{
  "description": "This extension contains an explanation for the manual or alternate initiation of the public health report.\\n\\nIf there are multiple distinct reasons for manual or alternate initiation then each reason should be contained in a separate US Public Health Initiation Reason Extension. \\n\\nThe reason may be entered either as:\\n* free text (string) \\n* coded value (valueCodeableConcept) (not necessarily initiated by a provider of care but might be \\\"programmed-in\\\" by the EHR implementer for some purpose)",
  "_filename": "StructureDefinition-us-ph-initiation-reason-extension.json",
  "package_name": "hl7.fhir.us.ecr",
  "date": "2022-08-31T17:40:18+00:00",
  "derivation": "constraint",
  "meta": {
    "source": "#PiFxYXbjl1BOpQiX",
    "versionId": "2",
    "lastUpdated": "2021-06-30T05:03:50.744+00:00"
  },
  "publisher": "HL7 Public Health Work Group (http://www.hl7.org/Special/committees/pher/index.cfm)",
  "fhirVersion": "4.0.1",
  "jurisdiction": [ {
    "text": "United States of America",
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166",
      "display": "United States of America"
    } ]
  } ],
  "name": "USPublicHealthInitiationReasonExtension",
  "mapping": [ {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  } ],
  "abstract": false,
  "type": "Extension",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "US Public Health Initiation Reason Extension",
  "package_version": "2.1.0",
  "snapshot": {
    "element": [ {
      "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": "Extension",
      "min": 0,
      "definition": "Reason for manual or alternate initiation of the public health report.",
      "isModifier": false,
      "short": "Initial Case Report Initiation Reason",
      "max": "*",
      "id": "Extension",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Extension"
      }
    }, {
      "path": "Extension.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Extension.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": "Extension.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"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Extension.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "path": "Extension.url",
      "min": 1,
      "definition": "Source of the definition for the extension code - a logical name or a URL.",
      "isModifier": false,
      "short": "identifies the meaning of the extension",
      "fixedUri": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-initiation-reason-extension",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "uri"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Extension.url",
      "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "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": "Extension.value[x]",
      "min": 1,
      "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
      "isModifier": false,
      "short": "Value of extension",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      }, {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Extension.value[x]",
      "example": [ {
        "label": "valueString",
        "valueString": "Free text containing the reason for the initiation"
      }, {
        "label": "valueCodeableConcept",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "772146005",
            "system": "http://snomed.info/sct",
            "display": "Pertussis suspected (situation)"
          } ]
        }
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      },
      "isSummary": false
    } ]
  },
  "status": "active",
  "id": "9fbf68fe-f1fd-4dbc-aad6-6f1ee8a2d70f",
  "kind": "complex-type",
  "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-initiation-reason-extension",
  "context": [ {
    "type": "element",
    "expression": "Composition"
  } ],
  "version": "2.1.0",
  "differential": {
    "element": [ {
      "id": "Extension",
      "max": "*",
      "path": "Extension",
      "short": "Initial Case Report Initiation Reason",
      "definition": "Reason for manual or alternate initiation of the public health report.",
      "isModifier": false
    }, {
      "id": "Extension.url",
      "path": "Extension.url",
      "fixedUri": "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-initiation-reason-extension"
    }, {
      "id": "Extension.value[x]",
      "max": "1",
      "min": 1,
      "path": "Extension.value[x]",
      "type": [ {
        "code": "string"
      }, {
        "code": "CodeableConcept"
      } ],
      "example": [ {
        "label": "valueString",
        "valueString": "Free text containing the reason for the initiation"
      }, {
        "label": "valueCodeableConcept",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "772146005",
            "system": "http://snomed.info/sct",
            "display": "Pertussis suspected (situation)"
          } ]
        }
      } ],
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "name": "HL7 International - Public Health",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/pher",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension"
}