### ----------------------------------------------------
### -- FHIR
### -- Licenses: Artistic-2.0
### -- Authors: Hugh Simpson
### -- File: t/resources/structureDefinition/Immunization.json
### ----------------------------------------------------
### -- Chunk 10 of 12
map" : "RXA-6 / RXA-7"
      },
      {
        "identity" : "rim",
        "map" : ".doseQuantity"
      }]
    },
    {
      "id" : "Immunization.performer",
      "path" : "Immunization.performer",
      "short" : "Who performed event",
      "definition" : "Indicates who performed the immunization event.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Immunization.performer",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer"
      },
      {
        "identity" : "v2",
        "map" : "ORC-12 / RXA-10"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
      }]
    },
    {
      "id" : "Immunization.performer.id",
      "path" : "Immunization.performer.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Immunization.performer.extension",
      "path" : "Immunization.performer.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Immunization.performer.modifierExtension",
      "path" : "Immunization.performer.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Immunization.performer.function",
      "path" : "Immunization.performer.function",
      "short" : "What type of performance was done",
      "definition" : "Describes the type of performance (e.g. ordering provider, administering provider, etc.).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Immunization.performer.function",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ImmunizationFunction"
        }],
        "strength" : "extensible",
        "description" : "The role a practitioner or organization plays in the immunization event.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-function"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.function"
      },
      {
        "identity" : "rim",
        "map" : ".participation.functionCode"
      }]
    },
    {
      "id" : "Immunization.performer.actor",
      "path" : "Immunization.performer.actor",
      "short" : "Individual or organization who was performing",
      "definition" : "The practitioner or organization who performed the action.",
      "comment" : "When the individual practitioner who performed the action is known, it is best to send.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Immunization.performer.actor",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.actor"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.actor"
      },
      {
        "identity" : "rim",
        "map" : ".player"
      }]
    },
    {
      "id" : "Immunization.note",
      "path" : "Immunization.note",
      "short" : "Additional immunization notes",
      "definition" : "Extra information about the immunization that is not conveyed by the other attributes.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Immunization.note",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Annotation"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.note"
      },
      {
        "identity" : "v2",
        "map" : "OBX-5 : OBX-3 = 48767-8"
      },
      {
        "identity" : "rim",
        "map" : "note"
      }]
    },
    {
      "id" : "Immunization.reasonCode",
      "path" : "Immunization.reasonCode",
      "short" : "Why immunization occurred",
      "definition" : "Reasons why the vaccine was administered.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Immunization.reasonCode",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ImmunizationReason"
        }],
        "strength" : "example",
        "description" : "The reason why a vaccine was administered.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-reason"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.reasonCode"
      },
      {
        "identity" : "rim",
        "map" : "[actionNegationInd=false].reasonCode"
      }]
    },
    {
      "id" : "Immunization.reasonReference",
      "path" : "Immunization.reasonReference",
      "short" : "Why immunization occurred",
      "definition" : "Condition, Observation or DiagnosticReport that supports why the immunization was administered.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Immunization.reasonReference",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
        "http://hl7.org/fhir/StructureDefinition/Observation",
        "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.reasonReference"
      },
      {
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Immunization.isSubpotent",
      "path" : "Immunization.isSubpotent",
      "short" : "Dose potency",
      "definition" : "Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent.",
      "comment" : "Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Immunization.isSubpotent",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "boolean"
      }],
      "meaningWhenMissing" : "By default, a dose should be considered to be potent.",
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose.",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "RXA-20 = PA (partial administration)"
      },
      {
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Immunization.subpotentReason",
      "path" : "Immunization.subpotentReason",
      "short" : "Reason for being subpotent",
      "definition" : "Reason why a dose is considered to be subpotent.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Immunization.subpotentReason",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "SubpotentReason"
        }],
        "strength" : "example",
        "description" : "The reason why a dose is considered to be subpotent.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-subpotent-reason"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Immunization.education",
      "path" : "Immunization.education",
      "short" : "Educational material presented to patient",
      "definition" : "Educational material presented to the patient (or guardian) at the time of vaccine administration.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Immunization.education",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      },
      {
        "key" : "imm-1",
        "severity" : "error",
        "human" : "One of documentType or reference SHALL be present",
        "expression" : "documentType.exists() or reference.exists()",
        "xpath" : "exists(f:documentType) or exists(f:reference)"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Immunization.education.id",
      "path" : "Immunization.education.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Immunization.education.extension",
      "path" : "Immunization.education.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Immunization.education.modifierExtension",
      "path" : "Immunization.education.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Immunization.education.documentType",
      "path" : "Immunization.education.documentType",
      "short" : "Educational material document identifier",
      "definition" : "Identifier of the material presented to the patient.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Immunization.education.documentType",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-5 : OBX-3 = 69764-9"
      },
      {
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Immunization.education.reference",
      "path" : "Immunization.education.reference",
      "short" : "Educational material reference pointer",
      "definition" : "Reference pointer to the educational material given to the patient if the information was on line.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Immunization.education.reference",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "uri"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Immunization.education.publicationDate",
      "path" : "Immunization.education.publicationDate",
      "short" : "Educational material publication date",
      "definition" : "Date the educational material was published.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Immunization.education.publicationDate",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-5 : OBX-3 = 29768-9"
      },
      {
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Immunization.education.presentationDate",
      "path" : "Immunization.education.presentationDate",
      "short" : "Educational material presentation date",
      "definition" : "Date the educational material was given to the patient.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Immunization.education.presentationDate",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-5 : OBX-3 = 29769-7"
      },
      {
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Immunization.programEligibility",
      "path" : "Immunization.programEligibility",
      "short" : "Patient eligibility for a vaccination program",
      "definition" : "Indicates a patient's eligibility for a funding program.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Immunization.programEligibility",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProgramEligibility"
        }],
        "strength" : "example",
        "description" : "The patient's eligibility for a vaccation program.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-program-eligibility"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-5 : OBX-3 = 64994-7"
      },
      {
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Immunization.fundingSource",
      "path" : "Immunization.fundingSource",
      "short" : "Funding source for the vaccine",
      "definition" : "Indicates the source of the vaccine actually administered. This may be different than the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Immunization.fundingSource",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "FundingSource"
        }],
        "strength" : "example",
        "description" : "The source of funding used to purchase the vaccine administered.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-funding-source"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Immunization.reaction",
      "path" : "Immunization.reaction",
      "short" : "Details of a reaction that follows immunization",
      "definition" : "Categorical data indicating that an adverse event is associated in time to an immunization.",
      "comment" : "A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Immunization.reaction",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-3"
      },
      {
        "identity" : "rim",
        "map" : "Observation[classCode=obs].code"
      }]
    },
    {
      "id" : "Immunization.reaction.id",
      "path" : "Immunization.reaction.id",
      "representation" : ["xmlAttr"],
      "short" : "Unique id for inter-element referencing",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Immunization.reaction.extension",
      "path" : "Immunization.reaction.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Immunization.reaction.modifierExtension",
      "path" : "Immunization.reaction.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Immunization.reaction.date",
      "path" : "Immunization.reaction.date",
      "short" : "When reaction started",
      "definition" : "Date of reaction to the immunization.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Immunization.reaction.date",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7 v2 VXU message - most likely would appear in OBX segments if at all)"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime"
      }]
    },
    {
      "id" : "Immunization.reaction.detail",
      "path" : "Immunization.reaction.detail",
      "short" : "Additional information on reaction",
      "definition" : "Details of the reaction.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Immunization.reaction.detail",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Observation"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "OBX-5"
      },
      {
        "identity" : "rim",
        "map" : ".value"
      }]
    },
    {
      "id" : "Immunization.reaction.reported",
      "path" : "Immunization.reaction.reported",
      "short" : "Indicates self-reported reaction",
      "definition" : "Self-reported indicator.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Immunization.reaction.reported",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "boolean"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "v2",
        "map" : "(HL7 v2 doesn't seem to provide for this)"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"
      }]
    },
    {
      "id" : "Immunization.protocolApplied",
      "path" : "Immunization.protocolApplied",
      "short" : "Protocol followed by the provider",
      "definition" : "The protocol (set of recommendations) being followed by the provider who administered the dose.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Immunization.protocolApplied",
        "min" : 0,
        "max" : "*"
     