http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy|4.0.1

For circular references (references back to the same type of resource): whether they are allowed to transitively point back to the same instance (false), or whether the relationship must be a strict one-way hierarchy (true).
element_idtypes
Extension
Extension.extension
Extension.url
Extension.value[x]
Extension
Extension.id
Extension.extension
Extension.url
Extension.value[x]