Implementation Guide
ePA MHD Service
Version 1.1.2 - release

## Resource Profile: EPAMHDDocumentReference - XML Profile

Active as of 2026-03-20

XML representation of the epa-mhd-document-reference resource profile.

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    <StructureDefinition xmlns="http://hl7.org/fhir">
      <id value="epa-mhd-document-reference"/>
      <url
           value="https://gematik.de/fhir/epa-mhd/StructureDefinition/epa-mhd-document-reference"/>
      <version value="1.1.2"/>
      <name value="EPAMHDDocumentReference"/>
      <title value="EPA MHD DocumentReference"/>
      <status value="active"/>
      <experimental value="false"/>
      <date value="2026-03-20"/>
      <publisher value="gematik GmbH"/>
      <contact>
        <name value="gematik GmbH"/>
        <telecom>
          <system value="url"/>
          <value value="https://www.gematik.de"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="patientteam [ at ] gematik.de"/>
        </telecom>
      </contact>
      <description
                   value="Dieses Profil erweitert die IHE MHD Minimal DocumentReference-Ressource mit ePA 3.0 Metadaten-Einschränkungen."/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="DE"/>
        </coding>
      </jurisdiction>
      <copyright
                 value="gematik GmbH / Dieses Artefakt ist lizenziert unter [Apache License](./license.html), Version 2.0."/>
      <fhirVersion value="4.0.1"/>
      <mapping>
        <identity value="EPADocumentEntryMapping"/>
        <uri value="XDS.b"/>
        <name value="ePA XDS.b &lt;-&gt; MHD"/>
      </mapping>
      <mapping>
        <identity value="DocumentEntry-Mapping"/>
        <uri value="urn:ihe:iti:xds:documententry"/>
        <name value="XDS and MHD Mapping"/>
      </mapping>
      <mapping>
        <identity value="workflow"/>
        <uri value="http://hl7.org/fhir/workflow"/>
        <name value="Workflow Pattern"/>
      </mapping>
      <mapping>
        <identity value="fhircomposition"/>
        <uri value="http://hl7.org/fhir/composition"/>
        <name value="FHIR Composition"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <uri value="http://hl7.org/v3"/>
        <name value="RIM Mapping"/>
      </mapping>
      <mapping>
        <identity value="cda"/>
        <uri value="http://hl7.org/v3/cda"/>
        <name value="CDA (R2)"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <uri value="http://hl7.org/fhir/fivews"/>
        <name value="FiveWs Pattern Mapping"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <uri value="http://hl7.org/v2"/>
        <name value="HL7 v2 Mapping"/>
      </mapping>
      <mapping>
        <identity value="xds"/>
        <uri value="http://ihe.net/xds"/>
        <name value="XDS metadata equivalent"/>
      </mapping>
      <kind value="resource"/>
      <abstract value="false"/>
      <type value="DocumentReference"/>
      <baseDefinition
                      value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference"/>
      <derivation value="constraint"/>
      <snapshot>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
          <valueString value="4.2.3"/>
        </extension>
        <element id="DocumentReference">
          <path value="DocumentReference"/>
          <short value="A reference to a document"/>
          <definition
                      value="A reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), cliical notes, scanned paper, and non-patient specific documents like policy text."/>
          <comment
                   value="Usually, this is used for documents other than those defined by FHIR."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DocumentReference"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <constraint>
            <key value="dom-2"/>
            <severity value="error"/>
            <human
                   value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
            <expression value="contained.contained.empty()"/>
            <xpath value="not(parent::f:contained and f:contained)"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <constraint>
            <key value="dom-3"/>
            <severity value="error"/>
            <human
                   value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"/>
            <expression
                        value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"/>
            <xpath
                   value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <constraint>
            <key value="dom-4"/>
            <severity value="error"/>
            <human
                   value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
            <expression
                        value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
            <xpath
                   value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <constraint>
            <key value="dom-5"/>
            <severity value="error"/>
            <human
                   value="If a resource is contained in another resource, it SHALL NOT have a security label"/>
            <expression value="contained.meta.security.empty()"/>
            <xpath value="not(exists(f:contained/*/f:meta/f:security))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <constraint>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
              <valueBoolean value="true"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
              <valueMarkdown
                             value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/>
            </extension>
            <key value="dom-6"/>
            <severity value="warning"/>
            <human
                   value="A resource should have narrative for robust management"/>
            <expression value="text.`div`.exists()"/>
            <xpath value="exists(f:text/h:div)"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map
                 value="XDS.b DocumentEntry: Inhaltsgleiche Abbildung zum XDS Document Service"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map
                 value="XDS DocumentEntry: Used in the context of the IHE MHD ImplementationGuide"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="Entity. Role, or Act"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="when describing a Composition"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="Document[classCode=&quot;DOC&quot; and moodCode=&quot;EVN&quot;]"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map value="when describing a CDA"/>
          </mapping>
        </element>
        <element id="DocumentReference.id">
          <path value="DocumentReference.id"/>
          <short value="Logical id of this artifact"/>
          <definition
                      value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
          <comment
                   value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="id"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="true"/>
        </element>
        <element id="DocumentReference.meta">
          <path value="DocumentReference.meta"/>
          <short value="Metadata about the resource"/>
          <definition
                      value="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."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.meta"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Meta"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
        </element>
        <element id="DocumentReference.meta.id">
          <path value="DocumentReference.meta.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.meta.extension">
          <path value="DocumentReference.meta.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.meta.versionId">
          <path value="DocumentReference.meta.versionId"/>
          <short value="Version specific identifier"/>
          <definition
                      value="The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted."/>
          <comment
                   value="The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Meta.versionId"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="id"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
        </element>
        <element id="DocumentReference.meta.lastUpdated">
          <path value="DocumentReference.meta.lastUpdated"/>
          <short value="When the resource version last changed"/>
          <definition
                      value="When the resource last changed - e.g. when the version changed."/>
          <comment
                   value="This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Meta.lastUpdated"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="instant"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
        </element>
        <element id="DocumentReference.meta.source">
          <path value="DocumentReference.meta.source"/>
          <short value="Identifies where the resource comes from"/>
          <definition
                      value="A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc."/>
          <comment
                   value="In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

    This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Meta.source"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
        </element>
        <element id="DocumentReference.meta.profile">
          <path value="DocumentReference.meta.profile"/>
          <short value="Profiles this resource claims to conform to"/>
          <definition
                      value="A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url)."/>
          <comment
                   value="It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time.  The list of profile URLs is a set."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Meta.profile"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="canonical"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="Keine Entsprechung zu XDS.b DocumentEntry"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.limitedMetadata"/>
          </mapping>
        </element>
        <element id="DocumentReference.meta.security">
          <path value="DocumentReference.meta.security"/>
          <short value="Security Labels applied to this resource"/>
          <definition
                      value="Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure."/>
          <comment
                   value="The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Meta.security"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="SecurityLabels"/>
            </extension>
            <strength value="extensible"/>
            <description
                         value="Security Labels from the Healthcare Privacy and Security Classification System."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/security-labels|4.0.1"/>
          </binding>
        </element>
        <element id="DocumentReference.meta.tag">
          <path value="DocumentReference.meta.tag"/>
          <short value="Tags applied to this resource"/>
          <definition
                      value="Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource."/>
          <comment
                   value="The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Meta.tag"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="Tags"/>
            </extension>
            <strength value="example"/>
            <description
                         value="Codes that represent various types of tags, commonly workflow-related; e.g. &quot;Needs review by Dr. Jones&quot;."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/common-tags|4.0.1"/>
          </binding>
        </element>
        <element id="DocumentReference.implicitRules">
          <path value="DocumentReference.implicitRules"/>
          <short value="A set of rules under which this content was created"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.implicitRules"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="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 value="true"/>
        </element>
        <element id="DocumentReference.language">
          <path value="DocumentReference.language"/>
          <short value="Language of the resource content"/>
          <definition
                      value="The base language in which the resource is written."/>
          <comment
                   value="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)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.language"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
              <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="Language"/>
            </extension>
            <strength value="preferred"/>
            <description value="A human language."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/languages|4.0.1"/>
          </binding>
        </element>
        <element id="DocumentReference.text">
          <path value="DocumentReference.text"/>
          <short value="Text summary of the resource, for human interpretation"/>
          <definition
                      value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
          <comment
                   value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded information is added later."/>
          <alias value="narrative"/>
          <alias value="html"/>
          <alias value="xhtml"/>
          <alias value="display"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="DomainResource.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Narrative"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="Act.text?"/>
          </mapping>
        </element>
        <element id="DocumentReference.contained">
          <path value="DocumentReference.contained"/>
          <short value="Contained, inline Resources"/>
          <definition
                      value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
          <comment
                   value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/>
          <alias value="inline resources"/>
          <alias value="anonymous resources"/>
          <alias value="contained resources"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DomainResource.contained"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Resource"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.extension">
          <path value="DocumentReference.extension"/>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the resource. 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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DomainResource.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.modifierExtension">
          <path value="DocumentReference.modifierExtension"/>
          <short value="Extension"/>
          <definition value="An Extension"/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="DomainResource.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/>
          <isSummary value="false"/>
        </element>
        <element id="DocumentReference.masterIdentifier">
          <path value="DocumentReference.masterIdentifier"/>
          <short value="Master Version Specific Identifier"/>
          <definition
                      value="Document identifier as assigned by the source of the document. This identifier is specific to this version of the document. This unique identifier may be used elsewhere to identify this version of the document."/>
          <comment value="CDA Document Id extension and root."/>
          <requirements
                        value="The structure and format of this Id shall be consistent with the specification corresponding to the formatCode attribute. (e.g. for a DICOM standard document a 64-character numeric UID, for an HL7 CDA format a serialization of the CDA Document Id extension and root in the form &quot;oid^extension&quot;, where OID is a 64 digits max, and the Id is a 16 UTF-8 char max. If the OID is coded without the extension then the '^' character shall not be included.)."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.masterIdentifier"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Identifier"/>
            <profile
                     value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.UniqueIdIdentifier"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.uniqueId"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.uniqueId"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.identifier"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.identifier"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.identifier"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="TXA-12"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".id"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.uniqueId"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map value="ClinicalDocument/id"/>
          </mapping>
        </element>
        <element id="DocumentReference.identifier">
          <path value="DocumentReference.identifier"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="use"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <short value="Other identifiers for the document"/>
          <definition
                      value="Other identifiers associated with the document, including version independent identifiers."/>
          <min value="1"/>
          <max value="*"/>
          <base>
            <path value="DocumentReference.identifier"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Identifier"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.entryUUID und DocumentEntry.uniqueId"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.entryUUID"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.identifier"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.identifier"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="TXA-16?"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".id / .setId"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.entryUUID"/>
          </mapping>
        </element>
        <element id="DocumentReference.identifier:entryUUID">
          <path value="DocumentReference.identifier"/>
          <sliceName value="entryUUID"/>
          <short value="Other identifiers for the document"/>
          <definition
                      value="Other identifiers associated with the document, including version independent identifiers."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DocumentReference.identifier"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Identifier"/>
            <profile
                     value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.EntryUUID.Identifier"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.identifier"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.identifier"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="TXA-16?"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".id / .setId"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.entryUUID"/>
          </mapping>
        </element>
        <element id="DocumentReference.identifier:uniqueId">
          <path value="DocumentReference.identifier"/>
          <sliceName value="uniqueId"/>
          <short value="Unique identifier für das referenzierte Dokument"/>
          <definition
                      value="Der eindeutige Identifikator des referenzierten Dokuments, der dem Element DocumentEntry.uniqueId in XDS entspricht. Dieser dient als fachlicher bzw. dokumentbezogener Identifier des Dokuments und identifiziert das medizinische Dokument selbst, auf das die DocumentReference verweist."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.identifier"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Identifier"/>
            <profile
                     value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.UniqueIdIdentifier"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.entryUUID"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.identifier"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.identifier"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="TXA-16?"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".id / .setId"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.entryUUID"/>
          </mapping>
        </element>
        <element id="DocumentReference.status">
          <path value="DocumentReference.status"/>
          <short value="Status des Dokuments"/>
          <definition
                      value="Status des Dokuments (DocumentEntry.availabilityStatus) unter Berücksichtigung des [MHD Mapping](https://profiles.ihe.net/ITI/MHD/ConceptMap/FhirStatusVsStatusCode)"/>
          <comment
                   value="Dies ist der Status des DocumentReference-Objekts, das unabhängig vom docStatus-Element ist.

    Dieses Element wird als Modifier gekennzeichnet, da der Status Codes enthält, die das Dokument oder die Referenz als derzeit nicht gültig markieren."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.status"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="true"/>
          <isModifierReason
                            value="This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid"/>
          <isSummary value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://profiles.ihe.net/ITI/MHD/ValueSet/DocumentReferenceStats"/>
          </binding>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.availabilityStatus"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.availabilityStatus"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.status"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.status"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="TXA-19"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="interim: .completionCode=&quot;IN&quot; &amp; ./statusCode[isNormalDatatype()]=&quot;active&quot;;  final: .completionCode=&quot;AU&quot; &amp;&amp;  ./statusCode[isNormalDatatype()]=&quot;complete&quot; and not(./inboundRelationship[typeCode=&quot;SUBJ&quot; and isNormalActRelationship()]/source[subsumesCode(&quot;ActClass#CACT&quot;) and moodCode=&quot;EVN&quot; and domainMember(&quot;ReviseDocument&quot;, code) and isNormalAct()]);  amended: .completionCode=&quot;AU&quot; &amp;&amp;  ./statusCode[isNormalDatatype()]=&quot;complete&quot; and ./inboundRelationship[typeCode=&quot;SUBJ&quot; and isNormalActRelationship()]/source[subsumesCode(&quot;ActClass#CACT&quot;) and moodCode=&quot;EVN&quot; and domainMember(&quot;ReviseDocument&quot;, code) and isNormalAct() and statusCode=&quot;completed&quot;];  withdrawn : .completionCode=NI &amp;&amp;  ./statusCode[isNormalDatatype()]=&quot;obsolete&quot;"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.availabilityStatus"/>
          </mapping>
        </element>
        <element id="DocumentReference.docStatus">
          <path value="DocumentReference.docStatus"/>
          <short value="n/a"/>
          <definition value="n/a"/>
          <comment value="n/a"/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="DocumentReference.docStatus"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="ReferredDocumentStatus"/>
            </extension>
            <strength value="required"/>
            <description value="Status of the underlying document."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/composition-status|4.0.1"/>
          </binding>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.status"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.status"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="TXA-17"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".statusCode"/>
          </mapping>
        </element>
        <element id="DocumentReference.type">
          <path value="DocumentReference.type"/>
          <short value="Art des Dokuments"/>
          <definition value="Art des Dokuments (DocumentEntry.typeCode)"/>
          <comment
                   value="Das Attribut typeCode ist gemäß IHE XDS zwingend gefordert und kann zusätzlich zu (bzw. zusammen mit) dem classCode zur genaueren Klassifizierung des Dokuments genutzt werden, z.B. kann ein Dokument mit classCode 'Befundberichte' durch den typeCode als 'Pathologiebefundbericht' oder als 'Ergebnisse bildgebender Diagnostik' gekennzeichnet werden. Das Attribut typeCode stellt keine Spezialisierung von classCode dar. Somit kann ein bestimmter typeCode mit verschiedenen classCodes zur Beschreibung unterschiedlicher Dokumente kombiniert werden. Zum Beispiel haben ein Röntgenbild und der dazugehörige Radiologie-Befund den gleichen typeCode 'Ergebnisse bildgebender Diagnostik' aber zwei unterschiedliche classCodes, 'Bilddaten' bzw.'Befundberichte'. Daraus folgt, dass ein Dokument sowohl einem classCode als auch einem typeCode explizit zugeordnet werden muss; die Zuordnung zu einem typeCode allein reicht nicht aus, weil hierüber kein implizites Mapping auf einen einzigen 'übergeordneten' classCode möglich ist."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.type"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="DocumentC80Type"/>
            </extension>
            <strength value="preferred"/>
            <description value="Precise type of clinical document."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/c80-doc-typecodes|4.0.1"/>
          </binding>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.typeCode"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.typeCode"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.code"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.class"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.type"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="TXA-2"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./code"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.type"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map
                 value="ClinicalDocument/code/@code

    The typeCode should be mapped from the ClinicalDocument/code element to a set of document type codes configured in the affinity domain. One suggested coding system to use for typeCode is LOINC, in which case the mapping step can be omitted."/>
          </mapping>
        </element>
        <element id="DocumentReference.type.id">
          <path value="DocumentReference.type.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.type.extension">
          <path value="DocumentReference.type.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.type.coding">
          <path value="DocumentReference.type.coding"/>
          <short value="Code defined by a terminology system"/>
          <definition value="n/a"/>
          <comment value="n/a"/>
          <requirements
                        value="Allows for alternative encodings within a code system, and translations to other code systems."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://gematik.de/fhir/terminology/ValueSet/epa-xds-type-code-vs"/>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
          </mapping>
        </element>
        <element id="DocumentReference.type.coding.id">
          <path value="DocumentReference.type.coding.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.type.coding.extension">
          <path value="DocumentReference.type.coding.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.type.coding.system">
          <path value="DocumentReference.type.coding.system"/>
          <short value="Identity of the terminology system"/>
          <definition
                      value="The identification of the code system that defines the meaning of the symbol in the code."/>
          <comment
                   value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously."/>
          <requirements
                        value="Need to be unambiguous about the source of the definition of the symbol."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.system"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.3"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./codeSystem"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
          </mapping>
        </element>
        <element id="DocumentReference.type.coding.version">
          <path value="DocumentReference.type.coding.version"/>
          <short value="Version of the system - if relevant"/>
          <definition
                      value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
          <comment
                   value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Coding.version"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.7"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./codeSystemVersion"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
          </mapping>
        </element>
        <element id="DocumentReference.type.coding.code">
          <path value="DocumentReference.type.coding.code"/>
          <short value="Symbol in syntax defined by the system"/>
          <definition
                      value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
          <requirements
                        value="Need to refer to a particular code in the system."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.code"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./code"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
          </mapping>
        </element>
        <element id="DocumentReference.type.coding.display">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.type.coding.display"/>
          <short value="Representation defined by the system"/>
          <definition
                      value="A representation of the meaning of the code in the system, following the rules of the system."/>
          <requirements
                        value="Need to be able to carry a human-readable meaning of the code for readers that do not know  the system."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.display"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.2 - but note this is not well followed"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CV.displayName"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
          </mapping>
        </element>
        <element id="DocumentReference.type.coding.userSelected">
          <path value="DocumentReference.type.coding.userSelected"/>
          <short value="If this coding was chosen directly by the user"/>
          <definition
                      value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)."/>
          <comment
                   value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
          <requirements
                        value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Coding.userSelected"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="Sometimes implied by being first"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CD.codingRationale"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source &quot;true&quot;;     fhir:target dt:CDCoding.codingRationale\#O   ]"/>
          </mapping>
        </element>
        <element id="DocumentReference.type.text">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.type.text"/>
          <short value="Plain text representation of the concept"/>
          <definition
                      value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
          <comment
                   value="Very often the text is the same as a displayName of one of the codings."/>
          <requirements
                        value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
          </mapping>
        </element>
        <element id="DocumentReference.category">
          <path value="DocumentReference.category"/>
          <short value="Grobe Klassifizierung des Dokuments"/>
          <definition
                      value="Grobe Klassifizierung des Dokuments (DocumentEntry.classCode)"/>
          <comment
                   value="Das Attribut 'classCode' ist gemäß IHE XDS zwingend gefordert und erlaubt eine erste Klassifizierung der Dokumente in der XDS Document Registry in Dokumentenklassen, wie z.B. Briefe, Befundberichte oder Bilddaten. Die Wertemenge für diese Klassen sollte nicht zu detailliert sein, da im Attribut 'typeCode' eine weitere, verfeinerte Beschreibung der Dokumente erfolgt, die allerdings keine Spezialisierung des 'classCode' darstellen muss."/>
          <alias value="claxs"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.category"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="DocumentC80Class"/>
            </extension>
            <strength value="example"/>
            <description
                         value="High-level kind of a clinical document at a macro level."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1"/>
          </binding>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.classCode"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.classCode"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.class"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.class"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".outboundRelationship[typeCode=&quot;COMP].target[classCode=&quot;LIST&quot;, moodCode=&quot;EVN&quot;].code"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.class"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map
                 value="Derived from a mapping of /ClinicalDocument/code/@code to an Affinity Domain specified coded value to use and coding system. Affinity Domains are encouraged to use the appropriate value for Type of Service, based on the LOINC Type of Service (see Page 53 of the LOINC User's Manual). Must be consistent with /ClinicalDocument/code/@code"/>
          </mapping>
        </element>
        <element id="DocumentReference.category.id">
          <path value="DocumentReference.category.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.category.extension">
          <path value="DocumentReference.category.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.category.coding">
          <path value="DocumentReference.category.coding"/>
          <short value="Code defined by a terminology system"/>
          <definition value="n/a"/>
          <comment value="n/a"/>
          <requirements
                        value="Allows for alternative encodings within a code system, and translations to other code systems."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://gematik.de/fhir/terminology/ValueSet/epa-xds-class-code-vs"/>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
          </mapping>
        </element>
        <element id="DocumentReference.category.coding.id">
          <path value="DocumentReference.category.coding.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.category.coding.extension">
          <path value="DocumentReference.category.coding.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.category.coding.system">
          <path value="DocumentReference.category.coding.system"/>
          <short value="Identity of the terminology system"/>
          <definition
                      value="The identification of the code system that defines the meaning of the symbol in the code."/>
          <comment
                   value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously."/>
          <requirements
                        value="Need to be unambiguous about the source of the definition of the symbol."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.system"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.3"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./codeSystem"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
          </mapping>
        </element>
        <element id="DocumentReference.category.coding.version">
          <path value="DocumentReference.category.coding.version"/>
          <short value="Version of the system - if relevant"/>
          <definition
                      value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
          <comment
                   value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Coding.version"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.7"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./codeSystemVersion"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
          </mapping>
        </element>
        <element id="DocumentReference.category.coding.code">
          <path value="DocumentReference.category.coding.code"/>
          <short value="Symbol in syntax defined by the system"/>
          <definition
                      value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
          <requirements
                        value="Need to refer to a particular code in the system."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.code"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./code"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
          </mapping>
        </element>
        <element id="DocumentReference.category.coding.display">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.category.coding.display"/>
          <short value="Representation defined by the system"/>
          <definition
                      value="A representation of the meaning of the code in the system, following the rules of the system."/>
          <requirements
                        value="Need to be able to carry a human-readable meaning of the code for readers that do not know  the system."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.display"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.2 - but note this is not well followed"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CV.displayName"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
          </mapping>
        </element>
        <element id="DocumentReference.category.coding.userSelected">
          <path value="DocumentReference.category.coding.userSelected"/>
          <short value="If this coding was chosen directly by the user"/>
          <definition
                      value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)."/>
          <comment
                   value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
          <requirements
                        value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Coding.userSelected"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="Sometimes implied by being first"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CD.codingRationale"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source &quot;true&quot;;     fhir:target dt:CDCoding.codingRationale\#O   ]"/>
          </mapping>
        </element>
        <element id="DocumentReference.category.text">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.category.text"/>
          <short value="Plain text representation of the concept"/>
          <definition
                      value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
          <comment
                   value="Very often the text is the same as a displayName of one of the codings."/>
          <requirements
                        value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
          </mapping>
        </element>
        <element id="DocumentReference.subject">
          <path value="DocumentReference.subject"/>
          <short value="Systemweit eindeutige Kennung des Patienten"/>
          <definition
                      value="Systemweit eindeutige Kennung des Patienten (DocumentEntry.patientId)"/>
          <comment value="EPAPatient|1.0.0"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.subject"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Patient"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.patientId"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.patientId"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.subject"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.subject[x]"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.subject"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map
                 value="PID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=&quot;SBJ&quot;].role[typeCode=&quot;PAT&quot;]"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.patientId"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map value="ClinicalDocument/recordTarget/"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.subject"/>
          </mapping>
        </element>
        <element id="DocumentReference.subject.id">
          <path value="DocumentReference.subject.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.subject.extension">
          <path value="DocumentReference.subject.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.subject.reference">
          <path value="DocumentReference.subject.reference"/>
          <short value="Literal reference, Relative, internal or absolute URL"/>
          <definition
                      value="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."/>
          <comment
                   value="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 &quot;/[type]/[id]&quot; then it should be assumed that the reference is to a FHIR RESTful server."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Reference.reference"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <condition value="ref-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.subject.type">
          <path value="DocumentReference.subject.type"/>
          <short value="Type the reference refers to (e.g. &quot;Patient&quot;)"/>
          <definition
                      value="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.

    The 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. &quot;Patient&quot; 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)."/>
          <comment
                   value="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."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Reference.type"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="FHIRResourceTypeExt"/>
            </extension>
            <strength value="extensible"/>
            <description
                         value="Aa resource (or, for logical models, the URI of the logical model)."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.subject.identifier">
          <path value="DocumentReference.subject.identifier"/>
          <short value="Logical reference, when literal reference is not known"/>
          <definition
                      value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
          <comment
                   value="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.

    When 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

    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

    Reference 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)."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Reference.identifier"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Identifier"/>
            <profile
                     value="http://fhir.de/StructureDefinition/identifier-kvid-10"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value=".identifier"/>
          </mapping>
        </element>
        <element id="DocumentReference.subject.display">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.subject.display"/>
          <short value="Text alternative for the resource"/>
          <definition
                      value="Plain text narrative that identifies the resource in addition to the resource reference."/>
          <comment
                   value="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."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Reference.display"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.date">
          <path value="DocumentReference.date"/>
          <short value="Wann die DocumentReference erzeugt wurde"/>
          <definition value="Wann die DocumentReference erzeugt wurde"/>
          <comment
                   value="Das Erzeugungsdatum des referenzierten Dokuments wird in DocumentReference.content.attachment.creation abgebildet."/>
          <alias value="indexed"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.date"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="instant"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.occurrence[x]"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.recorded"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.date"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".availabilityTime[type=&quot;TS&quot;]"/>
          </mapping>
        </element>
        <element id="DocumentReference.author">
          <path value="DocumentReference.author"/>
          <short value="Person oder System, welche(s) das Dokument erstellt hat"/>
          <definition
                      value="Person oder System, welche(s) das Dokument erstellt hat (DocumentEntry.author)"/>
          <comment
                   value="Logical Reference unter Nutzung der KVNR oder Telematik-ID"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DocumentReference.author"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Patient"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Organization"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.author"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.author"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer.actor"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.author"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map
                 value="TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=&quot;AUT&quot;].role[classCode=&quot;ASSIGNED&quot;]"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.author"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map value="ClinicalDocument/author"/>
          </mapping>
        </element>
        <element id="DocumentReference.author.id">
          <path value="DocumentReference.author.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.author.extension">
          <path value="DocumentReference.author.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.author.reference">
          <path value="DocumentReference.author.reference"/>
          <short value="Literal reference, Relative, internal or absolute URL"/>
          <definition
                      value="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."/>
          <comment
                   value="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 &quot;/[type]/[id]&quot; then it should be assumed that the reference is to a FHIR RESTful server."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Reference.reference"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <condition value="ref-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.author.type">
          <path value="DocumentReference.author.type"/>
          <short value="Type the reference refers to (e.g. &quot;Patient&quot;)"/>
          <definition
                      value="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.

    The 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. &quot;Patient&quot; 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)."/>
          <comment
                   value="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."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Reference.type"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="FHIRResourceTypeExt"/>
            </extension>
            <strength value="extensible"/>
            <description
                         value="Aa resource (or, for logical models, the URI of the logical model)."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.author.identifier">
          <path value="DocumentReference.author.identifier"/>
          <short value="Logical reference, when literal reference is not known"/>
          <definition
                      value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
          <comment
                   value="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.

    When 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

    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

    Reference 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)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Reference.identifier"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Identifier"/>
            <profile
                     value="http://fhir.de/StructureDefinition/identifier-kvid-10"/>
            <profile
                     value="http://fhir.de/StructureDefinition/identifier-telematik-id"/>
            <profile value="http://fhir.de/StructureDefinition/identifier-lanr"/>
            <profile value="http://fhir.de/StructureDefinition/identifier-zanr"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value=".identifier"/>
          </mapping>
        </element>
        <element id="DocumentReference.author.display">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.author.display"/>
          <short value="Text alternative for the resource"/>
          <definition
                      value="Plain text narrative that identifies the resource in addition to the resource reference."/>
          <comment
                   value="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."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Reference.display"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.authenticator">
          <path value="DocumentReference.authenticator"/>
          <short value="Rechtlich Verantwortlicher für das Dokument"/>
          <definition
                      value="Rechtlich Verantwortlicher für das Dokument (DocumentEntry.legalAuthenticator)"/>
          <comment value="Logical Reference unter Nutzung der Telematik-ID"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.authenticator"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Organization"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.legalAuthenticator"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.legalAuthenticator"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer.actor"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.witness"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.attester"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="TXA-10"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=&quot;AUTHEN&quot;].role[classCode=&quot;ASSIGNED&quot;]"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.legalAuthenticator"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map value="ClinicalDocument/legalAuthenticator"/>
          </mapping>
        </element>
        <element id="DocumentReference.authenticator.id">
          <path value="DocumentReference.authenticator.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.authenticator.extension">
          <path value="DocumentReference.authenticator.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.authenticator.reference">
          <path value="DocumentReference.authenticator.reference"/>
          <short value="Literal reference, Relative, internal or absolute URL"/>
          <definition
                      value="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."/>
          <comment
                   value="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 &quot;/[type]/[id]&quot; then it should be assumed that the reference is to a FHIR RESTful server."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Reference.reference"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <condition value="ref-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.authenticator.type">
          <path value="DocumentReference.authenticator.type"/>
          <short value="Type the reference refers to (e.g. &quot;Patient&quot;)"/>
          <definition
                      value="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.

    The 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. &quot;Patient&quot; 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)."/>
          <comment
                   value="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."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Reference.type"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="FHIRResourceTypeExt"/>
            </extension>
            <strength value="extensible"/>
            <description
                         value="Aa resource (or, for logical models, the URI of the logical model)."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.authenticator.identifier">
          <path value="DocumentReference.authenticator.identifier"/>
          <short value="Logical reference, when literal reference is not known"/>
          <definition
                      value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference."/>
          <comment
                   value="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.

    When 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

    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

    Reference 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)."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Reference.identifier"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Identifier"/>
            <profile
                     value="http://fhir.de/StructureDefinition/identifier-telematik-id"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value=".identifier"/>
          </mapping>
        </element>
        <element id="DocumentReference.authenticator.display">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.authenticator.display"/>
          <short value="Text alternative for the resource"/>
          <definition
                      value="Plain text narrative that identifies the resource in addition to the resource reference."/>
          <comment
                   value="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."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Reference.display"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.custodian">
          <path value="DocumentReference.custodian"/>
          <short value="n/a"/>
          <definition value="n/a"/>
          <comment value="n/a"/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="DocumentReference.custodian"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="Keine Entsprechung zu XDS.b DocumentEntry"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="not mapped"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.performer.actor"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.custodian"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=&quot;RCV&quot;].role[classCode=&quot;CUST&quot;].scoper[classCode=&quot;ORG&quot; and determinerCode=&quot;INST&quot;]"/>
          </mapping>
        </element>
        <element id="DocumentReference.relatesTo">
          <path value="DocumentReference.relatesTo"/>
          <short value="Relationships to other documents"/>
          <definition
                      value="Relationships that this document has with other document references that already exist."/>
          <comment
                   value="This element is labeled as a modifier because documents that append to other documents are incomplete on their own."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DocumentReference.relatesTo"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="Keine Entsprechung zu XDS.b DocumentEntry"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry Associations"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.relatesTo"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".outboundRelationship"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry Associations"/>
          </mapping>
        </element>
        <element id="DocumentReference.relatesTo.id">
          <path value="DocumentReference.relatesTo.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.relatesTo.extension">
          <path value="DocumentReference.relatesTo.extension"/>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.relatesTo.modifierExtension">
          <path value="DocumentReference.relatesTo.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="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.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="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."/>
          <requirements
                        value="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)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.relatesTo.code">
          <path value="DocumentReference.relatesTo.code"/>
          <short value="replaces | transforms | signs | appends"/>
          <definition
                      value="The type of relationship that this document has with anther document."/>
          <comment
                   value="If this document appends another document, then the document cannot be fully understood without also accessing the referenced document."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.relatesTo.code"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="DocumentRelationshipType"/>
            </extension>
            <strength value="required"/>
            <description value="The type of relationship between documents."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1"/>
          </binding>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry Associations.type"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.relatesTo.code"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".outboundRelationship.typeCode"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry Associations type"/>
          </mapping>
        </element>
        <element id="DocumentReference.relatesTo.target">
          <path value="DocumentReference.relatesTo.target"/>
          <short value="Target of the relationship"/>
          <definition value="The target document of this relationship."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.relatesTo.target"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry Associations.reference"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.relatesTo.target"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".target[classCode=&quot;DOC&quot;, moodCode=&quot;EVN&quot;].id"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry Associations reference"/>
          </mapping>
        </element>
        <element id="DocumentReference.description">
          <path value="DocumentReference.description"/>
          <short value="Ergänzende Hinweise in Freitext"/>
          <definition
                      value="Ergänzende Hinweise in Freitext (DocumentEntry.comments)"/>
          <comment value="n/a"/>
          <requirements
                        value="Helps humans to assess whether the document is of interest."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.description"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.comments"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.comments"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="TXA-25"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".outboundRelationship[typeCode=&quot;SUBJ&quot;].target.text"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.comments"/>
          </mapping>
        </element>
        <element id="DocumentReference.securityLabel">
          <path value="DocumentReference.securityLabel"/>
          <short
                 value="Vertraulichkeitskennzeichnung und Datenkategorie des Dokuments"/>
          <definition
                      value="Vertraulichkeitskennzeichnung des Dokuments (DocumentEntry.confidentialityCode)"/>
          <comment
                   value="Der Confidentiality Code drückt die Vertraulichkeitsstufe des Dokuments aus. Die Vertraulichkeitsstufe ist üblicherweise die Einschätzung des Autors oder des Einstellenden wie schützenswert das Dokument ist. Die Einschätzung des Autors oder Erstellers sollte erhalten bleiben, auch wenn die des Betroffenen (d.h. des Patienten) davon abweicht. Das heißt, dass man dem Dokument mehrere ConfidentialityCodes zuordnen können sollte. Dies unterstützt IHE XDS auch. Daher enthält das deutsche Value Set neben Codes der Autoreneinschätzung explizite Codes zur Betroffeneneinschätzung, die aus einem separaten, dediziertem Codesystem stammen. Die Datenkategorie des Dokuments entsprechend der ePA Legal Policy ist ebenso Bestandteil dieser Liste."/>
          <requirements
                        value="Use of the Health Care Privacy/Security Classification (HCS) system of security-tag use is recommended."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DocumentReference.securityLabel"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="SecurityLabels"/>
            </extension>
            <strength value="extensible"/>
            <description
                         value="Security Labels from the Healthcare Privacy and Security Classification System."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/security-labels|4.0.1"/>
          </binding>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map
                 value="DocumentEntry.confidentialityCode sowie zugewiesene Datenkategorien gemäß Legal Policy"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.confidentialityCode"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.confidentiality, Composition.meta.security"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="TXA-18"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".confidentialityCode"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.confidentialityCode"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map value="ClinicalDocument/confidentialityCode/@code"/>
          </mapping>
        </element>
        <element id="DocumentReference.securityLabel.id">
          <path value="DocumentReference.securityLabel.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.securityLabel.extension">
          <path value="DocumentReference.securityLabel.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.securityLabel.coding">
          <path value="DocumentReference.securityLabel.coding"/>
          <short value="Code defined by a terminology system"/>
          <definition value="n/a"/>
          <comment value="n/a"/>
          <requirements
                        value="Allows for alternative encodings within a code system, and translations to other code systems."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://gematik.de/fhir/terminology/ValueSet/epa-mhd-security-label-vs"/>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
          </mapping>
        </element>
        <element id="DocumentReference.securityLabel.coding.id">
          <path value="DocumentReference.securityLabel.coding.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.securityLabel.coding.extension">
          <path value="DocumentReference.securityLabel.coding.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.securityLabel.coding.system">
          <path value="DocumentReference.securityLabel.coding.system"/>
          <short value="Identity of the terminology system"/>
          <definition
                      value="The identification of the code system that defines the meaning of the symbol in the code."/>
          <comment
                   value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously."/>
          <requirements
                        value="Need to be unambiguous about the source of the definition of the symbol."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.system"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.3"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./codeSystem"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
          </mapping>
        </element>
        <element id="DocumentReference.securityLabel.coding.version">
          <path value="DocumentReference.securityLabel.coding.version"/>
          <short value="Version of the system - if relevant"/>
          <definition
                      value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
          <comment
                   value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Coding.version"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.7"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./codeSystemVersion"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
          </mapping>
        </element>
        <element id="DocumentReference.securityLabel.coding.code">
          <path value="DocumentReference.securityLabel.coding.code"/>
          <short value="Symbol in syntax defined by the system"/>
          <definition
                      value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
          <requirements
                        value="Need to refer to a particular code in the system."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.code"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./code"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
          </mapping>
        </element>
        <element id="DocumentReference.securityLabel.coding.display">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.securityLabel.coding.display"/>
          <short value="Representation defined by the system"/>
          <definition
                      value="A representation of the meaning of the code in the system, following the rules of the system."/>
          <requirements
                        value="Need to be able to carry a human-readable meaning of the code for readers that do not know  the system."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.display"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.2 - but note this is not well followed"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CV.displayName"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
          </mapping>
        </element>
        <element id="DocumentReference.securityLabel.coding.userSelected">
          <path value="DocumentReference.securityLabel.coding.userSelected"/>
          <short value="If this coding was chosen directly by the user"/>
          <definition
                      value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)."/>
          <comment
                   value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
          <requirements
                        value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Coding.userSelected"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="Sometimes implied by being first"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CD.codingRationale"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source &quot;true&quot;;     fhir:target dt:CDCoding.codingRationale\#O   ]"/>
          </mapping>
        </element>
        <element id="DocumentReference.securityLabel.text">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.securityLabel.text"/>
          <short value="Plain text representation of the concept"/>
          <definition
                      value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
          <comment
                   value="Very often the text is the same as a displayName of one of the codings."/>
          <requirements
                        value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
          </mapping>
        </element>
        <element id="DocumentReference.content">
          <path value="DocumentReference.content"/>
          <short value="Document referenced"/>
          <definition value="The document and format referenced."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.content"/>
            <min value="1"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Bundle(Composition+*)"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="document.text"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.id">
          <path value="DocumentReference.content.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.extension">
          <path value="DocumentReference.content.extension"/>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.modifierExtension">
          <path value="DocumentReference.content.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="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.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="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."/>
          <requirements
                        value="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)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment">
          <path value="DocumentReference.content.attachment"/>
          <short value="Where to access the document"/>
          <definition
                      value="The document or URL of the document along with critical metadata to prove content has integrity."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.content.attachment"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Attachment"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="fhircomposition"/>
            <map
                 value="Composition.language,
    Composition.title,
    Composition.date"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="TXA-3 for mime type"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="document.text"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map
                 value="DocumentEntry.mimeType, DocumentEntry.languageCode, DocumentEntry.URI, DocumentEntry.size, DocumentEntry.hash, DocumentEntry.title, DocumentEntry.creationTime"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map
                 value="ClinicalDocument/languageCode, ClinicalDocument/title, ClinicalDocument/date"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment.id">
          <path value="DocumentReference.content.attachment.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment.extension">
          <path value="DocumentReference.content.attachment.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment.contentType">
          <path value="DocumentReference.content.attachment.contentType"/>
          <short value="Mime type of the content, with charset etc."/>
          <definition
                      value="Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate."/>
          <requirements
                        value="Processors of the data need to be able to know how to interpret the data."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Attachment.contentType"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <example>
            <label value="General"/>
            <valueCode value="text/plain; charset=UTF-8, image/png"/>
          </example>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://gematik.de/fhir/terminology/ValueSet/epa-xds-mime-type-vs"/>
          </binding>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.mimeType"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.mimeType"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map
                 value="ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./mediaType, ./charset"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment.language">
          <path value="DocumentReference.content.attachment.language"/>
          <short value="Sprache, in der das Dokument abgefasst ist"/>
          <definition
                      value="Sprache, in der das Dokument abgefasst ist (DocumentEntry.languageCode)"/>
          <comment value="n/a"/>
          <requirements
                        value="Users need to be able to choose between the languages in a set of attachments."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Attachment.language"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <example>
            <label value="General"/>
            <valueCode value="en-AU"/>
          </example>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
              <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="Language"/>
            </extension>
            <strength value="preferred"/>
            <description value="A human language."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/languages|4.0.1"/>
          </binding>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.languageCode"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.languageCode"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./language"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment.data">
          <path value="DocumentReference.content.attachment.data"/>
          <short value="Data inline, base64ed"/>
          <definition
                      value="The actual data of the attachment - a sequence of bytes, base64 encoded."/>
          <comment
                   value="The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON."/>
          <requirements value="The data needs to able to be transmitted inline."/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="Attachment.data"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="base64Binary"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="v2"/>
            <map value="ED.5"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./data"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment.url">
          <path value="DocumentReference.content.attachment.url"/>
          <short value="URI für das Dokument"/>
          <definition value="URI für das Dokument (DocumentEntry.URI)"/>
          <comment value="Dateiname mit Extension ohne Pfadangabe"/>
          <requirements value="The data needs to be transmitted by reference."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Attachment.url"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="url"/>
          </type>
          <example>
            <label value="General"/>
            <valueUrl value="http://www.acme.com/logo-small.png"/>
          </example>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map
                 value="Abweichend zu MHD V4.2.3 vom Document Responder festgelegter Speicherort des Documents"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map
                 value="DocumentEntry.repositoryUniqueId+DocumentEntry.uniqueId or DocumentEntry.URI"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="RP.1+RP.2 - if they refer to a URL (see v2.6)"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./reference/literal"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment.size">
          <path value="DocumentReference.content.attachment.size"/>
          <short value="Größe des Dokuments in Bytes"/>
          <definition value="Größe des Dokuments in Bytes (DocumentEntry.size)"/>
          <comment value="n/a"/>
          <requirements
                        value="Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Attachment.size"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="unsignedInt"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.size"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.size"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A (needs data type R3 proposal)"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment.hash">
          <path value="DocumentReference.content.attachment.hash"/>
          <short value="Kryptographische Prüfsumme des Dokuments"/>
          <definition
                      value="Kryptographische Prüfsumme des Dokuments (DocumentEntry.hash)"/>
          <comment value="n/a"/>
          <requirements
                        value="Included so that applications can verify that the contents of a location have not changed due to technical failures (e.g., storage rot, transport glitch, incorrect version)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Attachment.hash"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="base64Binary"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.hash"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.hash"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".integrityCheck[parent::ED/integrityCheckAlgorithm=&quot;SHA-1&quot;]"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment.title">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.content.attachment.title"/>
          <short value="Titel des Dokuments"/>
          <definition value="Titel des Dokuments (DocumentEntry.title)"/>
          <comment value="n/a"/>
          <requirements
                        value="Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Attachment.title"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <example>
            <label value="General"/>
            <valueString value="Official Corporate Logo"/>
          </example>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.title"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.title"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./title/data"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment.creation">
          <path value="DocumentReference.content.attachment.creation"/>
          <short value="Erstellungszeitpunkt des Dokuments"/>
          <definition
                      value="Erstellungszeitpunkt des Dokuments (DocumentEntry.creationTime)"/>
          <comment value="n/a"/>
          <requirements
                        value="This is often tracked as an integrity issue for use of the attachment."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Attachment.creation"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.creationTime"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.creationTime"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A (needs data type R3 proposal)"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.format">
          <path value="DocumentReference.content.format"/>
          <short value="Global eindeutiger Code für das Dokumentenformat"/>
          <definition
                      value="Global eindeutiger Code für das Dokumentenformat (DocumentEntry.formatCode)"/>
          <comment
                   value="Das Attribut 'formatCode' spezifiziert das Format des Dokumentes. Zusammen mit dem typeCode (und ggf. mit dem mimeType) soll der formatCode für hinreichende Information sorgen, um einem Dokument-Konsumenten die Entscheidung zu ermöglichen, ob und wie er das Dokumentenformat verarbeiten kann."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.content.format"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://gematik.de/fhir/terminology/ValueSet/epa-xds-format-code-vs"/>
          </binding>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.formatCode"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.formatCode"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.meta.profile"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="document.text"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.formatCode"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map
                 value="derived from the IHE Profile or Implementation Guide templateID"/>
          </mapping>
        </element>
        <element id="DocumentReference.context">
          <path value="DocumentReference.context"/>
          <short value="Clinical context of document"/>
          <definition
                      value="The clinical context in which the document was prepared."/>
          <comment
                   value="These values are primarily added to help with searching for interesting/relevant documents."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.context"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map
                 value="outboundRelationship[typeCode=&quot;SUBJ&quot;].target[classCode&lt;'ACT']"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.id">
          <path value="DocumentReference.context.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.extension">
          <path value="DocumentReference.context.extension"/>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.modifierExtension">
          <path value="DocumentReference.context.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="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.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
          <comment
                   value="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."/>
          <requirements
                        value="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)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.encounter">
          <path value="DocumentReference.context.encounter"/>
          <short value="Context of the document  content"/>
          <definition
                      value="Describes the clinical encounter or type of care that the document content is associated with."/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="DocumentReference.context.encounter"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="Keine Entsprechung zu XDS.b DocumentEntry"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map
                 value="DocumentEntry.referenceIdList with CXi encoding for urn:ihe:iti:xds:2015:encounterId"/>
          </mapping>
          <mapping>
            <identity value="workflow"/>
            <map value="Event.context"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="FiveWs.context"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.encounter"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="unique(highest(./outboundRelationship[typeCode=&quot;SUBJ&quot; and isNormalActRelationship()], priorityNumber)/target[moodCode=&quot;EVN&quot; and classCode=(&quot;ENC&quot;, &quot;PCPR&quot;) and isNormalAct])"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.event">
          <path value="DocumentReference.context.event"/>
          <short
                 value="Ereignisse, die zur Erstellung des Dokuments geführt haben"/>
          <definition
                      value="Ereignisse, die zur Erstellung des Dokuments geführt haben (DocumentEntry.eventCodeList)"/>
          <comment
                   value="Die eventCode Liste wurde konzipiert, um den medizinischen Kontext von Dokumenten abzubilden. Jedem Dokument können beliebig viele eventCodes zugeordnet werden. Zum Beispiel kann ein OP-Bericht über die eventCodeList mit je einem kodierten Wert für die durchgeführte Prozedur (z.B. Blinddarmentfernung) und die vorliegende Erkrankung (z.B. Appendizitis) versehen werden. Dies ermöglicht die Suche nach Dokumenten, die mit einer bestimmten Prozedur oder Diagnose zusammenhängen. Über den medizinischen Kontext hinaus kann das Attribut auch allgemein zur Kontextualisierung und zur Inhaltszusammenfassung verwendet werden."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DocumentReference.context.event"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="DocumentEventType"/>
            </extension>
            <strength value="example"/>
            <description
                         value="This list of codes represents the main clinical acts being documented."/>
            <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActCode"/>
          </binding>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.eventCodeList"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.eventCodeList"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.event.code"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".code"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.eventCodeList"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.event.id">
          <path value="DocumentReference.context.event.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.event.extension">
          <path value="DocumentReference.context.event.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.event.coding">
          <path value="DocumentReference.context.event.coding"/>
          <short value="Code defined by a terminology system"/>
          <definition value="n/a"/>
          <comment value="n/a"/>
          <requirements
                        value="Allows for alternative encodings within a code system, and translations to other code systems."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://gematik.de/fhir/terminology/ValueSet/epa-xds-event-code-vs"/>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.event.coding.id">
          <path value="DocumentReference.context.event.coding.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.event.coding.extension">
          <path value="DocumentReference.context.event.coding.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.event.coding.system">
          <path value="DocumentReference.context.event.coding.system"/>
          <short value="Identity of the terminology system"/>
          <definition
                      value="The identification of the code system that defines the meaning of the symbol in the code."/>
          <comment
                   value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously."/>
          <requirements
                        value="Need to be unambiguous about the source of the definition of the symbol."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.system"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.3"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./codeSystem"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.event.coding.version">
          <path value="DocumentReference.context.event.coding.version"/>
          <short value="Version of the system - if relevant"/>
          <definition
                      value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
          <comment
                   value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Coding.version"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.7"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./codeSystemVersion"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.event.coding.code">
          <path value="DocumentReference.context.event.coding.code"/>
          <short value="Symbol in syntax defined by the system"/>
          <definition
                      value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
          <requirements
                        value="Need to refer to a particular code in the system."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.code"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./code"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.event.coding.display">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.context.event.coding.display"/>
          <short value="Representation defined by the system"/>
          <definition
                      value="A representation of the meaning of the code in the system, following the rules of the system."/>
          <requirements
                        value="Need to be able to carry a human-readable meaning of the code for readers that do not know  the system."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.display"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.2 - but note this is not well followed"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CV.displayName"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.event.coding.userSelected">
          <path value="DocumentReference.context.event.coding.userSelected"/>
          <short value="If this coding was chosen directly by the user"/>
          <definition
                      value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)."/>
          <comment
                   value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
          <requirements
                        value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Coding.userSelected"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="Sometimes implied by being first"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CD.codingRationale"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source &quot;true&quot;;     fhir:target dt:CDCoding.codingRationale\#O   ]"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.event.text">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.context.event.text"/>
          <short value="Plain text representation of the concept"/>
          <definition
                      value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
          <comment
                   value="Very often the text is the same as a displayName of one of the codings."/>
          <requirements
                        value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.period">
          <path value="DocumentReference.context.period"/>
          <short value="Time of service that is being documented"/>
          <definition
                      value="The time period over which the service that is described by the document was provided."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.context.period"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Period"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.event.period"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".effectiveTime"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map
                 value="DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map
                 value="ClinicalDocument/documentationOf/
    serviceEvent/effectiveTime/low/
    @value --&gt; ClinicalDocument/documentationOf/
    serviceEvent/effectiveTime/high/
    @value"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.period.id">
          <path value="DocumentReference.context.period.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.period.extension">
          <path value="DocumentReference.context.period.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.period.start">
          <path value="DocumentReference.context.period.start"/>
          <short
                 value="Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis begonnen wurde"/>
          <definition
                      value="Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis begonnen wurde (DocumentEntry.serviceStartTime)"/>
          <comment value="n/a"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Period.start"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <condition value="per-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumetEntry.serviceStartTime"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.serviceStartTime"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="DR.1"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./low"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.period.end">
          <path value="DocumentReference.context.period.end"/>
          <short
                 value="Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis beendet wurde"/>
          <definition
                      value="Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis beendet wurde (DocumentEntry.serviceStopTime)"/>
          <comment value="n/a"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Period.end"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <meaningWhenMissing
                              value="If the end of the period is missing, it means that the period is ongoing"/>
          <condition value="per-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.serviceStopTime"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.serviceStopTime"/>
          </mapping>
          <mapping>
            <identity value="v2"/>
            <map value="DR.2"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./high"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.facilityType">
          <path value="DocumentReference.context.facilityType"/>
          <short
                 value="Art der Einrichtung, in der das dokumentierte Ereignis stattgefunden hat"/>
          <definition
                      value="Art der Einrichtung, in der das dokumentierte Ereignis stattgefunden hat (DocumentEntry.healthcareFacilityTypeCode)"/>
          <comment
                   value="DocumentEntry.healthcareFacilityTypeCode repräsentiert die Art der Einrichtung, in der die Tätigkeit stattfand, die zur Erzeugung des Dokuments führte. Zum Beispiel sollten Dokumente, die während eines ambulanten Falls in einem Krankenhaus entstehen, mit dem healthcareFacilityTypeCode für 'Krankenhaus' gekennzeichnet werden. Dabei ist zu beachten, dass es sich nicht notwendigerweise um die Art der Einrichtung handelt, in der das Dokument erstellt wurde. Beispielsweise ist es bei teleradiologischer Befundung eines Röntgenbildes für den healthcareFacilityTypeCode unerheblich, ob der befundende Radiologe in einem Krankenhaus oder in einer radiologischen Praxis ansässig ist; für den healthcareFacilityTypeCode wird die Einrichtungsart der Untersuchungsstelle (in der das Gerät betrieben wird) herangezogen."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.context.facilityType"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="DocumentC80FacilityType"/>
            </extension>
            <strength value="example"/>
            <description value="XDS Facility Type."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/c80-facilitycodes|4.0.1"/>
          </binding>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.healthcareFacilityTypeCode"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.healthcareFacilityTypeCode"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="usually from a mapping to a local ValueSet"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=&quot;LOC&quot;].role[classCode=&quot;DSDLOC&quot;].code"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.healthcareFacilityTypeCode"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map
                 value="usually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.facilityType.id">
          <path value="DocumentReference.context.facilityType.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.facilityType.extension">
          <path value="DocumentReference.context.facilityType.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.facilityType.coding">
          <path value="DocumentReference.context.facilityType.coding"/>
          <short value="Code defined by a terminology system"/>
          <definition value="n/a"/>
          <comment value="n/a"/>
          <requirements
                        value="Allows for alternative encodings within a code system, and translations to other code systems."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://gematik.de/fhir/terminology/ValueSet/epa-xds-healthcare-facility-type-code-vs"/>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.facilityType.coding.id">
          <path value="DocumentReference.context.facilityType.coding.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.facilityType.coding.extension">
          <path value="DocumentReference.context.facilityType.coding.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.facilityType.coding.system">
          <path value="DocumentReference.context.facilityType.coding.system"/>
          <short value="Identity of the terminology system"/>
          <definition
                      value="The identification of the code system that defines the meaning of the symbol in the code."/>
          <comment
                   value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously."/>
          <requirements
                        value="Need to be unambiguous about the source of the definition of the symbol."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.system"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.3"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./codeSystem"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.facilityType.coding.version">
          <path value="DocumentReference.context.facilityType.coding.version"/>
          <short value="Version of the system - if relevant"/>
          <definition
                      value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
          <comment
                   value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Coding.version"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.7"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./codeSystemVersion"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.facilityType.coding.code">
          <path value="DocumentReference.context.facilityType.coding.code"/>
          <short value="Symbol in syntax defined by the system"/>
          <definition
                      value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
          <requirements
                        value="Need to refer to a particular code in the system."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.code"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./code"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.facilityType.coding.display">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.context.facilityType.coding.display"/>
          <short value="Representation defined by the system"/>
          <definition
                      value="A representation of the meaning of the code in the system, following the rules of the system."/>
          <requirements
                        value="Need to be able to carry a human-readable meaning of the code for readers that do not know  the system."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.display"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.2 - but note this is not well followed"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CV.displayName"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.facilityType.coding.userSelected">
          <path
                value="DocumentReference.context.facilityType.coding.userSelected"/>
          <short value="If this coding was chosen directly by the user"/>
          <definition
                      value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)."/>
          <comment
                   value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
          <requirements
                        value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Coding.userSelected"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="Sometimes implied by being first"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CD.codingRationale"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source &quot;true&quot;;     fhir:target dt:CDCoding.codingRationale\#O   ]"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.facilityType.text">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.context.facilityType.text"/>
          <short value="Plain text representation of the concept"/>
          <definition
                      value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
          <comment
                   value="Very often the text is the same as a displayName of one of the codings."/>
          <requirements
                        value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.practiceSetting">
          <path value="DocumentReference.context.practiceSetting"/>
          <short
                 value="Art der Fachrichtung der erstellenden Einrichtung, in der das dokumentiere Ereignis stattgefunden hat"/>
          <definition
                      value="Art der Fachrichtung der erstellenden Einrichtung, in der das dokumentiere Ereignis stattgefunden hat (DocumentEntry.practiceSettingCode)"/>
          <comment
                   value="DocumentEntry.practiceSettingCode spezifiziert die Fachrichtung der erstellenden Einrichtung. Typische Beispiele hierfür sind ärztliche Fachgebiete wie Allgemeinmedizin oder Radiologie. IHE International empfiehlt, dass die Codeliste zwischen 10 und 100 Codes umfassen sollte, so dass die Fachrichtung hinreichend genau abgebildet werden kann."/>
          <requirements
                        value="This is an important piece of metadata that providers often rely upon to quickly sort and/or filter out to find specific content."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.context.practiceSetting"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="DocumentC80PracticeSetting"/>
            </extension>
            <strength value="example"/>
            <description
                         value="Additional details about where the content was created (e.g. clinical specialty)."/>
            <valueSet
                      value="http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1"/>
          </binding>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.practiceSettingCode"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.practiceSettingCode"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="usually from a mapping to a local ValueSet"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=&quot;LOC&quot;].role[classCode=&quot;DSDLOC&quot;].code"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.practiceSettingCode"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map value="usually from a mapping to a local ValueSet"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.practiceSetting.id">
          <path value="DocumentReference.context.practiceSetting.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.practiceSetting.extension">
          <path value="DocumentReference.context.practiceSetting.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.practiceSetting.coding">
          <path value="DocumentReference.context.practiceSetting.coding"/>
          <short value="Code defined by a terminology system"/>
          <definition value="n/a"/>
          <comment value="n/a"/>
          <requirements
                        value="Allows for alternative encodings within a code system, and translations to other code systems."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://gematik.de/fhir/terminology/ValueSet/epa-xds-practice-setting-code-vs"/>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.practiceSetting.coding.id">
          <path value="DocumentReference.context.practiceSetting.coding.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.practiceSetting.coding.extension">
          <path
                value="DocumentReference.context.practiceSetting.coding.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.practiceSetting.coding.system">
          <path value="DocumentReference.context.practiceSetting.coding.system"/>
          <short value="Identity of the terminology system"/>
          <definition
                      value="The identification of the code system that defines the meaning of the symbol in the code."/>
          <comment
                   value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously."/>
          <requirements
                        value="Need to be unambiguous about the source of the definition of the symbol."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.system"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.3"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./codeSystem"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.practiceSetting.coding.version">
          <path value="DocumentReference.context.practiceSetting.coding.version"/>
          <short value="Version of the system - if relevant"/>
          <definition
                      value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/>
          <comment
                   value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Coding.version"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.7"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./codeSystemVersion"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.practiceSetting.coding.code">
          <path value="DocumentReference.context.practiceSetting.coding.code"/>
          <short value="Symbol in syntax defined by the system"/>
          <definition
                      value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/>
          <requirements
                        value="Need to refer to a particular code in the system."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.code"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./code"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.practiceSetting.coding.display">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.context.practiceSetting.coding.display"/>
          <short value="Representation defined by the system"/>
          <definition
                      value="A representation of the meaning of the code in the system, following the rules of the system."/>
          <requirements
                        value="Need to be able to carry a human-readable meaning of the code for readers that do not know  the system."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Coding.display"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.2 - but note this is not well followed"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CV.displayName"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
          </mapping>
        </element>
        <element
                 id="DocumentReference.context.practiceSetting.coding.userSelected">
          <path
                value="DocumentReference.context.practiceSetting.coding.userSelected"/>
          <short value="If this coding was chosen directly by the user"/>
          <definition
                      value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)."/>
          <comment
                   value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
          <requirements
                        value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Coding.userSelected"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="Sometimes implied by being first"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="CD.codingRationale"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source &quot;true&quot;;     fhir:target dt:CDCoding.codingRationale\#O   ]"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.practiceSetting.text">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.context.practiceSetting.text"/>
          <short value="Plain text representation of the concept"/>
          <definition
                      value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
          <comment
                   value="Very often the text is the same as a displayName of one of the codings."/>
          <requirements
                        value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.sourcePatientInfo">
          <path value="DocumentReference.context.sourcePatientInfo"/>
          <short value="Patient demographics from source"/>
          <definition
                      value="The Patient Information as known when the document was published. May be a reference to a version specific, or contained."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="DocumentReference.context.sourcePatientInfo"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Patient|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.subject"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=&quot;SBJ&quot;].role[typeCode=&quot;PAT&quot;]"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map
                 value="DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map value="ClinicalDocument/recordTarget/"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.sourcePatientInfo.id">
          <path value="DocumentReference.context.sourcePatientInfo.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.sourcePatientInfo.extension">
          <path value="DocumentReference.context.sourcePatientInfo.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.sourcePatientInfo.reference">
          <path value="DocumentReference.context.sourcePatientInfo.reference"/>
          <short value="Demographische Daten zum Patienten im Quellsystem"/>
          <definition
                      value="Demographische Daten zum Patienten im Quellsystem (DocumentEntry.sourcePatientInfo)"/>
          <comment value="n/a"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Reference.reference"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <condition value="ref-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.sourcePatientInfo"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.sourcePatientInfo"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.sourcePatientInfo.type">
          <path value="DocumentReference.context.sourcePatientInfo.type"/>
          <short value="Type the reference refers to (e.g. &quot;Patient&quot;)"/>
          <definition
                      value="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.

    The 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. &quot;Patient&quot; 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)."/>
          <comment
                   value="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."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Reference.type"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="FHIRResourceTypeExt"/>
            </extension>
            <strength value="extensible"/>
            <description
                         value="Aa resource (or, for logical models, the URI of the logical model)."/>
            <valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.0.1"/>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.sourcePatientInfo.identifier">
          <path value="DocumentReference.context.sourcePatientInfo.identifier"/>
          <short value="Kennung des Patienten im Quellsystem"/>
          <definition
                      value="Kennung des Patienten im Quellsystem (DocumentEntry.sourcePatientId)"/>
          <comment value="n/a"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Reference.identifier"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Identifier"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.sourcePatientId"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map value="DocumentEntry.sourcePatientId"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".identifier"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.sourcePatientInfo.display">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="DocumentReference.context.sourcePatientInfo.display"/>
          <short value="Text alternative for the resource"/>
          <definition
                      value="Plain text narrative that identifies the resource in addition to the resource reference."/>
          <comment
                   value="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."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Reference.display"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.related">
          <path value="DocumentReference.context.related"/>
          <short value="Liste von IDs, mit denen das Dokument assoziiert wird"/>
          <definition
                      value="Liste von IDs, mit denen das Dokument assoziiert wird (DocumentEntry.referenceIdList)"/>
          <comment value="n/a"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DocumentReference.context.related"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mustSupport value="true"/>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.referenceIdList"/>
          </mapping>
          <mapping>
            <identity value="DocumentEntry-Mapping"/>
            <map
                 value="DocumentEntry.referenceIdList using CXi encoding for type when possible"/>
          </mapping>
          <mapping>
            <identity value="fhircomposition"/>
            <map value="Composition.event.detail"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="./outboundRelationship[typeCode=&quot;PERT&quot; and isNormalActRelationship()] / target[isNormalAct]"/>
          </mapping>
          <mapping>
            <identity value="xds"/>
            <map value="DocumentEntry.referenceIdList"/>
          </mapping>
          <mapping>
            <identity value="cda"/>
            <map value="ClinicalDocument/relatedDocument"/>
          </mapping>
        </element>
      </snapshot>
      <differential>
        <element id="DocumentReference">
          <path value="DocumentReference"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map
                 value="XDS.b DocumentEntry: Inhaltsgleiche Abbildung zum XDS Document Service"/>
          </mapping>
        </element>
        <element id="DocumentReference.meta.profile">
          <path value="DocumentReference.meta.profile"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="Keine Entsprechung zu XDS.b DocumentEntry"/>
          </mapping>
        </element>
        <element id="DocumentReference.masterIdentifier">
          <path value="DocumentReference.masterIdentifier"/>
          <mustSupport value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.uniqueId"/>
          </mapping>
        </element>
        <element id="DocumentReference.identifier">
          <path value="DocumentReference.identifier"/>
          <min value="1"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.entryUUID und DocumentEntry.uniqueId"/>
          </mapping>
        </element>
        <element id="DocumentReference.identifier:uniqueId">
          <path value="DocumentReference.identifier"/>
          <sliceName value="uniqueId"/>
          <short value="Unique identifier für das referenzierte Dokument"/>
          <definition
                      value="Der eindeutige Identifikator des referenzierten Dokuments, der dem Element DocumentEntry.uniqueId in XDS entspricht. Dieser dient als fachlicher bzw. dokumentbezogener Identifier des Dokuments und identifiziert das medizinische Dokument selbst, auf das die DocumentReference verweist."/>
          <min value="1"/>
          <max value="1"/>
          <type>
            <code value="Identifier"/>
            <profile
                     value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.UniqueIdIdentifier"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.status">
          <path value="DocumentReference.status"/>
          <short value="Status des Dokuments"/>
          <definition
                      value="Status des Dokuments (DocumentEntry.availabilityStatus) unter Berücksichtigung des [MHD Mapping](https://profiles.ihe.net/ITI/MHD/ConceptMap/FhirStatusVsStatusCode)"/>
          <comment
                   value="Dies ist der Status des DocumentReference-Objekts, das unabhängig vom docStatus-Element ist.

    Dieses Element wird als Modifier gekennzeichnet, da der Status Codes enthält, die das Dokument oder die Referenz als derzeit nicht gültig markieren."/>
          <mustSupport value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.availabilityStatus"/>
          </mapping>
        </element>
        <element id="DocumentReference.docStatus">
          <path value="DocumentReference.docStatus"/>
          <short value="n/a"/>
          <definition value="n/a"/>
          <comment value="n/a"/>
        </element>
        <element id="DocumentReference.type">
          <path value="DocumentReference.type"/>
          <short value="Art des Dokuments"/>
          <definition value="Art des Dokuments (DocumentEntry.typeCode)"/>
          <comment
                   value="Das Attribut typeCode ist gemäß IHE XDS zwingend gefordert und kann zusätzlich zu (bzw. zusammen mit) dem classCode zur genaueren Klassifizierung des Dokuments genutzt werden, z.B. kann ein Dokument mit classCode 'Befundberichte' durch den typeCode als 'Pathologiebefundbericht' oder als 'Ergebnisse bildgebender Diagnostik' gekennzeichnet werden. Das Attribut typeCode stellt keine Spezialisierung von classCode dar. Somit kann ein bestimmter typeCode mit verschiedenen classCodes zur Beschreibung unterschiedlicher Dokumente kombiniert werden. Zum Beispiel haben ein Röntgenbild und der dazugehörige Radiologie-Befund den gleichen typeCode 'Ergebnisse bildgebender Diagnostik' aber zwei unterschiedliche classCodes, 'Bilddaten' bzw.'Befundberichte'. Daraus folgt, dass ein Dokument sowohl einem classCode als auch einem typeCode explizit zugeordnet werden muss; die Zuordnung zu einem typeCode allein reicht nicht aus, weil hierüber kein implizites Mapping auf einen einzigen 'übergeordneten' classCode möglich ist."/>
          <min value="1"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.typeCode"/>
          </mapping>
        </element>
        <element id="DocumentReference.type.coding">
          <path value="DocumentReference.type.coding"/>
          <definition value="n/a"/>
          <comment value="n/a"/>
          <mustSupport value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://gematik.de/fhir/terminology/ValueSet/epa-xds-type-code-vs"/>
          </binding>
        </element>
        <element id="DocumentReference.type.coding.system">
          <path value="DocumentReference.type.coding.system"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.type.coding.code">
          <path value="DocumentReference.type.coding.code"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.type.coding.display">
          <path value="DocumentReference.type.coding.display"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.category">
          <path value="DocumentReference.category"/>
          <short value="Grobe Klassifizierung des Dokuments"/>
          <definition
                      value="Grobe Klassifizierung des Dokuments (DocumentEntry.classCode)"/>
          <comment
                   value="Das Attribut 'classCode' ist gemäß IHE XDS zwingend gefordert und erlaubt eine erste Klassifizierung der Dokumente in der XDS Document Registry in Dokumentenklassen, wie z.B. Briefe, Befundberichte oder Bilddaten. Die Wertemenge für diese Klassen sollte nicht zu detailliert sein, da im Attribut 'typeCode' eine weitere, verfeinerte Beschreibung der Dokumente erfolgt, die allerdings keine Spezialisierung des 'classCode' darstellen muss."/>
          <min value="1"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.classCode"/>
          </mapping>
        </element>
        <element id="DocumentReference.category.coding">
          <path value="DocumentReference.category.coding"/>
          <definition value="n/a"/>
          <comment value="n/a"/>
          <mustSupport value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://gematik.de/fhir/terminology/ValueSet/epa-xds-class-code-vs"/>
          </binding>
        </element>
        <element id="DocumentReference.category.coding.system">
          <path value="DocumentReference.category.coding.system"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.category.coding.code">
          <path value="DocumentReference.category.coding.code"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.category.coding.display">
          <path value="DocumentReference.category.coding.display"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.subject">
          <path value="DocumentReference.subject"/>
          <short value="Systemweit eindeutige Kennung des Patienten"/>
          <definition
                      value="Systemweit eindeutige Kennung des Patienten (DocumentEntry.patientId)"/>
          <comment value="EPAPatient|1.0.0"/>
          <min value="1"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.patientId"/>
          </mapping>
        </element>
        <element id="DocumentReference.subject.identifier">
          <path value="DocumentReference.subject.identifier"/>
          <min value="1"/>
          <type>
            <code value="Identifier"/>
            <profile
                     value="http://fhir.de/StructureDefinition/identifier-kvid-10"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.date">
          <path value="DocumentReference.date"/>
          <short value="Wann die DocumentReference erzeugt wurde"/>
          <definition value="Wann die DocumentReference erzeugt wurde"/>
          <comment
                   value="Das Erzeugungsdatum des referenzierten Dokuments wird in DocumentReference.content.attachment.creation abgebildet."/>
        </element>
        <element id="DocumentReference.author">
          <path value="DocumentReference.author"/>
          <short value="Person oder System, welche(s) das Dokument erstellt hat"/>
          <definition
                      value="Person oder System, welche(s) das Dokument erstellt hat (DocumentEntry.author)"/>
          <comment
                   value="Logical Reference unter Nutzung der KVNR oder Telematik-ID"/>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Patient"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Organization"/>
          </type>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.author"/>
          </mapping>
        </element>
        <element id="DocumentReference.author.identifier">
          <path value="DocumentReference.author.identifier"/>
          <type>
            <code value="Identifier"/>
            <profile
                     value="http://fhir.de/StructureDefinition/identifier-kvid-10"/>
            <profile
                     value="http://fhir.de/StructureDefinition/identifier-telematik-id"/>
            <profile value="http://fhir.de/StructureDefinition/identifier-lanr"/>
            <profile value="http://fhir.de/StructureDefinition/identifier-zanr"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.author.display">
          <path value="DocumentReference.author.display"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.authenticator">
          <path value="DocumentReference.authenticator"/>
          <short value="Rechtlich Verantwortlicher für das Dokument"/>
          <definition
                      value="Rechtlich Verantwortlicher für das Dokument (DocumentEntry.legalAuthenticator)"/>
          <comment value="Logical Reference unter Nutzung der Telematik-ID"/>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Organization"/>
          </type>
          <mustSupport value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.legalAuthenticator"/>
          </mapping>
        </element>
        <element id="DocumentReference.authenticator.identifier">
          <path value="DocumentReference.authenticator.identifier"/>
          <min value="1"/>
          <type>
            <code value="Identifier"/>
            <profile
                     value="http://fhir.de/StructureDefinition/identifier-telematik-id"/>
          </type>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.custodian">
          <path value="DocumentReference.custodian"/>
          <short value="n/a"/>
          <definition value="n/a"/>
          <comment value="n/a"/>
          <max value="0"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="Keine Entsprechung zu XDS.b DocumentEntry"/>
          </mapping>
        </element>
        <element id="DocumentReference.relatesTo">
          <path value="DocumentReference.relatesTo"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="Keine Entsprechung zu XDS.b DocumentEntry"/>
          </mapping>
        </element>
        <element id="DocumentReference.relatesTo.code">
          <path value="DocumentReference.relatesTo.code"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.relatesTo.target">
          <path value="DocumentReference.relatesTo.target"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.description">
          <path value="DocumentReference.description"/>
          <short value="Ergänzende Hinweise in Freitext"/>
          <definition
                      value="Ergänzende Hinweise in Freitext (DocumentEntry.comments)"/>
          <comment value="n/a"/>
          <mustSupport value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.comments"/>
          </mapping>
        </element>
        <element id="DocumentReference.securityLabel">
          <path value="DocumentReference.securityLabel"/>
          <short
                 value="Vertraulichkeitskennzeichnung und Datenkategorie des Dokuments"/>
          <definition
                      value="Vertraulichkeitskennzeichnung des Dokuments (DocumentEntry.confidentialityCode)"/>
          <comment
                   value="Der Confidentiality Code drückt die Vertraulichkeitsstufe des Dokuments aus. Die Vertraulichkeitsstufe ist üblicherweise die Einschätzung des Autors oder des Einstellenden wie schützenswert das Dokument ist. Die Einschätzung des Autors oder Erstellers sollte erhalten bleiben, auch wenn die des Betroffenen (d.h. des Patienten) davon abweicht. Das heißt, dass man dem Dokument mehrere ConfidentialityCodes zuordnen können sollte. Dies unterstützt IHE XDS auch. Daher enthält das deutsche Value Set neben Codes der Autoreneinschätzung explizite Codes zur Betroffeneneinschätzung, die aus einem separaten, dediziertem Codesystem stammen. Die Datenkategorie des Dokuments entsprechend der ePA Legal Policy ist ebenso Bestandteil dieser Liste."/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map
                 value="DocumentEntry.confidentialityCode sowie zugewiesene Datenkategorien gemäß Legal Policy"/>
          </mapping>
        </element>
        <element id="DocumentReference.securityLabel.coding">
          <path value="DocumentReference.securityLabel.coding"/>
          <definition value="n/a"/>
          <comment value="n/a"/>
          <mustSupport value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://gematik.de/fhir/terminology/ValueSet/epa-mhd-security-label-vs"/>
          </binding>
        </element>
        <element id="DocumentReference.securityLabel.coding.system">
          <path value="DocumentReference.securityLabel.coding.system"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.securityLabel.coding.code">
          <path value="DocumentReference.securityLabel.coding.code"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.securityLabel.coding.display">
          <path value="DocumentReference.securityLabel.coding.display"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.content">
          <path value="DocumentReference.content"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.content.attachment">
          <path value="DocumentReference.content.attachment"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.content.attachment.contentType">
          <path value="DocumentReference.content.attachment.contentType"/>
          <mustSupport value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://gematik.de/fhir/terminology/ValueSet/epa-xds-mime-type-vs"/>
          </binding>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.mimeType"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment.language">
          <path value="DocumentReference.content.attachment.language"/>
          <short value="Sprache, in der das Dokument abgefasst ist"/>
          <definition
                      value="Sprache, in der das Dokument abgefasst ist (DocumentEntry.languageCode)"/>
          <comment value="n/a"/>
          <min value="1"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.languageCode"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment.url">
          <path value="DocumentReference.content.attachment.url"/>
          <short value="URI für das Dokument"/>
          <definition value="URI für das Dokument (DocumentEntry.URI)"/>
          <comment value="Dateiname mit Extension ohne Pfadangabe"/>
          <mustSupport value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map
                 value="Abweichend zu MHD V4.2.3 vom Document Responder festgelegter Speicherort des Documents"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment.size">
          <path value="DocumentReference.content.attachment.size"/>
          <short value="Größe des Dokuments in Bytes"/>
          <definition value="Größe des Dokuments in Bytes (DocumentEntry.size)"/>
          <comment value="n/a"/>
          <mustSupport value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.size"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment.hash">
          <path value="DocumentReference.content.attachment.hash"/>
          <short value="Kryptographische Prüfsumme des Dokuments"/>
          <definition
                      value="Kryptographische Prüfsumme des Dokuments (DocumentEntry.hash)"/>
          <comment value="n/a"/>
          <mustSupport value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.hash"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment.title">
          <path value="DocumentReference.content.attachment.title"/>
          <short value="Titel des Dokuments"/>
          <definition value="Titel des Dokuments (DocumentEntry.title)"/>
          <comment value="n/a"/>
          <min value="1"/>
          <mustSupport value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.title"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.attachment.creation">
          <path value="DocumentReference.content.attachment.creation"/>
          <short value="Erstellungszeitpunkt des Dokuments"/>
          <definition
                      value="Erstellungszeitpunkt des Dokuments (DocumentEntry.creationTime)"/>
          <comment value="n/a"/>
          <min value="1"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.creationTime"/>
          </mapping>
        </element>
        <element id="DocumentReference.content.format">
          <path value="DocumentReference.content.format"/>
          <short value="Global eindeutiger Code für das Dokumentenformat"/>
          <definition
                      value="Global eindeutiger Code für das Dokumentenformat (DocumentEntry.formatCode)"/>
          <comment
                   value="Das Attribut 'formatCode' spezifiziert das Format des Dokumentes. Zusammen mit dem typeCode (und ggf. mit dem mimeType) soll der formatCode für hinreichende Information sorgen, um einem Dokument-Konsumenten die Entscheidung zu ermöglichen, ob und wie er das Dokumentenformat verarbeiten kann."/>
          <min value="1"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://gematik.de/fhir/terminology/ValueSet/epa-xds-format-code-vs"/>
          </binding>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.formatCode"/>
          </mapping>
        </element>
        <element id="DocumentReference.context">
          <path value="DocumentReference.context"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.context.encounter">
          <path value="DocumentReference.context.encounter"/>
          <max value="0"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="Keine Entsprechung zu XDS.b DocumentEntry"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.event">
          <path value="DocumentReference.context.event"/>
          <short
                 value="Ereignisse, die zur Erstellung des Dokuments geführt haben"/>
          <definition
                      value="Ereignisse, die zur Erstellung des Dokuments geführt haben (DocumentEntry.eventCodeList)"/>
          <comment
                   value="Die eventCode Liste wurde konzipiert, um den medizinischen Kontext von Dokumenten abzubilden. Jedem Dokument können beliebig viele eventCodes zugeordnet werden. Zum Beispiel kann ein OP-Bericht über die eventCodeList mit je einem kodierten Wert für die durchgeführte Prozedur (z.B. Blinddarmentfernung) und die vorliegende Erkrankung (z.B. Appendizitis) versehen werden. Dies ermöglicht die Suche nach Dokumenten, die mit einer bestimmten Prozedur oder Diagnose zusammenhängen. Über den medizinischen Kontext hinaus kann das Attribut auch allgemein zur Kontextualisierung und zur Inhaltszusammenfassung verwendet werden."/>
          <mustSupport value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.eventCodeList"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.event.coding">
          <path value="DocumentReference.context.event.coding"/>
          <definition value="n/a"/>
          <comment value="n/a"/>
          <mustSupport value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://gematik.de/fhir/terminology/ValueSet/epa-xds-event-code-vs"/>
          </binding>
        </element>
        <element id="DocumentReference.context.event.coding.system">
          <path value="DocumentReference.context.event.coding.system"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.context.event.coding.code">
          <path value="DocumentReference.context.event.coding.code"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.context.event.coding.display">
          <path value="DocumentReference.context.event.coding.display"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.context.period.start">
          <path value="DocumentReference.context.period.start"/>
          <short
                 value="Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis begonnen wurde"/>
          <definition
                      value="Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis begonnen wurde (DocumentEntry.serviceStartTime)"/>
          <comment value="n/a"/>
          <mustSupport value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumetEntry.serviceStartTime"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.period.end">
          <path value="DocumentReference.context.period.end"/>
          <short
                 value="Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis beendet wurde"/>
          <definition
                      value="Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis beendet wurde (DocumentEntry.serviceStopTime)"/>
          <comment value="n/a"/>
          <mustSupport value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.serviceStopTime"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.facilityType">
          <path value="DocumentReference.context.facilityType"/>
          <short
                 value="Art der Einrichtung, in der das dokumentierte Ereignis stattgefunden hat"/>
          <definition
                      value="Art der Einrichtung, in der das dokumentierte Ereignis stattgefunden hat (DocumentEntry.healthcareFacilityTypeCode)"/>
          <comment
                   value="DocumentEntry.healthcareFacilityTypeCode repräsentiert die Art der Einrichtung, in der die Tätigkeit stattfand, die zur Erzeugung des Dokuments führte. Zum Beispiel sollten Dokumente, die während eines ambulanten Falls in einem Krankenhaus entstehen, mit dem healthcareFacilityTypeCode für 'Krankenhaus' gekennzeichnet werden. Dabei ist zu beachten, dass es sich nicht notwendigerweise um die Art der Einrichtung handelt, in der das Dokument erstellt wurde. Beispielsweise ist es bei teleradiologischer Befundung eines Röntgenbildes für den healthcareFacilityTypeCode unerheblich, ob der befundende Radiologe in einem Krankenhaus oder in einer radiologischen Praxis ansässig ist; für den healthcareFacilityTypeCode wird die Einrichtungsart der Untersuchungsstelle (in der das Gerät betrieben wird) herangezogen."/>
          <min value="1"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.healthcareFacilityTypeCode"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.facilityType.coding">
          <path value="DocumentReference.context.facilityType.coding"/>
          <definition value="n/a"/>
          <comment value="n/a"/>
          <mustSupport value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://gematik.de/fhir/terminology/ValueSet/epa-xds-healthcare-facility-type-code-vs"/>
          </binding>
        </element>
        <element id="DocumentReference.context.facilityType.coding.system">
          <path value="DocumentReference.context.facilityType.coding.system"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.context.facilityType.coding.code">
          <path value="DocumentReference.context.facilityType.coding.code"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.context.facilityType.coding.display">
          <path value="DocumentReference.context.facilityType.coding.display"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.context.practiceSetting">
          <path value="DocumentReference.context.practiceSetting"/>
          <short
                 value="Art der Fachrichtung der erstellenden Einrichtung, in der das dokumentiere Ereignis stattgefunden hat"/>
          <definition
                      value="Art der Fachrichtung der erstellenden Einrichtung, in der das dokumentiere Ereignis stattgefunden hat (DocumentEntry.practiceSettingCode)"/>
          <comment
                   value="DocumentEntry.practiceSettingCode spezifiziert die Fachrichtung der erstellenden Einrichtung. Typische Beispiele hierfür sind ärztliche Fachgebiete wie Allgemeinmedizin oder Radiologie. IHE International empfiehlt, dass die Codeliste zwischen 10 und 100 Codes umfassen sollte, so dass die Fachrichtung hinreichend genau abgebildet werden kann."/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.practiceSettingCode"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.practiceSetting.coding">
          <path value="DocumentReference.context.practiceSetting.coding"/>
          <definition value="n/a"/>
          <comment value="n/a"/>
          <mustSupport value="true"/>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="https://gematik.de/fhir/terminology/ValueSet/epa-xds-practice-setting-code-vs"/>
          </binding>
        </element>
        <element id="DocumentReference.context.practiceSetting.coding.system">
          <path value="DocumentReference.context.practiceSetting.coding.system"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.context.practiceSetting.coding.code">
          <path value="DocumentReference.context.practiceSetting.coding.code"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.context.practiceSetting.coding.display">
          <path value="DocumentReference.context.practiceSetting.coding.display"/>
          <min value="1"/>
          <mustSupport value="true"/>
        </element>
        <element id="DocumentReference.context.sourcePatientInfo.reference">
          <path value="DocumentReference.context.sourcePatientInfo.reference"/>
          <short value="Demographische Daten zum Patienten im Quellsystem"/>
          <definition
                      value="Demographische Daten zum Patienten im Quellsystem (DocumentEntry.sourcePatientInfo)"/>
          <comment value="n/a"/>
          <mustSupport value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.sourcePatientInfo"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.sourcePatientInfo.identifier">
          <path value="DocumentReference.context.sourcePatientInfo.identifier"/>
          <short value="Kennung des Patienten im Quellsystem"/>
          <definition
                      value="Kennung des Patienten im Quellsystem (DocumentEntry.sourcePatientId)"/>
          <comment value="n/a"/>
          <mustSupport value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.sourcePatientId"/>
          </mapping>
        </element>
        <element id="DocumentReference.context.related">
          <path value="DocumentReference.context.related"/>
          <short value="Liste von IDs, mit denen das Dokument assoziiert wird"/>
          <definition
                      value="Liste von IDs, mit denen das Dokument assoziiert wird (DocumentEntry.referenceIdList)"/>
          <comment value="n/a"/>
          <mustSupport value="true"/>
          <mapping>
            <identity value="EPADocumentEntryMapping"/>
            <map value="DocumentEntry.referenceIdList"/>
          </mapping>
        </element>
      </differential>
    </StructureDefinition>