.Specified Substance",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableReference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/SubstanceDefinition", "http://hl7.org/fhir/StructureDefinition/Substance" ]
      } ],
      "mustSupport": false,
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      "id": "Ingredient.specifiedSubstance.code",
      "isSummary": true
    }, {
      "path": "Ingredient.specifiedSubstance.group",
      "min": 1,
      "definition": "The group of specified substance, e.g. group 1 to 4, where the group categorises the level of \ndescription of the substance according to standardised sets of properties.",
      "isModifier": false,
      "short": "The group of specified substance, e.g. group 1 to 4, where the group categorises the level of \ndescription of the substance according to standardised sets of properties",
      "mapping": [ {
        "map": "Specified Substance.Specified Substance Group",
        "identity": "idmp"
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      "type": [ {
        "code": "CodeableConcept"
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      "mustSupport": false,
      "max": "1",
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      "isSummary": true
    }, {
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      "min": 0,
      "definition": "Confidentiality level of the specified substance as the ingredient.",
      "isModifier": false,
      "short": "Confidentiality level of the specified substance as the ingredient",
      "mapping": [ {
        "map": "Specified Substance.Confidentiality Indicator",
        "identity": "idmp"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Ingredient.specifiedSubstance.confidentiality",
      "isSummary": true
    }, {
      "path": "Ingredient.specifiedSubstance.strength",
      "min": 0,
      "definition": "Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product.",
      "isModifier": false,
      "short": "Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product",
      "mapping": [ {
        "map": "Substance.Strength",
        "identity": "idmp"
      } ],
      "contentReference": "#Ingredient.substance.strength",
      "mustSupport": false,
      "max": "*",
      "id": "Ingredient.specifiedSubstance.strength",
      "isSummary": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "http://hl7.org/fhir",
      "system": "url"
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  }, {
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/rcrim/index.cfm",
      "system": "url"
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  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource"
}