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
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="vital-BodyWeight"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p><b>BodyWeight Profile</b></p> <p>Records the body weight, defined as the mass or quantity of heaviness of the individual.</p> <p><b>Mapping Summary</b></p> <p><pre>vital.BodyWeight maps to Observation: Language maps to language ImplicitRules maps to implicitRules Metadata.VersionId maps to meta.versionId Metadata.SourceSystem maps to meta.extension Metadata.Profile maps to meta.profile Metadata.LastUpdated maps to meta.lastUpdated Metadata.SecurityLabel maps to meta.security Metadata.Tag maps to meta.tag Narrative maps to text Identifier maps to identifier ObservationBasedOn maps to extension ObservationPartOf maps to extension Status maps to status Category maps to category Code maps to code ObservationSubjectOfRecord maps to subject FocalSubject maps to modifierExtension CareContext maps to encounter RelevantTime maps to effective[x] StatementDateTime maps to issued Performer maps to performer DataValue maps to value[x] DataAbsentReason maps to dataAbsentReason Interpretation maps to interpretation Annotation maps to extension BodyLocation.Code maps to bodySite BodyLocation.Laterality maps to bodySite.extension BodyLocation.AnatomicalOrientation maps to bodySite.extension BodyLocation.RelationToLandmark maps to bodySite.extension Method maps to method Specimen maps to specimen Device maps to device ReferenceRange maps to referenceRange ReferenceRange.LowerBound maps to referenceRange.low ReferenceRange.UpperBound maps to referenceRange.high ReferenceRange.Type maps to referenceRange.meaning ReferenceRange.ApplicableSubpopulation maps to referenceRange.extension ReferenceRange.ApplicableAgeRange maps to referenceRange.age ReferenceRange.Text maps to referenceRange.text fix related.type to #has-member PanelMembers maps to related PanelMembers.Observation maps to related.target (slice at = related; slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes) ObservationDerivedFrom maps to extension Components.ObservationComponent maps to component (slice on = code.coding.code; slice strategy = includes) Components.ObservationComponent.Code maps to component.code Components.ObservationComponent.DataValue maps to component.value[x] Components.ObservationComponent.DataAbsentReason maps to component.dataAbsentReason Components.ObservationComponent.ReferenceRange maps to component.referenceRange Components.ObservationComponent.ReferenceRange.LowerBound maps to component.referenceRange.low Components.ObservationComponent.ReferenceRange.UpperBound maps to component.referenceRange.high Components.ObservationComponent.ReferenceRange.Type maps to component.referenceRange.meaning Components.ObservationComponent.ReferenceRange.ApplicableAgeRange maps to component.referenceRange.age Components.ObservationComponent.ReferenceRange.Text maps to component.referenceRange.text </pre></p> </div> </text> <url value="http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-BodyWeight"/> <version value="0.9.1"/> <name value="BodyWeight"/> <display value="vital-BodyWeight"/> <status value="draft"/> <publisher value="The MITRE Corporation"/> <contact> <telecom> <system value="other"/> <value value="http://standardhealthrecord.org"/> <rank value="0"/> </telecom> </contact> <date value="2019-10-23T00:00:00-04:00"/> <description value="Records the body weight, defined as the mass or quantity of heaviness of the individual."/> <requirements value="Observations are a key aspect of healthcare. This resource is used to capture those that do not require more sophisticated mechanisms."/> <fhirVersion value="1.0.2"/> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 v2"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/w5"/> <name value="W5 Mapping"/> </mapping> <kind value="resource"/> <constrainedType value="Observation"/> <abstract value="false"/> <base value="http://hl7.org/fhir/StructureDefinition/Observation"/> <snapshot> <element id="Observation"> <path value="Observation"/> <name value="Observation"/> <short value="vital-BodyWeight"/> <definition value="Records the body weight, defined as the mass or quantity of heaviness of the individual."/> <comments 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."/> <alias value="Vital Signs"/> <alias value="Measurement"/> <alias value="Results"/> <alias value="Tests"/> <min value="0"/> <max value="*"/> <type> <code value="Observation"/> </type> <maxLength value="0"/> <constraint> <key value="obs-6"/> <severity value="error"/> <human value="SHALL only be present if Observation.value[x] is not present"/> <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))"/> </constraint> <constraint> <key value="obs-7"/> <severity value="error"/> <human value="Component code SHALL not be same as observation code"/> <xpath 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"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation[classCode=OBS, moodCode=EVN]"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.diagnostics"/> </mapping> </element> <element id="Observation.id"> <path value="Observation.id"/> <name value="Observation.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comments 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."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Observation.meta"> <path value="Observation.meta"/> <name value="Observation.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <type> <code value="Meta"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Observation.meta.id"> <path value="Observation.meta.id"/> <representation value="xmlAttr"/> <name value="Observation.meta.id"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.meta.extension"> <path value="Observation.meta.extension"/> <name value="Observation.meta.extension"/> <slicing id="3"> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. 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."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="sourcesystem"> <path value="Observation.meta.extension"/> <name value="sourcesystem"/> <definition 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. FHIM: 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."/> <min value="0"/> <max value="1"/> <base> <path value="Observation.meta.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-SourceSystem-extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.meta.versionId"> <path value="Observation.meta.versionId"/> <name value="Observation.meta.versionId"/> <short value="Version specific identifier"/> <definition 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."/> <comments 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."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Observation.meta.lastUpdated"> <path value="Observation.meta.lastUpdated"/> <name value="Observation.meta.lastUpdated"/> <short value="When the resource version last changed"/> <definition value="When the resource last changed - e.g. when the version changed."/> <comments 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."/> <min value="0"/> <max value="1"/> <type> <code value="instant"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Observation.meta.profile"> <path value="Observation.meta.profile"/> <name value="Observation.meta.profile"/> <short value="Profiles this resource claims to conform to"/> <definition value="A list of profiles [[[StructureDefinition]]]s that this resource claims to conform to. The URL is a reference to [[[StructureDefinition.url]]]."/> <comments 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."/> <min value="0"/> <max value="*"/> <type> <code value="uri"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Observation.meta.security"> <path value="Observation.meta.security"/> <name value="Observation.meta.security"/> <short value="Security Labels applied to this resource"/> <definition value="Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure."/> <comments 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."/> <min value="0"/> <max value="*"/> <type> <code value="Coding"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="extensible"/> <description value="Security Labels from the Healthcare Privacy and Security Classification System."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/security-labels"/> </valueSetReference> </binding> </element> <element id="Observation.meta.tag"> <path value="Observation.meta.tag"/> <name value="Observation.meta.tag"/> <short value="Tags applied to this resource"/> <definition 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."/> <comments 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."/> <min value="0"/> <max value="*"/> <type> <code value="Coding"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="example"/> <description value="Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones""/> </binding> </element> <element id="Observation.implicitRules"> <path value="Observation.implicitRules"/> <name value="Observation.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/> <comments 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."/> <min value="0"/> <max value="1"/> <type> <code value="uri"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="true"/> <isSummary value="true"/> </element> <element id="Observation.language"> <path value="Observation.language"/> <name value="Observation.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comments value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="required"/> <description value="A human language."/> <valueSetReference> <reference value="http://tools.ietf.org/html/bcp47"/> </valueSetReference> </binding> </element> <element id="Observation.text"> <path value="Observation.text"/> <name value="Observation.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource, and 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."/> <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <type> <code value="Narrative"/> </type> <maxLength value="0"/> <condition value="dom-1"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="Observation.contained"> <path value="Observation.contained"/> <name value="Observation.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comments 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."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <type> <code value="Resource"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Observation.extension"> <path value="Observation.extension"/> <name value="Observation.extension"/> <slicing id="2"> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the 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."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="observationbasedon"> <path value="Observation.extension"/> <name value="observationbasedon"/> <definition 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."/> <min value="0"/> <max value="*"/> <base> <path value="Observation.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationBasedOn-extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="observationpartof"> <path value="Observation.extension"/> <name value="observationpartof"/> <definition value="A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure."/> <min value="0"/> <max value="*"/> <base> <path value="Observation.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationPartOf-extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="annotation"> <path value="Observation.extension"/> <name value="annotation"/> <definition value="An added or follow-up note, often after the fact, that contains metadata about who made the statement and when."/> <min value="0"/> <max value="*"/> <base> <path value="Observation.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Annotation-extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="observationderivedfrom"> <path value="Observation.extension"/> <name value="observationderivedfrom"/> <definition 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."/> <min value="0"/> <max value="*"/> <base> <path value="Observation.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationDerivedFrom-extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="preconditioncode"> <path value="Observation.extension"/> <name value="preconditioncode"/> <definition value="A coded description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar."/> <min value="0"/> <max value="*"/> <base> <path value="Observation.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-PreconditionCode-extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.extension-preconditioncode.id"> <path value="Observation.extension.id"/> <representation value="xmlAttr"/> <name value="Observation.extension-preconditioncode.id"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.extension-preconditioncode.extension"> <path value="Observation.extension.extension"/> <name value="Observation.extension-preconditioncode.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. 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."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="0"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.extension-preconditioncode.url"> <path value="Observation.extension.url"/> <representation value="xmlAttr"/> <name value="Observation.extension-preconditioncode.url"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comments 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 #."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-PreconditionCode-extension"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Observation.extension-preconditioncode.valueCodeableConcept"> <path value="Observation.extension.valueCodeableConcept"/> <name value="Observation.extension-preconditioncode.valueCodeableConcept"/> <short value="Value of extension"/> <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="http://mcodeinitiative.org/us/mcode/ValueSet/vital-BodyWeightPreconditionVS"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Observation.modifierExtension"> <path value="Observation.modifierExtension"/> <name value="Observation.modifierExtension"/> <slicing id="4"> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. 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."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="true"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="focalsubject"> <path value="Observation.modifierExtension"/> <name value="focalsubject"/> <definition 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)."/> <min value="0"/> <max value="*"/> <base> <path value="Observation.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-FocalSubject-extension"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="true"/> <isSummary value="false"/> </element> <element id="Observation.modifierExtension-focalsubject.id"> <path value="Observation.modifierExtension.id"/> <representation value="xmlAttr"/> <name value="Observation.modifierExtension-focalsubject.id"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.modifierExtension-focalsubject.extension"> <path value="Observation.modifierExtension.extension"/> <name value="Observation.modifierExtension-focalsubject.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. 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."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="0"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.modifierExtension-focalsubject.url"> <path value="Observation.modifierExtension.url"/> <representation value="xmlAttr"/> <name value="Observation.modifierExtension-focalsubject.url"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comments 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 #."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-FocalSubject-extension"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Observation.modifierExtension-focalsubject.valueReference"> <path value="Observation.modifierExtension.valueReference"/> <name value="Observation.modifierExtension-focalsubject.valueReference"/> <short value="Resource: Parent class for any item in clinical or administrative health-related system"/> <definition value="Parent class for any item in clinical or administrative health-related system. Contains metadata attributes that apply to any item represented in the standard health record. An DomainResource can belong to a single person's health record, or represent an entity that surfaces in multiple records, such as organizations, providers, payments, decision support artifacts, etc."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Resource"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Observation.identifier"> <path value="Observation.identifier"/> <name value="Observation.identifier"/> <short value="Unique Id for this particular observation"/> <definition value="A unique identifier for the simple observation instance."/> <requirements value="Allows observations to be distinguished and referenced."/> <min value="0"/> <max value="*"/> <type> <code value="Identifier"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX.21"/> </mapping> <mapping> <identity value="rim"/> <map value="id"/> </mapping> <mapping> <identity value="w5"/> <map value="id"/> </mapping> </element> <element id="Observation.status"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint"> <valueString value="default: final"/> </extension> <path value="Observation.status"/> <name value="Observation.status"/> <short value="registered | preliminary | final | amended +"/> <definition value="The status of the result value."/> <requirements value="Need to track the status of individual results. Some results are finalized before the whole report is finalized."/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="true"/> <isSummary value="true"/> <binding> <strength value="required"/> <description value="Codes providing the status of an observation."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-status"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="OBX-11"/> </mapping> <mapping> <identity value="rim"/> <map value="status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise""/> </mapping> <mapping> <identity value="w5"/> <map value="status"/> </mapping> </element> <element id="Observation.category"> <path value="Observation.category"/> <name value="Observation.category"/> <short value="Classification of type of observation"/> <definition value="A code that classifies the general type of observation being made. This is used for searching, sorting and display purposes."/> <comments 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."/> <min value="1"/> <max value="1"/> <base> <path value="Observation.category"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <description value="Codes for high level observation categories ."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-category"/> </valueSetReference> </binding> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code"/> </mapping> <mapping> <identity value="w5"/> <map value="class"/> </mapping> </element> <element id="Observation.code"> <path value="Observation.code"/> <name value="Observation.code"/> <short value="Type of observation (code / type)"/> <definition value="Describes what was observed. Sometimes this is called the observation "name"."/> <requirements value="Knowing what kind of observation is being made is essential to understanding the observation."/> <min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="example"/> <description value="Codes identifying names of simple observations."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-codes"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="OBX-3"/> </mapping> <mapping> <identity value="rim"/> <map value="code"/> </mapping> <mapping> <identity value="w5"/> <map value="what"/> </mapping> </element> <element id="Observation.code.id"> <path value="Observation.code.id"/> <representation value="xmlAttr"/> <name value="Observation.code.id"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.code.extension"> <path value="Observation.code.extension"/> <name value="Observation.code.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. 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."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding"/> <name value="Observation.code.coding"/> <slicing id="1"> <discriminator value="code"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Code defined by a terminology system"/> <definition value="A reference to a code defined by a terminology system."/> <comments 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."/> <requirements value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings."/> <min value="1"/> <max value="*"/> <type> <code value="Coding"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.1-8, C*E.10-22"/> </mapping> <mapping> <identity value="rim"/> <map value="union(., ./translation)"/> </mapping> </element> <element id="Fixed_29463-7"> <path value="Observation.code.coding"/> <name value="Fixed_29463-7"/> <short value="Body weight"/> <definition value="Body weight"/> <min value="1"/> <max value="1"/> <type> <code value="Coding"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Observation.code.coding-Fixed-29463-7.id"> <path value="Observation.code.coding.id"/> <representation value="xmlAttr"/> <name value="Observation.code.coding-Fixed-29463-7.id"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.code.coding-Fixed-29463-7.extension"> <path value="Observation.code.coding.extension"/> <name value="Observation.code.coding-Fixed-29463-7.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. 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."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.code.coding-Fixed-29463-7.system"> <path value="Observation.code.coding.system"/> <name value="Observation.code.coding-Fixed-29463-7.system"/> <short value="Identity of the terminology system"/> <definition value="The identification of the code system that defines the meaning of the symbol in the code."/> <comments 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."/> <requirements value="Need to be unambiguous about the source of the definition of the symbol."/> <min value="0"/> <max value="1"/> <type> <code value="uri"/> </type> <fixedUri value="http://loinc.org"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="orim"/> <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.3"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystem"/> </mapping> </element> <element id="Observation.code.coding-Fixed-29463-7.version"> <path value="Observation.code.coding.version"/> <name value="Observation.code.coding-Fixed-29463-7.version"/> <short value="Version of the system - if relevant"/> <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/> <comments value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="orim"/> <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.7"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystemVersion"/> </mapping> </element> <element id="Observation.code.coding-Fixed-29463-7.code"> <path value="Observation.code.coding.code"/> <name value="Observation.code.coding-Fixed-29463-7.code"/> <short value="Symbol in syntax defined by the system"/> <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/> <requirements value="Need to refer to a particular code in the system."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <fixedCode value="29463-7"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="orim"/> <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.1"/> </mapping> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> </element> <element id="Observation.code.coding-Fixed-29463-7.display"> <path value="Observation.code.coding.display"/> <name value="Observation.code.coding-Fixed-29463-7.display"/> <short value="Representation defined by the system"/> <definition value="A representation of the meaning of the code in the system, following the rules of the system."/> <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="orim"/> <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.2 - but note this is not well followed"/> </mapping> <mapping> <identity value="rim"/> <map value="CV.displayName"/> </mapping> </element> <element id="Observation.code.coding-Fixed-29463-7.userSelected"> <path value="Observation.code.coding.userSelected"/> <name value="Observation.code.coding-Fixed-29463-7.userSelected"/> <short value="If this coding was chosen directly by the user"/> <definition value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)."/> <comments 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."/> <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="orim"/> <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"/> </mapping> <mapping> <identity value="v2"/> <map value="Sometimes implied by being first"/> </mapping> <mapping> <identity value="rim"/> <map value="CD.codingRationale"/> </mapping> </element> <element id="Observation.code.text"> <path value="Observation.code.text"/> <name value="Observation.code.text"/> <short value="Plain text representation of the concept"/> <definition value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/> <comments value="Very often the text is the same as a displayName of one of the codings."/> <requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="orim"/> <map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/> </mapping> <mapping> <identity value="v2"/> <map value="C*E.9. But note many systems use C*E.2 for this"/> </mapping> <mapping> <identity value="rim"/> <map value="./originalText[mediaType/code="text/plain"]/data"/> </mapping> </element> <element id="Observation.subject"> <path value="Observation.subject"/> <name value="Observation.subject"/> <short value="The subject of an observation"/> <definition value="The subject of an observation."/> <comments 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. If 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."/> <requirements value="Observations have no value if you don't know who or what they're about."/> <min value="1"/> <max value="1"/> <base> <path value="Observation.subject"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Patient"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="PID-3"/> </mapping> <mapping> <identity value="rim"/> <map value="participation[typeCode=SBJ]"/> </mapping> <mapping> <identity value="w5"/> <map value="who.focus"/> </mapping> </element> <element id="Observation.encounter"> <path value="Observation.encounter"/> <name value="Observation.encounter"/> <short value="Healthcare event during which this observation is made"/> <definition value="The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made."/> <requirements value="For some observations it may be important to know the link between an observation and a particular encounter."/> <min value="0"/> <max value="1"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="PV1"/> </mapping> <mapping> <identity value="rim"/> <map value="inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/> </mapping> <mapping> <identity value="w5"/> <map value="context"/> </mapping> </element> <element id="Observation.effectivex"> <path value="Observation.effective[x]"/> <name value="Observation.effectivex"/> <short value="Clinically relevant time/time-period for observation"/> <definition 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."/> <comments value="At least a date should be present unless this observation is a historical report."/> <requirements value="Knowing when an observation was deemed true is important to its relevance as well as determining trends."/> <min value="0"/> <max value="1"/> <type> <code value="dateTime"/> </type> <type> <code value="Period"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"/> </mapping> <mapping> <identity value="rim"/> <map value="effectiveTime"/> </mapping> <mapping> <identity value="w5"/> <map value="when.done"/> </mapping> </element> <element id="Observation.issued"> <path value="Observation.issued"/> <name value="Observation.issued"/> <short value="Date/Time this was made available"/> <definition value="The date and time this observation was made available to providers, typically after the results have been reviewed and verified."/> <comments value="Updated when the result is updated."/> <min value="0"/> <max value="1"/> <type> <code value="instant"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"/> </mapping> <mapping> <identity value="rim"/> <map value="participation[typeCode=AUT].time"/> </mapping> <mapping> <identity value="w5"/> <map value="when.recorded"/> </mapping> </element> <element id="Observation.performer"> <path value="Observation.performer"/> <name value="Observation.performer"/> <short value="Who is responsible for the observation"/> <definition value="Who was responsible for asserting the observed value as "true"."/> <requirements value="May give a degree of confidence in the observation and also indicates where follow-up questions should be directed."/> <min value="0"/> <max value="*"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Patient"/> <profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map 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'"/> </mapping> <mapping> <identity value="rim"/> <map value="participation[typeCode=PRF]"/> </mapping> <mapping> <identity value="w5"/> <map value="who.actor"/> </mapping> </element> <element id="Observation.valueQuantity-Quantity"> <path value="Observation.valueQuantity"/> <name value="Observation.valueQuantity-Quantity"/> <short value="Actual result"/> <definition value="The information determined as a result of making the observation, if the information has a simple value."/> <min value="1"/> <max value="1"/> <base> <path value="Observation.value[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Quantity"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Observation.dataAbsentReason"> <path value="Observation.dataAbsentReason"/> <name value="Observation.dataAbsentReason"/> <short value="Why the result is missing"/> <definition value="Provides a reason why the expected value in the element Observation.value[x] is missing."/> <comments 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."/> <requirements value="For many results it is necessary to handle exceptional values in measurements."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <maxLength value="0"/> <condition value="obs-6"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <description value="Codes specifying why the result (Observation.value[x]) is missing."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-valueabsentreason"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="value.nullFlavor"/> </mapping> </element> <element id="Observation.interpretation"> <path value="Observation.interpretation"/> <name value="Observation.interpretation"/> <short value="High, low, normal, etc."/> <definition 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."/> <requirements value="For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result."/> <alias value="Abnormal Flag"/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="http://mcodeinitiative.org/us/mcode/ValueSet/obf-QuantitativeResultInterpretationVS"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="OBX-8"/> </mapping> <mapping> <identity value="rim"/> <map value="interpretationCode"/> </mapping> </element> <element id="Observation.comments"> <path value="Observation.comments"/> <name value="Observation.comments"/> <short value="Comments about result"/> <definition 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."/> <requirements value="Need to be able to provide free text additional information."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"/> </mapping> <mapping> <identity value="rim"/> <map value="subjectOf.observationEvent[code="annotation"].value"/> </mapping> </element> <element id="Observation.bodySite"> <path value="Observation.bodySite"/> <name value="Observation.bodySite"/> <short value="Observed body part"/> <definition value="Indicates the site on the subject's body where the observation was made (i.e. the target site)."/> <comments 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)."/> <requirements value="Knowing where the observation is made is important for tracking if multiple sites are possible."/> <min value="0"/> <max value="0"/> <base> <path value="Observation.bodySite"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="preferred"/> <description value="Codes describing anatomical locations. May include laterality."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/body-site"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="OBX-20"/> </mapping> <mapping> <identity value="rim"/> <map value="targetSiteCode"/> </mapping> </element> <element id="Observation.method"> <path value="Observation.method"/> <name value="Observation.method"/> <short value="How it was done"/> <definition value="Indicates the mechanism used to perform the observation."/> <comments value="Only used if not implicit in code for Observation.code."/> <requirements value="In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="http://mcodeinitiative.org/us/mcode/ValueSet/vital-BodyWeightMethodVS"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="OBX-17"/> </mapping> <mapping> <identity value="rim"/> <map value="methodCode"/> </mapping> </element> <element id="Observation.specimen"> <path value="Observation.specimen"/> <name value="Observation.specimen"/> <short value="Specimen used for this observation"/> <definition value="The specimen that was used when this observation was made."/> <comments 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)."/> <min value="0"/> <max value="0"/> <base> <path value="Observation.specimen"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Specimen"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="SPM segment"/> </mapping> <mapping> <identity value="rim"/> <map value="participation[typeCode=SPC].specimen"/> </mapping> </element> <element id="Observation.device"> <path value="Observation.device"/> <name value="Observation.device"/> <short value="(Measurement) Device"/> <definition value="The device used to generate the observation data."/> <comments 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."/> <min value="0"/> <max value="0"/> <base> <path value="Observation.device"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <profile value="http://fhir.org/guides/argonaut/StructureDefinition/argo-device"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-17 / PRT -10"/> </mapping> <mapping> <identity value="rim"/> <map value="participation[typeCode=DEV]"/> </mapping> </element> <element id="Observation.referenceRange"> <path value="Observation.referenceRange"/> <name value="Observation.referenceRange"/> <short value="Provides guide for interpretation"/> <definition value="Guidance on how to interpret the value by comparison to a normal or recommended range."/> <comments 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."/> <requirements 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."/> <min value="0"/> <max value="1"/> <base> <path value="Observation.referenceRange"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <maxLength value="0"/> <constraint> <key value="obs-3"/> <severity value="error"/> <human value="Must have at least a low or a high or text"/> <xpath value="(exists(f:low) or exists(f:high)or exists(f:text))"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX.7"/> </mapping> <mapping> <identity value="rim"/> <map value="outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="Observation.referenceRange.id"> <path value="Observation.referenceRange.id"/> <representation value="xmlAttr"/> <name value="Observation.referenceRange.id"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.referenceRange.extension"> <path value="Observation.referenceRange.extension"/> <name value="Observation.referenceRange.extension"/> <slicing id="5"> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. 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."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="applicablesubpopulation"> <path value="Observation.referenceRange.extension"/> <name value="applicablesubpopulation"/> <definition value="Codes to indicate the target population this reference range applies to. For example, a reference range may be based on the normal population or a particular sex or race."/> <min value="0"/> <max value="1"/> <base> <path value="Observation.referenceRange.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ApplicableSubpopulation-extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.referenceRange.modifierExtension"> <path value="Observation.referenceRange.modifierExtension"/> <name value="Observation.referenceRange.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the 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."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="true"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Observation.referenceRange.low"> <path value="Observation.referenceRange.low"/> <name value="Observation.referenceRange.low"/> <short value="Low Range, if relevant"/> <definition 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)."/> <min value="0"/> <max value="1"/> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <maxLength value="0"/> <condition value="obs-3"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-7"/> </mapping> <mapping> <identity value="rim"/> <map value="value:IVL_PQ.low"/> </mapping> </element> <element id="Observation.referenceRange.high"> <path value="Observation.referenceRange.high"/> <name value="Observation.referenceRange.high"/> <short value="High Range, if relevant"/> <definition 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)."/> <min value="0"/> <max value="1"/> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <maxLength value="0"/> <condition value="obs-3"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-7"/> </mapping> <mapping> <identity value="rim"/> <map value="value:IVL_PQ.high"/> </mapping> </element> <element id="Observation.referenceRange.meaning"> <path value="Observation.referenceRange.meaning"/> <name value="Observation.referenceRange.meaning"/> <short value="Indicates the meaning/use of this range of this range"/> <definition value="Code for the meaning of the reference range."/> <comments value="This SHOULD be populated if there is more than one range."/> <requirements 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.)."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <description value="Code for the meaning of a reference range."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/referencerange-meaning"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="OBX-10?"/> </mapping> <mapping> <identity value="rim"/> <map value="interpretationCode"/> </mapping> </element> <element id="Observation.referenceRange.age"> <path value="Observation.referenceRange.age"/> <name value="Observation.referenceRange.age"/> <short value="Applicable age range, if relevant"/> <definition 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."/> <requirements value="Some analytes vary greatly over age."/> <min value="0"/> <max value="1"/> <type> <code value="Range"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value"/> </mapping> </element> <element id="Observation.referenceRange.text"> <path value="Observation.referenceRange.text"/> <name value="Observation.referenceRange.text"/> <short value="Text based reference range in an observation"/> <definition 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'."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-7"/> </mapping> <mapping> <identity value="rim"/> <map value="value:ST"/> </mapping> </element> <element id="Observation.related"> <path value="Observation.related"/> <name value="Observation.related"/> <short value="Resource related to this observation"/> <definition value="A reference to another resource (usually another Observation but could also be a QuestionnaireAnswer) whose relationship is defined by the relationship type code."/> <comments value="For a discussion on the ways Observations can assembled in groups together see [Notes below](observation.html#4.20.4)."/> <requirements 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."/> <min value="0"/> <max value="0"/> <base> <path value="Observation.related"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="Relationships established by OBX-4 usage"/> </mapping> <mapping> <identity value="rim"/> <map value="outBoundRelationship"/> </mapping> </element> <element id="Observation.related.id"> <path value="Observation.related.id"/> <representation value="xmlAttr"/> <name value="Observation.related.id"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.related.extension"> <path value="Observation.related.extension"/> <name value="Observation.related.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. 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."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.related.modifierExtension"> <path value="Observation.related.modifierExtension"/> <name value="Observation.related.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the 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."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="true"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Observation.related.type"> <path value="Observation.related.type"/> <name value="Observation.related.type"/> <short value="has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by"/> <definition value="A code specifying the kind of relationship that exists with the target resource."/> <comments value=""derived-from" is only logical choice when referencing QuestionnaireAnswer resource."/> <requirements value="A relationship type SHOULD be provided."/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <fixedCode value="has-member"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="required"/> <description value="Codes specifying how two observations are related."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-relationshiptypes"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value=".typeCode"/> </mapping> </element> <element id="Observation.related.target"> <path value="Observation.related.target"/> <name value="Observation.related.target"/> <short value="Resource that is related to this one"/> <definition value="A reference to the observation or [[[QuestionnaireResponse]]] resource that is related to this observation."/> <min value="1"/> <max value="1"/> <type> <code value="Reference"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Observation"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".targetObservation"/> </mapping> </element> <element id="Observation.component"> <path value="Observation.component"/> <name value="Observation.component"/> <short value="Component results"/> <definition 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."/> <comments value="For a discussion on the ways Observations can assembled in groups together see [Notes below](observation.html#4.20.4)."/> <requirements 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."/> <min value="0"/> <max value="0"/> <base> <path value="Observation.component"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="containment by OBX-4?"/> </mapping> <mapping> <identity value="rim"/> <map value="outBoundRelationship[typeCode=COMP]"/> </mapping> </element> <element id="Observation.component.id"> <path value="Observation.component.id"/> <representation value="xmlAttr"/> <name value="Observation.component.id"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.component.extension"> <path value="Observation.component.extension"/> <name value="Observation.component.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. 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."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.component.modifierExtension"> <path value="Observation.component.modifierExtension"/> <name value="Observation.component.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the 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."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="true"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Observation.component.code"> <path value="Observation.component.code"/> <name value="Observation.component.code"/> <short value="Type of component observation (code / type)"/> <definition value="Describes what was observed. Sometimes this is called the observation "code"."/> <requirements value="Knowing what kind of observation is being made is essential to understanding the observation."/> <min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <maxLength value="0"/> <condition value="obs-7"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="example"/> <description value="Codes identifying names of simple observations."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-codes"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="OBX-3"/> </mapping> <mapping> <identity value="rim"/> <map value="code"/> </mapping> <mapping> <identity value="w5"/> <map value="what"/> </mapping> </element> <element id="Observation.component.valuex"> <path value="Observation.component.value[x]"/> <name value="Observation.component.valuex"/> <short value="Actual component result"/> <definition value="The information determined as a result of making the observation, if the information has a simple value."/> <comments 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)."/> <requirements value="An observation exists to have a value, though it may not if it is in error, or it represents a group of observations."/> <min value="0"/> <max value="1"/> <type> <code value="Quantity"/> </type> <type> <code value="CodeableConcept"/> </type> <type> <code value="string"/> </type> <type> <code value="Range"/> </type> <type> <code value="Ratio"/> </type> <type> <code value="SampledData"/> </type> <type> <code value="time"/> </type> <type> <code value="dateTime"/> </type> <type> <code value="Period"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="OBX.2, OBX.5, OBX.6"/> </mapping> <mapping> <identity value="rim"/> <map value="value"/> </mapping> </element> <element id="Observation.component.dataAbsentReason"> <path value="Observation.component.dataAbsentReason"/> <name value="Observation.component.dataAbsentReason"/> <short value="Why the component result is missing"/> <definition value="Provides a reason why the expected value in the element Observation.value[x] is missing."/> <comments 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."/> <requirements value="For many results it is necessary to handle exceptional values in measurements."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <maxLength value="0"/> <condition value="obs-6"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <description value="Codes specifying why the result (Observation.value[x]) is missing."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-valueabsentreason"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="value.nullFlavor"/> </mapping> </element> <element id="Observation.component.referenceRange"> <path value="Observation.component.referenceRange"/> <name value="Observation.component.referenceRange"/> <short value="Provides guide for interpretation of component result"/> <definition value="Guidance on how to interpret the value by comparison to a normal or recommended range."/> <comments 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."/> <requirements 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."/> <min value="0"/> <max value="*"/> <type> <code value="BackboneElement"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX.7"/> </mapping> <mapping> <identity value="rim"/> <map value="outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="Observation.component.referenceRange.id"> <path value="Observation.component.referenceRange.id"/> <representation value="xmlAttr"/> <name value="Observation.component.referenceRange.id"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)."/> <min value="0"/> <max value="1"/> <type> <code value="id"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.component.referenceRange.extension"> <path value="Observation.component.referenceRange.extension"/> <name value="Observation.component.referenceRange.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. 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."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Observation.component.referenceRange.modifierExtension"> <path value="Observation.component.referenceRange.modifierExtension"/> <name value="Observation.component.referenceRange.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the 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."/> <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="true"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Observation.component.referenceRange.low"> <path value="Observation.component.referenceRange.low"/> <name value="Observation.component.referenceRange.low"/> <short value="Low Range, if relevant"/> <definition 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)."/> <min value="0"/> <max value="1"/> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <maxLength value="0"/> <condition value="obs-3"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-7"/> </mapping> <mapping> <identity value="rim"/> <map value="value:IVL_PQ.low"/> </mapping> </element> <element id="Observation.component.referenceRange.high"> <path value="Observation.component.referenceRange.high"/> <name value="Observation.component.referenceRange.high"/> <short value="High Range, if relevant"/> <definition 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)."/> <min value="0"/> <max value="1"/> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <maxLength value="0"/> <condition value="obs-3"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-7"/> </mapping> <mapping> <identity value="rim"/> <map value="value:IVL_PQ.high"/> </mapping> </element> <element id="Observation.component.referenceRange.meaning"> <path value="Observation.component.referenceRange.meaning"/> <name value="Observation.component.referenceRange.meaning"/> <short value="Indicates the meaning/use of this range of this range"/> <definition value="Code for the meaning of the reference range."/> <comments value="This SHOULD be populated if there is more than one range."/> <requirements 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.)."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <description value="Code for the meaning of a reference range."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/referencerange-meaning"/> </valueSetReference> </binding> <mapping> <identity value="v2"/> <map value="OBX-10?"/> </mapping> <mapping> <identity value="rim"/> <map value="interpretationCode"/> </mapping> </element> <element id="Observation.component.referenceRange.age"> <path value="Observation.component.referenceRange.age"/> <name value="Observation.component.referenceRange.age"/> <short value="Applicable age range, if relevant"/> <definition 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."/> <requirements value="Some analytes vary greatly over age."/> <min value="0"/> <max value="1"/> <type> <code value="Range"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value"/> </mapping> </element> <element id="Observation.component.referenceRange.text"> <path value="Observation.component.referenceRange.text"/> <name value="Observation.component.referenceRange.text"/> <short value="Text based reference range in an observation"/> <definition 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'."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="OBX-7"/> </mapping> <mapping> <identity value="rim"/> <map value="value:ST"/> </mapping> </element> </snapshot> <differential> <element id="Observation"> <path value="Observation"/> <name value="Observation"/> <short value="vital-BodyWeight"/> <definition value="Records the body weight, defined as the mass or quantity of heaviness of the individual."/> <min value="0"/> <type> <code value="Observation"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.meta"> <path value="Observation.meta"/> <name value="Observation.meta"/> <min value="0"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.meta.extension"> <path value="Observation.meta.extension"/> <name value="Observation.meta.extension"/> <slicing id="3"> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="sourcesystem"> <path value="Observation.meta.extension"/> <name value="sourcesystem"/> <definition 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. FHIM: 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."/> <min value="0"/> <max value="1"/> <base> <path value="Observation.meta.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-SourceSystem-extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.extension"> <path value="Observation.extension"/> <name value="Observation.extension"/> <slicing id="2"> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="observationbasedon"> <path value="Observation.extension"/> <name value="observationbasedon"/> <definition 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."/> <min value="0"/> <max value="*"/> <base> <path value="Observation.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationBasedOn-extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="observationpartof"> <path value="Observation.extension"/> <name value="observationpartof"/> <definition value="A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure."/> <min value="0"/> <max value="*"/> <base> <path value="Observation.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationPartOf-extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="annotation"> <path value="Observation.extension"/> <name value="annotation"/> <definition value="An added or follow-up note, often after the fact, that contains metadata about who made the statement and when."/> <min value="0"/> <max value="*"/> <base> <path value="Observation.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Annotation-extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="observationderivedfrom"> <path value="Observation.extension"/> <name value="observationderivedfrom"/> <definition 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."/> <min value="0"/> <max value="*"/> <base> <path value="Observation.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationDerivedFrom-extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="preconditioncode"> <path value="Observation.extension"/> <name value="preconditioncode"/> <definition value="A coded description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar."/> <min value="0"/> <max value="*"/> <base> <path value="Observation.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-PreconditionCode-extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.extension-preconditioncode.valueCodeableConcept"> <path value="Observation.extension.valueCodeableConcept"/> <name value="Observation.extension-preconditioncode.valueCodeableConcept"/> <min value="0"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="http://mcodeinitiative.org/us/mcode/ValueSet/vital-BodyWeightPreconditionVS"/> </valueSetReference> </binding> </element> <element id="Observation.modifierExtension"> <path value="Observation.modifierExtension"/> <name value="Observation.modifierExtension"/> <slicing id="4"> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="focalsubject"> <path value="Observation.modifierExtension"/> <name value="focalsubject"/> <definition 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)."/> <min value="0"/> <max value="*"/> <base> <path value="Observation.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-FocalSubject-extension"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="true"/> <isSummary value="false"/> </element> <element id="Observation.modifierExtension-focalsubject.valueReference"> <path value="Observation.modifierExtension.valueReference"/> <name value="Observation.modifierExtension-focalsubject.valueReference"/> <short value="Resource: Parent class for any item in clinical or administrative health-related system"/> <definition value="Parent class for any item in clinical or administrative health-related system. Contains metadata attributes that apply to any item represented in the standard health record. An DomainResource can belong to a single person's health record, or represent an entity that surfaces in multiple records, such as organizations, providers, payments, decision support artifacts, etc."/> <min value="0"/> <type> <code value="Reference"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Resource"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.category"> <path value="Observation.category"/> <name value="Observation.category"/> <min value="1"/> <max value="1"/> <base> <path value="Observation.category"/> <min value="0"/> <max value="1"/> </base> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <description value="Codes for high level observation categories ."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-category"/> </valueSetReference> </binding> </element> <element id="Observation.code"> <path value="Observation.code"/> <name value="Observation.code"/> <min value="0"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding"/> <name value="Observation.code.coding"/> <slicing id="1"> <discriminator value="code"/> <ordered value="false"/> <rules value="open"/> </slicing> <min value="1"/> <max value="*"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Fixed_29463-7"> <path value="Observation.code.coding"/> <name value="Fixed_29463-7"/> <short value="Body weight"/> <definition value="Body weight"/> <min value="1"/> <max value="1"/> <type> <code value="Coding"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Observation.code.coding-Fixed-29463-7.system"> <path value="Observation.code.coding.system"/> <name value="Observation.code.coding-Fixed-29463-7.system"/> <min value="0"/> <fixedUri value="http://loinc.org"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.code.coding-Fixed-29463-7.code"> <path value="Observation.code.coding.code"/> <name value="Observation.code.coding-Fixed-29463-7.code"/> <min value="0"/> <fixedCode value="29463-7"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.subject"> <path value="Observation.subject"/> <name value="Observation.subject"/> <short value="The subject of an observation"/> <definition value="The subject of an observation."/> <min value="1"/> <max value="1"/> <base> <path value="Observation.subject"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Patient"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.effectivex"> <path value="Observation.effective[x]"/> <name value="Observation.effectivex"/> <min value="0"/> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.performer"> <path value="Observation.performer"/> <name value="Observation.performer"/> <min value="0"/> <type> <code value="Reference"/> <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Patient"/> <profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.valueQuantity-Quantity"> <path value="Observation.valueQuantity"/> <name value="Observation.valueQuantity-Quantity"/> <min value="0"/> <base> <path value="Observation.value[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Quantity"/> </type> <maxLength value="0"/> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.interpretation"> <path value="Observation.interpretation"/> <name value="Observation.interpretation"/> <min value="0"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="http://mcodeinitiative.org/us/mcode/ValueSet/obf-QuantitativeResultInterpretationVS"/> </valueSetReference> </binding> </element> <element id="Observation.bodySite"> <path value="Observation.bodySite"/> <name value="Observation.bodySite"/> <min value="0"/> <max value="0"/> <base> <path value="Observation.bodySite"/> <min value="0"/> <max value="1"/> </base> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="preferred"/> <description value="Codes describing anatomical locations. May include laterality."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/body-site"/> </valueSetReference> </binding> </element> <element id="Observation.method"> <path value="Observation.method"/> <name value="Observation.method"/> <min value="0"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="http://mcodeinitiative.org/us/mcode/ValueSet/vital-BodyWeightMethodVS"/> </valueSetReference> </binding> </element> <element id="Observation.specimen"> <path value="Observation.specimen"/> <name value="Observation.specimen"/> <min value="0"/> <max value="0"/> <base> <path value="Observation.specimen"/> <min value="0"/> <max value="1"/> </base> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.device"> <path value="Observation.device"/> <name value="Observation.device"/> <min value="0"/> <max value="0"/> <base> <path value="Observation.device"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <profile value="http://fhir.org/guides/argonaut/StructureDefinition/argo-device"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.referenceRange"> <path value="Observation.referenceRange"/> <name value="Observation.referenceRange"/> <min value="0"/> <max value="1"/> <base> <path value="Observation.referenceRange"/> <min value="0"/> <max value="*"/> </base> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.referenceRange.extension"> <path value="Observation.referenceRange.extension"/> <name value="Observation.referenceRange.extension"/> <slicing id="5"> <discriminator value="url"/> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="applicablesubpopulation"> <path value="Observation.referenceRange.extension"/> <name value="applicablesubpopulation"/> <definition value="Codes to indicate the target population this reference range applies to. For example, a reference range may be based on the normal population or a particular sex or race."/> <min value="0"/> <max value="1"/> <base> <path value="Observation.referenceRange.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ApplicableSubpopulation-extension"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.referenceRange.meaning"> <path value="Observation.referenceRange.meaning"/> <name value="Observation.referenceRange.meaning"/> <min value="0"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <description value="Code for the meaning of a reference range."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/referencerange-meaning"/> </valueSetReference> </binding> </element> <element id="Observation.related"> <path value="Observation.related"/> <name value="Observation.related"/> <min value="0"/> <max value="0"/> <base> <path value="Observation.related"/> <min value="0"/> <max value="*"/> </base> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.related.type"> <path value="Observation.related.type"/> <name value="Observation.related.type"/> <min value="0"/> <fixedCode value="has-member"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.related.target"> <path value="Observation.related.target"/> <name value="Observation.related.target"/> <min value="0"/> <type> <code value="Reference"/> <profile value="http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Observation"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.component"> <path value="Observation.component"/> <name value="Observation.component"/> <min value="0"/> <max value="0"/> <base> <path value="Observation.component"/> <min value="0"/> <max value="*"/> </base> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.component.valuex"> <path value="Observation.component.value[x]"/> <name value="Observation.component.valuex"/> <min value="0"/> <type> <code value="Quantity"/> </type> <type> <code value="CodeableConcept"/> </type> <type> <code value="string"/> </type> <type> <code value="Range"/> </type> <type> <code value="Ratio"/> </type> <type> <code value="SampledData"/> </type> <type> <code value="time"/> </type> <type> <code value="dateTime"/> </type> <type> <code value="Period"/> </type> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.component.referenceRange"> <path value="Observation.component.referenceRange"/> <name value="Observation.component.referenceRange"/> <min value="0"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Observation.component.referenceRange.meaning"> <path value="Observation.component.referenceRange.meaning"/> <name value="Observation.component.referenceRange.meaning"/> <min value="0"/> <maxLength value="0"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <description value="Code for the meaning of a reference range."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/referencerange-meaning"/> </valueSetReference> </binding> </element> </differential> </StructureDefinition>
©2019+
The MITRE Corporation.
Package hl7.fhir.us.mcode#0.9.1 based on FHIR 1.0.2.
Generated 2019-10-23.
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