Aetna FHIR R4 MedicationRequest

{
 "$schema": "https://json-schema.org/draft/2020-12/schema",
 "$id": "https://raw.githubusercontent.com/api-evangelist/aetna/refs/heads/main/json-schema/aetna-medicationrequest.json",
 "title": "Aetna FHIR R4 MedicationRequest",
 "description": "JSON Schema for the FHIR R4 MedicationRequest resource as Aetna profiles it. Derived mechanically from the components.schemas of openapi/aetna-patient-access-api-openapi.yml, which is assembled from the Swagger 2.0 documents Aetna publishes at https://developerportal.aetna.com/managedcontent/yaml/. Not authored - every constraint here is Aetna's. $refs rewritten from #/components/schemas/ to #/$defs/.",
 "x-provenance": {
  "generated": "2026-08-30",
  "method": "derived",
  "source": "openapi/aetna-patient-access-api-openapi.yml"
 },
 "allOf": [
  {
   "$ref": "#/$defs/DomainResource"
  },
  {
   "type": "object",
   "required": [
    "intent",
    "status",
    "subject"
   ],
   "properties": {
    "insurance": {
     "description": "Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.",
     "type": "array",
     "items": {
      "$ref": "#/$defs/Reference"
     }
    },
    "note": {
     "description": "Extra information about the prescription that could not be conveyed by the other attributes.",
     "type": "array",
     "items": {
      "$ref": "#/$defs/Annotation"
     }
    },
    "substitution": {
     "description": "Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done.",
     "$ref": "#/$defs/MedicationRequest_Substitution"
    },
    "subject": {
     "description": "A link to a resource representing the person or set of individuals to whom the medication will be given.",
     "$ref": "#/$defs/Reference"
    },
    "courseOfTherapyType": {
     "description": "The description of the overall patte3rn of the administration of the medication to the patient.",
     "$ref": "#/$defs/CodeableConcept"
    },
    "priorPrescription": {
     "description": "A link to a resource representing an earlier order related order or prescription.",
     "$ref": "#/$defs/Reference"
    },
    "reasonReference": {
     "description": "Condition or observation that supports why the medication was ordered.",
     "type": "array",
     "items": {
      "$ref": "#/$defs/Reference"
     }
    },
    "instantiatesUri": {
     "description": "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest.",
     "type": "array",
     "items": {
      "pattern": "\\S*",
      "type": "string"
     }
    },
    "medicationReference": {
     "description": "Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.",
     "$ref": "#/$defs/Reference"
    },
    "reportedReference": {
     "description": "Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report.",
     "$ref": "#/$defs/Reference"
    },
    "statusReason": {
     "description": "Captures the reason for the current state of the MedicationRequest.",
     "$ref": "#/$defs/CodeableConcept"
    },
    "dispenseRequest": {
     "description": "Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.",
     "$ref": "#/$defs/MedicationRequest_DispenseRequest"
    },
    "reasonCode": {
     "description": "The reason or the indication for ordering or not ordering the medication.",
     "type": "array",
     "items": {
      "$ref": "#/$defs/CodeableConcept"
     }
    },
    "doNotPerform": {
     "description": "If true indicates that the provider is asking for the medication request not to occur.",
     "type": "boolean"
    },
    "basedOn": {
     "description": "A plan or request that is fulfilled in whole or in part by this medication request.",
     "type": "array",
     "items": {
      "$ref": "#/$defs/Reference"
     }
    },
    "requester": {
     "description": "The individual, organization, or device that initiated the request and has responsibility for its activation.",
     "$ref": "#/$defs/Reference"
    },
    "identifier": {
     "description": "Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.",
     "type": "array",
     "items": {
      "$ref": "#/$defs/Identifier"
     }
    },
    "reportedBoolean": {
     "description": "Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report.",
     "type": "boolean"
    },
    "recorder": {
     "description": "The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.",
     "$ref": "#/$defs/Reference"
    },
    "authoredOn": {
     "pattern": "([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)(-(0[1-9]|1[0-2])(-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?)?)?",
     "description": "The date (and perhaps time) when the prescription was initially written or authored on.",
     "type": "string"
    },
    "performer": {
     "description": "The specified desired performer of the medication treatment (e.g. the performer of the medication administration).",
     "$ref": "#/$defs/Reference"
    },
    "detectedIssue": {
     "description": "Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.",
     "type": "array",
     "items": {
      "$ref": "#/$defs/Reference"
     }
    },
    "supportingInformation": {
     "description": "Include additional information (for example, patient height and weight) that supports the ordering of the medication.",
     "type": "array",
     "items": {
      "$ref": "#/$defs/Reference"
     }
    },
    "encounter": {
     "description": "The Encounter during which this [x] was created or to which the creation of this record is tightly associated.",
     "$ref": "#/$defs/Reference"
    },
    "priority": {
     "description": "Indicates how quickly the Medication Request should be addressed with respect to other requests.",
     "type": "string",
     "enum": [
      "routine",
      "urgent",
      "asap",
      "stat"
     ]
    },
    "medicationCodeableConcept": {
     "description": "Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.",
     "$ref": "#/$defs/CodeableConcept"
    },
    "instantiatesCanonical": {
     "description": "The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.",
     "type": "array",
     "items": {
      "pattern": "\\S*",
      "type": "string"
     }
    },
    "intent": {
     "description": "Whether the request is a proposal, plan, or an original order.",
     "type": "string",
     "enum": [
      "proposal",
      "plan",
      "order",
      "original-order",
      "reflex-order",
      "filler-order",
      "instance-order",
      "option"
     ]
    },
    "performerType": {
     "description": "Indicates the type of performer of the administration of the medication.",
     "$ref": "#/$defs/CodeableConcept"
    },
    "dosageInstruction": {
     "description": "Indicates how the medication is to be used by the patient.",
     "type": "array",
     "items": {
      "$ref": "#/$defs/Dosage"
     }
    },
    "eventHistory": {
     "description": "Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.",
     "type": "array",
     "items": {
      "$ref": "#/$defs/Reference"
     }
    },
    "category": {
     "description": "Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).",
     "type": "array",
     "items": {
      "$ref": "#/$defs/CodeableConcept"
     }
    },
    "groupIdentifier": {
     "description": "A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription.",
     "$ref": "#/$defs/Identifier"
    },
    "status": {
     "description": "A code specifying the current state of the order. Generally, this will be active or completed state.",
     "type": "string",
     "enum": [
      "active",
      "on-hold",
      "cancelled",
      "completed",
      "entered-in-error",
      "stopped",
      "draft",
      "unknown"
     ]
    }
   }
  }
 ],
 "$defs": {
  "Address": {
   "allOf": [
    {
     "$ref": "#/$defs/Element"
    },
    {
     "type": "object",
     "properties": {
      "country": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "Country - a nation as commonly understood or generally accepted.",
       "type": "string"
      },
      "period": {
       "description": "Time period when address was/is in use.",
       "$ref": "#/$defs/Period"
      },
      "city": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "The name of the city, town, suburb, village or other community or delivery center.",
       "type": "string"
      },
      "use": {
       "description": "The purpose of this address.",
       "type": "string",
       "enum": [
        "home",
        "work",
        "temp",
        "old",
        "billing"
       ]
      },
      "line": {
       "description": "This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.",
       "type": "array",
       "items": {
        "pattern": "[ \\r\\n\\t\\S]+",
        "type": "string"
       }
      },
      "district": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "The name of the administrative area (county).",
       "type": "string"
      },
      "postalCode": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "A postal code designating a region defined by the postal service.",
       "type": "string"
      },
      "text": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.",
       "type": "string"
      },
      "state": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).",
       "type": "string"
      },
      "type": {
       "description": "Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.",
       "type": "string",
       "enum": [
        "postal",
        "physical",
        "both"
       ]
      }
     }
    }
   ]
  },
  "Age": {
   "allOf": [
    {
     "$ref": "#/$defs/Quantity"
    },
    {
     "type": "object"
    }
   ]
  },
  "Annotation": {
   "allOf": [
    {
     "$ref": "#/$defs/Element"
    },
    {
     "type": "object",
     "required": [
      "text"
     ],
     "properties": {
      "authorString": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "The individual responsible for making the annotation.",
       "type": "string"
      },
      "authorReference": {
       "description": "The individual responsible for making the annotation.",
       "$ref": "#/$defs/Reference"
      },
      "time": {
       "pattern": "([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)(-(0[1-9]|1[0-2])(-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?)?)?",
       "description": "Indicates when this particular annotation was made.",
       "type": "string"
      },
      "text": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "The text of the annotation in markdown format.",
       "type": "string"
      }
     }
    }
   ]
  },
  "Attachment": {
   "allOf": [
    {
     "$ref": "#/$defs/Element"
    },
    {
     "type": "object",
     "properties": {
      "data": {
       "pattern": "(\\s*([0-9a-zA-Z\\+\\=]){4}\\s*)+",
       "description": "The actual data of the attachment - a sequence of bytes, base64 encoded.",
       "type": "string"
      },
      "size": {
       "format": "int32",
       "description": "The number of bytes of data that make up this attachment (before base64 encoding, if that is done).",
       "type": "integer"
      },
      "language": {
       "pattern": "[^\\s]+(\\s[^\\s]+)*",
       "description": "The human language of the content. The value can be any valid value according to BCP 47.",
       "type": "string"
      },
      "title": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "A label or set of text to display in place of the data.",
       "type": "string"
      },
      "contentType": {
       "pattern": "[^\\s]+(\\s[^\\s]+)*",
       "description": "Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.",
       "type": "string"
      },
      "url": {
       "pattern": "\\S*",
       "description": "A location where the data can be accessed.",
       "type": "string"
      },
      "hash": {
       "pattern": "(\\s*([0-9a-zA-Z\\+\\=]){4}\\s*)+",
       "description": "The calculated hash of the data using SHA-1. Represented using base64.",
       "type": "string"
      },
      "creation": {
       "pattern": "([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)(-(0[1-9]|1[0-2])(-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?)?)?",
       "description": "The date that the attachment was first created.",
       "type": "string"
      }
     }
    }
   ]
  },
  "BackboneElement": {
   "allOf": [
    {
     "$ref": "#/$defs/Element"
    },
    {
     "type": "object",
     "properties": {
      "modifierExtension": {
       "description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
       "type": "array",
       "items": {
        "$ref": "#/$defs/Extension"
       }
      }
     }
    }
   ]
  },
  "CodeableConcept": {
   "allOf": [
    {
     "$ref": "#/$defs/Element"
    },
    {
     "type": "object",
     "properties": {
      "coding": {
       "description": "A reference to a code defined by a terminology system.",
       "type": "array",
       "items": {
        "$ref": "#/$defs/Coding"
       }
      },
      "text": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
       "type": "string"
      }
     }
    }
   ]
  },
  "Coding": {
   "allOf": [
    {
     "$ref": "#/$defs/Element"
    },
    {
     "type": "object",
     "properties": {
      "system": {
       "pattern": "\\S*",
       "description": "The identification of the code system that defines the meaning of the symbol in the code.",
       "type": "string"
      },
      "code": {
       "pattern": "[^\\s]+(\\s[^\\s]+)*",
       "description": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
       "type": "string"
      },
      "userSelected": {
       "description": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
       "type": "boolean"
      },
      "display": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "A representation of the meaning of the code in the system, following the rules of the system.",
       "type": "string"
      },
      "version": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
       "type": "string"
      }
     }
    }
   ]
  },
  "ContactDetail": {
   "allOf": [
    {
     "$ref": "#/$defs/Element"
    },
    {
     "type": "object",
     "properties": {
      "name": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "The name of an individual to contact.",
       "type": "string"
      },
      "telecom": {
       "description": "The contact details for the individual (if a name was provided) or the organization.",
       "type": "array",
       "items": {
        "$ref": "#/$defs/ContactPoint"
       }
      }
     }
    }
   ]
  },
  "ContactPoint": {
   "allOf": [
    {
     "$ref": "#/$defs/Element"
    },
    {
     "type": "object",
     "properties": {
      "period": {
       "description": "Time period when the contact point was/is in use.",
       "$ref": "#/$defs/Period"
      },
      "system": {
       "description": "Telecommunications form for contact point - what communications system is required to make use of the contact.",
       "type": "string",
       "enum": [
        "phone",
        "fax",
        "email",
        "pager",
        "url",
        "sms",
        "other"
       ]
      },
      "use": {
       "description": "Identifies the purpose for the contact point.",
       "type": "string",
       "enum": [
        "home",
        "work",
        "temp",
        "old",
        "mobile"
       ]
      },
      "rank": {
       "format": "int32",
       "description": "Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.",
       "type": "integer"
      },
      "value": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).",
       "type": "string"
      }
     }
    }
   ]
  },
  "Count": {
   "allOf": [
    {
     "$ref": "#/$defs/Quantity"
    },
    {
     "type": "object"
    }
   ]
  },
  "Distance": {
   "allOf": [
    {
     "$ref": "#/$defs/Quantity"
    },
    {
     "type": "object"
    }
   ]
  },
  "DomainResource": {
   "allOf": [
    {
     "$ref": "#/$defs/Resource"
    },
    {
     "type": "object",
     "properties": {
      "contained": {
       "description": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
       "type": "array",
       "items": {
        "$ref": "#/$defs/Resource"
       }
      },
      "extension": {
       "description": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
       "type": "array",
       "items": {
        "$ref": "#/$defs/Extension"
       }
      },
      "modifierExtension": {
       "description": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
       "type": "array",
       "items": {
        "$ref": "#/$defs/Extension"
       }
      },
      "text": {
       "description": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
       "$ref": "#/$defs/Narrative"
      }
     }
    }
   ]
  },
  "Dosage": {
   "allOf": [
    {
     "$ref": "#/$defs/BackboneElement"
    },
    {
     "type": "object",
     "properties": {
      "maxDosePerLifetime": {
       "description": "Upper limit on medication per lifetime of the patient.",
       "$ref": "#/$defs/SimpleQuantity"
      },
      "additionalInstruction": {
       "description": "Supplemental instructions to the patient on how to take the medication (e.g. \"with meals\" or\"take half to one hour before food\") or warnings for the patient about the medication (e.g. \"may cause drowsiness\" or \"avoid exposure of skin to direct sunlight or sunlamps\").",
       "type": "array",
       "items": {
        "$ref": "#/$defs/CodeableConcept"
       }
      },
      "method": {
       "description": "Technique for administering medication.",
       "$ref": "#/$defs/CodeableConcept"
      },
      "timing": {
       "description": "When medication should be administered.",
       "$ref": "#/$defs/Timing"
      },
      "doseAndRate": {
       "description": "The amount of medication administered.",
       "type": "array",
       "items": {
        "$ref": "#/$defs/Dosage_DoseAndRate"
       }
      },
      "sequence": {
       "format": "int32",
       "description": "Indicates the order in which the dosage instructions should be applied or interpreted.",
       "type": "integer"
      },
      "site": {
       "description": "Body site to administer to.",
       "$ref": "#/$defs/CodeableConcept"
      },
      "route": {
       "description": "How drug should enter body.",
       "$ref": "#/$defs/CodeableConcept"
      },
      "asNeededBoolean": {
       "description": "Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).",
       "type": "boolean"
      },
      "maxDosePerPeriod": {
       "description": "Upper limit on medication per unit of time.",
       "$ref": "#/$defs/Ratio"
      },
      "maxDosePerAdministration": {
       "description": "Upper limit on medication per administration.",
       "$ref": "#/$defs/SimpleQuantity"
      },
      "text": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "Free text dosage instructions e.g. SIG.",
       "type": "string"
      },
      "patientInstruction": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "Instructions in terms that are understood by the patient or consumer.",
       "type": "string"
      },
      "asNeededCodeableConcept": {
       "description": "Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).",
       "$ref": "#/$defs/CodeableConcept"
      }
     }
    }
   ]
  },
  "Dosage_DoseAndRate": {
   "allOf": [
    {
     "$ref": "#/$defs/BackboneElement"
    },
    {
     "type": "object",
     "properties": {
      "rateRatio": {
       "description": "Amount of medication per unit of time.",
       "$ref": "#/$defs/Ratio"
      },
      "rateRange": {
       "description": "Amount of medication per unit of time.",
       "$ref": "#/$defs/Range"
      },
      "doseRange": {
       "description": "Amount of medication per dose.",
       "$ref": "#/$defs/Range"
      },
      "doseQuantity": {
       "description": "Amount of medication per dose.",
       "$ref": "#/$defs/SimpleQuantity"
      },
      "rateQuantity": {
       "description": "Amount of medication per unit of time.",
       "$ref": "#/$defs/SimpleQuantity"
      },
      "type": {
       "description": "The kind of dose or rate specified, for example, ordered or calculated.",
       "$ref": "#/$defs/CodeableConcept"
      }
     }
    }
   ]
  },
  "Duration": {
   "allOf": [
    {
     "$ref": "#/$defs/Quantity"
    },
    {
     "type": "object"
    }
   ]
  },
  "Element": {
   "type": "object",
   "properties": {
    "extension": {
     "description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
     "type": "array",
     "items": {
      "$ref": "#/$defs/Extension"
     }
    },
    "id": {
     "pattern": "[A-Za-z0-9\\-\\.]{1,64}",
     "description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
     "type": "string"
    }
   }
  },
  "Extension": {
   "allOf": [
    {
     "$ref": "#/$defs/Element"
    },
    {
     "type": "object",
     "required": [
      "url"
     ],
     "properties": {
      "valueBase64Binary": {
       "pattern": "(\\s*([0-9a-zA-Z\\+\\=]){4}\\s*)+",
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "type": "string"
      },
      "valueBoolean": {
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "type": "boolean"
      },
      "valueCoding": {
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "$ref": "#/$defs/Coding"
      },
      "valueTime": {
       "pattern": "([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?",
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "type": "string"
      },
      "valueIdentifier": {
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "$ref": "#/$defs/Identifier"
      },
      "valueReference": {
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "$ref": "#/$defs/Reference"
      },
      "valueMoney": {
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "$ref": "#/$defs/Money"
      },
      "valueRange": {
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "$ref": "#/$defs/Range"
      },
      "valueSignature": {
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "$ref": "#/$defs/Signature"
      },
      "valueUri": {
       "pattern": "\\S*",
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "type": "string"
      },
      "valueDistance": {
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "$ref": "#/$defs/Distance"
      },
      "valueUrl": {
       "pattern": "\\S*",
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "type": "string"
      },
      "valueContactDetail": {
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "$ref": "#/$defs/ContactDetail"
      },
      "valueMeta": {
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "$ref": "#/$defs/Meta"
      },
      "valueUuid": {
       "pattern": "urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}",
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "type": "string"
      },
      "valueCodeableConcept": {
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "$ref": "#/$defs/CodeableConcept"
      },
      "valueRatio": {
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "$ref": "#/$defs/Ratio"
      },
      "valueMarkdown": {
       "pattern": "[ \\r\\n\\t\\S]+",
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "type": "string"
      },
      "valueAttachment": {
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
       "$ref": "#/$defs/Attachment"
      },
      "valueUsageContext": {
       "description": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility

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