{
"description": "R5: `AdverseEvent.supportingInfo` (new:BackboneElement)",
"_filename": "StructureDefinition-ext-R5-AdverseEvent.supportingInfo.json",
"package_name": "hl7.fhir.uv.xver-r5.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 `AdverseEvent.supportingInfo` as defined in FHIR R5\r\nin FHIR STU3.\r\n\r\nThe source element is defined as:\r\n`AdverseEvent.supportingInfo` 0..* `BackboneElement`\r\n\r\nAcross FHIR versions, the element set has been mapped as:\r\n* R5: `AdverseEvent.supportingInfo` 0..* `BackboneElement`\r\n\r\nFollowing are the generation technical comments:\r\nElement `AdverseEvent.supportingInfo` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`.\nElement `AdverseEvent.supportingInfo` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"name": "ExtensionAdverseEvent_SupportingInfo",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "Extension",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": "R5: Supporting information relevant to the event (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-r5.r3"
}, {
"url": "version",
"valueString": "0.1.0"
}, {
"url": "uri",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.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-r5.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-r5.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": "R5: `AdverseEvent.supportingInfo` (new:BackboneElement)",
"isModifier": false,
"short": "R5: Supporting information relevant to the event (new)",
"max": "*",
"id": "Extension",
"condition": [ "ele-1" ],
"comment": "Element `AdverseEvent.supportingInfo` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`.\nElement `AdverseEvent.supportingInfo` 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 `AdverseEvent.supportingInfo.item[x]` is part of an existing definition because parent element `AdverseEvent.supportingInfo` requires a cross-version extension.\nElement `AdverseEvent.supportingInfo.item[x]` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`.\nElement `AdverseEvent.supportingInfo.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": "R5: `AdverseEvent.supportingInfo.item[x]` (new:CodeableConcept, Reference(Condition,Observation,AllergyIntolerance,FamilyMemberHistory,Immunization,Procedure,DocumentReference,MedicationAdministration,MedicationStatement,QuestionnaireResponse))",
"short": "R5: Subject medical history or document relevant to this adverse event (new)",
"type": [ {
"code": "Extension"
} ],
"sliceName": "item",
"max": "1",
"id": "Extension.extension:item",
"comment": "Element `AdverseEvent.supportingInfo.item[x]` is part of an existing definition because parent element `AdverseEvent.supportingInfo` requires a cross-version extension.\nElement `AdverseEvent.supportingInfo.item[x]` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`.\nElement `AdverseEvent.supportingInfo.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": "Relevant past history for the subject. In a clinical care context, an example being a patient had an adverse event following a pencillin administration and the patient had a previously documented penicillin allergy. In a clinical trials context, an example is a bunion or rash that was present prior to the study. Additionally, the supporting item can be a document that is relevant to this instance of the adverse event that is not part of the subject's medical history. For example, a clinical note, staff list, or material safety data sheet (MSDS). Supporting information is not a contributing factor, preventive action, or mitigating action.",
"short": "Subject medical history or document relevant to this adverse event",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-Condition|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Condition"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-Observation|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-AllergyIntolerance|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-FamilyMemberHistory|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-Immunization|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Immunization"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-Procedure|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Procedure"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-DocumentReference-for-Media|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Media"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-MedicationAdministration|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-MedicationStatement|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/MedicationStatement"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-QuestionnaireResponse|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
}, {
"code": "CodeableConcept"
} ],
"max": "1",
"id": "Extension.extension:item.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/5.0/StructureDefinition/extension-AdverseEvent.supportingInfo",
"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": "e8f55ea4-18d4-42b7-89dc-a9345500860c",
"kind": "complex-type",
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.supportingInfo",
"context": [ "AdverseEvent" ],
"version": "0.1.0",
"differential": {
"element": [ {
"path": "Extension",
"min": 0,
"definition": "R5: `AdverseEvent.supportingInfo` (new:BackboneElement)",
"isModifier": false,
"short": "R5: Supporting information relevant to the event (new)",
"max": "*",
"id": "Extension",
"comment": "Element `AdverseEvent.supportingInfo` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`.\nElement `AdverseEvent.supportingInfo` 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 `AdverseEvent.supportingInfo.item[x]` is part of an existing definition because parent element `AdverseEvent.supportingInfo` requires a cross-version extension.\nElement `AdverseEvent.supportingInfo.item[x]` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`.\nElement `AdverseEvent.supportingInfo.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": "R5: `AdverseEvent.supportingInfo.item[x]` (new:CodeableConcept, Reference(Condition,Observation,AllergyIntolerance,FamilyMemberHistory,Immunization,Procedure,DocumentReference,MedicationAdministration,MedicationStatement,QuestionnaireResponse))",
"short": "R5: Subject medical history or document relevant to this adverse event (new)",
"sliceName": "item",
"max": "1",
"id": "Extension.extension:item",
"comment": "Element `AdverseEvent.supportingInfo.item[x]` is part of an existing definition because parent element `AdverseEvent.supportingInfo` requires a cross-version extension.\nElement `AdverseEvent.supportingInfo.item[x]` has a context of AdverseEvent based on following the parent source element upwards and mapping to `AdverseEvent`.\nElement `AdverseEvent.supportingInfo.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": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-Condition|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Condition"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-Observation|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-AllergyIntolerance|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-FamilyMemberHistory|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-Immunization|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Immunization"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-Procedure|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Procedure"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-DocumentReference-for-Media|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Media"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-MedicationAdministration|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-MedicationStatement|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/MedicationStatement"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/5.0/StructureDefinition/profile-QuestionnaireResponse|0.1.0"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
}, {
"code": "CodeableConcept"
} ],
"short": "Subject medical history or document relevant to this adverse event",
"definition": "Relevant past history for the subject. In a clinical care context, an example being a patient had an adverse event following a pencillin administration and the patient had a previously documented penicillin allergy. In a clinical trials context, an example is a bunion or rash that was present prior to the study. Additionally, the supporting item can be a document that is relevant to this instance of the adverse event that is not part of the subject's medical history. For example, a clinical note, staff list, or material safety data sheet (MSDS). Supporting information is not a contributing factor, preventive action, or mitigating action."
}, {
"id": "Extension.url",
"max": "1",
"min": 1,
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"path": "Extension.url",
"fixedUri": "http://hl7.org/fhir/5.0/StructureDefinition/extension-AdverseEvent.supportingInfo"
}, {
"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"
}