Profile: USlabReasonForStudy

USlabReasonForStudy

Raw XML

<Profile xmlns="http://hl7.org/fhir">
  <id value="cond-uslab-uslabreasonforstudy"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <url value="http://hl7.org/fhir/Profile/cond-uslab-uslabreasonforstudy"/>
  <name value="US Laboratory Condition Profile"/>
  <publisher value="HL7 International - Orders and Observations WG"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org"/>
    </telecom>
  </contact>
  <description value="The Condition(s) referenced in USRealm laboratory test  and reporting in ambulatory care
   setting. : US Laboratory Condition Profile"/>
  <status value="draft"/>
  <date value="2014-11-17"/>
  <type value="Condition"/>
  <base value="http://hl7.org/fhir/Profile/Condition"/>
  <snapshot>
    <element>
      <path value="Condition"/>
      <name value="USlabReasonForStudy"/>
      <short value="Reason for Study or Additional Clinical Information for Laboratorian or Pathologist."/>
      <definition value="Reason for Study or Additional Clinical Information for Laboratorian or Pathologist."/>
      <synonym value="Reason for Study"/>
      <min value="1"/>
      <max value="1"/>
      <mapping>
        <identity value="v2"/>
        <map value="PPR message"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value&lt;Diagnosis]"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.id"/>
      <short value="Logical id of this artefact"/>
      <definition value="The logical id of the resource, as used in the url for the resoure. 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>
    </element>
    <element>
      <path value="Condition.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>
    </element>
    <element>
      <path value="Condition.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>
      <isModifier value="true"/>
    </element>
    <element>
      <path value="Condition.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>
      <binding>
        <name value="Language"/>
        <isExtensible value="false"/>
        <conformance value="required"/>
        <description value="A human language"/>
        <referenceUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
    </element>
    <element>
      <path value="Condition.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 &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety."/>
      <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative."/>
      <synonym value="narrative"/>
      <synonym value="html"/>
      <synonym value="xhtml"/>
      <synonym value="display"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.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."/>
      <synonym value="inline resources"/>
      <synonym value="anonymous resources"/>
      <synonym value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. 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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource, and that modifies the understanding of the element that contains it.
       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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.identifier"/>
      <short value="External Ids for this condition"/>
      <definition value="This records identifiers associated with this condition that are defined by business processed
       and/ or used to refer to it when a direct URL reference to the resource itself is not
       appropriate (e.g. in CDA documents, or in written / printed documentation)."/>
      <requirements value="Need to allow connection to a wider workflow."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.subject"/>
      <short value="Patient"/>
      <definition value="Patient."/>
      <synonym value="Patient"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/patient-uslab-uslabpatient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/patient-uslab-uslabphpatient"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=SBJ].role[classCode=PAT]"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.encounter"/>
      <short value="Encounter when condition first asserted"/>
      <definition value="Encounter during which the condition was first asserted."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Encounter"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-19 (+PV1-54)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.asserter"/>
      <short value="Person who asserts this condition"/>
      <definition value="Person who takes responsibility for asserting the existence of the condition as part of
       the electronic record."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Patient"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="REL-7.1 identifier + REL-7.12 type code"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].role"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.dateAsserted"/>
      <short value="When first detected/suspected/entered"/>
      <definition value="Estimated or actual date the condition/problem/diagnosis was first detected/suspected."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="REL-11"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].time"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.code"/>
      <short value="Identification of the condition, problem or diagnosis"/>
      <definition value="Identification of the condition, problem or diagnosis."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="USlabReasonForStudy"/>
        <isExtensible value="false"/>
        <conformance value="required"/>
        <description value="This value set includes all ICD-9CM and  ICD-10CM concept codes"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/cond-uslab-reasonforstudy"/>
        </referenceReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PRB-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".value"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.code.id"/>
      <representation value="xmlAttr"/>
      <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>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.code.coding"/>
      <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 V3 Core Principles for more information.  Ordering of codings
       is undefined and SHALL not be used to infer meaning."/>
      <requirements value="Allows for translations and alternate encodings within a code system.  Also supports communication
       of the same instance to systems requiring different encodings."/>
      <synonym value="ICD-9CM code"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.1-8, C*E.10-22"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="union(., ./translation)"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.code.coding.id"/>
      <representation value="xmlAttr"/>
      <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>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.code.coding.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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.code.coding.system"/>
      <short value="Identity of the terminology system"/>
      <definition value="The identification of the code system that defines the meaning of the symbol in the code."/>
      <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="1"/>
      <max value="1"/>
      <type>
        <code value="uri"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./codeSystem"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.code.coding.version"/>
      <short value="Version of the system - if relevant"/>
      <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained
       code system does not need the version reported, because the meaning of codes is consistent
       across versions. However this cannot consistently be assured. and when the meaning is
       not guaranteed to be consistent, the version SHOULD be exchanged."/>
      <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>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./codeSystemVersion"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.code.coding.code"/>
      <short value="Symbol in syntax defined by the system"/>
      <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression
       in a syntax defined by the coding system (e.g. post-coordination)."/>
      <requirements value="Need to refer to a particular code in the system."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.code.coding.display"/>
      <short value="Representation defined by the system"/>
      <definition value="A representation of the meaning of the code in the system, following the rules of the
       system."/>
      <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not
       know  the system."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <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>
      <path value="Condition.code.coding.primary"/>
      <short value="If this code was chosen directly by the user"/>
      <definition value="Indicates that this code 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."/>
      <requirements value="This has been identified as a clinical safety criterium - that this exact code 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>
      <mapping>
        <identity value="v2"/>
        <map value="Sometimes implied by being first"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD.codingRationale"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.code.coding.valueSet"/>
      <short value="Set this coding was chosen from"/>
      <definition value="The set of possible coded values this coding was chosen from or constrained by."/>
      <requirements value="The value set may influence the codes that the user can select. Also, referencing the
       value set directly makes it easier to share ad-hoc code systems used across healthcare."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/ValueSet"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.16 - .19"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD.valueSet / CD.valueSetVersion"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.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>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.9. But note many systems use C*E.2 for this"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.category"/>
      <short value="E.g. complaint | symptom | finding | diagnosis"/>
      <definition value="A category assigned to the condition. E.g. complaint | symptom | finding | diagnosis."/>
      <comments value="The categorization is often highly contextual and may appear poorly differentiated or
       not very useful in other contexts."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="ConditionCategory"/>
        <isExtensible value="true"/>
        <conformance value="preferred"/>
        <description value="A category assigned to the condition. E.g. finding | Condition | diagnosis | concern |
         condition"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/condition-category"/>
        </referenceReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.category.id"/>
      <representation value="xmlAttr"/>
      <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>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.category.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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.category.coding"/>
      <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 V3 Core Principles for more information.  Ordering of codings
       is undefined and SHALL not be used to infer meaning."/>
      <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="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.1-8, C*E.10-22"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="union(., ./translation)"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.category.coding.id"/>
      <representation value="xmlAttr"/>
      <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>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.category.coding.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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.category.coding.system"/>
      <short value="Identity of the terminology system"/>
      <definition value="The identification of the code system that defines the meaning of the symbol in the code."/>
      <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="1"/>
      <max value="1"/>
      <type>
        <code value="uri"/>
      </type>
      <mustSupport value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./codeSystem"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.category.coding.version"/>
      <short value="Version of the system - if relevant"/>
      <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained
       code system does not need the version reported, because the meaning of codes is consistent
       across versions. However this cannot consistently be assured. and when the meaning is
       not guaranteed to be consistent, the version SHOULD be exchanged."/>
      <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>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./codeSystemVersion"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.category.coding.code"/>
      <short value="Symbol in syntax defined by the system"/>
      <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression
       in a syntax defined by the coding system (e.g. post-coordination)."/>
      <requirements value="Need to refer to a particular code in the system."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.category.coding.display"/>
      <short value="Representation defined by the system"/>
      <definition value="A representation of the meaning of the code in the system, following the rules of the
       system."/>
      <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not
       know  the system."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <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>
      <path value="Condition.category.coding.primary"/>
      <short value="If this code was chosen directly by the user"/>
      <definition value="Indicates that this code 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."/>
      <requirements value="This has been identified as a clinical safety criterium - that this exact code 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>
      <mapping>
        <identity value="v2"/>
        <map value="Sometimes implied by being first"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD.codingRationale"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.category.coding.valueSet"/>
      <short value="Set this coding was chosen from"/>
      <definition value="The set of possible coded values this coding was chosen from or constrained by."/>
      <requirements value="The value set may influence the codes that the user can select. Also, referencing the
       value set directly makes it easier to share ad-hoc code systems used across healthcare."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/ValueSet"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.16 - .19"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD.valueSet / CD.valueSetVersion"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.category.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>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.9. But note many systems use C*E.2 for this"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.status"/>
      <short value="provisional | working | confirmed | refuted"/>
      <definition value="The clinical status of the condition."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <binding>
        <name value="ConditionStatus"/>
        <isExtensible value="false"/>
        <conformance value="required"/>
        <description value="The clinical status of the Condition or diagnosis"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/condition-status"/>
        </referenceReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PRB-14 / DG1-6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".code (pre or post-coordinated in)  Can use valueNegationInd for refuted"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.certainty"/>
      <short value="Degree of confidence"/>
      <definition value="The degree of confidence that this condition is correct."/>
      <comments value="May be a percentage."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isModifier value="true"/>
      <binding>
        <name value="ConditionCertainty"/>
        <isExtensible value="true"/>
        <conformance value="example"/>
        <description value="The degree of confidence that this condition is correct"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/condition-certainty"/>
        </referenceReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PRB-19"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".uncertaintyCode"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.severity"/>
      <short value="Subjective severity of condition"/>
      <definition value="A subjective assessment of the severity of the condition as evaluated by the clinician."/>
      <comments value="Coding of the severity with a terminology is preferred, where possible."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <name value="ConditionSeverity"/>
        <isExtensible value="true"/>
        <conformance value="example"/>
        <description value="A subjective assessment of the severity of the condition as evaluated by the clinician."/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/condition-severity"/>
        </referenceReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="PRB-26 / ABS-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Can be pre/post-coordinated into value.  Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OB
        S, moodCode=EVN, code=&quot;severity&quot;].value"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.onset[x]"/>
      <short value="Estimated or actual date,  date-time, or age"/>
      <definition value="Estimated or actual date or date-time  the condition began, in the opinion of the clinician."/>
      <comments value="Age is generally used when the patient reports an age at which the Condition began to
       occur."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="Age"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="PRB-16"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN,
         code=&quot;age at onset&quot;].value"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.abatement[x]"/>
      <short value="If/when in resolution/remission"/>
      <definition value="The date or estimated date that the condition resolved or went into remission. This is
       called &quot;abatement&quot; because of the many overloaded connotations associated with
       &quot;remission&quot; or &quot;resolution&quot; - Conditions are never really resolved,
       but they can abate."/>
      <comments value="There is no explicit distinction between resolution and remission because in many cases
       the distinction is not clear. Age is generally used when the patient reports an age at
       which the Condition abated.  If there is no abatement element, it is unknown whether the
       condition has resolved or entered remission; applications and users should generally assume
       that the condition is still valid."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <type>
        <code value="Age"/>
      </type>
      <type>
        <code value="boolean"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN,
         code=&quot;age at remission&quot;].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC
        , moodCode=EVN].status=completed"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.stage"/>
      <short value="Stage/grade, usually assessed formally"/>
      <definition value="Clinical stage or grade of a condition. May include formal severity assessments."/>
      <min value="0"/>
      <max value="1"/>
      <constraint>
        <key value="con-1"/>
        <name value="Stage rule"/>
        <severity value="error"/>
        <human value="Stage SHALL have summary or assessment"/>
        <xpath value="exists(f:summary) or exists(f:assessment)"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;stage/grade&quot
        ;]"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.stage.id"/>
      <representation value="xmlAttr"/>
      <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>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.stage.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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.stage.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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <synonym value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.stage.summary"/>
      <short value="Simple summary (disease specific)"/>
      <definition value="A simple summary of the stage such as &quot;Stage 3&quot;. The determination of the stage
       is disease-specific."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="con-1"/>
      <mapping>
        <identity value="rim"/>
        <map value=".value"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.stage.assessment"/>
      <short value="Formal record of assessment"/>
      <definition value="Reference to a formal record of the evidence on which the staging assessment is based."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Any"/>
      </type>
      <condition value="con-1"/>
      <mapping>
        <identity value="rim"/>
        <map value=".self"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.evidence"/>
      <short value="Supporting evidence"/>
      <definition value="Supporting Evidence / manifestations that are the basis on which this condition is suspected
       or confirmed."/>
      <comments value="The evidence may be a simple list of coded symptoms/manifestations, or references to observations
       or formal assessments, or both."/>
      <min value="0"/>
      <max value="*"/>
      <constraint>
        <key value="con-2"/>
        <name value="Evidence"/>
        <severity value="error"/>
        <human value="evidence SHALL have code or details"/>
        <xpath value="exists(f:code) or exists(f:detail)"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.evidence.id"/>
      <representation value="xmlAttr"/>
      <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>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.evidence.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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.evidence.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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <synonym value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.evidence.code"/>
      <short value="Manifestation/symptom"/>
      <definition value="A manifestation or symptom that led to the recording of this condition."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="con-2"/>
      <mapping>
        <identity value="rim"/>
        <map value="[code=&quot;diagnosis&quot;].value"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.evidence.detail"/>
      <short value="Supporting information found elsewhere"/>
      <definition value="Links to other relevant information, including pathology reports."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Any"/>
      </type>
      <condition value="con-2"/>
      <mapping>
        <identity value="rim"/>
        <map value=".self"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.location"/>
      <short value="Anatomical location, if relevant"/>
      <definition value="The anatomical location where this condition manifests itself."/>
      <comments value="May be a summary code, or a reference to a very precise definition of the location, or
       both."/>
      <min value="0"/>
      <max value="*"/>
      <constraint>
        <key value="con-3"/>
        <name value="Location"/>
        <severity value="error"/>
        <human value="location SHALL have code or details"/>
        <xpath value="exists(f:code) or exists(f:detail)"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value=".targetBodySiteCode"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.location.id"/>
      <representation value="xmlAttr"/>
      <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>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.location.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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.location.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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <synonym value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.location.code"/>
      <short value="Location - may include laterality"/>
      <definition value="Code that identifies the structural location."/>
      <comments value="May include laterality."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="con-3"/>
      <mapping>
        <identity value="rim"/>
        <map value=".self"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.location.detail"/>
      <short value="Precise location details"/>
      <definition value="Detailed anatomical location information."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <condition value="con-3"/>
      <mapping>
        <identity value="rim"/>
        <map value=".originalText"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.dueTo"/>
      <short value="Causes for this Condition"/>
      <definition value="Further conditions, problems, diagnoses, procedures or events or the substance that caused/triggered
       this Condition."/>
      <comments value="Although a condition may be caused by a substance, this is not intended to be used to
       record allergies/adverse reactions to substances."/>
      <min value="0"/>
      <max value="*"/>
      <constraint>
        <key value="con-4"/>
        <name value="Relationship1"/>
        <severity value="error"/>
        <human value="Relationship SHALL have either a code or a target"/>
        <xpath value="exists(f:code) != exists(f:target)"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value=".typeCode"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.dueTo.id"/>
      <representation value="xmlAttr"/>
      <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>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.dueTo.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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.dueTo.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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <synonym value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.dueTo.codeableConcept"/>
      <short value="Relationship target by means of a predefined code"/>
      <definition value="Code that identifies the target of this relationship. The code takes the place of a detailed
       instance target."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="con-4"/>
      <binding>
        <name value="ConditionKind"/>
        <isExtensible value="true"/>
        <conformance value="example"/>
        <description value="Identification of the Condition or diagnosis."/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/condition-code"/>
        </referenceReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".target[classCode=OBS, moodCode=EVN].code"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.dueTo.target"/>
      <short value="Relationship target resource"/>
      <definition value="Target of the relationship."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Condition"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Procedure"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/MedicationAdministration"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Immunization"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/MedicationStatement"/>
      </type>
      <condition value="con-4"/>
      <mapping>
        <identity value="rim"/>
        <map value=".target[classCode=OBS, moodCode=EVN]"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.occurredFollowing"/>
      <short value="Precedent for this Condition"/>
      <definition value="Further conditions, problems, diagnoses, procedures or events or the substance that preceded
       this Condition."/>
      <min value="0"/>
      <max value="*"/>
      <constraint>
        <key value="con-5"/>
        <name value="Relationship2"/>
        <severity value="error"/>
        <human value="Relationship SHALL have either a code or a target"/>
        <xpath value="exists(f:code) != exists(f:target)"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value=".typeCode"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.occurredFollowing.id"/>
      <representation value="xmlAttr"/>
      <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>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.occurredFollowing.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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.occurredFollowing.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."/>
      <synonym value="extensions"/>
      <synonym value="user content"/>
      <synonym value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.occurredFollowing.codeableConcept"/>
      <short value="Relationship target by means of a predefined code"/>
      <definition value="Code that identifies the target of this relationship. The code takes the place of a detailed
       instance target."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="con-5"/>
      <binding>
        <name value="ConditionKind"/>
        <isExtensible value="true"/>
        <conformance value="example"/>
        <description value="Identification of the Condition or diagnosis."/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/condition-code"/>
        </referenceReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".target[classCode=OBS, moodCode=EVN].code"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.occurredFollowing.target"/>
      <short value="Relationship target resource"/>
      <definition value="Target of the relationship."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Condition"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Procedure"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/MedicationAdministration"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/Immunization"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/MedicationStatement"/>
      </type>
      <condition value="con-5"/>
      <mapping>
        <identity value="rim"/>
        <map value=".target[classCode=OBS, moodCode=EVN]"/>
      </mapping>
    </element>
    <element>
      <path value="Condition.notes"/>
      <short value="Additional information about the Condition"/>
      <definition value="Additional information about the Condition. This is a general notes/comments entry  for
       description of the Condition, its diagnosis and prognosis."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="NTE child of PRB"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;]
        .value"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Condition"/>
      <name value="USlabReasonForStudy"/>
      <short value="Reason for Study or Additional Clinical Information for Laboratorian or Pathologist."/>
      <definition value="Reason for Study or Additional Clinical Information for Laboratorian or Pathologist."/>
      <synonym value="Reason for Study"/>
      <min value="1"/>
      <max value="1"/>
    </element>
    <element>
      <path value="Condition.subject"/>
      <short value="Patient"/>
      <definition value="Patient."/>
      <synonym value="Patient"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/patient-uslab-uslabpatient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/Profile/patient-uslab-uslabphpatient"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Condition.code"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="USlabReasonForStudy"/>
        <isExtensible value="false"/>
        <conformance value="required"/>
        <description value="This value set includes all ICD-9CM and  ICD-10CM concept codes"/>
        <referenceReference>
          <reference value="http://hl7.org/fhir/vs/cond-uslab-reasonforstudy"/>
        </referenceReference>
      </binding>
    </element>
    <element>
      <path value="Condition.code.coding"/>
      <synonym value="ICD-9CM code"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Condition.code.coding.code"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Condition.code.coding.display"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Condition.code.coding.system"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Condition.category"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Condition.category.coding"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Condition.category.coding.code"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Condition.category.coding.display"/>
      <min value="0"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Condition.category.coding.system"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Condition.status"/>
      <min value="1"/>
      <max value="1"/>
      <mustSupport value="true"/>
    </element>
  </differential>
</Profile>