description: This cross-version extension represents MedicinalProductContraindication from http://hl7.org/fhir/StructureDefinition/MedicinalProductContraindication|4.0.1 for use in FHIR R4B.
package_name: hl7.fhir.uv.xver-r4.r4b
derivation: constraint
name: ext_R4_MedicinalProductContraindication
type: Extension
elements:
  extension:
    array: true
    index: 0
    slicing:
      rules: closed
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: 0
      slices:
        disease:
          match: {url: null}
          schema:
            short: The disease, symptom or procedure for the contraindication
            isModifier: false
            index: 1
            elements:
              value:
                base: {path: 'Extension.value[x]'}
                short: The disease, symptom or procedure for the contraindication
                choices: [valueCodeableConcept]
                index: 3
              valueCodeableConcept:
                base: {path: 'Extension.value[x]'}
                type: CodeableConcept
                short: The disease, symptom or procedure for the contraindication
                choiceOf: value
                index: 4
        diseaseStatus:
          match: {url: null}
          schema:
            short: The status of the disease or symptom for the contraindication
            isModifier: false
            index: 5
            elements:
              value:
                base: {path: 'Extension.value[x]'}
                short: The status of the disease or symptom for the contraindication
                choices: [valueCodeableConcept]
                index: 7
              valueCodeableConcept:
                base: {path: 'Extension.value[x]'}
                type: CodeableConcept
                short: The status of the disease or symptom for the contraindication
                choiceOf: value
                index: 8
        comorbidity:
          match: {url: null}
          schema:
            short: A comorbidity (concurrent condition) or coinfection
            isModifier: false
            array: true
            index: 9
            elements:
              value:
                base: {path: 'Extension.value[x]'}
                short: A comorbidity (concurrent condition) or coinfection
                choices: [valueCodeableConcept]
                index: 11
              valueCodeableConcept:
                base: {path: 'Extension.value[x]'}
                type: CodeableConcept
                short: A comorbidity (concurrent condition) or coinfection
                choiceOf: value
                index: 12
        therapeuticIndication:
          match: {url: null}
          schema:
            short: Information about the use of the medicinal product in relation to other therapies as part of the indication
            isModifier: false
            array: true
            index: 13
            elements:
              value:
                base: {path: 'Extension.value[x]'}
                short: Information about the use of the medicinal product in relation to other therapies as part of the indication
                choices: [valueReference]
                index: 15
              valueReference:
                base: {path: 'Extension.value[x]'}
                type: Reference
                short: Information about the use of the medicinal product in relation to other therapies as part of the indication
                choiceOf: value
                refers: ['http://hl7.org/fhir/StructureDefinition/MedicinalProductIndication']
                index: 16
        otherTherapy:
          match: {url: null}
          schema:
            short: Information about the use of the medicinal product in relation to other therapies described as part of the indication
            isModifier: false
            array: true
            index: 17
            extensions:
              therapyRelationshipType:
                url: null
                short: The type of relationship between the medicinal product indication or contraindication and another therapy
                isModifier: false
                _required: true
                index: 19
                elements:
                  value:
                    base: {path: 'Extension.value[x]'}
                    short: The type of relationship between the medicinal product indication or contraindication and another therapy
                    choices: [valueCodeableConcept]
                    index: 21
                  valueCodeableConcept:
                    base: {path: 'Extension.value[x]'}
                    type: CodeableConcept
                    short: The type of relationship between the medicinal product indication or contraindication and another therapy
                    choiceOf: value
                    index: 22
              medication[x]:
                url: null
                short: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
                isModifier: false
                _required: true
                index: 23
                elements:
                  value:
                    base: {path: 'Extension.value[x]'}
                    short: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
                    choices: [valueCodeableConcept, valueReference]
                    index: 25
                  valueCodeableConcept:
                    base: {path: 'Extension.value[x]'}
                    type: CodeableConcept
                    short: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
                    choiceOf: value
                    index: 26
                  valueReference:
                    base: {path: 'Extension.value[x]'}
                    type: Reference
                    short: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
                    choiceOf: value
                    refers: ['http://hl7.org/fhir/StructureDefinition/Medication', 'http://hl7.org/fhir/StructureDefinition/MedicinalProduct', 'http://hl7.org/fhir/StructureDefinition/Substance', 'http://hl7.org/fhir/StructureDefinition/SubstanceSpecification']
                    index: 27
            elements:
              extension:
                array: true
                min: 2
                index: 18
                slicing:
                  rules: closed
                  ordered: false
                  discriminator:
                  - {path: url, type: value}
                  min: 2
                  slices:
                    therapyRelationshipType:
                      match: {url: null}
                      schema:
                        short: The type of relationship between the medicinal product indication or contraindication and another therapy
                        isModifier: false
                        _required: true
                        index: 19
                        elements:
                          value:
                            base: {path: 'Extension.value[x]'}
                            short: The type of relationship between the medicinal product indication or contraindication and another therapy
                            choices: [valueCodeableConcept]
                            index: 21
                          valueCodeableConcept:
                            base: {path: 'Extension.value[x]'}
                            type: CodeableConcept
                            short: The type of relationship between the medicinal product indication or contraindication and another therapy
                            choiceOf: value
                            index: 22
                    medication[x]:
                      match: {url: null}
                      schema:
                        short: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
                        isModifier: false
                        _required: true
                        index: 23
                        elements:
                          value:
                            base: {path: 'Extension.value[x]'}
                            short: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
                            choices: [valueCodeableConcept, valueReference]
                            index: 25
                          valueCodeableConcept:
                            base: {path: 'Extension.value[x]'}
                            type: CodeableConcept
                            short: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
                            choiceOf: value
                            index: 26
                          valueReference:
                            base: {path: 'Extension.value[x]'}
                            type: Reference
                            short: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
                            choiceOf: value
                            refers: ['http://hl7.org/fhir/StructureDefinition/Medication', 'http://hl7.org/fhir/StructureDefinition/MedicinalProduct', 'http://hl7.org/fhir/StructureDefinition/Substance', 'http://hl7.org/fhir/StructureDefinition/SubstanceSpecification']
                            index: 27
        population:
          match: {url: null}
          schema:
            short: The population group to which this applies
            isModifier: false
            array: true
            index: 28
            extensions:
              _datatype:
                url: http://hl7.org/fhir/StructureDefinition/_datatype
                type: Extension
                short: Data type name for MedicinalProductContraindication.population from FHIR R4
                index: 29
                elements:
                  value:
                    base: {path: 'Extension.value[x]'}
                    pattern: {type: string, value: Population}
                    choices: [valueString]
                    type: string
                    index: 31
                  valueString:
                    type: string
                    pattern: {type: string, value: Population}
                    base: {path: 'Extension.value[x]'}
                    choiceOf: value
                    index: 32
                required: [value, valueString]
              age[x]:
                url: null
                short: The age of the specific population
                isModifier: false
                index: 33
                elements:
                  value:
                    base: {path: 'Extension.value[x]'}
                    short: The age of the specific population
                    choices: [valueRange, valueCodeableConcept]
                    index: 35
                  valueRange:
                    base: {path: 'Extension.value[x]'}
                    type: Range
                    short: The age of the specific population
                    choiceOf: value
                    index: 36
                  valueCodeableConcept:
                    base: {path: 'Extension.value[x]'}
                    type: CodeableConcept
                    short: The age of the specific population
                    choiceOf: value
                    index: 37
              gender:
                url: null
                short: The gender of the specific population
                isModifier: false
                index: 38
                elements:
                  value:
                    base: {path: 'Extension.value[x]'}
                    short: The gender of the specific population
                    choices: [valueCodeableConcept]
                    index: 40
                  valueCodeableConcept:
                    base: {path: 'Extension.value[x]'}
                    type: CodeableConcept
                    short: The gender of the specific population
                    choiceOf: value
                    index: 41
              race:
                url: null
                short: Race of the specific population
                isModifier: false
                index: 42
                elements:
                  value:
                    base: {path: 'Extension.value[x]'}
                    short: Race of the specific population
                    choices: [valueCodeableConcept]
                    index: 44
                  valueCodeableConcept:
                    base: {path: 'Extension.value[x]'}
                    type: CodeableConcept
                    short: Race of the specific population
                    choiceOf: value
                    index: 45
              physiologicalCondition:
                url: null
                short: The existing physiological conditions of the specific population to which this applies
                isModifier: false
                index: 46
                elements:
                  value:
                    base: {path: 'Extension.value[x]'}
                    short: The existing physiological conditions of the specific population to which this applies
                    choices: [valueCodeableConcept]
                    index: 48
                  valueCodeableConcept:
                    base: {path: 'Extension.value[x]'}
                    type: CodeableConcept
                    short: The existing physiological conditions of the specific population to which this applies
                    choiceOf: value
                    index: 49
            elements:
              extension:
                type: Extension
                short: Data type name for MedicinalProductContraindication.population from FHIR R4
                url: http://hl7.org/fhir/StructureDefinition/_datatype
                index: 29
                slicing:
                  slices:
                    _datatype:
                      match: {}
                      schema:
                        type: Extension
                        short: Data type name for MedicinalProductContraindication.population from FHIR R4
                        url: http://hl7.org/fhir/StructureDefinition/_datatype
                        index: 29
                        elements:
                          value:
                            base: {path: 'Extension.value[x]'}
                            pattern: {type: string, value: Population}
                            choices: [valueString]
                            type: string
                            index: 31
                          valueString:
                            type: string
                            pattern: {type: string, value: Population}
                            base: {path: 'Extension.value[x]'}
                            choiceOf: value
                            index: 32
                        required: [value, valueString]
                    age[x]:
                      match: {}
                      schema:
                        short: The age of the specific population
                        isModifier: false
                        index: 33
                        elements:
                          value:
                            base: {path: 'Extension.value[x]'}
                            short: The age of the specific population
                            choices: [valueRange, valueCodeableConcept]
                            index: 35
                          valueRange:
                            base: {path: 'Extension.value[x]'}
                            type: Range
                            short: The age of the specific population
                            choiceOf: value
                            index: 36
                          valueCodeableConcept:
                            base: {path: 'Extension.value[x]'}
                            type: CodeableConcept
                            short: The age of the specific population
                            choiceOf: value
                            index: 37
                    gender:
                      match: {}
                      schema:
                        short: The gender of the specific population
                        isModifier: false
                        index: 38
                        elements:
                          value:
                            base: {path: 'Extension.value[x]'}
                            short: The gender of the specific population
                            choices: [valueCodeableConcept]
                            index: 40
                          valueCodeableConcept:
                            base: {path: 'Extension.value[x]'}
                            type: CodeableConcept
                            short: The gender of the specific population
                            choiceOf: value
                            index: 41
                    race:
                      match: {}
                      schema:
                        short: Race of the specific population
                        isModifier: false
                        index: 42
                        elements:
                          value:
                            base: {path: 'Extension.value[x]'}
                            short: Race of the specific population
                            choices: [valueCodeableConcept]
                            index: 44
                          valueCodeableConcept:
                            base: {path: 'Extension.value[x]'}
                            type: CodeableConcept
                            short: Race of the specific population
                            choiceOf: value
                            index: 45
                    physiologicalCondition:
                      match: {}
                      schema:
                        short: The existing physiological conditions of the specific population to which this applies
                        isModifier: false
                        index: 46
                        elements:
                          value:
                            base: {path: 'Extension.value[x]'}
                            short: The existing physiological conditions of the specific population to which this applies
                            choices: [valueCodeableConcept]
                            index: 48
                          valueCodeableConcept:
                            base: {path: 'Extension.value[x]'}
                            type: CodeableConcept
                            short: The existing physiological conditions of the specific population to which this applies
                            choiceOf: value
                            index: 49
  url:
    pattern: {type: uri, value: 'http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductContraindication'}
    type: uri
    index: 50
package_version: 0.0.1-snapshot-1
extensions:
  disease:
    url: null
    short: The disease, symptom or procedure for the contraindication
    isModifier: false
    index: 1
    elements:
      value:
        base: {path: 'Extension.value[x]'}
        short: The disease, symptom or procedure for the contraindication
        choices: [valueCodeableConcept]
        index: 3
      valueCodeableConcept:
        base: {path: 'Extension.value[x]'}
        type: CodeableConcept
        short: The disease, symptom or procedure for the contraindication
        choiceOf: value
        index: 4
  diseaseStatus:
    url: null
    short: The status of the disease or symptom for the contraindication
    isModifier: false
    index: 5
    elements:
      value:
        base: {path: 'Extension.value[x]'}
        short: The status of the disease or symptom for the contraindication
        choices: [valueCodeableConcept]
        index: 7
      valueCodeableConcept:
        base: {path: 'Extension.value[x]'}
        type: CodeableConcept
        short: The status of the disease or symptom for the contraindication
        choiceOf: value
        index: 8
  comorbidity:
    url: null
    short: A comorbidity (concurrent condition) or coinfection
    isModifier: false
    array: true
    index: 9
    elements:
      value:
        base: {path: 'Extension.value[x]'}
        short: A comorbidity (concurrent condition) or coinfection
        choices: [valueCodeableConcept]
        index: 11
      valueCodeableConcept:
        base: {path: 'Extension.value[x]'}
        type: CodeableConcept
        short: A comorbidity (concurrent condition) or coinfection
        choiceOf: value
        index: 12
  therapeuticIndication:
    url: null
    short: Information about the use of the medicinal product in relation to other therapies as part of the indication
    isModifier: false
    array: true
    index: 13
    elements:
      value:
        base: {path: 'Extension.value[x]'}
        short: Information about the use of the medicinal product in relation to other therapies as part of the indication
        choices: [valueReference]
        index: 15
      valueReference:
        base: {path: 'Extension.value[x]'}
        type: Reference
        short: Information about the use of the medicinal product in relation to other therapies as part of the indication
        choiceOf: value
        refers: ['http://hl7.org/fhir/StructureDefinition/MedicinalProductIndication']
        index: 16
  otherTherapy:
    url: null
    short: Information about the use of the medicinal product in relation to other therapies described as part of the indication
    isModifier: false
    array: true
    index: 17
    extensions:
      therapyRelationshipType:
        url: null
        short: The type of relationship between the medicinal product indication or contraindication and another therapy
        isModifier: false
        _required: true
        index: 19
        elements:
          value:
            base: {path: 'Extension.value[x]'}
            short: The type of relationship between the medicinal product indication or contraindication and another therapy
            choices: [valueCodeableConcept]
            index: 21
          valueCodeableConcept:
            base: {path: 'Extension.value[x]'}
            type: CodeableConcept
            short: The type of relationship between the medicinal product indication or contraindication and another therapy
            choiceOf: value
            index: 22
      medication[x]:
        url: null
        short: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
        isModifier: false
        _required: true
        index: 23
        elements:
          value:
            base: {path: 'Extension.value[x]'}
            short: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
            choices: [valueCodeableConcept, valueReference]
            index: 25
          valueCodeableConcept:
            base: {path: 'Extension.value[x]'}
            type: CodeableConcept
            short: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
            choiceOf: value
            index: 26
          valueReference:
            base: {path: 'Extension.value[x]'}
            type: Reference
            short: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
            choiceOf: value
            refers: ['http://hl7.org/fhir/StructureDefinition/Medication', 'http://hl7.org/fhir/StructureDefinition/MedicinalProduct', 'http://hl7.org/fhir/StructureDefinition/Substance', 'http://hl7.org/fhir/StructureDefinition/SubstanceSpecification']
            index: 27
    elements:
      extension:
        array: true
        min: 2
        index: 18
        slicing:
          rules: closed
          ordered: false
          discriminator:
          - {path: url, type: value}
          min: 2
          slices:
            therapyRelationshipType:
              match: {url: null}
              schema:
                short: The type of relationship between the medicinal product indication or contraindication and another therapy
                isModifier: false
                _required: true
                index: 19
                elements:
                  value:
                    base: {path: 'Extension.value[x]'}
                    short: The type of relationship between the medicinal product indication or contraindication and another therapy
                    choices: [valueCodeableConcept]
                    index: 21
                  valueCodeableConcept:
                    base: {path: 'Extension.value[x]'}
                    type: CodeableConcept
                    short: The type of relationship between the medicinal product indication or contraindication and another therapy
                    choiceOf: value
                    index: 22
            medication[x]:
              match: {url: null}
              schema:
                short: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
                isModifier: false
                _required: true
                index: 23
                elements:
                  value:
                    base: {path: 'Extension.value[x]'}
                    short: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
                    choices: [valueCodeableConcept, valueReference]
                    index: 25
                  valueCodeableConcept:
                    base: {path: 'Extension.value[x]'}
                    type: CodeableConcept
                    short: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
                    choiceOf: value
                    index: 26
                  valueReference:
                    base: {path: 'Extension.value[x]'}
                    type: Reference
                    short: Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
                    choiceOf: value
                    refers: ['http://hl7.org/fhir/StructureDefinition/Medication', 'http://hl7.org/fhir/StructureDefinition/MedicinalProduct', 'http://hl7.org/fhir/StructureDefinition/Substance', 'http://hl7.org/fhir/StructureDefinition/SubstanceSpecification']
                    index: 27
  population:
    url: null
    short: The population group to which this applies
    isModifier: false
    array: true
    index: 28
    extensions:
      _datatype:
        url: http://hl7.org/fhir/StructureDefinition/_datatype
        type: Extension
        short: Data type name for MedicinalProductContraindication.population from FHIR R4
        index: 29
        elements:
          value:
            base: {path: 'Extension.value[x]'}
            pattern: {type: string, value: Population}
            choices: [valueString]
            type: string
            index: 31
          valueString:
            type: string
            pattern: {type: string, value: Population}
            base: {path: 'Extension.value[x]'}
            choiceOf: value
            index: 32
        required: [value, valueString]
      age[x]:
        url: null
        short: The age of the specific population
        isModifier: false
        index: 33
        elements:
          value:
            base: {path: 'Extension.value[x]'}
            short: The age of the specific population
            choices: [valueRange, valueCodeableConcept]
            index: 35
          valueRange:
            base: {path: 'Extension.value[x]'}
            type: Range
            short: The age of the specific population
            choiceOf: value
            index: 36
          valueCodeableConcept:
            base: {path: 'Extension.value[x]'}
            type: CodeableConcept
            short: The age of the specific population
            choiceOf: value
            index: 37
      gender:
        url: null
        short: The gender of the specific population
        isModifier: false
        index: 38
        elements:
          value:
            base: {path: 'Extension.value[x]'}
            short: The gender of the specific population
            choices: [valueCodeableConcept]
            index: 40
          valueCodeableConcept:
            base: {path: 'Extension.value[x]'}
            type: CodeableConcept
            short: The gender of the specific population
            choiceOf: value
            index: 41
      race:
        url: null
        short: Race of the specific population
        isModifier: false
        index: 42
        elements:
          value:
            base: {path: 'Extension.value[x]'}
            short: Race of the specific population
            choices: [valueCodeableConcept]
            index: 44
          valueCodeableConcept:
            base: {path: 'Extension.value[x]'}
            type: CodeableConcept
            short: Race of the specific population
            choiceOf: value
            index: 45
      physiologicalCondition:
        url: null
        short: The existing physiological conditions of the specific population to which this applies
        isModifier: false
        index: 46
        elements:
          value:
            base: {path: 'Extension.value[x]'}
            short: The existing physiological conditions of the specific population to which this applies
            choices: [valueCodeableConcept]
            index: 48
          valueCodeableConcept:
            base: {path: 'Extension.value[x]'}
            type: CodeableConcept
            short: The existing physiological conditions of the specific population to which this applies
            choiceOf: value
            index: 49
    elements:
      extension:
        type: Extension
        short: Data type name for MedicinalProductContraindication.population from FHIR R4
        url: http://hl7.org/fhir/StructureDefinition/_datatype
        index: 29
        slicing:
          slices:
            _datatype:
              match: {}
              schema:
                type: Extension
                short: Data type name for MedicinalProductContraindication.population from FHIR R4
                url: http://hl7.org/fhir/StructureDefinition/_datatype
                index: 29
                elements:
                  value:
                    base: {path: 'Extension.value[x]'}
                    pattern: {type: string, value: Population}
                    choices: [valueString]
                    type: string
                    index: 31
                  valueString:
                    type: string
                    pattern: {type: string, value: Population}
                    base: {path: 'Extension.value[x]'}
                    choiceOf: value
                    index: 32
                required: [value, valueString]
            age[x]:
              match: {}
              schema:
                short: The age of the specific population
                isModifier: false
                index: 33
                elements:
                  value:
                    base: {path: 'Extension.value[x]'}
                    short: The age of the specific population
                    choices: [valueRange, valueCodeableConcept]
                    index: 35
                  valueRange:
                    base: {path: 'Extension.value[x]'}
                    type: Range
                    short: The age of the specific population
                    choiceOf: value
                    index: 36
                  valueCodeableConcept:
                    base: {path: 'Extension.value[x]'}
                    type: CodeableConcept
                    short: The age of the specific population
                    choiceOf: value
                    index: 37
            gender:
              match: {}
              schema:
                short: The gender of the specific population
                isModifier: false
                index: 38
                elements:
                  value:
                    base: {path: 'Extension.value[x]'}
                    short: The gender of the specific population
                    choices: [valueCodeableConcept]
                    index: 40
                  valueCodeableConcept:
                    base: {path: 'Extension.value[x]'}
                    type: CodeableConcept
                    short: The gender of the specific population
                    choiceOf: value
                    index: 41
            race:
              match: {}
              schema:
                short: Race of the specific population
                isModifier: false
                index: 42
                elements:
                  value:
                    base: {path: 'Extension.value[x]'}
                    short: Race of the specific population
                    choices: [valueCodeableConcept]
                    index: 44
                  valueCodeableConcept:
                    base: {path: 'Extension.value[x]'}
                    type: CodeableConcept
                    short: Race of the specific population
                    choiceOf: value
                    index: 45
            physiologicalCondition:
              match: {}
              schema:
                short: The existing physiological conditions of the specific population to which this applies
                isModifier: false
                index: 46
                elements:
                  value:
                    base: {path: 'Extension.value[x]'}
                    short: The existing physiological conditions of the specific population to which this applies
                    choices: [valueCodeableConcept]
                    index: 48
                  valueCodeableConcept:
                    base: {path: 'Extension.value[x]'}
                    type: CodeableConcept
                    short: The existing physiological conditions of the specific population to which this applies
                    choiceOf: value
                    index: 49
class: extension
kind: complex-type
url: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicinalProductContraindication
base: http://hl7.org/fhir/StructureDefinition/Extension
version: 0.0.1-snapshot-1
required: [url]