HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU Ballot 1

HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU Ballot 1 - Local Development build (v0.9.1). See the Directory of published versions

ComprehensiveMetabolic2000SerumOrPlasmaPanel


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="obf-lab-ComprehensiveMetabolic2000SerumOrPlasmaPanel"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <p><b>ComprehensiveMetabolic2000SerumOrPlasmaPanel Profile</b></p>
  <p>Represents a comprehensive metabolic 2000 panel (CMP) from serum or plasma, which measures various components such as glucose, electrolytes, kidney function, and liver function. The components of this panel are not entirely standardized, so the definition of the CMP includes tests that are optional, or performed by certain laboratories but not others. Therefore, instances typically will include a subset of the listed panel members.</p>
  <p><b>Mapping Summary</b></p>
  <p><pre>obf.lab.ComprehensiveMetabolic2000SerumOrPlasmaPanel maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab:
  Language maps to language
  ImplicitRules maps to implicitRules
  Metadata.VersionId maps to meta.versionId
  Metadata.SourceSystem maps to meta.source
  Metadata.Profile maps to meta.profile
  Metadata.LastUpdated maps to meta.lastUpdated
  Metadata.SecurityLabel maps to meta.security
  Metadata.Tag maps to meta.tag
  Narrative maps to text
  Identifier maps to identifier
  BasedOn maps to basedOn
  Status maps to status
  Category maps to category
  ObservationSubjectOfRecord maps to subject
  Code maps to code
  CareContext maps to encounter
  RelevantTime maps to effective[x]
  StatementDateTime maps to issued
  DiagnosticReportPerformer maps to performer
  ResultsInterpreter maps to resultsInterpreter
  Specimen maps to specimen
  LaboratoryObservation maps to result (slice on = $this.resolve().code.coding.code; slice strategy = includes)
  MediaIncluded.CommentOrDescription maps to media.comment
  MediaIncluded.Media maps to media.link
  ConclusionText maps to conclusion
  ConclusionCode maps to conclusionCode
  PresentedForm maps to presentedForm
</pre></p>
</div>
  </text>
  <url
       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-ComprehensiveMetabolic2000SerumOrPlasmaPanel"/>
  <version value="0.9.1"/>
  <name value="ComprehensiveMetabolic2000SerumOrPlasmaPanel"/>
  <title value="obf-lab-ComprehensiveMetabolic2000SerumOrPlasmaPanel"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2019-08-01T00:00:00-04:00"/>
  <publisher value="HL7 International Clinical Interoperability Council"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cic"/>
    </telecom>
  </contact>
  <description
               value="Represents a comprehensive metabolic 2000 panel (CMP) from serum or plasma, which measures various components such as glucose, electrolytes, kidney function, and liver function. The components of this panel are not entirely standardized, so the definition of the CMP includes tests that are optional, or performed by certain laboratories but not others. Therefore, instances typically will include a subset of the listed panel members."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="4.0.0"/>
  <mapping>
    <identity value="workflow"/>
    <uri value="http://hl7.org/fhir/workflow"/>
    <name value="Workflow Pattern"/>
  </mapping>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2 Mapping"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/fivews"/>
    <name value="FiveWs Pattern Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="DiagnosticReport"/>
  <baseDefinition
                  value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="DiagnosticReport">
      <path value="DiagnosticReport"/>
      <short value="obf-lab-ComprehensiveMetabolic2000SerumOrPlasmaPanel"/>
      <definition
                  value="Represents a comprehensive metabolic 2000 panel (CMP) from serum or plasma, which measures various components such as glucose, electrolytes, kidney function, and liver function. The components of this panel are not entirely standardized, so the definition of the CMP includes tests that are optional, or performed by certain laboratories but not others. Therefore, instances typically will include a subset of the listed panel members."/>
      <comment
               value="This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports.  For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing."/>
      <alias value="Report"/>
      <alias value="Test"/>
      <alias value="Result"/>
      <alias value="Results"/>
      <alias value="Labs"/>
      <alias value="Laboratory"/>
      <alias value="Lab Result"/>
      <alias value="Lab Report"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticReport"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human
               value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression
                    value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath
               value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"/>
        <expression
                    value="contained.where(((&#39;#&#39;+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = &#39;#&#39;).exists() or descendants().where(as(canonical) = &#39;#&#39;).exists() or descendants().where(as(canonical) = &#39;#&#39;).exists()).not()).trace(&#39;unmatched&#39;, id).empty()"/>
        <xpath
               value="not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat(&#39;#&#39;, $contained/*/id/@value) or descendant::f:reference[@value=&#39;#&#39;])]))"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown
                         value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/>
        </extension>
        <key value="dom-6"/>
        <severity value="warning"/>
        <human value="A resource should have narrative for robust management"/>
        <expression value="text.div.exists()"/>
        <xpath value="exists(f:text/h:div)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-5"/>
        <severity value="error"/>
        <human
               value="If a resource is contained in another resource, it SHALL NOT have a security label"/>
        <expression value="contained.meta.security.empty()"/>
        <xpath value="not(exists(f:contained/*/f:meta/f:security))"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="workflow"/>
        <map value="Event"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="ORU -&gt; OBR"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Observation[classCode=OBS, moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.id">
      <path value="DiagnosticReport.id"/>
      <short value="Logical id of this artifact"/>
      <definition
                  value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comment
               value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </element>
    <element id="DiagnosticReport.meta">
      <path value="DiagnosticReport.meta"/>
      <short value="Metadata about the resource"/>
      <definition
                  value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </element>
    <element id="DiagnosticReport.implicitRules">
      <path value="DiagnosticReport.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition
                  value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/>
      <comment
               value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it&#39;s narrative along with other profiles, value sets, etc."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isModifierReason
                        value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it&#39;s meaning or interpretation"/>
      <isSummary value="true"/>
    </element>
    <element id="DiagnosticReport.language">
      <path value="DiagnosticReport.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comment
               value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="preferred"/>
        <description value="A human language."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
      </binding>
    </element>
    <element id="DiagnosticReport.text">
      <path value="DiagnosticReport.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition
                  value="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 &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
      <comment
               value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded information is added later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.contained">
      <path value="DiagnosticReport.contained"/>
      <short value="Contained, inline Resources"/>
      <definition
                  value="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."/>
      <comment
               value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.extension">
      <path value="DiagnosticReport.extension"/>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="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."/>
      <comment
               value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.modifierExtension">
      <path value="DiagnosticReport.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="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&#39;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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="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
                    value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.identifier">
      <path value="DiagnosticReport.identifier"/>
      <short value="Business identifier for report"/>
      <definition
                  value="Identifiers assigned to this report by the performer or other systems."/>
      <comment
               value="Usually assigned by the Information System of the diagnostic service provider (filler id)."/>
      <requirements
                    value="Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context."/>
      <alias value="ReportID"/>
      <alias value="Filler ID"/>
      <alias value="Placer ID"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticReport.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.identifier"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.identifier"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map
             value="OBR-51/ for globally unique filler ID  - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id -  OBR-2(if present)+OBR-3+OBR-4"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.basedOn">
      <path value="DiagnosticReport.basedOn"/>
      <short value="What was requested"/>
      <definition value="Details concerning a service requested."/>
      <comment
               value="Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports."/>
      <requirements
                    value="This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon."/>
      <alias value="Request"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticReport.basedOn"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.basedOn"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="ORC? OBR-2/3?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=FLFS].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.status">
      <path value="DiagnosticReport.status"/>
      <short value="registered | partial | preliminary | final +"/>
      <definition value="The status of the diagnostic report."/>
      <requirements
                    value="Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.status"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <isModifierReason
                        value="This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-report-status"/>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.status"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.status"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-25 (not 1:1 mapping)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="statusCode  Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type &quot;revise&quot;"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.category">
      <path value="DiagnosticReport.category"/>
      <slicing>
        <discriminator>
          <type value="pattern"/>
          <path value="$this"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <short value="Service category"/>
      <definition
                  value="A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes."/>
      <comment
               value="Multiple categories are allowed using various categorization schemes.   The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code."/>
      <alias value="Department"/>
      <alias value="Sub-department"/>
      <alias value="Service"/>
      <alias value="Discipline"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.category"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DiagnosticServiceSection"/>
        </extension>
        <strength value="example"/>
        <description value="Codes for diagnostic service sections."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/diagnostic-service-sections"/>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.class"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-24"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code &lt; LabService].code"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.category:lab">
      <path value="DiagnosticReport.category"/>
      <sliceName value="lab"/>
      <short value="Service category"/>
      <definition
                  value="A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes."/>
      <comment
               value="Multiple categories are allowed using various categorization schemes.   The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code."/>
      <alias value="Department"/>
      <alias value="Sub-department"/>
      <alias value="Service"/>
      <alias value="Discipline"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.category"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <patternCodeableConcept>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
          <code value="LAB"/>
        </coding>
      </patternCodeableConcept>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DiagnosticServiceSection"/>
        </extension>
        <strength value="example"/>
        <description value="Codes for diagnostic service sections."/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/diagnostic-service-sections"/>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.class"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-24"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code &lt; LabService].code"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.code">
      <path value="DiagnosticReport.code"/>
      <short value="US Core Laboratory Report Order Code"/>
      <definition value="The test, panel or battery that was ordered."/>
      <comment
               value="UsageNote= The typical patterns for codes are:  1)  a LOINC code either as a  translation from a &quot;local&quot; code or as a primary code, or 2)  a local code only if no suitable LOINC exists,  or 3)  both the local and the LOINC translation.   Systems SHALL be capable of sending the local code if one exists."/>
      <alias value="Type"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <binding>
        <strength value="extensible"/>
        <description value="LOINC codes"/>
        <valueSet
                  value="http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes"/>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.what[x]"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map
             value="OBR-4 (HL7 v2 doesn&#39;t provide an easy way to indicate both the ordered test and the performed panel)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="code"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.code.id">
      <path value="DiagnosticReport.code.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.code.extension">
      <path value="DiagnosticReport.code.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="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
               value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.code.coding">
      <path value="DiagnosticReport.code.coding"/>
      <slicing id="1">
        <discriminator>
          <type value="value"/>
          <path value="code"/>
        </discriminator>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Code defined by a terminology system"/>
      <definition value="A reference to a code defined by a terminology system."/>
      <comment
               value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/>
      <requirements
                    value="Allows for alternative encodings within a code system, and translations to other code systems."/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="CodeableConcept.coding"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.1-8, C*E.10-22"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="union(., ./translation)"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.code.coding:Fixed_24323-8">
      <path value="DiagnosticReport.code.coding"/>
      <sliceName value="Fixed_24323-8"/>
      <short value="Comprehensive metabolic 2000 panel - Serum or Plasma"/>
      <definition value="Comprehensive metabolic 2000 panel - Serum or Plasma"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CodeableConcept.coding"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DiagnosticReport.code.coding:Fixed_24323-8.id">
      <path value="DiagnosticReport.code.coding.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.code.coding:Fixed_24323-8.extension">
      <path value="DiagnosticReport.code.coding.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="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
               value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.code.coding:Fixed_24323-8.system">
      <path value="DiagnosticReport.code.coding.system"/>
      <short value="Identity of the terminology system"/>
      <definition
                  value="The identification of the code system that defines the meaning of the symbol in the code."/>
      <comment
               value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7&#39;s list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously."/>
      <requirements
                    value="Need to be unambiguous about the source of the definition of the symbol."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Coding.system"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://loinc.org"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./codeSystem"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map
             value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.code.coding:Fixed_24323-8.version">
      <path value="DiagnosticReport.code.coding.version"/>
      <short value="Version of the system - if relevant"/>
      <definition
                  value="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."/>
      <comment
               value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Coding.version"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./codeSystemVersion"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map
             value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.code.coding:Fixed_24323-8.code">
      <path value="DiagnosticReport.code.coding.code"/>
      <short value="Symbol in syntax defined by the system"/>
      <definition
                  value="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)."/>
      <requirements value="Need to refer to a particular code in the system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Coding.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="24323-8"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.code.coding:Fixed_24323-8.display">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/>
      </extension>
      <path value="DiagnosticReport.code.coding.display"/>
      <short value="Representation defined by the system"/>
      <definition
                  value="A representation of the meaning of the code in the system, following the rules of the system."/>
      <requirements
                    value="Need to be able to carry a human-readable meaning of the code for readers that do not know  the system."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Coding.display"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.2 - but note this is not well followed"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CV.displayName"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map
             value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.code.coding:Fixed_24323-8.userSelected">
      <path value="DiagnosticReport.code.coding.userSelected"/>
      <short value="If this coding was chosen directly by the user"/>
      <definition
                  value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)."/>
      <comment
               value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly &#39;directly chosen&#39; implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/>
      <requirements
                    value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Coding.userSelected"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="Sometimes implied by being first"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD.codingRationale"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map
             value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [     fhir:source &quot;true&quot;;     fhir:target dt:CDCoding.codingRationale\#O   ]"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.code.text">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/>
      </extension>
      <path value="DiagnosticReport.code.text"/>
      <short value="Plain text representation of the concept"/>
      <definition
                  value="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."/>
      <comment
               value="Very often the text is the same as a displayName of one of the codings."/>
      <requirements
                    value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeableConcept.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.9. But note many systems use C*E.2 for this"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map
             value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.subject">
      <path value="DiagnosticReport.subject"/>
      <short value="The subject of an observation"/>
      <definition value="The subject of an observation."/>
      <requirements value="SHALL know the subject context."/>
      <alias value="Patient"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-Patient"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.subject"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.subject[x]"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3 (no HL7 v2 mapping for Group or Device)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.subject"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.encounter">
      <path value="DiagnosticReport.encounter"/>
      <short value="Health care event when test ordered"/>
      <definition
                  value="The healthcare event  (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about."/>
      <comment
               value="This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter  but still be tied to the context of the encounter  (e.g. pre-admission laboratory tests)."/>
      <requirements value="Links the request to the Encounter context."/>
      <alias value="Context"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.encounter"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.context"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-19"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.effective[x]">
      <path value="DiagnosticReport.effective[x]"/>
      <short value="Specimen Collection Datetime or Period"/>
      <definition
                  value="This is the Specimen Collection Datetime or Period which is the physically relevent dateTime for laboratory tests."/>
      <comment
               value="If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic."/>
      <requirements
                    value="Need to know where in the patient history to file/present this report."/>
      <alias value="Observation time"/>
      <alias value="Effective Time"/>
      <alias value="Occurrence"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.effective[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.occurrence[x]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.done[x]"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="effectiveTime"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.issued">
      <path value="DiagnosticReport.issued"/>
      <short value="DateTime this version was made"/>
      <definition
                  value="The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified."/>
      <comment
               value="May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report."/>
      <requirements
                    value="Clinicians need to be able to check the date that the report was released."/>
      <alias value="Date published"/>
      <alias value="Date Issued"/>
      <alias value="Date Verified"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.issued"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="instant"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.recorded"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-22"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=VRF or AUT].time"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.performer">
      <path value="DiagnosticReport.performer"/>
      <short value="Responsible Diagnostic Service"/>
      <definition
                  value="The diagnostic service that is responsible for issuing the report."/>
      <comment
               value="This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report."/>
      <requirements
                    value="Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis."/>
      <alias value="Laboratory"/>
      <alias value="Service"/>
      <alias value="Practitioner"/>
      <alias value="Department"/>
      <alias value="Company"/>
      <alias value="Authorized by"/>
      <alias value="Director"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.performer"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.performer.actor"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.actor"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PRT-8 (where this PRT-4-Participation = &quot;PO&quot;)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PRF]"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.resultsInterpreter">
      <path value="DiagnosticReport.resultsInterpreter"/>
      <short value="Primary result interpreter"/>
      <definition
                  value="The practitioner or organization that is responsible for the report&#39;s conclusions and interpretations."/>
      <comment
               value="Might not be the same entity that takes responsibility for the clinical report."/>
      <requirements
                    value="Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis."/>
      <alias value="Analyzed by"/>
      <alias value="Reported by"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.resultsInterpreter"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.performer.actor"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.actor"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map
             value="OBR-32, PRT-8 (where this PRT-4-Participation = &quot;PI&quot;)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PRF]"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.specimen">
      <path value="DiagnosticReport.specimen"/>
      <short value="Specimens this report is based on"/>
      <definition
                  value="Details about the specimens on which this diagnostic report is based."/>
      <comment
               value="If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group."/>
      <requirements
                    value="Need to be able to report information about the collected specimens on which the report is based."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticReport.specimen"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="SPM"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=SBJ]"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.result">
      <path value="DiagnosticReport.result"/>
      <slicing id="2">
        <discriminator>
          <type value="value"/>
          <path value="$this.resolve().code.coding.code"/>
        </discriminator>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short
             value="A coded finding based on a specimen, usually collected from a patient (but possibly from a location)"/>
      <definition
                  value="A coded finding based on a specimen, usually collected from a patient (but possibly from a location)."/>
      <comment value="Observations can contain observations."/>
      <requirements
                    value="Need to support individual results, or  groups of results, where the result grouping is arbitrary, but meaningful."/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-LaboratoryObservation"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-GlobulinMCncPtSerQnCalculatedLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-GlobulinMCncPtSerQnCalculatedLabObs"/>
      <short
             value="GlobulinMCncPtSerQnCalculatedLabObs: Globulin [Mass/​volume] in Serum by calculation"/>
      <definition value="Globulin [Mass/​volume] in Serum by calculation"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-GlobulinMCncPtSerQnCalculatedLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs"/>
      <short
             value="AlanineAminotransferaseCCncPtSerPlasQnLabObs: Alanine aminotransferase [Enzymatic activity/​volume] in Serum or Plasma"/>
      <definition
                  value="Alanine aminotransferase [Enzymatic activity/​volume] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.result:obf-lab-AlbuminMCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-AlbuminMCncPtSerPlasQnLabObs"/>
      <short
             value="AlbuminMCncPtSerPlasQnLabObs: Albumin [Mass/​volume] in Serum or Plasma"/>
      <definition value="Albumin [Mass/​volume] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-AlbuminMCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs"/>
      <short
             value="AlbuminGlobulinMRtoPtSerPlasQnLabObs: Albumin/​Globulin [Mass Ratio] in Serum or Plasma"/>
      <definition value="Albumin/​Globulin [Mass Ratio] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.result:obf-lab-CalciumMCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-CalciumMCncPtSerPlasQnLabObs"/>
      <short
             value="CalciumMCncPtSerPlasQnLabObs: Calcium [Mass/​volume] in Serum or Plasma"/>
      <definition value="Calcium [Mass/​volume] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-CalciumMCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs"/>
      <short
             value="AspartateAminotransferaseCCncPtSerPlasQnLabObs: Aspartate aminotransferase [Enzymatic activity/​volume] in Serum or Plasma"/>
      <definition
                  value="Aspartate aminotransferase [Enzymatic activity/​volume] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.result:obf-lab-BilirubinMCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-BilirubinMCncPtSerPlasQnLabObs"/>
      <short
             value="BilirubinMCncPtSerPlasQnLabObs: Bilirubin.total [Mass/​volume] in Serum or Plasma"/>
      <definition value="Bilirubin.total [Mass/​volume] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-BilirubinMCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs"/>
      <short
             value="CarbonDioxideSCncPtSerPlasQnLabObs: Carbon dioxide, total [Moles/​volume] in Serum or Plasma"/>
      <definition
                  value="Carbon dioxide, total [Moles/​volume] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.result:obf-lab-ChlorideSCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-ChlorideSCncPtSerPlasQnLabObs"/>
      <short
             value="ChlorideSCncPtSerPlasQnLabObs: Chloride [Moles/​volume] in Serum or Plasma"/>
      <definition value="Chloride [Moles/​volume] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-ChlorideSCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-CreatinineMCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-CreatinineMCncPtSerPlasQnLabObs"/>
      <short
             value="CreatinineMCncPtSerPlasQnLabObs: Creatinine [Mass/​volume] in Serum or Plasma"/>
      <definition value="Creatinine [Mass/​volume] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-CreatinineMCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.result:obf-lab-GlucoseMCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-GlucoseMCncPtSerPlasQnLabObs"/>
      <short
             value="GlucoseMCncPtSerPlasQnLabObs: Glucose [Mass/​volume] in Serum or Plasma"/>
      <definition value="Glucose [Mass/​volume] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-GlucoseMCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.result:obf-lab-PotassiumSCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-PotassiumSCncPtSerPlasQnLabObs"/>
      <short
             value="PotassiumSCncPtSerPlasQnLabObs: Potassium [Moles/​volume] in Serum or Plasma"/>
      <definition value="Potassium [Moles/​volume] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-PotassiumSCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.result:obf-lab-ProteinMCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-ProteinMCncPtSerPlasQnLabObs"/>
      <short
             value="ProteinMCncPtSerPlasQnLabObs: Protein [Mass/​volume] in Serum or Plasma"/>
      <definition value="Protein [Mass/​volume] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-ProteinMCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.result:obf-lab-SodiumSCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-SodiumSCncPtSerPlasQnLabObs"/>
      <short
             value="SodiumSCncPtSerPlasQnLabObs: Sodium [Moles/​volume] in Serum or Plasma"/>
      <definition value="Sodium [Moles/​volume] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-SodiumSCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs"/>
      <short
             value="UreaNitrogenMCncPtSerPlasQnLabObs: Urea nitrogen [Mass/​volume] in Serum or Plasma"/>
      <definition value="Urea nitrogen [Mass/​volume] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs"/>
      <short
             value="UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs: Urea nitrogen/​Creatinine [Mass Ratio] in Serum or Plasma"/>
      <definition
                  value="Urea nitrogen/​Creatinine [Mass Ratio] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs"/>
      <short
             value="AlkalinePhosphataseCCncPtSerPlasQnLabObs: Alkaline phosphatase [Enzymatic activity/​volume] in Serum or Plasma"/>
      <definition
                  value="Alkaline phosphatase [Enzymatic activity/​volume] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs"/>
      <short
             value="GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M.predicted [Volume Rate/​Area] in Serum or Plasma by Creatinine-based formula (MDRD)"/>
      <definition
                  value="Glomerular filtration rate/​1.73 sq M.predicted [Volume Rate/​Area] in Serum or Plasma by Creatinine-based formula (MDRD). Units are optional."/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName
                 value="obf-lab-GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs"/>
      <short
             value="GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among females [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)"/>
      <definition
                  value="Glomerular filtration rate/​1.73 sq M predicted among females [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD). Units are optional."/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName
                 value="obf-lab-GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs"/>
      <short
             value="GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among non-blacks [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)"/>
      <definition
                  value="Glomerular filtration rate/​1.73 sq M predicted among non-blacks [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD). Units are optional."/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName
                 value="obf-lab-GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs"/>
      <short
             value="GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among blacks [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)"/>
      <definition
                  value="Glomerular filtration rate/​1.73 sq M predicted among blacks [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD). Units are optional."/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs"/>
      <short
             value="BilirubinDirectMCncPtSerPlasQnLabObs: Bilirubin.direct [Mass/​volume] in Serum or Plasma"/>
      <definition value="Bilirubin.direct [Mass/​volume] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-BicarbonateSCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-BicarbonateSCncPtSerPlasQnLabObs"/>
      <short
             value="BicarbonateSCncPtSerPlasQnLabObs: Bicarbonate [Moles/​volume] in Serum or Plasma"/>
      <definition value="Bicarbonate [Moles/​volume] in Serum or Plasma"/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-BicarbonateSCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.result:obf-lab-AniongapSCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-AniongapSCncPtSerPlasQnLabObs"/>
      <short
             value="AniongapSCncPtSerPlasQnLabObs: Anion gap in Serum or Plasma. Units are optional but if provided, must be in mmol/L."/>
      <definition
                  value="Anion gap in Serum or Plasma. Units are optional but if provided, must be in mmol/L."/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.result"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-AniongapSCncPtSerPlasQnLabObs"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.imagingStudy">
      <path value="DiagnosticReport.imagingStudy"/>
      <short
             value="Reference to full details of imaging associated with the diagnostic report"/>
      <definition
                  value="One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images."/>
      <comment
               value="ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticReport.imagingStudy"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.media">
      <path value="DiagnosticReport.media"/>
      <short value="Key images associated with this report"/>
      <definition
                  value="A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest)."/>
      <requirements
                    value="Many diagnostic services include images in the report as part of their service."/>
      <alias value="DICOM"/>
      <alias value="Slides"/>
      <alias value="Scans"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticReport.media"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.media.id">
      <path value="DiagnosticReport.media.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.media.extension">
      <path value="DiagnosticReport.media.extension"/>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="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
               value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.media.modifierExtension">
      <path value="DiagnosticReport.media.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="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&#39;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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="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
                    value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.media.comment">
      <path value="DiagnosticReport.media.comment"/>
      <short value="Comment about the image (e.g. explanation)"/>
      <definition
                  value="A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer&#39;s attention to important features."/>
      <comment
               value="The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion."/>
      <requirements
                    value="The provider of the report should make a comment about each image included in the report."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.media.comment"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;].value"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.media.link">
      <path value="DiagnosticReport.media.link"/>
      <short value="Reference to the image source"/>
      <definition value="Reference to the image source."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.media.link"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Media"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".value.reference"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.conclusion">
      <path value="DiagnosticReport.conclusion"/>
      <short value="Clinical conclusion (interpretation) of test results"/>
      <definition
                  value="Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report."/>
      <requirements
                    value="Need to be able to provide a conclusion that is not lost among the basic result data."/>
      <alias value="Report"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DiagnosticReport.conclusion"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="inboundRelationship[typeCode=&quot;SPRT&quot;].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.conclusionCode">
      <path value="DiagnosticReport.conclusionCode"/>
      <short value="Codes for the clinical conclusion of test results"/>
      <definition
                  value="One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticReport.conclusionCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdjunctDiagnosis"/>
        </extension>
        <strength value="example"/>
        <description value="Diagnosis codes provided as adjuncts to the report."/>
        <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"/>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.presentedForm">
      <path value="DiagnosticReport.presentedForm"/>
      <short value="Entire report as issued"/>
      <definition
                  value="Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent."/>
      <comment
               value="&quot;application/pdf&quot; is recommended as the most reliable and interoperable in this context."/>
      <requirements
                    value="Gives laboratory the ability to provide its own fully formatted report for clinical fidelity."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DiagnosticReport.presentedForm"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Attachment"/>
      </type>
      <constraint>
        <key value="us-core-7"/>
        <severity value="error"/>
        <human
               value="DiagnosticReport.result or  DiagnosticReport.presentedForm or both SHALL be present."/>
        <expression value="result.exists() or presentedForm.exists()"/>
        <xpath value="f:result or f:presentedForm"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="text (type=ED)"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="DiagnosticReport">
      <path value="DiagnosticReport"/>
      <short value="obf-lab-ComprehensiveMetabolic2000SerumOrPlasmaPanel"/>
      <definition
                  value="Represents a comprehensive metabolic 2000 panel (CMP) from serum or plasma, which measures various components such as glucose, electrolytes, kidney function, and liver function. The components of this panel are not entirely standardized, so the definition of the CMP includes tests that are optional, or performed by certain laboratories but not others. Therefore, instances typically will include a subset of the listed panel members."/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="DiagnosticReport.basedOn">
      <path value="DiagnosticReport.basedOn"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"/>
      </type>
    </element>
    <element id="DiagnosticReport.category">
      <path value="DiagnosticReport.category"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element id="DiagnosticReport.code">
      <path value="DiagnosticReport.code"/>
    </element>
    <element id="DiagnosticReport.code.coding">
      <path value="DiagnosticReport.code.coding"/>
      <slicing id="1">
        <discriminator>
          <type value="value"/>
          <path value="code"/>
        </discriminator>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <min value="1"/>
      <max value="*"/>
    </element>
    <element id="DiagnosticReport.code.coding:Fixed_24323-8">
      <path value="DiagnosticReport.code.coding"/>
      <sliceName value="Fixed_24323-8"/>
      <short value="Comprehensive metabolic 2000 panel - Serum or Plasma"/>
      <definition value="Comprehensive metabolic 2000 panel - Serum or Plasma"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="CodeableConcept.coding"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DiagnosticReport.code.coding:Fixed_24323-8.system">
      <path value="DiagnosticReport.code.coding.system"/>
      <fixedUri value="http://loinc.org"/>
    </element>
    <element id="DiagnosticReport.code.coding:Fixed_24323-8.code">
      <path value="DiagnosticReport.code.coding.code"/>
      <fixedCode value="24323-8"/>
    </element>
    <element id="DiagnosticReport.subject">
      <path value="DiagnosticReport.subject"/>
      <short value="The subject of an observation"/>
      <definition value="The subject of an observation."/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-Patient"/>
      </type>
    </element>
    <element id="DiagnosticReport.encounter">
      <path value="DiagnosticReport.encounter"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
      </type>
    </element>
    <element id="DiagnosticReport.performer">
      <path value="DiagnosticReport.performer"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
      </type>
    </element>
    <element id="DiagnosticReport.resultsInterpreter">
      <path value="DiagnosticReport.resultsInterpreter"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
      </type>
    </element>
    <element id="DiagnosticReport.result">
      <path value="DiagnosticReport.result"/>
      <slicing id="2">
        <discriminator>
          <type value="value"/>
          <path value="$this.resolve().code.coding.code"/>
        </discriminator>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short
             value="A coded finding based on a specimen, usually collected from a patient (but possibly from a location)"/>
      <definition
                  value="A coded finding based on a specimen, usually collected from a patient (but possibly from a location)."/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-LaboratoryObservation"/>
      </type>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-GlobulinMCncPtSerQnCalculatedLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-GlobulinMCncPtSerQnCalculatedLabObs"/>
      <short
             value="GlobulinMCncPtSerQnCalculatedLabObs: Globulin [Mass/​volume] in Serum by calculation"/>
      <definition value="Globulin [Mass/​volume] in Serum by calculation"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-GlobulinMCncPtSerQnCalculatedLabObs"/>
      </type>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs"/>
      <short
             value="AlanineAminotransferaseCCncPtSerPlasQnLabObs: Alanine aminotransferase [Enzymatic activity/​volume] in Serum or Plasma"/>
      <definition
                  value="Alanine aminotransferase [Enzymatic activity/​volume] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element id="DiagnosticReport.result:obf-lab-AlbuminMCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-AlbuminMCncPtSerPlasQnLabObs"/>
      <short
             value="AlbuminMCncPtSerPlasQnLabObs: Albumin [Mass/​volume] in Serum or Plasma"/>
      <definition value="Albumin [Mass/​volume] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-AlbuminMCncPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs"/>
      <short
             value="AlbuminGlobulinMRtoPtSerPlasQnLabObs: Albumin/​Globulin [Mass Ratio] in Serum or Plasma"/>
      <definition value="Albumin/​Globulin [Mass Ratio] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element id="DiagnosticReport.result:obf-lab-CalciumMCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-CalciumMCncPtSerPlasQnLabObs"/>
      <short
             value="CalciumMCncPtSerPlasQnLabObs: Calcium [Mass/​volume] in Serum or Plasma"/>
      <definition value="Calcium [Mass/​volume] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-CalciumMCncPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs"/>
      <short
             value="AspartateAminotransferaseCCncPtSerPlasQnLabObs: Aspartate aminotransferase [Enzymatic activity/​volume] in Serum or Plasma"/>
      <definition
                  value="Aspartate aminotransferase [Enzymatic activity/​volume] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element id="DiagnosticReport.result:obf-lab-BilirubinMCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-BilirubinMCncPtSerPlasQnLabObs"/>
      <short
             value="BilirubinMCncPtSerPlasQnLabObs: Bilirubin.total [Mass/​volume] in Serum or Plasma"/>
      <definition value="Bilirubin.total [Mass/​volume] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-BilirubinMCncPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs"/>
      <short
             value="CarbonDioxideSCncPtSerPlasQnLabObs: Carbon dioxide, total [Moles/​volume] in Serum or Plasma"/>
      <definition
                  value="Carbon dioxide, total [Moles/​volume] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element id="DiagnosticReport.result:obf-lab-ChlorideSCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-ChlorideSCncPtSerPlasQnLabObs"/>
      <short
             value="ChlorideSCncPtSerPlasQnLabObs: Chloride [Moles/​volume] in Serum or Plasma"/>
      <definition value="Chloride [Moles/​volume] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-ChlorideSCncPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-CreatinineMCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-CreatinineMCncPtSerPlasQnLabObs"/>
      <short
             value="CreatinineMCncPtSerPlasQnLabObs: Creatinine [Mass/​volume] in Serum or Plasma"/>
      <definition value="Creatinine [Mass/​volume] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-CreatinineMCncPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element id="DiagnosticReport.result:obf-lab-GlucoseMCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-GlucoseMCncPtSerPlasQnLabObs"/>
      <short
             value="GlucoseMCncPtSerPlasQnLabObs: Glucose [Mass/​volume] in Serum or Plasma"/>
      <definition value="Glucose [Mass/​volume] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-GlucoseMCncPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element id="DiagnosticReport.result:obf-lab-PotassiumSCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-PotassiumSCncPtSerPlasQnLabObs"/>
      <short
             value="PotassiumSCncPtSerPlasQnLabObs: Potassium [Moles/​volume] in Serum or Plasma"/>
      <definition value="Potassium [Moles/​volume] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-PotassiumSCncPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element id="DiagnosticReport.result:obf-lab-ProteinMCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-ProteinMCncPtSerPlasQnLabObs"/>
      <short
             value="ProteinMCncPtSerPlasQnLabObs: Protein [Mass/​volume] in Serum or Plasma"/>
      <definition value="Protein [Mass/​volume] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-ProteinMCncPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element id="DiagnosticReport.result:obf-lab-SodiumSCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-SodiumSCncPtSerPlasQnLabObs"/>
      <short
             value="SodiumSCncPtSerPlasQnLabObs: Sodium [Moles/​volume] in Serum or Plasma"/>
      <definition value="Sodium [Moles/​volume] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-SodiumSCncPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs"/>
      <short
             value="UreaNitrogenMCncPtSerPlasQnLabObs: Urea nitrogen [Mass/​volume] in Serum or Plasma"/>
      <definition value="Urea nitrogen [Mass/​volume] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs"/>
      <short
             value="UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs: Urea nitrogen/​Creatinine [Mass Ratio] in Serum or Plasma"/>
      <definition
                  value="Urea nitrogen/​Creatinine [Mass Ratio] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs"/>
      <short
             value="AlkalinePhosphataseCCncPtSerPlasQnLabObs: Alkaline phosphatase [Enzymatic activity/​volume] in Serum or Plasma"/>
      <definition
                  value="Alkaline phosphatase [Enzymatic activity/​volume] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs"/>
      <short
             value="GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M.predicted [Volume Rate/​Area] in Serum or Plasma by Creatinine-based formula (MDRD)"/>
      <definition
                  value="Glomerular filtration rate/​1.73 sq M.predicted [Volume Rate/​Area] in Serum or Plasma by Creatinine-based formula (MDRD). Units are optional."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs"/>
      </type>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName
                 value="obf-lab-GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs"/>
      <short
             value="GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among females [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)"/>
      <definition
                  value="Glomerular filtration rate/​1.73 sq M predicted among females [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD). Units are optional."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs"/>
      </type>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName
                 value="obf-lab-GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs"/>
      <short
             value="GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among non-blacks [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)"/>
      <definition
                  value="Glomerular filtration rate/​1.73 sq M predicted among non-blacks [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD). Units are optional."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs"/>
      </type>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName
                 value="obf-lab-GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs"/>
      <short
             value="GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among blacks [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)"/>
      <definition
                  value="Glomerular filtration rate/​1.73 sq M predicted among blacks [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD). Units are optional."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs"/>
      </type>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs"/>
      <short
             value="BilirubinDirectMCncPtSerPlasQnLabObs: Bilirubin.direct [Mass/​volume] in Serum or Plasma"/>
      <definition value="Bilirubin.direct [Mass/​volume] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element
             id="DiagnosticReport.result:obf-lab-BicarbonateSCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-BicarbonateSCncPtSerPlasQnLabObs"/>
      <short
             value="BicarbonateSCncPtSerPlasQnLabObs: Bicarbonate [Moles/​volume] in Serum or Plasma"/>
      <definition value="Bicarbonate [Moles/​volume] in Serum or Plasma"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-BicarbonateSCncPtSerPlasQnLabObs"/>
      </type>
    </element>
    <element id="DiagnosticReport.result:obf-lab-AniongapSCncPtSerPlasQnLabObs">
      <path value="DiagnosticReport.result"/>
      <sliceName value="obf-lab-AniongapSCncPtSerPlasQnLabObs"/>
      <short
             value="AniongapSCncPtSerPlasQnLabObs: Anion gap in Serum or Plasma. Units are optional but if provided, must be in mmol/L."/>
      <definition
                  value="Anion gap in Serum or Plasma. Units are optional but if provided, must be in mmol/L."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-AniongapSCncPtSerPlasQnLabObs"/>
      </type>
    </element>
  </differential>
</StructureDefinition>