PackagesCanonicalsLogsProblems
    Packages
    hl7.fhir.uv.xver-r4b.r3@0.1.0
    http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationKnowledge.ingredient
{
  "description": "R4B: `MedicationKnowledge.ingredient` (new:BackboneElement)",
  "_filename": "StructureDefinition-ext-R4B-MedicationKnowledge.ingredient.json",
  "package_name": "hl7.fhir.uv.xver-r4b.r3",
  "date": "2026-03-17T21:02:03.8104715+00:00",
  "derivation": "constraint",
  "publisher": "FHIR Infrastructure",
  "fhirVersion": "3.0.2",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "display": "World"
    } ]
  } ],
  "purpose": "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `MedicationKnowledge.ingredient` as defined in FHIR R4B\r\nin FHIR STU3.\r\n\r\nThe source element is defined as:\r\n`MedicationKnowledge.ingredient` 0..* `BackboneElement`\r\n\r\nAcross FHIR versions, the element set has been mapped as:\r\n*  R4B: `MedicationKnowledge.ingredient` 0..* `BackboneElement`\r\n\r\nFollowing are the generation technical comments:\r\nElement `MedicationKnowledge.ingredient` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.ingredient` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
  "name": "ExtensionMedicationKnowledge_Ingredient",
  "mapping": [ {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  } ],
  "abstract": false,
  "type": "Extension",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "R4B: Active or inactive ingredient (new)",
  "package_version": "0.1.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "fhir"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/package-source",
    "extension": [ {
      "url": "packageId",
      "valueId": "hl7.fhir.uv.xver-r4b.r3"
    }, {
      "url": "version",
      "valueString": "0.1.0"
    }, {
      "url": "uri",
      "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
    } ]
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger": 0,
    "_valueInteger": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "trial-use",
    "_valueCode": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
      } ]
    }
  } ],
  "snapshot": {
    "element": [ {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() | (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Extension",
      "min": 0,
      "definition": "R4B: `MedicationKnowledge.ingredient` (new:BackboneElement)",
      "isModifier": false,
      "short": "R4B: Active or inactive ingredient (new)",
      "max": "*",
      "id": "Extension",
      "condition": [ "ele-1" ],
      "comment": "Element `MedicationKnowledge.ingredient` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.ingredient` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Extension"
      }
    }, {
      "path": "Extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Extension.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Extension.extension",
      "min": 1,
      "definition": "An Extension",
      "short": "Extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "max": "*",
      "id": "Extension.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Extension.extension",
      "requirements": "Element `MedicationKnowledge.ingredient.item[x]` is part of an existing definition because parent element `MedicationKnowledge.ingredient` requires a cross-version extension.\nElement `MedicationKnowledge.ingredient.item[x]` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.ingredient.item[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
      "min": 1,
      "definition": "R4B: `MedicationKnowledge.ingredient.item[x]` (new:CodeableConcept, Reference(Substance))",
      "short": "R4B: Medication(s) or substance(s) contained in the medication (new)",
      "type": [ {
        "code": "Extension"
      } ],
      "sliceName": "item",
      "max": "1",
      "id": "Extension.extension:item",
      "comment": "Element `MedicationKnowledge.ingredient.item[x]` is part of an existing definition because parent element `MedicationKnowledge.ingredient` requires a cross-version extension.\nElement `MedicationKnowledge.ingredient.item[x]` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.ingredient.item[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Extension.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Extension.extension:item.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Extension.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Extension.extension:item.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"
      }
    }, {
      "path": "Extension.extension.url",
      "min": 1,
      "definition": "Source of the definition for the extension code - a logical name or a URL.",
      "short": "identifies the meaning of the extension",
      "fixedUri": "item",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Extension.extension:item.url",
      "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "path": "Extension.extension.value[x]",
      "min": 1,
      "definition": "The actual ingredient - either a substance (simple ingredient) or another medication.",
      "short": "Medication(s) or substance(s) contained in the medication",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      }, {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/4.3/StructureDefinition/profile-Substance|0.1.0"
      }, {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Substance"
      } ],
      "max": "1",
      "id": "Extension.extension:item.value[x]",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "path": "Extension.extension",
      "requirements": "True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). \rFalse indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive). Element `MedicationKnowledge.ingredient.isActive` is part of an existing definition because parent element `MedicationKnowledge.ingredient` requires a cross-version extension.\nElement `MedicationKnowledge.ingredient.isActive` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.ingredient.isActive` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
      "min": 0,
      "definition": "R4B: `MedicationKnowledge.ingredient.isActive` (new:boolean)",
      "short": "R4B: Active ingredient indicator (new)",
      "type": [ {
        "code": "Extension"
      } ],
      "sliceName": "isActive",
      "max": "1",
      "id": "Extension.extension:isActive",
      "comment": "Element `MedicationKnowledge.ingredient.isActive` is part of an existing definition because parent element `MedicationKnowledge.ingredient` requires a cross-version extension.\nElement `MedicationKnowledge.ingredient.isActive` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.ingredient.isActive` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Extension.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Extension.extension:isActive.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Extension.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Extension.extension:isActive.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"
      }
    }, {
      "path": "Extension.extension.url",
      "min": 1,
      "definition": "Source of the definition for the extension code - a logical name or a URL.",
      "short": "identifies the meaning of the extension",
      "fixedUri": "isActive",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Extension.extension:isActive.url",
      "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "path": "Extension.extension.value[x]",
      "min": 0,
      "definition": "Indication of whether this ingredient affects the therapeutic action of the drug.",
      "short": "Active ingredient indicator",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "boolean"
      } ],
      "max": "1",
      "id": "Extension.extension:isActive.value[x]",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "path": "Extension.extension",
      "requirements": "Element `MedicationKnowledge.ingredient.strength` is part of an existing definition because parent element `MedicationKnowledge.ingredient` requires a cross-version extension.\nElement `MedicationKnowledge.ingredient.strength` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.ingredient.strength` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
      "min": 0,
      "definition": "R4B: `MedicationKnowledge.ingredient.strength` (new:Ratio)",
      "short": "R4B: Quantity of ingredient present (new)",
      "type": [ {
        "code": "Extension"
      } ],
      "sliceName": "strength",
      "max": "1",
      "id": "Extension.extension:strength",
      "comment": "Element `MedicationKnowledge.ingredient.strength` is part of an existing definition because parent element `MedicationKnowledge.ingredient` requires a cross-version extension.\nElement `MedicationKnowledge.ingredient.strength` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.ingredient.strength` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Extension.extension.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Extension.extension:strength.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Extension.extension.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Extension.extension:strength.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Extension.extension.url",
      "min": 1,
      "definition": "Source of the definition for the extension code - a logical name or a URL.",
      "short": "identifies the meaning of the extension",
      "fixedUri": "strength",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Extension.extension:strength.url",
      "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "path": "Extension.extension.value[x]",
      "min": 0,
      "definition": "Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.",
      "short": "Quantity of ingredient present",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Ratio"
      } ],
      "max": "1",
      "id": "Extension.extension:strength.value[x]",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    }, {
      "path": "Extension.url",
      "min": 1,
      "definition": "Source of the definition for the extension code - a logical name or a URL.",
      "short": "identifies the meaning of the extension",
      "fixedUri": "http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationKnowledge.ingredient",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Extension.url",
      "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      }
    }, {
      "path": "Extension.value[x]",
      "min": 0,
      "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
      "short": "Value of extension",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "base64Binary"
      }, {
        "code": "boolean"
      }, {
        "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": "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": "Meta"
      } ],
      "max": "0",
      "id": "Extension.value[x]",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      }
    } ]
  },
  "status": "active",
  "id": "ced7470e-5409-40f4-a681-1696ec4f58f5",
  "kind": "complex-type",
  "url": "http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationKnowledge.ingredient",
  "context": [ "Basic" ],
  "version": "0.1.0",
  "differential": {
    "element": [ {
      "path": "Extension",
      "min": 0,
      "definition": "R4B: `MedicationKnowledge.ingredient` (new:BackboneElement)",
      "isModifier": false,
      "short": "R4B: Active or inactive ingredient (new)",
      "max": "*",
      "id": "Extension",
      "comment": "Element `MedicationKnowledge.ingredient` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.ingredient` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Extension"
      }
    }, {
      "id": "Extension.extension",
      "max": "*",
      "min": 1,
      "base": {
        "max": "*",
        "min": 0,
        "path": "Extension.extension"
      },
      "path": "Extension.extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "path": "Extension.extension",
      "requirements": "Element `MedicationKnowledge.ingredient.item[x]` is part of an existing definition because parent element `MedicationKnowledge.ingredient` requires a cross-version extension.\nElement `MedicationKnowledge.ingredient.item[x]` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.ingredient.item[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
      "min": 1,
      "definition": "R4B: `MedicationKnowledge.ingredient.item[x]` (new:CodeableConcept, Reference(Substance))",
      "short": "R4B: Medication(s) or substance(s) contained in the medication (new)",
      "sliceName": "item",
      "max": "1",
      "id": "Extension.extension:item",
      "comment": "Element `MedicationKnowledge.ingredient.item[x]` is part of an existing definition because parent element `MedicationKnowledge.ingredient` requires a cross-version extension.\nElement `MedicationKnowledge.ingredient.item[x]` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.ingredient.item[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Extension.extension"
      }
    }, {
      "id": "Extension.extension:item.url",
      "max": "1",
      "min": 1,
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      },
      "path": "Extension.extension.url",
      "fixedUri": "item"
    }, {
      "id": "Extension.extension:item.value[x]",
      "max": "1",
      "min": 1,
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      },
      "path": "Extension.extension.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      }, {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/4.3/StructureDefinition/profile-Substance|0.1.0"
      }, {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Substance"
      } ],
      "short": "Medication(s) or substance(s) contained in the medication",
      "definition": "The actual ingredient - either a substance (simple ingredient) or another medication."
    }, {
      "path": "Extension.extension",
      "requirements": "True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). \rFalse indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive). Element `MedicationKnowledge.ingredient.isActive` is part of an existing definition because parent element `MedicationKnowledge.ingredient` requires a cross-version extension.\nElement `MedicationKnowledge.ingredient.isActive` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.ingredient.isActive` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
      "min": 0,
      "definition": "R4B: `MedicationKnowledge.ingredient.isActive` (new:boolean)",
      "short": "R4B: Active ingredient indicator (new)",
      "sliceName": "isActive",
      "max": "1",
      "id": "Extension.extension:isActive",
      "comment": "Element `MedicationKnowledge.ingredient.isActive` is part of an existing definition because parent element `MedicationKnowledge.ingredient` requires a cross-version extension.\nElement `MedicationKnowledge.ingredient.isActive` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.ingredient.isActive` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Extension.extension"
      }
    }, {
      "id": "Extension.extension:isActive.url",
      "max": "1",
      "min": 1,
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      },
      "path": "Extension.extension.url",
      "fixedUri": "isActive"
    }, {
      "id": "Extension.extension:isActive.value[x]",
      "max": "1",
      "min": 0,
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      },
      "path": "Extension.extension.value[x]",
      "type": [ {
        "code": "boolean"
      } ],
      "short": "Active ingredient indicator",
      "definition": "Indication of whether this ingredient affects the therapeutic action of the drug."
    }, {
      "path": "Extension.extension",
      "requirements": "Element `MedicationKnowledge.ingredient.strength` is part of an existing definition because parent element `MedicationKnowledge.ingredient` requires a cross-version extension.\nElement `MedicationKnowledge.ingredient.strength` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.ingredient.strength` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
      "min": 0,
      "definition": "R4B: `MedicationKnowledge.ingredient.strength` (new:Ratio)",
      "short": "R4B: Quantity of ingredient present (new)",
      "sliceName": "strength",
      "max": "1",
      "id": "Extension.extension:strength",
      "comment": "Element `MedicationKnowledge.ingredient.strength` is part of an existing definition because parent element `MedicationKnowledge.ingredient` requires a cross-version extension.\nElement `MedicationKnowledge.ingredient.strength` is not mapped to FHIR STU3, since FHIR R4B `MedicationKnowledge` is not mapped.\nElement `MedicationKnowledge.ingredient.strength` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Extension.extension"
      }
    }, {
      "id": "Extension.extension:strength.url",
      "max": "1",
      "min": 1,
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      },
      "path": "Extension.extension.url",
      "fixedUri": "strength"
    }, {
      "id": "Extension.extension:strength.value[x]",
      "max": "1",
      "min": 0,
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      },
      "path": "Extension.extension.value[x]",
      "type": [ {
        "code": "Ratio"
      } ],
      "short": "Quantity of ingredient present",
      "definition": "Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet."
    }, {
      "id": "Extension.url",
      "max": "1",
      "min": 1,
      "base": {
        "max": "1",
        "min": 1,
        "path": "Extension.url"
      },
      "path": "Extension.url",
      "fixedUri": "http://hl7.org/fhir/4.3/StructureDefinition/extension-MedicationKnowledge.ingredient"
    }, {
      "id": "Extension.value[x]",
      "max": "0",
      "min": 0,
      "base": {
        "max": "1",
        "min": 0,
        "path": "Extension.value[x]"
      },
      "path": "Extension.value[x]"
    } ]
  },
  "contact": [ {
    "name": "FHIR Infrastructure",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/fiwg",
      "system": "url"
    } ]
  } ],
  "contextType": "resource",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension"
}