PackagesCanonicalsLogsProblems
    Packages
    hl7.fhir.uv.cow@1.0.0-ballot
    http://hl7.org/fhir/uv/cow/StructureDefinition/cow-subscription-status
{
  "description": "Minimum expectations for a SubscriptionStatus resource when used for Clinical Order Workflow. This profile is used to describe the use of administrative (pre-coordinated) subscription notifications for RESTful-based exchange between the Placer and the Fulfiller. The purpose of the constraints for the SubscriptionStatus resource is to make sure that additional requirements, which may be relevant to a particular implementation or national/regional implementation guides, are compatible with the RESTful-based exchange patterns.",
  "_filename": "StructureDefinition-cow-subscription-status.json",
  "package_name": "hl7.fhir.uv.cow",
  "date": "2025-03-03",
  "derivation": "constraint",
  "publisher": "HL7 International / Orders and Observations",
  "fhirVersion": "4.0.1",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "display": "World"
    } ]
  } ],
  "name": "COWSubscriptionStatus",
  "mapping": [ {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  } ],
  "abstract": false,
  "type": "Parameters",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "COW Subscription Status",
  "package_version": "1.0.0-ballot",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "oo"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger": 1,
    "_valueInteger": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical": "http://hl7.org/fhir/uv/cow/ImplementationGuide/hl7.fhir.uv.cow"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "trial-use",
    "_valueCode": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical": "http://hl7.org/fhir/uv/cow/ImplementationGuide/hl7.fhir.uv.cow"
      } ]
    }
  } ],
  "snapshot": {
    "element": [ {
      "path": "Parameters",
      "min": 0,
      "definition": "This resource is a non-persisted resource used to pass information into and back from an [operation](http://hl7.org/fhir/R4/operations.html). It has no other use, and there is no RESTful endpoint associated with it.",
      "isModifier": false,
      "short": "Parameter containing subscription status information",
      "mapping": [ {
        "map": "Entity. Role, or Act",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "v2"
      }, {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "infrastructure.exchange",
        "identity": "w5"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Parameters",
      "comment": "The parameters that may be used are defined by the OperationDefinition resource.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters"
      },
      "isSummary": false
    }, {
      "path": "Parameters.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",
          "valueUrl": "id"
        } ]
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Parameters.id",
      "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
      "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": "Parameters.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": "Parameters.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": "Parameters.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": "Parameters.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": "Parameters.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/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "Language"
        } ],
        "description": "IETF language tag"
      },
      "max": "1",
      "id": "Parameters.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 unless an empty Parameters resource",
        "xpath": "@value|f:*|h:div|self::f:Parameters",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count()) or $this is Parameters"
      }, {
        "key": "inv-1",
        "human": "A parameter must have one and only one of (value, resource, part)",
        "xpath": "(exists(f:part) and not(exists(f:*[starts-with(local-name(.), 'value')])) and not(exists(f:resource))) or (not(exists(f:part)) and (exists(f:*[starts-with(local-name(.),'value')]) != exists(f:resource)))",
        "source": "http://hl7.org/fhir/StructureDefinition/Parameters",
        "severity": "error",
        "expression": "(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))"
      } ],
      "path": "Parameters.parameter",
      "min": 3,
      "definition": "A parameter passed to or received from the operation.",
      "isModifier": false,
      "short": "Slices containing subscription status information",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "description": "Slice on parameter name",
        "discriminator": [ {
          "path": "name",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": false,
      "max": "*",
      "id": "Parameters.parameter",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.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": "Parameters.parameter.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": "Parameters.parameter.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": "Parameters.parameter.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": "Parameters.parameter.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](http://hl7.org/fhir/R4/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": "Parameters.parameter.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": "Parameters.parameter.name",
      "min": 1,
      "definition": "The name of the parameter (reference to the operation definition).",
      "isModifier": false,
      "short": "Name from the definition",
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Parameters.parameter.name",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Parameters.parameter.name"
      },
      "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": "Parameters.parameter.value[x]",
      "min": 0,
      "definition": "Conveys the content if the parameter is a data type.",
      "isModifier": false,
      "short": "If parameter is a data type",
      "type": [ {
        "code": "base64Binary"
      }, {
        "code": "boolean"
      }, {
        "code": "canonical"
      }, {
        "code": "code"
      }, {
        "code": "date"
      }, {
        "code": "dateTime"
      }, {
        "code": "decimal"
      }, {
        "code": "id"
      }, {
        "code": "instant"
      }, {
        "code": "integer"
      }, {
        "code": "markdown"
      }, {
        "code": "oid"
      }, {
        "code": "positiveInt"
      }, {
        "code": "string"
      }, {
        "code": "time"
      }, {
        "code": "unsignedInt"
      }, {
        "code": "uri"
      }, {
        "code": "url"
      }, {
        "code": "uuid"
      }, {
        "code": "Address"
      }, {
        "code": "Age"
      }, {
        "code": "Annotation"
      }, {
        "code": "Attachment"
      }, {
        "code": "CodeableConcept"
      }, {
        "code": "Coding"
      }, {
        "code": "ContactPoint"
      }, {
        "code": "Count"
      }, {
        "code": "Distance"
      }, {
        "code": "Duration"
      }, {
        "code": "HumanName"
      }, {
        "code": "Identifier"
      }, {
        "code": "Money"
      }, {
        "code": "Period"
      }, {
        "code": "Quantity"
      }, {
        "code": "Range"
      }, {
        "code": "Ratio"
      }, {
        "code": "Reference"
      }, {
        "code": "SampledData"
      }, {
        "code": "Signature"
      }, {
        "code": "Timing"
      }, {
        "code": "ContactDetail"
      }, {
        "code": "Contributor"
      }, {
        "code": "DataRequirement"
      }, {
        "code": "Expression"
      }, {
        "code": "ParameterDefinition"
      }, {
        "code": "RelatedArtifact"
      }, {
        "code": "TriggerDefinition"
      }, {
        "code": "UsageContext"
      }, {
        "code": "Dosage"
      }, {
        "code": "Meta"
      } ],
      "mustSupport": false,
      "extension": [ {
        "url": "http://hl7.org/fhir/build/StructureDefinition/no-binding",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Parameters.parameter.value[x]",
      "condition": [ "inv-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.value[x]"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.resource",
      "min": 0,
      "definition": "If the parameter is a whole resource.",
      "isModifier": false,
      "short": "If parameter is a whole resource",
      "type": [ {
        "code": "Resource"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Parameters.parameter.resource",
      "condition": [ "inv-1" ],
      "comment": "When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.resource"
      },
      "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": "Parameters.parameter.part",
      "min": 0,
      "definition": "A named part of a multi-part parameter.",
      "isModifier": false,
      "short": "Named part of a multi-part parameter",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter",
      "mustSupport": false,
      "max": "*",
      "id": "Parameters.parameter.part",
      "comment": "Only one level of nested parameters is allowed.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter.part"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
        "xpath": "@value|f:*|h:div|self::f:Parameters",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count()) or $this is Parameters"
      }, {
        "key": "inv-1",
        "human": "A parameter must have one and only one of (value, resource, part)",
        "xpath": "(exists(f:part) and not(exists(f:*[starts-with(local-name(.), 'value')])) and not(exists(f:resource))) or (not(exists(f:part)) and (exists(f:*[starts-with(local-name(.),'value')]) != exists(f:resource)))",
        "source": "http://hl7.org/fhir/StructureDefinition/Parameters",
        "severity": "error",
        "expression": "(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))"
      } ],
      "path": "Parameters.parameter",
      "min": 1,
      "definition": "A parameter passed to or received from the operation.",
      "isModifier": false,
      "short": "Parameter containing the reference to a subscription",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "subscription",
      "max": "1",
      "id": "Parameters.parameter:subscription",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.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": "Parameters.parameter:subscription.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": "Parameters.parameter.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": "Parameters.parameter:subscription.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": "Parameters.parameter.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](http://hl7.org/fhir/R4/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": "Parameters.parameter:subscription.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": "Parameters.parameter.name",
      "min": 1,
      "definition": "The name of the parameter (reference to the operation definition).",
      "isModifier": false,
      "short": "Slice discriminator: the reference to a subscription",
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "fixedString": "subscription",
      "id": "Parameters.parameter:subscription.name",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Parameters.parameter.name"
      },
      "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": "Parameters.parameter.value[x]",
      "min": 1,
      "definition": "The reference to the Subscription which generated this notification.",
      "isModifier": false,
      "short": "Reference to the Subscription responsible for this notification",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Subscription" ]
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/build/StructureDefinition/no-binding",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Parameters.parameter:subscription.value[x]",
      "condition": [ "inv-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.value[x]"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.value[x].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": "Parameters.parameter:subscription.value[x].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": "Parameters.parameter.value[x].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": "Parameters.parameter:subscription.value[x].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())"
      } ],
      "path": "Parameters.parameter.value[x].reference",
      "min": 0,
      "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
      "isModifier": false,
      "short": "Literal reference, Relative, internal or absolute URL",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Parameters.parameter:subscription.value[x].reference",
      "condition": [ "ref-1" ],
      "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Reference.reference"
      },
      "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": "Parameters.parameter.value[x].type",
      "min": 0,
      "definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
      "isModifier": false,
      "short": "Type the reference refers to (e.g. \"Patient\")",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "binding": {
        "strength": "extensible",
        "valueSet": "http://hl7.org/fhir/ValueSet/resource-types",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "FHIRResourceTypeExt"
        } ],
        "description": "Aa resource (or, for logical models, the URI of the logical model)."
      },
      "max": "1",
      "id": "Parameters.parameter:subscription.value[x].type",
      "comment": "This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Reference.type"
      },
      "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": "Parameters.parameter.value[x].identifier",
      "min": 1,
      "definition": "The reference to the Subscription which generated this notification, using a logical reference",
      "isModifier": false,
      "short": "Reference to the Subscription responsible for this notification. Logical reference is the only one supported",
      "mapping": [ {
        "map": ".identifier",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Parameters.parameter:subscription.value[x].identifier",
      "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Reference.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": "Parameters.parameter.value[x].display",
      "min": 0,
      "definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
      "isModifier": false,
      "short": "Text alternative for the resource",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Parameters.parameter:subscription.value[x].display",
      "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Reference.display"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.resource",
      "min": 0,
      "definition": "If the parameter is a whole resource.",
      "isModifier": false,
      "short": "If parameter is a whole resource",
      "type": [ {
        "code": "Resource"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Parameters.parameter:subscription.resource",
      "condition": [ "inv-1" ],
      "comment": "When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.resource"
      },
      "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": "Parameters.parameter.part",
      "min": 0,
      "definition": "A named part of a multi-part parameter.",
      "isModifier": false,
      "short": "Named part of a multi-part parameter",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter",
      "mustSupport": false,
      "max": "*",
      "id": "Parameters.parameter:subscription.part",
      "comment": "Only one level of nested parameters is allowed.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter.part"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
        "xpath": "@value|f:*|h:div|self::f:Parameters",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count()) or $this is Parameters"
      }, {
        "key": "inv-1",
        "human": "A parameter must have one and only one of (value, resource, part)",
        "xpath": "(exists(f:part) and not(exists(f:*[starts-with(local-name(.), 'value')])) and not(exists(f:resource))) or (not(exists(f:part)) and (exists(f:*[starts-with(local-name(.),'value')]) != exists(f:resource)))",
        "source": "http://hl7.org/fhir/StructureDefinition/Parameters",
        "severity": "error",
        "expression": "(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))"
      } ],
      "path": "Parameters.parameter",
      "min": 0,
      "definition": "A parameter passed to or received from the operation.",
      "isModifier": false,
      "short": "Parameter containing the canonical reference to a subscription topic",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "topic",
      "max": "1",
      "id": "Parameters.parameter:topic",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.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": "Parameters.parameter:topic.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": "Parameters.parameter.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": "Parameters.parameter:topic.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": "Parameters.parameter.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](http://hl7.org/fhir/R4/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": "Parameters.parameter:topic.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": "Parameters.parameter.name",
      "min": 1,
      "definition": "The name of the parameter (reference to the operation definition).",
      "isModifier": false,
      "short": "Slice discriminator: the canonical reference to a subscription topic",
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "fixedString": "topic",
      "id": "Parameters.parameter:topic.name",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Parameters.parameter.name"
      },
      "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": "Parameters.parameter.value[x]",
      "min": 0,
      "definition": "Canonical reference to the SubscriptionTopic for the Subscription which generated this notification.",
      "isModifier": false,
      "short": "Canonical reference to the SubscriptionTopic this notification relates to",
      "type": [ {
        "code": "canonical"
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/build/StructureDefinition/no-binding",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Parameters.parameter:topic.value[x]",
      "condition": [ "inv-1" ],
      "comment": "This value SHOULD NOT be present when using `empty` payloads, MAY be present when using id-only payloads, and SHOULD be present when using `full-resource` payloads.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.value[x]"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.resource",
      "min": 0,
      "definition": "If the parameter is a whole resource.",
      "isModifier": false,
      "short": "If parameter is a whole resource",
      "type": [ {
        "code": "Resource"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Parameters.parameter:topic.resource",
      "condition": [ "inv-1" ],
      "comment": "When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.resource"
      },
      "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": "Parameters.parameter.part",
      "min": 0,
      "definition": "A named part of a multi-part parameter.",
      "isModifier": false,
      "short": "Named part of a multi-part parameter",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter",
      "mustSupport": false,
      "max": "*",
      "id": "Parameters.parameter:topic.part",
      "comment": "Only one level of nested parameters is allowed.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter.part"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
        "xpath": "@value|f:*|h:div|self::f:Parameters",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count()) or $this is Parameters"
      }, {
        "key": "inv-1",
        "human": "A parameter must have one and only one of (value, resource, part)",
        "xpath": "(exists(f:part) and not(exists(f:*[starts-with(local-name(.), 'value')])) and not(exists(f:resource))) or (not(exists(f:part)) and (exists(f:*[starts-with(local-name(.),'value')]) != exists(f:resource)))",
        "source": "http://hl7.org/fhir/StructureDefinition/Parameters",
        "severity": "error",
        "expression": "(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))"
      } ],
      "path": "Parameters.parameter",
      "min": 1,
      "definition": "A parameter passed to or received from the operation.",
      "isModifier": false,
      "short": "Parameter containing the subscription status",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "status",
      "max": "1",
      "id": "Parameters.parameter:status",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.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": "Parameters.parameter:status.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": "Parameters.parameter.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": "Parameters.parameter:status.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": "Parameters.parameter.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](http://hl7.org/fhir/R4/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": "Parameters.parameter:status.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": "Parameters.parameter.name",
      "min": 1,
      "definition": "The name of the parameter (reference to the operation definition).",
      "isModifier": false,
      "short": "Slice discriminator: the subscription status",
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "fixedString": "status",
      "id": "Parameters.parameter:status.name",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Parameters.parameter.name"
      },
      "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": "Parameters.parameter.value[x]",
      "min": 1,
      "definition": "The status of the subscription, which marks the server state for managing the subscription.",
      "isModifier": false,
      "short": "Status of the subscription when this notification was generated",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/build/StructureDefinition/no-binding",
        "valueBoolean": true
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/subscription-status"
      },
      "max": "1",
      "id": "Parameters.parameter:status.value[x]",
      "condition": [ "inv-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.value[x]"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.resource",
      "min": 0,
      "definition": "If the parameter is a whole resource.",
      "isModifier": false,
      "short": "If parameter is a whole resource",
      "type": [ {
        "code": "Resource"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Parameters.parameter:status.resource",
      "condition": [ "inv-1" ],
      "comment": "When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.resource"
      },
      "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": "Parameters.parameter.part",
      "min": 0,
      "definition": "A named part of a multi-part parameter.",
      "isModifier": false,
      "short": "Named part of a multi-part parameter",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter",
      "mustSupport": false,
      "max": "*",
      "id": "Parameters.parameter:status.part",
      "comment": "Only one level of nested parameters is allowed.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter.part"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
        "xpath": "@value|f:*|h:div|self::f:Parameters",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count()) or $this is Parameters"
      }, {
        "key": "inv-1",
        "human": "A parameter must have one and only one of (value, resource, part)",
        "xpath": "(exists(f:part) and not(exists(f:*[starts-with(local-name(.), 'value')])) and not(exists(f:resource))) or (not(exists(f:part)) and (exists(f:*[starts-with(local-name(.),'value')]) != exists(f:resource)))",
        "source": "http://hl7.org/fhir/StructureDefinition/Parameters",
        "severity": "error",
        "expression": "(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))"
      } ],
      "path": "Parameters.parameter",
      "min": 1,
      "definition": "A parameter passed to or received from the operation.",
      "isModifier": false,
      "short": "Parameter containing the type of event for this notification",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "type",
      "max": "1",
      "id": "Parameters.parameter:type",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.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": "Parameters.parameter:type.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": "Parameters.parameter.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": "Parameters.parameter:type.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": "Parameters.parameter.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](http://hl7.org/fhir/R4/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": "Parameters.parameter:type.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": "Parameters.parameter.name",
      "min": 1,
      "definition": "The name of the parameter (reference to the operation definition).",
      "isModifier": false,
      "short": "Slice discriminator: the type of event for this notification",
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "fixedString": "type",
      "id": "Parameters.parameter:type.name",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Parameters.parameter.name"
      },
      "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": "Parameters.parameter.value[x]",
      "min": 1,
      "definition": "Conveys the content if the parameter is a data type.",
      "isModifier": false,
      "short": "The type of event being conveyed with this notificaiton.",
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/build/StructureDefinition/no-binding",
        "valueBoolean": true
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/uv/cow/ValueSet/order-notification-status-type"
      },
      "max": "1",
      "id": "Parameters.parameter:type.value[x]",
      "condition": [ "inv-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.value[x]"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.resource",
      "min": 0,
      "definition": "If the parameter is a whole resource.",
      "isModifier": false,
      "short": "If parameter is a whole resource",
      "type": [ {
        "code": "Resource"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Parameters.parameter:type.resource",
      "condition": [ "inv-1" ],
      "comment": "When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.resource"
      },
      "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": "Parameters.parameter.part",
      "min": 0,
      "definition": "A named part of a multi-part parameter.",
      "isModifier": false,
      "short": "Named part of a multi-part parameter",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter",
      "mustSupport": false,
      "max": "*",
      "id": "Parameters.parameter:type.part",
      "comment": "Only one level of nested parameters is allowed.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter.part"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
        "xpath": "@value|f:*|h:div|self::f:Parameters",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count()) or $this is Parameters"
      }, {
        "key": "inv-1",
        "human": "A parameter must have one and only one of (value, resource, part)",
        "xpath": "(exists(f:part) and not(exists(f:*[starts-with(local-name(.), 'value')])) and not(exists(f:resource))) or (not(exists(f:part)) and (exists(f:*[starts-with(local-name(.),'value')]) != exists(f:resource)))",
        "source": "http://hl7.org/fhir/StructureDefinition/Parameters",
        "severity": "error",
        "expression": "(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))"
      } ],
      "path": "Parameters.parameter",
      "min": 0,
      "definition": "A parameter passed to or received from the operation.",
      "isModifier": false,
      "short": "Parameter containing the number of events since this subscription started",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "eventsSinceSubscriptionStart",
      "max": "1",
      "id": "Parameters.parameter:eventsSinceSubscriptionStart",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.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": "Parameters.parameter:eventsSinceSubscriptionStart.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": "Parameters.parameter.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": "Parameters.parameter:eventsSinceSubscriptionStart.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": "Parameters.parameter.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](http://hl7.org/fhir/R4/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": "Parameters.parameter:eventsSinceSubscriptionStart.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": "Parameters.parameter.name",
      "min": 1,
      "definition": "The name of the parameter (reference to the operation definition).",
      "isModifier": false,
      "short": "Slice discriminator: the number of events since this subscription started",
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "fixedString": "events-since-subscription-start",
      "id": "Parameters.parameter:eventsSinceSubscriptionStart.name",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Parameters.parameter.name"
      },
      "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": "Parameters.parameter.value[x]",
      "min": 0,
      "definition": "The total number of actual events which have been generated since the Subscription was created (inclusive of this notification) - regardless of how many have been successfully communicated. This number is NOT incremented for handshake and heartbeat notifications.",
      "isModifier": false,
      "short": "Events since the Subscription was created",
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/build/StructureDefinition/no-binding",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Parameters.parameter:eventsSinceSubscriptionStart.value[x]",
      "condition": [ "inv-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.value[x]"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.resource",
      "min": 0,
      "definition": "If the parameter is a whole resource.",
      "isModifier": false,
      "short": "If parameter is a whole resource",
      "type": [ {
        "code": "Resource"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Parameters.parameter:eventsSinceSubscriptionStart.resource",
      "condition": [ "inv-1" ],
      "comment": "When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.resource"
      },
      "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": "Parameters.parameter.part",
      "min": 0,
      "definition": "A named part of a multi-part parameter.",
      "isModifier": false,
      "short": "Named part of a multi-part parameter",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter",
      "mustSupport": false,
      "max": "*",
      "id": "Parameters.parameter:eventsSinceSubscriptionStart.part",
      "comment": "Only one level of nested parameters is allowed.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter.part"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
        "xpath": "@value|f:*|h:div|self::f:Parameters",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count()) or $this is Parameters"
      }, {
        "key": "inv-1",
        "human": "A parameter must have one and only one of (value, resource, part)",
        "xpath": "(exists(f:part) and not(exists(f:*[starts-with(local-name(.), 'value')])) and not(exists(f:resource))) or (not(exists(f:part)) and (exists(f:*[starts-with(local-name(.),'value')]) != exists(f:resource)))",
        "source": "http://hl7.org/fhir/StructureDefinition/Parameters",
        "severity": "error",
        "expression": "(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))"
      } ],
      "path": "Parameters.parameter",
      "min": 0,
      "definition": "A parameter passed to or received from the operation.",
      "isModifier": false,
      "short": "Parameter containing the event notification details",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "notificationEvent",
      "max": "*",
      "id": "Parameters.parameter:notificationEvent",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.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": "Parameters.parameter:notificationEvent.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": "Parameters.parameter.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": "Parameters.parameter:notificationEvent.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": "Parameters.parameter.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](http://hl7.org/fhir/R4/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": "Parameters.parameter:notificationEvent.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": "Parameters.parameter.name",
      "min": 1,
      "definition": "The name of the parameter (reference to the operation definition).",
      "isModifier": false,
      "short": "Parameter containing notification event details",
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "fixedString": "notification-event",
      "id": "Parameters.parameter:notificationEvent.name",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Parameters.parameter.name"
      },
      "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": "Parameters.parameter.value[x]",
      "min": 0,
      "definition": "Conveys the content if the parameter is a data type.",
      "isModifier": false,
      "short": "If parameter is a data type",
      "type": [ {
        "code": "base64Binary"
      }, {
        "code": "boolean"
      }, {
        "code": "canonical"
      }, {
        "code": "code"
      }, {
        "code": "date"
      }, {
        "code": "dateTime"
      }, {
        "code": "decimal"
      }, {
        "code": "id"
      }, {
        "code": "instant"
      }, {
        "code": "integer"
      }, {
        "code": "markdown"
      }, {
        "code": "oid"
      }, {
        "code": "positiveInt"
      }, {
        "code": "string"
      }, {
        "code": "time"
      }, {
        "code": "unsignedInt"
      }, {
        "code": "uri"
      }, {
        "code": "url"
      }, {
        "code": "uuid"
      }, {
        "code": "Address"
      }, {
        "code": "Age"
      }, {
        "code": "Annotation"
      }, {
        "code": "Attachment"
      }, {
        "code": "CodeableConcept"
      }, {
        "code": "Coding"
      }, {
        "code": "ContactPoint"
      }, {
        "code": "Count"
      }, {
        "code": "Distance"
      }, {
        "code": "Duration"
      }, {
        "code": "HumanName"
      }, {
        "code": "Identifier"
      }, {
        "code": "Money"
      }, {
        "code": "Period"
      }, {
        "code": "Quantity"
      }, {
        "code": "Range"
      }, {
        "code": "Ratio"
      }, {
        "code": "Reference"
      }, {
        "code": "SampledData"
      }, {
        "code": "Signature"
      }, {
        "code": "Timing"
      }, {
        "code": "ContactDetail"
      }, {
        "code": "Contributor"
      }, {
        "code": "DataRequirement"
      }, {
        "code": "Expression"
      }, {
        "code": "ParameterDefinition"
      }, {
        "code": "RelatedArtifact"
      }, {
        "code": "TriggerDefinition"
      }, {
        "code": "UsageContext"
      }, {
        "code": "Dosage"
      }, {
        "code": "Meta"
      } ],
      "mustSupport": false,
      "extension": [ {
        "url": "http://hl7.org/fhir/build/StructureDefinition/no-binding",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Parameters.parameter:notificationEvent.value[x]",
      "condition": [ "inv-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.value[x]"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.resource",
      "min": 0,
      "definition": "If the parameter is a whole resource.",
      "isModifier": false,
      "short": "If parameter is a whole resource",
      "type": [ {
        "code": "Resource"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Parameters.parameter:notificationEvent.resource",
      "condition": [ "inv-1" ],
      "comment": "When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.resource"
      },
      "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": "Parameters.parameter.part",
      "min": 1,
      "definition": "A named part of a multi-part parameter.",
      "isModifier": false,
      "short": "Named part of a multi-part parameter",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "description": "Slice on notification event parameter name",
        "discriminator": [ {
          "path": "name",
          "type": "value"
        } ]
      },
      "mustSupport": true,
      "max": "*",
      "id": "Parameters.parameter:notificationEvent.part",
      "comment": "Only one level of nested parameters is allowed.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter.part"
      },
      "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": "Parameters.parameter.part",
      "min": 1,
      "definition": "A named part of a multi-part parameter.",
      "isModifier": false,
      "short": "Parameter containing the event number",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "eventNumber",
      "max": "1",
      "id": "Parameters.parameter:notificationEvent.part:eventNumber",
      "comment": "Only one level of nested parameters is allowed.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter.part"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.part.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": "Parameters.parameter:notificationEvent.part:eventNumber.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": "Parameters.parameter.part.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": "Parameters.parameter:notificationEvent.part:eventNumber.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": "Parameters.parameter.part.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](http://hl7.org/fhir/R4/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": "Parameters.parameter:notificationEvent.part:eventNumber.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": "Parameters.parameter.part.name",
      "min": 1,
      "definition": "The name of the parameter (reference to the operation definition).",
      "isModifier": false,
      "short": "Slice discriminator: the event number",
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "fixedString": "event-number",
      "id": "Parameters.parameter:notificationEvent.part:eventNumber.name",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Parameters.parameter.name"
      },
      "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": "Parameters.parameter.part.value[x]",
      "min": 1,
      "definition": "The sequential number of this event in this subscription context.",
      "isModifier": false,
      "short": "Event number",
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/build/StructureDefinition/no-binding",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Parameters.parameter:notificationEvent.part:eventNumber.value[x]",
      "condition": [ "inv-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.value[x]"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.part.resource",
      "min": 0,
      "definition": "If the parameter is a whole resource.",
      "isModifier": false,
      "short": "If parameter is a whole resource",
      "type": [ {
        "code": "Resource"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Parameters.parameter:notificationEvent.part:eventNumber.resource",
      "condition": [ "inv-1" ],
      "comment": "When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.resource"
      },
      "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": "Parameters.parameter.part.part",
      "min": 0,
      "definition": "A named part of a multi-part parameter.",
      "isModifier": false,
      "short": "Named part of a multi-part parameter",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter",
      "mustSupport": false,
      "max": "*",
      "id": "Parameters.parameter:notificationEvent.part:eventNumber.part",
      "comment": "Only one level of nested parameters is allowed.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter.part"
      },
      "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": "Parameters.parameter.part",
      "min": 0,
      "definition": "A named part of a multi-part parameter.",
      "isModifier": false,
      "short": "Parameter containing the event timestamp",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "eventTimestamp",
      "max": "1",
      "id": "Parameters.parameter:notificationEvent.part:eventTimestamp",
      "comment": "Only one level of nested parameters is allowed.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter.part"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.part.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": "Parameters.parameter:notificationEvent.part:eventTimestamp.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": "Parameters.parameter.part.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": "Parameters.parameter:notificationEvent.part:eventTimestamp.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": "Parameters.parameter.part.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](http://hl7.org/fhir/R4/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": "Parameters.parameter:notificationEvent.part:eventTimestamp.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": "Parameters.parameter.part.name",
      "min": 1,
      "definition": "The name of the parameter (reference to the operation definition).",
      "isModifier": false,
      "short": "Slice discriminator: the event timestamp",
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "fixedString": "timestamp",
      "id": "Parameters.parameter:notificationEvent.part:eventTimestamp.name",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Parameters.parameter.name"
      },
      "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": "Parameters.parameter.part.value[x]",
      "min": 0,
      "definition": "The actual time this event occured on the server.",
      "isModifier": false,
      "short": "The instant this event occurred",
      "type": [ {
        "code": "instant"
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/build/StructureDefinition/no-binding",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Parameters.parameter:notificationEvent.part:eventTimestamp.value[x]",
      "condition": [ "inv-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.value[x]"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.part.resource",
      "min": 0,
      "definition": "If the parameter is a whole resource.",
      "isModifier": false,
      "short": "If parameter is a whole resource",
      "type": [ {
        "code": "Resource"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Parameters.parameter:notificationEvent.part:eventTimestamp.resource",
      "condition": [ "inv-1" ],
      "comment": "When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.resource"
      },
      "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": "Parameters.parameter.part.part",
      "min": 0,
      "definition": "A named part of a multi-part parameter.",
      "isModifier": false,
      "short": "Named part of a multi-part parameter",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter",
      "mustSupport": false,
      "max": "*",
      "id": "Parameters.parameter:notificationEvent.part:eventTimestamp.part",
      "comment": "Only one level of nested parameters is allowed.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter.part"
      },
      "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": "Parameters.parameter.part",
      "min": 0,
      "definition": "A named part of a multi-part parameter.",
      "isModifier": false,
      "short": "Parameter pointing to the task which is the event focus",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "eventFocus",
      "max": "1",
      "id": "Parameters.parameter:notificationEvent.part:eventFocus",
      "comment": "Only one level of nested parameters is allowed.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter.part"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.part.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": "Parameters.parameter:notificationEvent.part:eventFocus.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": "Parameters.parameter.part.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": "Parameters.parameter:notificationEvent.part:eventFocus.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": "Parameters.parameter.part.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](http://hl7.org/fhir/R4/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": "Parameters.parameter:notificationEvent.part:eventFocus.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": "Parameters.parameter.part.name",
      "min": 1,
      "definition": "The name of the parameter (reference to the operation definition).",
      "isModifier": false,
      "short": "Slice discriminator: the event focus",
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "fixedString": "focus",
      "id": "Parameters.parameter:notificationEvent.part:eventFocus.name",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Parameters.parameter.name"
      },
      "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": "Parameters.parameter.part.value[x]",
      "min": 1,
      "definition": "The focus of this event. While this will usually be a reference to the focus resource of the event, it MAY contain a reference to a non-FHIR object.",
      "isModifier": false,
      "short": "The focus of this event",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/uv/cow/StructureDefinition/coordination-task" ]
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/build/StructureDefinition/no-binding",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Parameters.parameter:notificationEvent.part:eventFocus.value[x]",
      "condition": [ "inv-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.value[x]"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.part.resource",
      "min": 0,
      "definition": "If the parameter is a whole resource.",
      "isModifier": false,
      "short": "If parameter is a whole resource",
      "type": [ {
        "code": "Resource"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Parameters.parameter:notificationEvent.part:eventFocus.resource",
      "condition": [ "inv-1" ],
      "comment": "When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.resource"
      },
      "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": "Parameters.parameter.part.part",
      "min": 0,
      "definition": "A named part of a multi-part parameter.",
      "isModifier": false,
      "short": "Named part of a multi-part parameter",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter",
      "mustSupport": false,
      "max": "*",
      "id": "Parameters.parameter:notificationEvent.part:eventFocus.part",
      "comment": "Only one level of nested parameters is allowed.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter.part"
      },
      "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": "Parameters.parameter.part",
      "min": 0,
      "definition": "A named part of a multi-part parameter.",
      "isModifier": false,
      "short": "Parameter containing additional context for this event",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "eventAdditionalContext",
      "max": "*",
      "id": "Parameters.parameter:notificationEvent.part:eventAdditionalContext",
      "comment": "Only one level of nested parameters is allowed.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter.part"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.part.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": "Parameters.parameter:notificationEvent.part:eventAdditionalContext.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": "Parameters.parameter.part.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": "Parameters.parameter:notificationEvent.part:eventAdditionalContext.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": "Parameters.parameter.part.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](http://hl7.org/fhir/R4/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": "Parameters.parameter:notificationEvent.part:eventAdditionalContext.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": "Parameters.parameter.part.name",
      "min": 1,
      "definition": "The name of the parameter (reference to the operation definition).",
      "isModifier": false,
      "short": "Slice discriminator: additional context for this event",
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "fixedString": "additional-context",
      "id": "Parameters.parameter:notificationEvent.part:eventAdditionalContext.name",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Parameters.parameter.name"
      },
      "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": "Parameters.parameter.part.value[x]",
      "min": 0,
      "definition": "Additional context information for this event. Generally, this will contain references to additional resources included with the event (e.g., the Patient relevant to an Encounter), however it MAY refer to non-FHIR objects.",
      "isModifier": false,
      "short": "Additional context for this event",
      "type": [ {
        "code": "Reference"
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/build/StructureDefinition/no-binding",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Parameters.parameter:notificationEvent.part:eventAdditionalContext.value[x]",
      "condition": [ "inv-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.value[x]"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.part.resource",
      "min": 0,
      "definition": "If the parameter is a whole resource.",
      "isModifier": false,
      "short": "If parameter is a whole resource",
      "type": [ {
        "code": "Resource"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Parameters.parameter:notificationEvent.part:eventAdditionalContext.resource",
      "condition": [ "inv-1" ],
      "comment": "When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.resource"
      },
      "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": "Parameters.parameter.part.part",
      "min": 0,
      "definition": "A named part of a multi-part parameter.",
      "isModifier": false,
      "short": "Named part of a multi-part parameter",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter",
      "mustSupport": false,
      "max": "*",
      "id": "Parameters.parameter:notificationEvent.part:eventAdditionalContext.part",
      "comment": "Only one level of nested parameters is allowed.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter.part"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
        "xpath": "@value|f:*|h:div|self::f:Parameters",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count()) or $this is Parameters"
      }, {
        "key": "inv-1",
        "human": "A parameter must have one and only one of (value, resource, part)",
        "xpath": "(exists(f:part) and not(exists(f:*[starts-with(local-name(.), 'value')])) and not(exists(f:resource))) or (not(exists(f:part)) and (exists(f:*[starts-with(local-name(.),'value')]) != exists(f:resource)))",
        "source": "http://hl7.org/fhir/StructureDefinition/Parameters",
        "severity": "error",
        "expression": "(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))"
      } ],
      "path": "Parameters.parameter",
      "min": 0,
      "definition": "A parameter passed to or received from the operation.",
      "isModifier": false,
      "short": "Parameter containing errors on the subscription",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "sliceName": "error",
      "max": "*",
      "id": "Parameters.parameter:error",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.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": "Parameters.parameter:error.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": "Parameters.parameter.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": "Parameters.parameter:error.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": "Parameters.parameter.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](http://hl7.org/fhir/R4/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": "Parameters.parameter:error.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": "Parameters.parameter.name",
      "min": 1,
      "definition": "The name of the parameter (reference to the operation definition).",
      "isModifier": false,
      "short": "Slice discriminator: errors on the subscription",
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": false,
      "max": "1",
      "fixedString": "error",
      "id": "Parameters.parameter:error.name",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Parameters.parameter.name"
      },
      "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": "Parameters.parameter.value[x]",
      "min": 0,
      "definition": "A record of errors that occurred when the server processed a notification.",
      "isModifier": false,
      "short": "An error on the subscription",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/build/StructureDefinition/no-binding",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Parameters.parameter:error.value[x]",
      "condition": [ "inv-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.value[x]"
      },
      "isSummary": true
    }, {
      "path": "Parameters.parameter.resource",
      "min": 0,
      "definition": "If the parameter is a whole resource.",
      "isModifier": false,
      "short": "If parameter is a whole resource",
      "type": [ {
        "code": "Resource"
      } ],
      "mustSupport": false,
      "max": "1",
      "id": "Parameters.parameter:error.resource",
      "condition": [ "inv-1" ],
      "comment": "When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.resource"
      },
      "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": "Parameters.parameter.part",
      "min": 0,
      "definition": "A named part of a multi-part parameter.",
      "isModifier": false,
      "short": "Named part of a multi-part parameter",
      "contentReference": "http://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter",
      "mustSupport": false,
      "max": "*",
      "id": "Parameters.parameter:error.part",
      "comment": "Only one level of nested parameters is allowed.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Parameters.parameter.part"
      },
      "isSummary": true
    } ],
    "extension": [ {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
      "valueString": "1.1.0"
    } ]
  },
  "status": "active",
  "id": "ca68b3e1-aec8-4ffe-b0a5-2f65c8a54e72",
  "kind": "resource",
  "url": "http://hl7.org/fhir/uv/cow/StructureDefinition/cow-subscription-status",
  "version": "1.0.0-ballot",
  "differential": {
    "element": [ {
      "id": "Parameters.parameter:subscription",
      "path": "Parameters.parameter",
      "sliceName": "subscription"
    }, {
      "id": "Parameters.parameter:subscription.value[x].identifier",
      "min": 1,
      "base": {
        "max": "1",
        "min": 0,
        "path": "Parameters.parameter.valueReference"
      },
      "path": "Parameters.parameter.value[x].identifier",
      "short": "Reference to the Subscription responsible for this notification. Logical reference is the only one supported",
      "definition": "The reference to the Subscription which generated this notification, using a logical reference",
      "mustSupport": true
    }, {
      "id": "Parameters.parameter:type",
      "path": "Parameters.parameter",
      "sliceName": "type"
    }, {
      "id": "Parameters.parameter:type.value[x]",
      "path": "Parameters.parameter.value[x]",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/uv/cow/ValueSet/order-notification-status-type"
      }
    }, {
      "id": "Parameters.parameter:notificationEvent",
      "path": "Parameters.parameter",
      "sliceName": "notificationEvent"
    }, {
      "id": "Parameters.parameter:notificationEvent.part:eventFocus",
      "path": "Parameters.parameter.part",
      "short": "Parameter pointing to the task which is the event focus",
      "sliceName": "eventFocus"
    }, {
      "id": "Parameters.parameter:notificationEvent.part:eventFocus.value[x]",
      "min": 1,
      "path": "Parameters.parameter.part.value[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/uv/cow/StructureDefinition/coordination-task" ]
      } ]
    } ]
  },
  "contact": [ {
    "name": "HL7 International / Orders and Observations",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/orders",
      "system": "url"
    }, {
      "value": "oo@lists.hl7.org",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-subscription-status-r4"
}