HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE), v0.9.1

HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE), v0.9.1 FHIR Profiles - Local Development build (v0.9.1). See the Directory of published versions

TNMClinicalStageGroup

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:StructureDefinition;
  fhir:nodeRole fhir:treeRoot;
  fhir:StructureDefinition.id [ fhir:value "onco-core-TNMClinicalStageGroup"];
  fhir:StructureDefinition.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <p><b>TNMClinicalStageGroup Profile</b></p>\n  <p>The extent of the cancer in the body, according to the TNM classification system, based on information obtained prior to neoadjuvant treatment and surgery, e.g. based on evidence such as physical examination, imaging, and/or biopsy.</p>\n  <p><b>Mapping Summary</b></p>\n  <p><pre>onco.core.TNMClinicalStageGroup maps to Observation:\n  Language maps to language\n  ImplicitRules maps to implicitRules\n  Metadata.VersionId maps to meta.versionId\n  Metadata.SourceSystem maps to meta.extension\n  Metadata.Profile maps to meta.profile\n  Metadata.LastUpdated maps to meta.lastUpdated\n  Metadata.SecurityLabel maps to meta.security\n  Metadata.Tag maps to meta.tag\n  Narrative maps to text\n  Identifier maps to identifier\n  ObservationBasedOn maps to extension\n  ObservationPartOf maps to extension\n  Status maps to status\n  Category maps to category\n  Code maps to code\n  ObservationSubjectOfRecord maps to subject\n  FocalSubject maps to modifierExtension\n  CareContext maps to encounter\n  RelevantTime maps to effective[x]\n  StatementDateTime maps to issued\n  Performer maps to performer\n  DataValue maps to value[x]\n  DataAbsentReason maps to dataAbsentReason\n  Interpretation maps to interpretation\n  Annotation maps to extension\n  BodyLocation.Code maps to bodySite\n  BodyLocation.Laterality maps to bodySite.extension\n  BodyLocation.AnatomicalOrientation maps to bodySite.extension\n  BodyLocation.RelationToLandmark maps to bodySite.extension\n  CancerStagingSystem maps to method\n  Specimen maps to specimen\n  Device maps to device\n  ReferenceRange maps to referenceRange\n  ReferenceRange.LowerBound maps to referenceRange.low\n  ReferenceRange.UpperBound maps to referenceRange.high\n  ReferenceRange.Type maps to referenceRange.meaning\n  ReferenceRange.ApplicableSubpopulation maps to referenceRange.extension\n  ReferenceRange.ApplicableAgeRange maps to referenceRange.age\n  ReferenceRange.Text maps to referenceRange.text\n  fix related.type to #has-member\r\n  PanelMembers maps to related\n  PanelMembers.Observation maps to related.target (slice at = related; slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)\n  ObservationDerivedFrom maps to extension\n  Components.ObservationComponent maps to component (slice on = code.coding.code; slice strategy = includes)\n  Components.ObservationComponent.Code maps to component.code\n  Components.ObservationComponent.DataValue maps to component.value[x]\n  Components.ObservationComponent.DataAbsentReason maps to component.dataAbsentReason\n  Components.ObservationComponent.ReferenceRange maps to component.referenceRange\n  Components.ObservationComponent.ReferenceRange.LowerBound maps to component.referenceRange.low\n  Components.ObservationComponent.ReferenceRange.UpperBound maps to component.referenceRange.high\n  Components.ObservationComponent.ReferenceRange.Type maps to component.referenceRange.meaning\n  Components.ObservationComponent.ReferenceRange.ApplicableAgeRange maps to component.referenceRange.age\n  Components.ObservationComponent.ReferenceRange.Text maps to component.referenceRange.text\n</pre></p>\n</div>"
  ];
  fhir:StructureDefinition.url [ fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/onco-core-TNMClinicalStageGroup"];
  fhir:StructureDefinition.version [ fhir:value "0.9.1"];
  fhir:StructureDefinition.name [ fhir:value "TNMClinicalStageGroup"];
  fhir:StructureDefinition.display [ fhir:value "onco-core-TNMClinicalStageGroup"];
  fhir:StructureDefinition.status [ fhir:value "draft"];
  fhir:StructureDefinition.publisher [ fhir:value "The MITRE Corporation"];
  fhir:StructureDefinition.contact [
     fhir:index 0;
     fhir:StructureDefinition.contact.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "other" ];
       fhir:ContactPoint.value [ fhir:value "http://standardhealthrecord.org" ];
       fhir:ContactPoint.rank [ fhir:value "0"^^xsd:positiveInteger ]     ]
  ];
  fhir:StructureDefinition.date [ fhir:value "2019-10-23T00:00:00-04:00"^^xsd:dateTime];
  fhir:StructureDefinition.description [ fhir:value "The extent of the cancer in the body, according to the TNM classification system, based on information obtained prior to neoadjuvant treatment and surgery, e.g. based on evidence such as physical examination, imaging, and/or biopsy."];
  fhir:StructureDefinition.requirements [ fhir:value "Observations are a key aspect of healthcare.  This resource is used to capture those that do not require more sophisticated mechanisms."];
  fhir:StructureDefinition.fhirVersion [ fhir:value "1.0.2"];
  fhir:StructureDefinition.mapping [
     fhir:index 0;
     fhir:StructureDefinition.mapping.identity [ fhir:value "v2" ];
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v2" ];
     fhir:StructureDefinition.mapping.name [ fhir:value "HL7 v2" ]
  ], [
     fhir:index 1;
     fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ];
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ];
     fhir:StructureDefinition.mapping.name [ fhir:value "RIM" ]
  ], [
     fhir:index 2;
     fhir:StructureDefinition.mapping.identity [ fhir:value "w5" ];
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/w5" ];
     fhir:StructureDefinition.mapping.name [ fhir:value "W5 Mapping" ]
  ];
  fhir:StructureDefinition.kind [ fhir:value "resource"];
  fhir:StructureDefinition.constrainedType [ fhir:value "Observation"];
  fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean];
  fhir:StructureDefinition.base [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation"];
  fhir:StructureDefinition.snapshot [
     fhir:StructureDefinition.snapshot.element [
       fhir:index 0;
       fhir:ElementDefinition.id [ fhir:value "Observation" ];
       fhir:ElementDefinition.path [ fhir:value "Observation" ];
       fhir:ElementDefinition.name [ fhir:value "Observation" ];
       fhir:ElementDefinition.short [ fhir:value "onco-core-TNMClinicalStageGroup" ];
       fhir:ElementDefinition.definition [ fhir:value "The extent of the cancer in the body, according to the TNM classification system, based on information obtained prior to neoadjuvant treatment and surgery, e.g. based on evidence such as physical examination, imaging, and/or biopsy." ];
       fhir:ElementDefinition.comments [ fhir:value "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as lab reports, etc." ];
       fhir:ElementDefinition.alias [
         fhir:value "Vital Signs";
         fhir:index 0       ], [
         fhir:value "Measurement";
         fhir:index 1       ], [
         fhir:value "Results";
         fhir:index 2       ], [
         fhir:value "Tests";
         fhir:index 3       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Observation" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "obs-6" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "SHALL only be present if Observation.value[x] is not present" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.constraint.key [ fhir:value "obs-7" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "Component code SHALL not be same as observation code" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:component/f:code)) or count(for $coding in f:code/f:coding return parent::*/f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value and f:system/@value=$coding/f:system/@value])=0" ]       ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Observation[classCode=OBS, moodCode=EVN]" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "clinical.diagnostics" ]       ]     ], [
       fhir:index 1;
       fhir:ElementDefinition.id [ fhir:value "Observation.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.id" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.id" ];
       fhir:ElementDefinition.short [ fhir:value "Logical id of this artifact" ];
       fhir:ElementDefinition.definition [ fhir:value "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ];
       fhir:ElementDefinition.comments [ fhir: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. Bundles always have an id, though it is usually a generated UUID." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 2;
       fhir:ElementDefinition.id [ fhir:value "Observation.meta" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.meta" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.meta" ];
       fhir:ElementDefinition.short [ fhir:value "Metadata about the resource" ];
       fhir:ElementDefinition.definition [ fhir:value "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Meta" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 3;
       fhir:ElementDefinition.id [ fhir:value "Observation.meta.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.meta.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.name [ fhir:value "Observation.meta.id" ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 4;
       fhir:ElementDefinition.id [ fhir:value "Observation.meta.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.meta.extension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.meta.extension" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.id [ fhir:value "3" ];
         fhir:ElementDefinition.slicing.discriminator [
           fhir:value "url";
           fhir:index 0         ];
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 5;
       fhir:ElementDefinition.id [ fhir:value "sourcesystem" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.meta.extension" ];
       fhir:ElementDefinition.name [ fhir:value "sourcesystem" ];
       fhir:ElementDefinition.definition [ fhir:value "FHIR: This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.\nFHIM: Identifies the computer system that created the medical record. This optional field may also be used to indicate that the medical record was originally created by a different organization from the one that is currently storing or utilizing the record in that the assigning authority of the Id could be set to that originating organization. This property is optional, as some systems will assume that all records that it contains originated in that system, however it is anticipated that it will become increasingly commonplace for records from multiple systems and organizations will be comingled in order to provide a complete picture of the patient's health record." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.meta.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-SourceSystem-extension";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 6;
       fhir:ElementDefinition.id [ fhir:value "Observation.meta.versionId" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.meta.versionId" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.meta.versionId" ];
       fhir:ElementDefinition.short [ fhir:value "Version specific identifier" ];
       fhir:ElementDefinition.definition [ fhir:value "The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted." ];
       fhir:ElementDefinition.comments [ fhir:value "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 7;
       fhir:ElementDefinition.id [ fhir:value "Observation.meta.lastUpdated" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.meta.lastUpdated" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.meta.lastUpdated" ];
       fhir:ElementDefinition.short [ fhir:value "When the resource version last changed" ];
       fhir:ElementDefinition.definition [ fhir:value "When the resource last changed - e.g. when the version changed." ];
       fhir:ElementDefinition.comments [ fhir:value "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "instant" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 8;
       fhir:ElementDefinition.id [ fhir:value "Observation.meta.profile" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.meta.profile" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.meta.profile" ];
       fhir:ElementDefinition.short [ fhir:value "Profiles this resource claims to conform to" ];
       fhir:ElementDefinition.definition [ fhir:value "A list of profiles [[[StructureDefinition]]]s that this resource claims to conform to. The URL is a reference to [[[StructureDefinition.url]]]." ];
       fhir:ElementDefinition.comments [ fhir:value "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time.  The list of profile URLs is a set." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 9;
       fhir:ElementDefinition.id [ fhir:value "Observation.meta.security" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.meta.security" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.meta.security" ];
       fhir:ElementDefinition.short [ fhir:value "Security Labels applied to this resource" ];
       fhir:ElementDefinition.definition [ fhir:value "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure." ];
       fhir:ElementDefinition.comments [ fhir:value "The security labels can be updated without changing the stated version of the resource  The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Security Labels from the Healthcare Privacy and Security Classification System." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/security-labels>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/security-labels" ]         ]       ]     ], [
       fhir:index 10;
       fhir:ElementDefinition.id [ fhir:value "Observation.meta.tag" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.meta.tag" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.meta.tag" ];
       fhir:ElementDefinition.short [ fhir:value "Tags applied to this resource" ];
       fhir:ElementDefinition.definition [ fhir:value "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource." ];
       fhir:ElementDefinition.comments [ fhir:value "The tags can be updated without changing the stated version of the resource.  The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\"" ]       ]     ], [
       fhir:index 11;
       fhir:ElementDefinition.id [ fhir:value "Observation.implicitRules" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.implicitRules" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.implicitRules" ];
       fhir:ElementDefinition.short [ fhir:value "A set of rules under which this content was created" ];
       fhir:ElementDefinition.definition [ fhir: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." ];
       fhir:ElementDefinition.comments [ fhir: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 as much as possible." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 12;
       fhir:ElementDefinition.id [ fhir:value "Observation.language" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.language" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.language" ];
       fhir:ElementDefinition.short [ fhir:value "Language of the resource content" ];
       fhir:ElementDefinition.definition [ fhir:value "The base language in which the resource is written." ];
       fhir:ElementDefinition.comments [ fhir: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)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.description [ fhir:value "A human language." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://tools.ietf.org/html/bcp47>;
           fhir:Reference.reference [ fhir:value "http://tools.ietf.org/html/bcp47" ]         ]       ]     ], [
       fhir:index 13;
       fhir:ElementDefinition.id [ fhir:value "Observation.text" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.text" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.text" ];
       fhir:ElementDefinition.short [ fhir:value "Text summary of the resource, for human interpretation" ];
       fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ];
       fhir:ElementDefinition.comments [ fhir:value "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative." ];
       fhir:ElementDefinition.alias [
         fhir:value "narrative";
         fhir:index 0       ], [
         fhir:value "html";
         fhir:index 1       ], [
         fhir:value "xhtml";
         fhir:index 2       ], [
         fhir:value "display";
         fhir:index 3       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.condition [
         fhir:value "dom-1";
         fhir:index 0       ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Act.text?" ]       ]     ], [
       fhir:index 14;
       fhir:ElementDefinition.id [ fhir:value "Observation.contained" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.contained" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.contained" ];
       fhir:ElementDefinition.short [ fhir:value "Contained, inline Resources" ];
       fhir:ElementDefinition.definition [ fhir: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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "inline resources";
         fhir:index 0       ], [
         fhir:value "anonymous resources";
         fhir:index 1       ], [
         fhir:value "contained resources";
         fhir:index 2       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Resource" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 15;
       fhir:ElementDefinition.id [ fhir:value "Observation.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.extension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.extension" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.id [ fhir:value "2" ];
         fhir:ElementDefinition.slicing.discriminator [
           fhir:value "url";
           fhir:index 0         ];
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 16;
       fhir:ElementDefinition.id [ fhir:value "observationbasedon" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.extension" ];
       fhir:ElementDefinition.name [ fhir:value "observationbasedon" ];
       fhir:ElementDefinition.definition [ fhir:value "The plan, proposal or order that is fulfilled in whole or in part by this event. For example, a MedicationRequest may require a patient to have laboratory test performed before it is dispensed." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationBasedOn-extension";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 17;
       fhir:ElementDefinition.id [ fhir:value "observationpartof" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.extension" ];
       fhir:ElementDefinition.name [ fhir:value "observationpartof" ];
       fhir:ElementDefinition.definition [ fhir:value "A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationPartOf-extension";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 18;
       fhir:ElementDefinition.id [ fhir:value "annotation" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.extension" ];
       fhir:ElementDefinition.name [ fhir:value "annotation" ];
       fhir:ElementDefinition.definition [ fhir:value "An added or follow-up note, often after the fact, that contains metadata about who made the statement and when." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Annotation-extension";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 19;
       fhir:ElementDefinition.id [ fhir:value "observationderivedfrom" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.extension" ];
       fhir:ElementDefinition.name [ fhir:value "observationderivedfrom" ];
       fhir:ElementDefinition.definition [ fhir:value "The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationDerivedFrom-extension";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 20;
       fhir:ElementDefinition.id [ fhir:value "Observation.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.modifierExtension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.modifierExtension" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.id [ fhir:value "4" ];
         fhir:ElementDefinition.slicing.discriminator [
           fhir:value "url";
           fhir:index 0         ];
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
       fhir:ElementDefinition.definition [ fhir: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. Usually modifier elements provide negation or qualification. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 21;
       fhir:ElementDefinition.id [ fhir:value "focalsubject" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.modifierExtension" ];
       fhir:ElementDefinition.name [ fhir:value "focalsubject" ];
       fhir:ElementDefinition.definition [ fhir:value "The person or entity that the information in this resource relates to, if different than the person of record. The subject of information can be a reference or a code, the latter when the subject is described generically, for example, in terms of a relationship to the subject of record (e.g., wife)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.modifierExtension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-FocalSubject-extension";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 22;
       fhir:ElementDefinition.id [ fhir:value "Observation.modifierExtension-focalsubject.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.modifierExtension.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.name [ fhir:value "Observation.modifierExtension-focalsubject.id" ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 23;
       fhir:ElementDefinition.id [ fhir:value "Observation.modifierExtension-focalsubject.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.modifierExtension.extension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.modifierExtension-focalsubject.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 24;
       fhir:ElementDefinition.id [ fhir:value "Observation.modifierExtension-focalsubject.url" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.modifierExtension.url" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.name [ fhir:value "Observation.modifierExtension-focalsubject.url" ];
       fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ];
       fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ];
       fhir:ElementDefinition.comments [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition should be version specific.  This will ideally be the URI for the Resource Profile defining the extension, with the code for the extension after a #." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ];
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.fixedUri [ fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-FocalSubject-extension" ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 25;
       fhir:ElementDefinition.id [ fhir:value "Observation.modifierExtension-focalsubject.valueReference" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.modifierExtension.valueReference" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.modifierExtension-focalsubject.valueReference" ];
       fhir:ElementDefinition.short [ fhir:value "PrimaryCancerCondition: Records the history of the primary cancer condition, the original or first tumor in the body (reference https://www.cancer.gov/publications/dictionaries/cancer-terms/def/primary-tumor)" ];
       fhir:ElementDefinition.definition [ fhir:value "Records the history of the primary cancer condition, the original or first tumor in the body (reference https://www.cancer.gov/publications/dictionaries/cancer-terms/def/primary-tumor). Cancers that are not clearly secondary (i.e., of uncertain origin or behavior) should be documented as primary.\n\nCancer staging information summarized in this profile should reflect the most recent staging assessment on the patient, and should be updated if and when there is a new staging assessment. Past staging assessments will be preserved in instances of the TNMClinicalStageGroup and/or TNMPathologicalStageGroup, which refer back to PrimaryCancerCondition.\n\nConformance note: For the code attribute, to be compliant with [US Core Profiles](http://hl7.org/fhir/us/core/STU3/index.html), SNOMED CT must be used unless there is no suitable code, in which case ICD-10-CM can be used." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/onco-core-PrimaryCancerCondition";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 26;
       fhir:ElementDefinition.id [ fhir:value "Observation.identifier" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.identifier" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.identifier" ];
       fhir:ElementDefinition.short [ fhir:value "Unique Id for this particular observation" ];
       fhir:ElementDefinition.definition [ fhir:value "A unique identifier for the simple observation instance." ];
       fhir:ElementDefinition.requirements [ fhir:value "Allows observations to be distinguished and referenced." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX.21" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "id" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "id" ]       ]     ], [
       fhir:index 27;
       fhir:ElementDefinition.id [ fhir:value "Observation.status" ];
       fhir:ElementDefinition.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ];
         fhir:Extension.valueString [ fhir:value "default: final" ]       ];
       fhir:ElementDefinition.path [ fhir:value "Observation.status" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.status" ];
       fhir:ElementDefinition.short [ fhir:value "registered | preliminary | final | amended +" ];
       fhir:ElementDefinition.definition [ fhir:value "The status of the result value." ];
       fhir:ElementDefinition.requirements [ fhir:value "Need to track the status of individual results. Some results are finalized before the whole report is finalized." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes providing the status of an observation." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/observation-status>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-status" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-11" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "status  Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\"" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "status" ]       ]     ], [
       fhir:index 28;
       fhir:ElementDefinition.id [ fhir:value "Observation.category" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.category" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.category" ];
       fhir:ElementDefinition.short [ fhir:value "Classification of  type of observation" ];
       fhir:ElementDefinition.definition [ fhir:value "A code that classifies the general type of observation being made.  This is used  for searching, sorting and display purposes." ];
       fhir:ElementDefinition.comments [ fhir:value "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 Observation.code." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes for high level observation categories ." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/observation-category>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-category" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "class" ]       ]     ], [
       fhir:index 29;
       fhir:ElementDefinition.id [ fhir:value "Observation.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.code" ];
       fhir:ElementDefinition.short [ fhir:value "Type of observation (code / type)" ];
       fhir:ElementDefinition.definition [ fhir:value "Describes what was observed. Sometimes this is called the observation \"name\"." ];
       fhir:ElementDefinition.requirements [ fhir:value "Knowing what kind of observation is being made is essential to understanding the observation." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes identifying names of simple observations." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/observation-codes>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-codes" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-3" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "code" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "what" ]       ]     ], [
       fhir:index 30;
       fhir:ElementDefinition.id [ fhir:value "Observation.code.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.name [ fhir:value "Observation.code.id" ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 31;
       fhir:ElementDefinition.id [ fhir:value "Observation.code.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.extension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.code.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 32;
       fhir:ElementDefinition.id [ fhir:value "Observation.code.coding" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.coding" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.code.coding" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.id [ fhir:value "1" ];
         fhir:ElementDefinition.slicing.discriminator [
           fhir:value "code";
           fhir:index 0         ];
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Code defined by a terminology system" ];
       fhir:ElementDefinition.definition [ fhir:value "A reference to a code defined by a terminology system." ];
       fhir:ElementDefinition.comments [ fhir: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 labelled as UserSelected = true." ];
       fhir:ElementDefinition.requirements [ fhir:value "Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1-8, C*E.10-22" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "union(., ./translation)" ]       ]     ], [
       fhir:index 33;
       fhir:ElementDefinition.id [ fhir:value "Fixed_21908-9" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.coding" ];
       fhir:ElementDefinition.name [ fhir:value "Fixed_21908-9" ];
       fhir:ElementDefinition.short [ fhir:value "Stage group.clinical Cancer" ];
       fhir:ElementDefinition.definition [ fhir:value "Stage group.clinical Cancer" ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 34;
       fhir:ElementDefinition.id [ fhir:value "Observation.code.coding-Fixed-21908-9.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.name [ fhir:value "Observation.code.coding-Fixed-21908-9.id" ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 35;
       fhir:ElementDefinition.id [ fhir:value "Observation.code.coding-Fixed-21908-9.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.extension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.code.coding-Fixed-21908-9.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 36;
       fhir:ElementDefinition.id [ fhir:value "Observation.code.coding-Fixed-21908-9.system" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.system" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.code.coding-Fixed-21908-9.system" ];
       fhir:ElementDefinition.short [ fhir:value "Identity of the terminology system" ];
       fhir:ElementDefinition.definition [ fhir:value "The identification of the code system that defines the meaning of the symbol in the code." ];
       fhir:ElementDefinition.comments [ fhir: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's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously." ];
       fhir:ElementDefinition.requirements [ fhir:value "Need to be unambiguous about the source of the definition of the symbol." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.fixedUri [ fhir:value "http://loinc.org" ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.3" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystem" ]       ]     ], [
       fhir:index 37;
       fhir:ElementDefinition.id [ fhir:value "Observation.code.coding-Fixed-21908-9.version" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.version" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.code.coding-Fixed-21908-9.version" ];
       fhir:ElementDefinition.short [ fhir:value "Version of the system - if relevant" ];
       fhir:ElementDefinition.definition [ fhir: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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.7" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystemVersion" ]       ]     ], [
       fhir:index 38;
       fhir:ElementDefinition.id [ fhir:value "Observation.code.coding-Fixed-21908-9.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.code" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.code.coding-Fixed-21908-9.code" ];
       fhir:ElementDefinition.short [ fhir:value "Symbol in syntax defined by the system" ];
       fhir:ElementDefinition.definition [ fhir: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)." ];
       fhir:ElementDefinition.requirements [ fhir:value "Need to refer to a particular code in the system." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.fixedCode [ fhir:value "21908-9" ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ]     ], [
       fhir:index 39;
       fhir:ElementDefinition.id [ fhir:value "Observation.code.coding-Fixed-21908-9.display" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.display" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.code.coding-Fixed-21908-9.display" ];
       fhir:ElementDefinition.short [ fhir:value "Representation defined by the system" ];
       fhir:ElementDefinition.definition [ fhir:value "A representation of the meaning of the code in the system, following the rules of the system." ];
       fhir:ElementDefinition.requirements [ fhir:value "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.2 - but note this is not well followed" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "CV.displayName" ]       ]     ], [
       fhir:index 40;
       fhir:ElementDefinition.id [ fhir:value "Observation.code.coding-Fixed-21908-9.userSelected" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.userSelected" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.code.coding-Fixed-21908-9.userSelected" ];
       fhir:ElementDefinition.short [ fhir:value "If this coding was chosen directly by the user" ];
       fhir:ElementDefinition.definition [ fhir:value "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)." ];
       fhir:ElementDefinition.comments [ fhir: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 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ];
       fhir:ElementDefinition.requirements [ fhir: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." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ];
         fhir:ElementDefinition.mapping.map [ fhir: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 \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Sometimes implied by being first" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "CD.codingRationale" ]       ]     ], [
       fhir:index 41;
       fhir:ElementDefinition.id [ fhir:value "Observation.code.text" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.text" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.code.text" ];
       fhir:ElementDefinition.short [ fhir:value "Plain text representation of the concept" ];
       fhir:ElementDefinition.definition [ fhir: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." ];
       fhir:ElementDefinition.comments [ fhir:value "Very often the text is the same as a displayName of one of the codings." ];
       fhir:ElementDefinition.requirements [ fhir: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." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.9. But note many systems use C*E.2 for this" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "./originalText[mediaType/code=\"text/plain\"]/data" ]       ]     ], [
       fhir:index 42;
       fhir:ElementDefinition.id [ fhir:value "Observation.subject" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.subject" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.subject" ];
       fhir:ElementDefinition.short [ fhir:value "The subject of an observation" ];
       fhir:ElementDefinition.definition [ fhir:value "The subject of an observation." ];
       fhir:ElementDefinition.comments [ fhir:value "One would expect this element to be a cardinality  of 1..1.  The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.\r\rIf the target of the observation is different than the subject, the general extension [observation-focal-subject](extension-observation-focal-subject.html).  may be used.  However, the distinction between the patient's own value for an observation versus that of the fetus, or the donor or blood product unit, etc., are often specified in the observation code." ];
       fhir:ElementDefinition.requirements [ fhir:value "Observations have no value if you don't know who or what they're about." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.subject" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Patient";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "PID-3" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=SBJ]" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "who.focus" ]       ]     ], [
       fhir:index 43;
       fhir:ElementDefinition.id [ fhir:value "Observation.encounter" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.encounter" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.encounter" ];
       fhir:ElementDefinition.short [ fhir:value "Healthcare event during which this observation is made" ];
       fhir:ElementDefinition.definition [ fhir:value "The healthcare event  (e.g. a patient and healthcare provider interaction) during which this observation is made." ];
       fhir:ElementDefinition.requirements [ fhir:value "For some observations it may be important to know the link between an observation and a particular encounter." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "PV1" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "context" ]       ]     ], [
       fhir:index 44;
       fhir:ElementDefinition.id [ fhir:value "Observation.effectivex" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.effective[x]" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.effectivex" ];
       fhir:ElementDefinition.short [ fhir:value "Clinically relevant time/time-period for observation" ];
       fhir:ElementDefinition.definition [ fhir:value "The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the \"physiologically relevant time\". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself." ];
       fhir:ElementDefinition.comments [ fhir:value "At least a date should be present unless this observation is a historical report." ];
       fhir:ElementDefinition.requirements [ fhir:value "Knowing when an observation was deemed true is important to its relevance as well as determining trends." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "Period" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-14, and/or OBX-19 after v2.4  (depends on who observation made)" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "effectiveTime" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "when.done" ]       ]     ], [
       fhir:index 45;
       fhir:ElementDefinition.id [ fhir:value "Observation.issued" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.issued" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.issued" ];
       fhir:ElementDefinition.short [ fhir:value "Date/Time this was made available" ];
       fhir:ElementDefinition.definition [ fhir:value "The date and time this observation was made available to providers, typically after the results have been reviewed and verified." ];
       fhir:ElementDefinition.comments [ fhir:value "Updated when the result is updated." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "instant" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=AUT].time" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "when.recorded" ]       ]     ], [
       fhir:index 46;
       fhir:ElementDefinition.id [ fhir:value "Observation.performer" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.performer" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.performer" ];
       fhir:ElementDefinition.short [ fhir:value "Who is responsible for the observation" ];
       fhir:ElementDefinition.definition [ fhir:value "Who was responsible for asserting the observed value as \"true\"." ];
       fhir:ElementDefinition.requirements [ fhir:value "May give a degree of confidence in the observation and also indicates where follow-up questions should be directed." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX.15 / (Practitioner)  OBX-16,  PRT-5:PRT-4='RO' /  (Device)  OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization)  OBX-23,  PRT-8:PRT-4='PO'" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=PRF]" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "who.actor" ]       ]     ], [
       fhir:index 47;
       fhir:ElementDefinition.id [ fhir:value "Observation.valueCodeableConcept" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.valueCodeableConcept" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.valueCodeableConcept" ];
       fhir:ElementDefinition.short [ fhir:value "Actual result" ];
       fhir:ElementDefinition.definition [ fhir:value "The information determined as a result of making the observation, if the information has a simple value." ];
       fhir:ElementDefinition.comments [ fhir:value "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is \"'value' + the type name\" with a capital on the first letter of the type).\r\r\rIf the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text.  A value set is bound to the ValueCodeableConcept element.  For boolean values use valueCodeableConcept and select codes from [HL7 Version 2 Table 0136](v2/0136/index.html). These \"yes/no\" concepts can be mapped to the display name \"true/false\" or other mutually exclusive terms that may be needed.   For further discussion and examples see the  [notes section](observation.html#4.20.4) below." ];
       fhir:ElementDefinition.requirements [ fhir:value "An observation exists to have a value, though it may not if it is in error, or it represents a group of observations." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.value[x]" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://mcodeinitiative.org/us/mcode/ValueSet/onco-core-TNMStageGroupVS>;
           fhir:Reference.reference [ fhir:value "http://mcodeinitiative.org/us/mcode/ValueSet/onco-core-TNMStageGroupVS" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX.2, OBX.5, OBX.6" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "value" ]       ]     ], [
       fhir:index 48;
       fhir:ElementDefinition.id [ fhir:value "Observation.dataAbsentReason" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.dataAbsentReason" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.dataAbsentReason" ];
       fhir:ElementDefinition.short [ fhir:value "Why the result is missing" ];
       fhir:ElementDefinition.definition [ fhir:value "Provides a reason why the expected value in the element Observation.value[x] is missing." ];
       fhir:ElementDefinition.comments [ fhir:value "Null or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"specimen unsatisfactory\".   The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed.  Because of these options, use-case agreements are required to interpret general observations for exceptional values." ];
       fhir:ElementDefinition.requirements [ fhir:value "For many results it is necessary to handle exceptional values in measurements." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.dataAbsentReason" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.condition [
         fhir:value "obs-6";
         fhir:index 0       ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes specifying why the result (Observation.value[x]) is missing." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/observation-valueabsentreason>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-valueabsentreason" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "value.nullFlavor" ]       ]     ], [
       fhir:index 49;
       fhir:ElementDefinition.id [ fhir:value "Observation.interpretation" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.interpretation" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.interpretation" ];
       fhir:ElementDefinition.short [ fhir:value "High, low, normal, etc." ];
       fhir:ElementDefinition.definition [ fhir:value "The assessment made based on the result of the observation.  Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag." ];
       fhir:ElementDefinition.requirements [ fhir:value "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result." ];
       fhir:ElementDefinition.alias [
         fhir:value "Abnormal Flag";
         fhir:index 0       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes identifying interpretations of observations." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/observation-interpretation>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-interpretation" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-8" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "interpretationCode" ]       ]     ], [
       fhir:index 50;
       fhir:ElementDefinition.id [ fhir:value "Observation.comments" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.comments" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.comments" ];
       fhir:ElementDefinition.short [ fhir:value "Comments about result" ];
       fhir:ElementDefinition.definition [ fhir:value "May include statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result." ];
       fhir:ElementDefinition.requirements [ fhir:value "Need to be able to provide free text additional information." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "subjectOf.observationEvent[code=\"annotation\"].value" ]       ]     ], [
       fhir:index 51;
       fhir:ElementDefinition.id [ fhir:value "Observation.bodySite" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.bodySite" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.bodySite" ];
       fhir:ElementDefinition.short [ fhir:value "Observed body part" ];
       fhir:ElementDefinition.definition [ fhir:value "Indicates the site on the subject's body where the observation was made (i.e. the target site)." ];
       fhir:ElementDefinition.comments [ fhir:value "Only used if not implicit in code found in Observation.code.  If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension[ body-site-instance](extension-body-site-instance.html)." ];
       fhir:ElementDefinition.requirements [ fhir:value "Knowing where the observation is made is important for tracking if multiple sites are possible." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.bodySite" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes describing anatomical locations. May include laterality." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/body-site>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/body-site" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-20" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "targetSiteCode" ]       ]     ], [
       fhir:index 52;
       fhir:ElementDefinition.id [ fhir:value "Observation.method" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.method" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.method" ];
       fhir:ElementDefinition.short [ fhir:value "Method or staging system used to stage the cancer" ];
       fhir:ElementDefinition.definition [ fhir:value "Method or staging system used to stage the cancer." ];
       fhir:ElementDefinition.comments [ fhir:value "Only used if not implicit in code for Observation.code." ];
       fhir:ElementDefinition.requirements [ fhir:value "In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://mcodeinitiative.org/us/mcode/ValueSet/onco-core-CancerStagingSystemVS>;
           fhir:Reference.reference [ fhir:value "http://mcodeinitiative.org/us/mcode/ValueSet/onco-core-CancerStagingSystemVS" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-17" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "methodCode" ]       ]     ], [
       fhir:index 53;
       fhir:ElementDefinition.id [ fhir:value "Observation.specimen" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.specimen" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.specimen" ];
       fhir:ElementDefinition.short [ fhir:value "Specimen used for this observation" ];
       fhir:ElementDefinition.definition [ fhir:value "The specimen that was used when this observation was made." ];
       fhir:ElementDefinition.comments [ fhir:value "Observations are not made on specimens themselves; they are made on a subject, but usually by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.specimen" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Specimen";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "SPM segment" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=SPC].specimen" ]       ]     ], [
       fhir:index 54;
       fhir:ElementDefinition.id [ fhir:value "Observation.device" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.device" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.device" ];
       fhir:ElementDefinition.short [ fhir:value "(Measurement) Device" ];
       fhir:ElementDefinition.definition [ fhir:value "The device used to generate the observation data." ];
       fhir:ElementDefinition.comments [ fhir:value "An extension should be used if further typing of the device is needed.  Devices used to support obtaining an observation can be represented using either extension or through the Observation.related element." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.device" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://fhir.org/guides/argonaut/StructureDefinition/argo-device";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-17 / PRT -10" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=DEV]" ]       ]     ], [
       fhir:index 55;
       fhir:ElementDefinition.id [ fhir:value "Observation.referenceRange" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.referenceRange" ];
       fhir:ElementDefinition.short [ fhir:value "Provides guide for interpretation" ];
       fhir:ElementDefinition.definition [ fhir:value "Guidance on how to interpret the value by comparison to a normal or recommended range." ];
       fhir:ElementDefinition.comments [ fhir:value "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g. specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties." ];
       fhir:ElementDefinition.requirements [ fhir:value "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.constraint.key [ fhir:value "obs-3" ];
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have at least a low or a high or text" ];
         fhir:ElementDefinition.constraint.xpath [ fhir:value "(exists(f:low) or exists(f:high)or exists(f:text))" ]       ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX.7" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]" ]       ]     ], [
       fhir:index 56;
       fhir:ElementDefinition.id [ fhir:value "Observation.referenceRange.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.name [ fhir:value "Observation.referenceRange.id" ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 57;
       fhir:ElementDefinition.id [ fhir:value "Observation.referenceRange.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.extension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.referenceRange.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 58;
       fhir:ElementDefinition.id [ fhir:value "Observation.referenceRange.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.modifierExtension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.referenceRange.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
       fhir:ElementDefinition.definition [ fhir: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 that contains it. Usually modifier elements provide negation or qualification. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ], [
         fhir:value "modifiers";
         fhir:index 2       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 59;
       fhir:ElementDefinition.id [ fhir:value "Observation.referenceRange.low" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.low" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.referenceRange.low" ];
       fhir:ElementDefinition.short [ fhir:value "Low Range, if relevant" ];
       fhir:ElementDefinition.definition [ fhir:value "The value of the low bound of the reference range.  The low bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9).   If the low bound is omitted,  it is assumed to be meaningless (e.g. reference range is <=2.3)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Quantity" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.condition [
         fhir:value "obs-3";
         fhir:index 0       ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-7" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "value:IVL_PQ.low" ]       ]     ], [
       fhir:index 60;
       fhir:ElementDefinition.id [ fhir:value "Observation.referenceRange.high" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.high" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.referenceRange.high" ];
       fhir:ElementDefinition.short [ fhir:value "High Range, if relevant" ];
       fhir:ElementDefinition.definition [ fhir:value "The value of the high bound of the reference range.  The high bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9).   If the high bound is omitted,  it is assumed to be meaningless (e.g. reference range is >= 2.3)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Quantity" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.condition [
         fhir:value "obs-3";
         fhir:index 0       ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-7" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "value:IVL_PQ.high" ]       ]     ], [
       fhir:index 61;
       fhir:ElementDefinition.id [ fhir:value "Observation.referenceRange.meaning" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.meaning" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.referenceRange.meaning" ];
       fhir:ElementDefinition.short [ fhir:value "Indicates the meaning/use of this range of this range" ];
       fhir:ElementDefinition.definition [ fhir:value "Code for the meaning of the reference range." ];
       fhir:ElementDefinition.comments [ fhir:value "This SHOULD be populated if there is more than one range." ];
       fhir:ElementDefinition.requirements [ fhir:value "Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, or perhaps what state this reference range applies to (i.e. age, hormonal cycles, etc.)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Code for the meaning of a reference range." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/referencerange-meaning>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/referencerange-meaning" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-10?" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "interpretationCode" ]       ]     ], [
       fhir:index 62;
       fhir:ElementDefinition.id [ fhir:value "Observation.referenceRange.age" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.age" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.referenceRange.age" ];
       fhir:ElementDefinition.short [ fhir:value "Applicable age range, if relevant" ];
       fhir:ElementDefinition.definition [ fhir:value "The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so." ];
       fhir:ElementDefinition.requirements [ fhir:value "Some analytes vary greatly over age." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Range" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value" ]       ]     ], [
       fhir:index 63;
       fhir:ElementDefinition.id [ fhir:value "Observation.referenceRange.text" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.text" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.referenceRange.text" ];
       fhir:ElementDefinition.short [ fhir:value "Text based reference range in an observation" ];
       fhir:ElementDefinition.definition [ fhir:value "Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation.  An example would be a reference value of \"Negative\" or a list or table of 'normals'." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-7" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "value:ST" ]       ]     ], [
       fhir:index 64;
       fhir:ElementDefinition.id [ fhir:value "Observation.related" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.id [ fhir:value "5" ];
         fhir:ElementDefinition.slicing.discriminator [
           fhir:value "target.reference/@profile";
           fhir:index 0         ];
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Resource related to this observation" ];
       fhir:ElementDefinition.definition [ fhir:value "A  reference to another resource (usually another Observation but could  also be a QuestionnaireAnswer) whose relationship is defined by the relationship type code." ];
       fhir:ElementDefinition.comments [ fhir:value "For a discussion on the ways Observations can assembled in groups together see [Notes below](observation.html#4.20.4)." ];
       fhir:ElementDefinition.requirements [ fhir:value "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and a set of related observations or sometimes QuestionnaireResponse  from which the measure is derived." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.related" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Relationships established by OBX-4 usage" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "outBoundRelationship" ]       ]     ], [
       fhir:index 65;
       fhir:ElementDefinition.id [ fhir:value "Observation.related.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related.id" ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 66;
       fhir:ElementDefinition.id [ fhir:value "Observation.related.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.extension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 67;
       fhir:ElementDefinition.id [ fhir:value "Observation.related.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.modifierExtension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
       fhir:ElementDefinition.definition [ fhir: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 that contains it. Usually modifier elements provide negation or qualification. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ], [
         fhir:value "modifiers";
         fhir:index 2       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 68;
       fhir:ElementDefinition.id [ fhir:value "Observation.related.type" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.type" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related.type" ];
       fhir:ElementDefinition.short [ fhir:value "has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by" ];
       fhir:ElementDefinition.definition [ fhir:value "A code specifying the kind of relationship that exists with the target resource." ];
       fhir:ElementDefinition.comments [ fhir:value "\"derived-from\" is only logical choice when referencing QuestionnaireAnswer resource." ];
       fhir:ElementDefinition.requirements [ fhir:value "A relationship type SHOULD be provided." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.fixedCode [ fhir:value "has-member" ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes specifying how two observations are related." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/observation-relationshiptypes>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-relationshiptypes" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".typeCode" ]       ]     ], [
       fhir:index 69;
       fhir:ElementDefinition.id [ fhir:value "Observation.related.target" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.target" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related.target" ];
       fhir:ElementDefinition.short [ fhir:value "Resource that is related to this one" ];
       fhir:ElementDefinition.definition [ fhir:value "A reference to the observation or [[[QuestionnaireResponse]]] resource that is related to this observation." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Observation";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".targetObservation" ]       ]     ], [
       fhir:index 70;
       fhir:ElementDefinition.id [ fhir:value "onco-core-TNMClinicalPrimaryTumorCategory" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related" ];
       fhir:ElementDefinition.name [ fhir:value "onco-core-TNMClinicalPrimaryTumorCategory" ];
       fhir:ElementDefinition.short [ fhir:value "TNMClinicalPrimaryTumorCategory: Category of the primary tumor, based on its size and extent, assessed prior to surgery, based on evidence such as physical examination, imaging, and/or biopsy" ];
       fhir:ElementDefinition.definition [ fhir:value "Category of the primary tumor, based on its size and extent, assessed prior to surgery, based on evidence such as physical examination, imaging, and/or biopsy." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.related" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Relationships established by OBX-4 usage" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "outBoundRelationship" ]       ]     ], [
       fhir:index 71;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalPrimaryTumorCategory.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalPrimaryTumorCategory.id" ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 72;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalPrimaryTumorCategory.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.extension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalPrimaryTumorCategory.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 73;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalPrimaryTumorCategory.mod" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.modifierExtension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalPrimaryTumorCategory.mod" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
       fhir:ElementDefinition.definition [ fhir: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 that contains it. Usually modifier elements provide negation or qualification. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ], [
         fhir:value "modifiers";
         fhir:index 2       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 74;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalPrimaryTumorCategory.type" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.type" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalPrimaryTumorCategory.type" ];
       fhir:ElementDefinition.short [ fhir:value "has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by" ];
       fhir:ElementDefinition.definition [ fhir:value "A code specifying the kind of relationship that exists with the target resource." ];
       fhir:ElementDefinition.comments [ fhir:value "\"derived-from\" is only logical choice when referencing QuestionnaireAnswer resource." ];
       fhir:ElementDefinition.requirements [ fhir:value "A relationship type SHOULD be provided." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.fixedCode [ fhir:value "has-member" ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes specifying how two observations are related." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/observation-relationshiptypes>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-relationshiptypes" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".typeCode" ]       ]     ], [
       fhir:index 75;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalPrimaryTumorCategory.target" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.target" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalPrimaryTumorCategory.target" ];
       fhir:ElementDefinition.short [ fhir:value "Resource that is related to this one" ];
       fhir:ElementDefinition.definition [ fhir:value "A reference to the observation or [[[QuestionnaireResponse]]] resource that is related to this observation." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/onco-core-TNMClinicalPrimaryTumorCategory";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".targetObservation" ]       ]     ], [
       fhir:index 76;
       fhir:ElementDefinition.id [ fhir:value "onco-core-TNMClinicalRegionalNodesCategory" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related" ];
       fhir:ElementDefinition.name [ fhir:value "onco-core-TNMClinicalRegionalNodesCategory" ];
       fhir:ElementDefinition.short [ fhir:value "TNMClinicalRegionalNodesCategory: Category of the presence or absence of metastases in regional lymph nodes, assessed using tests that are done before surgery" ];
       fhir:ElementDefinition.definition [ fhir:value "Category of the presence or absence of metastases in regional lymph nodes, assessed using tests that are done before surgery. These include physical exams, imaging tests, laboratory tests (such as blood tests), and biopsies (definition adapted from NCI Dictionary of Cancer Terms)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.related" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Relationships established by OBX-4 usage" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "outBoundRelationship" ]       ]     ], [
       fhir:index 77;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalRegionalNodesCategory.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalRegionalNodesCategory.id" ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 78;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalRegionalNodesCategory.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.extension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalRegionalNodesCategory.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 79;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalRegionalNodesCategory.mod" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.modifierExtension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalRegionalNodesCategory.mod" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
       fhir:ElementDefinition.definition [ fhir: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 that contains it. Usually modifier elements provide negation or qualification. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ], [
         fhir:value "modifiers";
         fhir:index 2       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 80;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalRegionalNodesCategory.type" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.type" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalRegionalNodesCategory.type" ];
       fhir:ElementDefinition.short [ fhir:value "has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by" ];
       fhir:ElementDefinition.definition [ fhir:value "A code specifying the kind of relationship that exists with the target resource." ];
       fhir:ElementDefinition.comments [ fhir:value "\"derived-from\" is only logical choice when referencing QuestionnaireAnswer resource." ];
       fhir:ElementDefinition.requirements [ fhir:value "A relationship type SHOULD be provided." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.fixedCode [ fhir:value "has-member" ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes specifying how two observations are related." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/observation-relationshiptypes>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-relationshiptypes" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".typeCode" ]       ]     ], [
       fhir:index 81;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalRegionalNodesCategory.target" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.target" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalRegionalNodesCategory.target" ];
       fhir:ElementDefinition.short [ fhir:value "Resource that is related to this one" ];
       fhir:ElementDefinition.definition [ fhir:value "A reference to the observation or [[[QuestionnaireResponse]]] resource that is related to this observation." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/onco-core-TNMClinicalRegionalNodesCategory";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".targetObservation" ]       ]     ], [
       fhir:index 82;
       fhir:ElementDefinition.id [ fhir:value "onco-core-TNMClinicalDistantMetastasesCategory" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related" ];
       fhir:ElementDefinition.name [ fhir:value "onco-core-TNMClinicalDistantMetastasesCategory" ];
       fhir:ElementDefinition.short [ fhir:value "TNMClinicalDistantMetastasesCategory: Category describing the presence or absence of metastases in remote anatomical locations, assessed using tests that are done before surgery" ];
       fhir:ElementDefinition.definition [ fhir:value "Category describing the presence or absence of metastases in remote anatomical locations, assessed using tests that are done before surgery. These include physical exams, imaging tests, laboratory tests (such as blood tests), and biopsies (definition adapted from NCI Dictionary of Cancer Terms)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.related" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "Relationships established by OBX-4 usage" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "outBoundRelationship" ]       ]     ], [
       fhir:index 83;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalDistantMetastasesCategory.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalDistantMetastasesCategory.id" ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 84;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalDistantMetastasesCategory.ext" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.extension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalDistantMetastasesCategory.ext" ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 85;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalDistantMetastasesCategory.mod" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.modifierExtension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalDistantMetastasesCategory.mod" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
       fhir:ElementDefinition.definition [ fhir: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 that contains it. Usually modifier elements provide negation or qualification. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ], [
         fhir:value "modifiers";
         fhir:index 2       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 86;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalDistantMetastasesCategory.type" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.type" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalDistantMetastasesCategory.type" ];
       fhir:ElementDefinition.short [ fhir:value "has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by" ];
       fhir:ElementDefinition.definition [ fhir:value "A code specifying the kind of relationship that exists with the target resource." ];
       fhir:ElementDefinition.comments [ fhir:value "\"derived-from\" is only logical choice when referencing QuestionnaireAnswer resource." ];
       fhir:ElementDefinition.requirements [ fhir:value "A relationship type SHOULD be provided." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.fixedCode [ fhir:value "has-member" ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes specifying how two observations are related." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/observation-relationshiptypes>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-relationshiptypes" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".typeCode" ]       ]     ], [
       fhir:index 87;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalDistantMetastasesCategory.target" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.target" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalDistantMetastasesCategory.target" ];
       fhir:ElementDefinition.short [ fhir:value "Resource that is related to this one" ];
       fhir:ElementDefinition.definition [ fhir:value "A reference to the observation or [[[QuestionnaireResponse]]] resource that is related to this observation." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/onco-core-TNMClinicalDistantMetastasesCategory";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value ".targetObservation" ]       ]     ], [
       fhir:index 88;
       fhir:ElementDefinition.id [ fhir:value "Observation.component" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component" ];
       fhir:ElementDefinition.short [ fhir:value "Component results" ];
       fhir:ElementDefinition.definition [ fhir:value "Some observations have multiple component observations.  These component observations are expressed as separate code value pairs that share the same attributes.  Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations." ];
       fhir:ElementDefinition.comments [ fhir:value "For a discussion on the ways Observations can assembled in groups together see [Notes below](observation.html#4.20.4)." ];
       fhir:ElementDefinition.requirements [ fhir:value "Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable).   However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.component" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "containment by OBX-4?" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "outBoundRelationship[typeCode=COMP]" ]       ]     ], [
       fhir:index 89;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.id" ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 90;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.extension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 91;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.modifierExtension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
       fhir:ElementDefinition.definition [ fhir: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 that contains it. Usually modifier elements provide negation or qualification. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ], [
         fhir:value "modifiers";
         fhir:index 2       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 92;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.code" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.code" ];
       fhir:ElementDefinition.short [ fhir:value "Type of component observation (code / type)" ];
       fhir:ElementDefinition.definition [ fhir:value "Describes what was observed. Sometimes this is called the observation \"code\"." ];
       fhir:ElementDefinition.requirements [ fhir:value "Knowing what kind of observation is being made is essential to understanding the observation." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.condition [
         fhir:value "obs-7";
         fhir:index 0       ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes identifying names of simple observations." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/observation-codes>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-codes" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-3" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "code" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "what" ]       ]     ], [
       fhir:index 93;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.valuex" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.value[x]" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.valuex" ];
       fhir:ElementDefinition.short [ fhir:value "Actual component result" ];
       fhir:ElementDefinition.definition [ fhir:value "The information determined as a result of making the observation, if the information has a simple value." ];
       fhir:ElementDefinition.comments [ fhir:value "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.   For boolean values use valueCodeableConcept and select codes from <http://hl7.org/fhir/ValueSet/v2-0136> (These \"yes/no\" concepts can be mapped to the display name \"true/false\" or other mutually exclusive terms that may be needed\").  The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (The name format is \"'value' + the type name\" with a capital on the first letter of the type)." ];
       fhir:ElementDefinition.requirements [ fhir:value "An observation exists to have a value, though it may not if it is in error, or it represents a group of observations." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.type.code [ fhir:value "Range" ]       ], [
         fhir:index 4;
         fhir:ElementDefinition.type.code [ fhir:value "Ratio" ]       ], [
         fhir:index 5;
         fhir:ElementDefinition.type.code [ fhir:value "SampledData" ]       ], [
         fhir:index 6;
         fhir:ElementDefinition.type.code [ fhir:value "time" ]       ], [
         fhir:index 7;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]       ], [
         fhir:index 8;
         fhir:ElementDefinition.type.code [ fhir:value "Period" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX.2, OBX.5, OBX.6" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "value" ]       ]     ], [
       fhir:index 94;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.dataAbsentReason" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.dataAbsentReason" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.dataAbsentReason" ];
       fhir:ElementDefinition.short [ fhir:value "Why the component result is missing" ];
       fhir:ElementDefinition.definition [ fhir:value "Provides a reason why the expected value in the element Observation.value[x] is missing." ];
       fhir:ElementDefinition.comments [ fhir:value "\"Null\" or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"test not done\".   The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed.  Because of these options, use-case agreements are required to interpret general observations for exceptional values." ];
       fhir:ElementDefinition.requirements [ fhir:value "For many results it is necessary to handle exceptional values in measurements." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.condition [
         fhir:value "obs-6";
         fhir:index 0       ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes specifying why the result (Observation.value[x]) is missing." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/observation-valueabsentreason>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-valueabsentreason" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "value.nullFlavor" ]       ]     ], [
       fhir:index 95;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.referenceRange" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.referenceRange" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.referenceRange" ];
       fhir:ElementDefinition.short [ fhir:value "Provides guide for interpretation of component result" ];
       fhir:ElementDefinition.definition [ fhir:value "Guidance on how to interpret the value by comparison to a normal or recommended range." ];
       fhir:ElementDefinition.comments [ fhir:value "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g. specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties." ];
       fhir:ElementDefinition.requirements [ fhir:value "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX.7" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]" ]       ]     ], [
       fhir:index 96;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.referenceRange.id" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.referenceRange.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.referenceRange.id" ];
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ];
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "id" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 97;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.referenceRange.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.referenceRange.extension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.referenceRange.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 98;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.referenceRange.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.referenceRange.modifierExtension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.referenceRange.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
       fhir:ElementDefinition.definition [ fhir: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 that contains it. Usually modifier elements provide negation or qualification. In order 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." ];
       fhir:ElementDefinition.comments [ fhir: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." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
         fhir:index 1       ], [
         fhir:value "modifiers";
         fhir:index 2       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
       fhir:index 99;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.referenceRange.low" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.referenceRange.low" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.referenceRange.low" ];
       fhir:ElementDefinition.short [ fhir:value "Low Range, if relevant" ];
       fhir:ElementDefinition.definition [ fhir:value "The value of the low bound of the reference range.  The low bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9).   If the low bound is omitted,  it is assumed to be meaningless (e.g. reference range is <=2.3)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Quantity" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.condition [
         fhir:value "obs-3";
         fhir:index 0       ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-7" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "value:IVL_PQ.low" ]       ]     ], [
       fhir:index 100;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.referenceRange.high" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.referenceRange.high" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.referenceRange.high" ];
       fhir:ElementDefinition.short [ fhir:value "High Range, if relevant" ];
       fhir:ElementDefinition.definition [ fhir:value "The value of the high bound of the reference range.  The high bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9).   If the high bound is omitted,  it is assumed to be meaningless (e.g. reference range is >= 2.3)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Quantity" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.condition [
         fhir:value "obs-3";
         fhir:index 0       ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-7" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "value:IVL_PQ.high" ]       ]     ], [
       fhir:index 101;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.referenceRange.meaning" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.referenceRange.meaning" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.referenceRange.meaning" ];
       fhir:ElementDefinition.short [ fhir:value "Indicates the meaning/use of this range of this range" ];
       fhir:ElementDefinition.definition [ fhir:value "Code for the meaning of the reference range." ];
       fhir:ElementDefinition.comments [ fhir:value "This SHOULD be populated if there is more than one range." ];
       fhir:ElementDefinition.requirements [ fhir:value "Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, or perhaps what state this reference range applies to (i.e. age, hormonal cycles, etc.)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Code for the meaning of a reference range." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/referencerange-meaning>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/referencerange-meaning" ]         ]       ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-10?" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "interpretationCode" ]       ]     ], [
       fhir:index 102;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.referenceRange.age" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.referenceRange.age" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.referenceRange.age" ];
       fhir:ElementDefinition.short [ fhir:value "Applicable age range, if relevant" ];
       fhir:ElementDefinition.definition [ fhir:value "The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so." ];
       fhir:ElementDefinition.requirements [ fhir:value "Some analytes vary greatly over age." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Range" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value" ]       ]     ], [
       fhir:index 103;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.referenceRange.text" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.referenceRange.text" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.referenceRange.text" ];
       fhir:ElementDefinition.short [ fhir:value "Text based reference range in an observation" ];
       fhir:ElementDefinition.definition [ fhir:value "Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation.  An example would be a reference value of \"Negative\" or a list or table of 'normals'." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-7" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "value:ST" ]       ]     ]
  ];
  fhir:StructureDefinition.differential [
     fhir:StructureDefinition.differential.element [
       fhir:index 0;
       fhir:ElementDefinition.id [ fhir:value "Observation" ];
       fhir:ElementDefinition.path [ fhir:value "Observation" ];
       fhir:ElementDefinition.name [ fhir:value "Observation" ];
       fhir:ElementDefinition.short [ fhir:value "onco-core-TNMClinicalStageGroup" ];
       fhir:ElementDefinition.definition [ fhir:value "The extent of the cancer in the body, according to the TNM classification system, based on information obtained prior to neoadjuvant treatment and surgery, e.g. based on evidence such as physical examination, imaging, and/or biopsy." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Observation" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:ElementDefinition.id [ fhir:value "Observation.meta" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.meta" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.meta" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 2;
       fhir:ElementDefinition.id [ fhir:value "Observation.meta.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.meta.extension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.meta.extension" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.id [ fhir:value "3" ];
         fhir:ElementDefinition.slicing.discriminator [
           fhir:value "url";
           fhir:index 0         ];
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 3;
       fhir:ElementDefinition.id [ fhir:value "sourcesystem" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.meta.extension" ];
       fhir:ElementDefinition.name [ fhir:value "sourcesystem" ];
       fhir:ElementDefinition.definition [ fhir:value "FHIR: This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.\nFHIM: Identifies the computer system that created the medical record. This optional field may also be used to indicate that the medical record was originally created by a different organization from the one that is currently storing or utilizing the record in that the assigning authority of the Id could be set to that originating organization. This property is optional, as some systems will assume that all records that it contains originated in that system, however it is anticipated that it will become increasingly commonplace for records from multiple systems and organizations will be comingled in order to provide a complete picture of the patient's health record." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.meta.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-SourceSystem-extension";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 4;
       fhir:ElementDefinition.id [ fhir:value "Observation.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.extension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.extension" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.id [ fhir:value "2" ];
         fhir:ElementDefinition.slicing.discriminator [
           fhir:value "url";
           fhir:index 0         ];
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 5;
       fhir:ElementDefinition.id [ fhir:value "observationbasedon" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.extension" ];
       fhir:ElementDefinition.name [ fhir:value "observationbasedon" ];
       fhir:ElementDefinition.definition [ fhir:value "The plan, proposal or order that is fulfilled in whole or in part by this event. For example, a MedicationRequest may require a patient to have laboratory test performed before it is dispensed." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationBasedOn-extension";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 6;
       fhir:ElementDefinition.id [ fhir:value "observationpartof" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.extension" ];
       fhir:ElementDefinition.name [ fhir:value "observationpartof" ];
       fhir:ElementDefinition.definition [ fhir:value "A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationPartOf-extension";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 7;
       fhir:ElementDefinition.id [ fhir:value "annotation" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.extension" ];
       fhir:ElementDefinition.name [ fhir:value "annotation" ];
       fhir:ElementDefinition.definition [ fhir:value "An added or follow-up note, often after the fact, that contains metadata about who made the statement and when." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Annotation-extension";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 8;
       fhir:ElementDefinition.id [ fhir:value "observationderivedfrom" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.extension" ];
       fhir:ElementDefinition.name [ fhir:value "observationderivedfrom" ];
       fhir:ElementDefinition.definition [ fhir:value "The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationDerivedFrom-extension";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 9;
       fhir:ElementDefinition.id [ fhir:value "Observation.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.modifierExtension" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.modifierExtension" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.id [ fhir:value "4" ];
         fhir:ElementDefinition.slicing.discriminator [
           fhir:value "url";
           fhir:index 0         ];
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 10;
       fhir:ElementDefinition.id [ fhir:value "focalsubject" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.modifierExtension" ];
       fhir:ElementDefinition.name [ fhir:value "focalsubject" ];
       fhir:ElementDefinition.definition [ fhir:value "The person or entity that the information in this resource relates to, if different than the person of record. The subject of information can be a reference or a code, the latter when the subject is described generically, for example, in terms of a relationship to the subject of record (e.g., wife)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.modifierExtension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-FocalSubject-extension";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 11;
       fhir:ElementDefinition.id [ fhir:value "Observation.modifierExtension-focalsubject.valueReference" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.modifierExtension.valueReference" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.modifierExtension-focalsubject.valueReference" ];
       fhir:ElementDefinition.short [ fhir:value "PrimaryCancerCondition: Records the history of the primary cancer condition, the original or first tumor in the body (reference https://www.cancer.gov/publications/dictionaries/cancer-terms/def/primary-tumor)" ];
       fhir:ElementDefinition.definition [ fhir:value "Records the history of the primary cancer condition, the original or first tumor in the body (reference https://www.cancer.gov/publications/dictionaries/cancer-terms/def/primary-tumor). Cancers that are not clearly secondary (i.e., of uncertain origin or behavior) should be documented as primary.\n\nCancer staging information summarized in this profile should reflect the most recent staging assessment on the patient, and should be updated if and when there is a new staging assessment. Past staging assessments will be preserved in instances of the TNMClinicalStageGroup and/or TNMPathologicalStageGroup, which refer back to PrimaryCancerCondition.\n\nConformance note: For the code attribute, to be compliant with [US Core Profiles](http://hl7.org/fhir/us/core/STU3/index.html), SNOMED CT must be used unless there is no suitable code, in which case ICD-10-CM can be used." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/onco-core-PrimaryCancerCondition";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 12;
       fhir:ElementDefinition.id [ fhir:value "Observation.category" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.category" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.category" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes for high level observation categories ." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/observation-category>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-category" ]         ]       ]     ], [
       fhir:index 13;
       fhir:ElementDefinition.id [ fhir:value "Observation.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.code" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 14;
       fhir:ElementDefinition.id [ fhir:value "Observation.code.coding" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.coding" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.code.coding" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.id [ fhir:value "1" ];
         fhir:ElementDefinition.slicing.discriminator [
           fhir:value "code";
           fhir:index 0         ];
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 15;
       fhir:ElementDefinition.id [ fhir:value "Fixed_21908-9" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.coding" ];
       fhir:ElementDefinition.name [ fhir:value "Fixed_21908-9" ];
       fhir:ElementDefinition.short [ fhir:value "Stage group.clinical Cancer" ];
       fhir:ElementDefinition.definition [ fhir:value "Stage group.clinical Cancer" ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 16;
       fhir:ElementDefinition.id [ fhir:value "Observation.code.coding-Fixed-21908-9.system" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.system" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.code.coding-Fixed-21908-9.system" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.fixedUri [ fhir:value "http://loinc.org" ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 17;
       fhir:ElementDefinition.id [ fhir:value "Observation.code.coding-Fixed-21908-9.code" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.code" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.code.coding-Fixed-21908-9.code" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.fixedCode [ fhir:value "21908-9" ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 18;
       fhir:ElementDefinition.id [ fhir:value "Observation.subject" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.subject" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.subject" ];
       fhir:ElementDefinition.short [ fhir:value "The subject of an observation" ];
       fhir:ElementDefinition.definition [ fhir:value "The subject of an observation." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.subject" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Patient";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 19;
       fhir:ElementDefinition.id [ fhir:value "Observation.effectivex" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.effective[x]" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.effectivex" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 20;
       fhir:ElementDefinition.id [ fhir:value "Observation.performer" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.performer" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.performer" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 21;
       fhir:ElementDefinition.id [ fhir:value "Observation.valueCodeableConcept" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.valueCodeableConcept" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.valueCodeableConcept" ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.value[x]" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://mcodeinitiative.org/us/mcode/ValueSet/onco-core-TNMStageGroupVS>;
           fhir:Reference.reference [ fhir:value "http://mcodeinitiative.org/us/mcode/ValueSet/onco-core-TNMStageGroupVS" ]         ]       ]     ], [
       fhir:index 22;
       fhir:ElementDefinition.id [ fhir:value "Observation.dataAbsentReason" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.dataAbsentReason" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.dataAbsentReason" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.dataAbsentReason" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 23;
       fhir:ElementDefinition.id [ fhir:value "Observation.bodySite" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.bodySite" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.bodySite" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.bodySite" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Codes describing anatomical locations. May include laterality." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/body-site>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/body-site" ]         ]       ]     ], [
       fhir:index 24;
       fhir:ElementDefinition.id [ fhir:value "Observation.method" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.method" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.method" ];
       fhir:ElementDefinition.short [ fhir:value "Method or staging system used to stage the cancer" ];
       fhir:ElementDefinition.definition [ fhir:value "Method or staging system used to stage the cancer." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://mcodeinitiative.org/us/mcode/ValueSet/onco-core-CancerStagingSystemVS>;
           fhir:Reference.reference [ fhir:value "http://mcodeinitiative.org/us/mcode/ValueSet/onco-core-CancerStagingSystemVS" ]         ]       ]     ], [
       fhir:index 25;
       fhir:ElementDefinition.id [ fhir:value "Observation.specimen" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.specimen" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.specimen" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.specimen" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 26;
       fhir:ElementDefinition.id [ fhir:value "Observation.device" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.device" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.device" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.device" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://fhir.org/guides/argonaut/StructureDefinition/argo-device";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 27;
       fhir:ElementDefinition.id [ fhir:value "Observation.referenceRange" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.referenceRange" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 28;
       fhir:ElementDefinition.id [ fhir:value "Observation.referenceRange.meaning" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.meaning" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.referenceRange.meaning" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Code for the meaning of a reference range." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/referencerange-meaning>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/referencerange-meaning" ]         ]       ]     ], [
       fhir:index 29;
       fhir:ElementDefinition.id [ fhir:value "Observation.related" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related" ];
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.id [ fhir:value "5" ];
         fhir:ElementDefinition.slicing.discriminator [
           fhir:value "target.reference/@profile";
           fhir:index 0         ];
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.related" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 30;
       fhir:ElementDefinition.id [ fhir:value "Observation.related.type" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.type" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related.type" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.fixedCode [ fhir:value "has-member" ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 31;
       fhir:ElementDefinition.id [ fhir:value "Observation.related.target" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.target" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related.target" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Observation";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 32;
       fhir:ElementDefinition.id [ fhir:value "onco-core-TNMClinicalPrimaryTumorCategory" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related" ];
       fhir:ElementDefinition.name [ fhir:value "onco-core-TNMClinicalPrimaryTumorCategory" ];
       fhir:ElementDefinition.short [ fhir:value "TNMClinicalPrimaryTumorCategory: Category of the primary tumor, based on its size and extent, assessed prior to surgery, based on evidence such as physical examination, imaging, and/or biopsy" ];
       fhir:ElementDefinition.definition [ fhir:value "Category of the primary tumor, based on its size and extent, assessed prior to surgery, based on evidence such as physical examination, imaging, and/or biopsy." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.related" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 33;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalPrimaryTumorCategory.type" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.type" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalPrimaryTumorCategory.type" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.fixedCode [ fhir:value "has-member" ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 34;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalPrimaryTumorCategory.target" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.target" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalPrimaryTumorCategory.target" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/onco-core-TNMClinicalPrimaryTumorCategory";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 35;
       fhir:ElementDefinition.id [ fhir:value "onco-core-TNMClinicalRegionalNodesCategory" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related" ];
       fhir:ElementDefinition.name [ fhir:value "onco-core-TNMClinicalRegionalNodesCategory" ];
       fhir:ElementDefinition.short [ fhir:value "TNMClinicalRegionalNodesCategory: Category of the presence or absence of metastases in regional lymph nodes, assessed using tests that are done before surgery" ];
       fhir:ElementDefinition.definition [ fhir:value "Category of the presence or absence of metastases in regional lymph nodes, assessed using tests that are done before surgery. These include physical exams, imaging tests, laboratory tests (such as blood tests), and biopsies (definition adapted from NCI Dictionary of Cancer Terms)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.related" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 36;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalRegionalNodesCategory.type" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.type" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalRegionalNodesCategory.type" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.fixedCode [ fhir:value "has-member" ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 37;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalRegionalNodesCategory.target" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.target" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalRegionalNodesCategory.target" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/onco-core-TNMClinicalRegionalNodesCategory";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 38;
       fhir:ElementDefinition.id [ fhir:value "onco-core-TNMClinicalDistantMetastasesCategory" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related" ];
       fhir:ElementDefinition.name [ fhir:value "onco-core-TNMClinicalDistantMetastasesCategory" ];
       fhir:ElementDefinition.short [ fhir:value "TNMClinicalDistantMetastasesCategory: Category describing the presence or absence of metastases in remote anatomical locations, assessed using tests that are done before surgery" ];
       fhir:ElementDefinition.definition [ fhir:value "Category describing the presence or absence of metastases in remote anatomical locations, assessed using tests that are done before surgery. These include physical exams, imaging tests, laboratory tests (such as blood tests), and biopsies (definition adapted from NCI Dictionary of Cancer Terms)." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.related" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 39;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalDistantMetastasesCategory.type" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.type" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalDistantMetastasesCategory.type" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.fixedCode [ fhir:value "has-member" ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 40;
       fhir:ElementDefinition.id [ fhir:value "Observation.related-TNMClinicalDistantMetastasesCategory.target" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.related.target" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.related-TNMClinicalDistantMetastasesCategory.target" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.type.profile [
           fhir:value "http://mcodeinitiative.org/us/mcode/StructureDefinition/onco-core-TNMClinicalDistantMetastasesCategory";
           fhir:index 0         ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 41;
       fhir:ElementDefinition.id [ fhir:value "Observation.component" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.max [ fhir:value "0" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Observation.component" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:integer ];
         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 42;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.valuex" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.value[x]" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.valuex" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ], [
         fhir:index 2;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]       ], [
         fhir:index 3;
         fhir:ElementDefinition.type.code [ fhir:value "Range" ]       ], [
         fhir:index 4;
         fhir:ElementDefinition.type.code [ fhir:value "Ratio" ]       ], [
         fhir:index 5;
         fhir:ElementDefinition.type.code [ fhir:value "SampledData" ]       ], [
         fhir:index 6;
         fhir:ElementDefinition.type.code [ fhir:value "time" ]       ], [
         fhir:index 7;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]       ], [
         fhir:index 8;
         fhir:ElementDefinition.type.code [ fhir:value "Period" ]       ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 43;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.referenceRange" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.referenceRange" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.referenceRange" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
       fhir:index 44;
       fhir:ElementDefinition.id [ fhir:value "Observation.component.referenceRange.meaning" ];
       fhir:ElementDefinition.path [ fhir:value "Observation.component.referenceRange.meaning" ];
       fhir:ElementDefinition.name [ fhir:value "Observation.component.referenceRange.meaning" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.maxLength [ fhir:value "0"^^xsd:integer ];
       fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ];
         fhir:ElementDefinition.binding.description [ fhir:value "Code for the meaning of a reference range." ];
         fhir:ElementDefinition.binding.valueSetReference [
           fhir:link <http://hl7.org/fhir/ValueSet/referencerange-meaning>;
           fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/referencerange-meaning" ]         ]       ]     ]
  ].

<http://hl7.org/fhir/ValueSet/security-labels> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/observation-status> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/observation-category> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/observation-codes> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/observation-valueabsentreason> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/observation-interpretation> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/body-site> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/referencerange-meaning> a fhir:ValueSet.

<http://hl7.org/fhir/ValueSet/observation-relationshiptypes> a fhir:ValueSet.

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.