diff --git a/tooling/src/main/java/org/opencds/cqf/tooling/acceleratorkit/StructureDefinitionElementBindingVisitor.java b/tooling/src/main/java/org/opencds/cqf/tooling/acceleratorkit/StructureDefinitionElementBindingVisitor.java
index 6063b832..7d56262e 100644
--- a/tooling/src/main/java/org/opencds/cqf/tooling/acceleratorkit/StructureDefinitionElementBindingVisitor.java
+++ b/tooling/src/main/java/org/opencds/cqf/tooling/acceleratorkit/StructureDefinitionElementBindingVisitor.java
@@ -2,10 +2,7 @@
 
 import ca.uhn.fhir.context.FhirContext;
 import ca.uhn.fhir.context.FhirVersionEnum;
-import org.hl7.fhir.r4.model.CanonicalType;
-import org.hl7.fhir.r4.model.ElementDefinition;
-import org.hl7.fhir.r4.model.StructureDefinition;
-import org.hl7.fhir.r4.model.ValueSet;
+import org.hl7.fhir.r4.model.*;
 
 import java.util.*;
 import java.util.concurrent.atomic.AtomicReference;
@@ -78,8 +75,7 @@ private void getBindings(String sdName, List<ElementDefinition> eds, String sdUR
                     if(ed.getMin() > 0){sdbo.setCardinalityMin(ed.getMin());}
                 }
                 if(getBindingObjectExtension(ed).equalsIgnoreCase("qicore-keyelement")){
-                    System.out.println("qicore-keyelement");
-                sdbo.setBindingObjectExtension("qicore-keyelement");
+                    sdbo.setBindingObjectExtension("qicore-keyelement");
                 }
                 String bindingValueSet = ed.getBinding().getValueSet();
                 String pipeVersion = "";
@@ -134,6 +130,99 @@ else if (ed.hasExtension()) {
         }
     }
 
+    private String getBindingObjectExtension(ElementDefinition ed) {
+        for (Extension ext : ed.getExtension()) {
+            if (!ext.getUrl().isEmpty()) {
+                if (ext.getUrl().contains("qicore-keyelement")) {
+                    return "qicore-keyelement";
+                }
+            }
+        }
+        return "";
+    }
+
+    private void visitExtensions(ElementDefinition ed, Map<String, StructureDefinitionBindingObject> bindingObjects, String sdName, String sdURL, String sdVersion) {
+        StructureDefinitionBindingObject sdbo = new StructureDefinitionBindingObject();
+        sdbo.setSdName(sdName);
+        sdbo.setSdURL(sdURL);
+        sdbo.setSdVersion(sdVersion);
+        sdbo.setElementId(ed.getId());
+        if (ed.getMustSupport()) {
+            sdbo.setMustSupport("Y");
+        } else {
+            sdbo.setMustSupport("N");
+        }
+        if (ed.hasMin()) {
+            String edCardinality = ed.getMin() + "..." + ed.getMax();
+            sdbo.setCardinality(edCardinality);
+        }
+        CanonicalType canonicalType = new CanonicalType();
+        Iterable<StructureDefinition> sdList = null;
+        try {
+            if (ed.getType().get(0).getProfile().size() != 0) {
+                canonicalType.setValue(String.valueOf(ed.getType().get(0).getProfile().get(0)));
+                sdList = this.canonicalResourceDependenciesAtlas.getStructureDefinitions().getByCanonicalUrl(ed.getType().get(0).getProfile().get(0).getValueAsString());
+            } else if (ed.getType().get(0).getTargetProfile().size() != 0) {
+                canonicalType.setValue(String.valueOf(ed.getType().get(0).getTargetProfile()));
+                sdList = this.canonicalResourceDependenciesAtlas.getStructureDefinitions().getByCanonicalUrl(ed.getType().get(0).getTargetProfile().get(0).getValueAsString());
+            }
+            else{
+                return;
+            }
+        } catch (Exception ex) {
+            return;
+        }
+        if (sdList != null) {
+            sdList.forEach((structDef) -> {
+                List<ElementDefinition> edsds = structDef.getDifferential().getElement();
+                edsds.forEach(edsd -> {
+                    if (edsd.hasBinding()) {
+                        sdbo.setBindingStrength(edsd.getBinding().getStrength().toString().toLowerCase());
+                        String bindingValueSet = edsd.getBinding().getValueSet();
+                        String pipeVersion = "";
+                        if (bindingValueSet.contains("|")) {
+                            pipeVersion = bindingValueSet.substring(bindingValueSet.indexOf("|") + 1);
+                            bindingValueSet = bindingValueSet.substring(0, bindingValueSet.indexOf("|"));
+                        }
+                        sdbo.setBindingValueSetURL(bindingValueSet);
+                        String valueSetVersion = "";
+                        ValueSet elementValueSet = null;
+                        if (null != this.canonicalResourceAtlas.getValueSets().getByCanonicalUrlWithVersion(sdbo.getBindingValueSetURL())) {
+                            valueSetVersion = this.canonicalResourceAtlas.getValueSets().getByCanonicalUrlWithVersion(sdbo.getBindingValueSetURL()).getVersion();
+                            sdbo.setBindingValueSetName(this.canonicalResourceAtlas.getValueSets().getByCanonicalUrlWithVersion(sdbo.getBindingValueSetURL()).getName());
+                            elementValueSet = this.canonicalResourceAtlas.getValueSets().getByCanonicalUrlWithVersion(sdbo.getBindingValueSetURL());
+                        } else if (null != this.canonicalResourceDependenciesAtlas.getValueSets().getByCanonicalUrlWithVersion(sdbo.getBindingValueSetURL())) {
+                            valueSetVersion = this.canonicalResourceDependenciesAtlas.getValueSets().getByCanonicalUrlWithVersion(sdbo.getBindingValueSetURL()).getVersion();
+                            sdbo.setBindingValueSetName(this.canonicalResourceDependenciesAtlas.getValueSets().getByCanonicalUrlWithVersion(sdbo.getBindingValueSetURL()).getName());
+                            elementValueSet = this.canonicalResourceDependenciesAtlas.getValueSets().getByCanonicalUrlWithVersion(sdbo.getBindingValueSetURL());
+                        } else if (valueSetVersion.isEmpty() && bindingValueSet.contains("|")) {
+                            valueSetVersion = pipeVersion;
+                        }
+                        sdbo.setBindingValueSetVersion(valueSetVersion);
+                        if (null != elementValueSet) {
+                            StringBuilder codeSystemURLs = new StringBuilder();
+                            Map<String, String> codeSystemsMap = new HashMap<>();
+                            getValueSetCodeSystems(elementValueSet, codeSystemsMap);
+                            if (!codeSystemsMap.isEmpty()) {
+                                AtomicReference<Integer> valueCount = new AtomicReference<>(0);
+                                codeSystemsMap.values().forEach((url) -> {
+                                    codeSystemURLs.append(url);
+                                    valueCount.set(valueCount.get() + 1);
+                                    if (valueCount.get() > 0 &&
+                                            valueCount.get() < codeSystemsMap.size()) {
+                                        codeSystemURLs.append(";");
+                                    }
+                                });
+                                sdbo.setCodeSystemsURLs(codeSystemURLs.toString());
+                            }
+                        }
+                    }
+                });
+            });
+        }
+        bindingObjects.put(sdName + "." + sdbo.getElementId(), sdbo);
+    }
+
     private void getValueSetCodeSystems(ValueSet elementValueSet, Map<String, String> codeSystemsMap) {
         ValueSet.ValueSetComposeComponent compose = elementValueSet.getCompose();
         if (null != compose) {
diff --git a/tooling/src/main/java/org/opencds/cqf/tooling/operation/ProfilesToSpreadsheet.java b/tooling/src/main/java/org/opencds/cqf/tooling/operation/ProfilesToSpreadsheet.java
index f1d76899..fc5ed59f 100644
--- a/tooling/src/main/java/org/opencds/cqf/tooling/operation/ProfilesToSpreadsheet.java
+++ b/tooling/src/main/java/org/opencds/cqf/tooling/operation/ProfilesToSpreadsheet.java
@@ -157,7 +157,7 @@ private void addBindingObjectRowDataToCurrentSheet(XSSFSheet currentSheet, int r
         if ((null != bo.getBindingStrength() && bo.getBindingStrength().equalsIgnoreCase("required")) ||
                 null != bo.getMustSupport() && bo.getMustSupport().equalsIgnoreCase("Y") ||
                 null != bo.getBindingObjectExtension() && bo.getBindingObjectExtension().equalsIgnoreCase("qicore-keyElement") ||
-                bo.getCardinalityMin() >0
+                bo.getCardinalityMin() > 0
         ) {
             currentCell.setCellValue("Needed");
         }