diff --git a/system/integer64.go b/system/integer64.go
new file mode 100644
index 0000000..f82542a
--- /dev/null
+++ b/system/integer64.go
@@ -0,0 +1,126 @@
+package system
+
+import (
+	"encoding"
+	"encoding/json"
+	"fmt"
+	"strconv"
+)
+
+// Integer64 is the Go-representation of the FHIRPath System.Integer type. This
+// is a 64-bit signed integer value.
+type Integer64 int64
+
+// NewInteger64 constructs a new System.Integer object with the given value.
+func NewInteger64(value int64) Integer64 {
+	return Integer64(value)
+}
+
+// ParseInteger64 parses a string into the valid FHIRPath System.Integer type.
+func ParseInteger64(str string) (Integer64, error) {
+	value, err := strconv.ParseInt(str, 10, 64)
+	if err != nil {
+		return Integer64(0), newParseError[Integer64](str, err)
+	}
+
+	return Integer64(value), nil
+}
+
+// MustParseInteger64 parses an integer string, and panics if the value is invalid.
+func MustParseInteger64(str string) Integer64 {
+	got, err := ParseInteger64(str)
+	if err != nil {
+		panic(err)
+	}
+	return got
+}
+
+func (Integer64) isAny() {}
+
+// Negate returns the inverse polarity of this integer value.
+func (i Integer64) Negate() Integer64 {
+	return -i
+}
+
+// Compare compares two integer values.
+// This returns a negative value if this object is less than other,
+// a positive number if other is greater than this, or equal if both values are
+// the same.
+//
+// For example:
+//
+//	a, b := system.Integer64(0), system.Integer64(42)
+//	assert.True(a.Compare(b) < 0)
+//	assert.True(b.Compare(a) > 0)
+//	assert.True(a.Compare(a) == 0)
+func (i Integer64) Compare(other Integer64) int {
+	return int(i - other)
+}
+
+// Int64 converts this system.Integer into an in64Go native type.
+func (i Integer64) Int64() int64 {
+	return int64(i)
+}
+
+// Formatting
+
+// String returns the string representation of the System.Integer.
+func (i Integer64) String() string {
+	return strconv.FormatInt(int64(i), 10)
+}
+
+// Format implements the fmt.Formatter interface.
+func (i Integer64) Format(state fmt.State, verb rune) {
+	fmt.Fprintf(state, "%"+string(verb), int64(i))
+}
+
+var (
+	_ fmt.Stringer  = (*Integer64)(nil)
+	_ fmt.Formatter = (*Integer64)(nil)
+)
+
+// JSON conversions
+
+// MarshalJSON converts this Integer object into a JSON object.
+func (i Integer64) MarshalJSON() ([]byte, error) {
+	return []byte(i.String()), nil
+}
+
+// UnmarshalJSON converts a JSON object into an Integer object.
+func (i *Integer64) UnmarshalJSON(data []byte) error {
+	value, err := ParseInteger64(string(data))
+	if err != nil {
+		return err
+	}
+
+	*i = value
+	return nil
+}
+
+var (
+	_ json.Marshaler   = (*Integer64)(nil)
+	_ json.Unmarshaler = (*Integer64)(nil)
+)
+
+// Text conversions
+
+// MarshalText converts this Integer object into a text object.
+func (i Integer64) MarshalText() ([]byte, error) {
+	return []byte(i.String()), nil
+}
+
+// UnmarshalText converts a text object into an Integer object.
+func (i *Integer64) UnmarshalText(text []byte) error {
+	value, err := ParseInteger64(string(text))
+	if err != nil {
+		return err
+	}
+
+	*i = value
+	return nil
+}
+
+var (
+	_ encoding.TextMarshaler   = (*Integer64)(nil)
+	_ encoding.TextUnmarshaler = (*Integer64)(nil)
+)