HL7 FHIR Implementation Guide: Breast Cancer Data, Release 1 - US Realm (Draft for Comment 2)
This page is part of the Breast Cancer Data Logical Models and FHIR Profiles (v0.2.0: STU 1 Draft) based on FHIR R3. . For a full list of available versions, see the Directory of published versions 
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <http://loinc.org/rdf#> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:StructureDefinition; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p><b>BC OncotypeDxDCISRecurrenceScore Logical Model</b></p>\n <p>The Oncotype DX test for DCIS (Ductal Carcinoma in Situ) breast cancer. Risk scores range from 0 to 100 with the following interpretations: 0-38: Low-Risk, 39-54: Intermediate-Risk, 55+: High-Risk.\nNo LOINC code currently exists for this test. We are seeking feedback on the value of separating OncotypeDx scores for DCIS and invasive breast carcinomas. Does it make more sense to report the OncotypeDx as a single score, regardless of the type of cancer?</p>\n</div>" ]; fhir:StructureDefinition.url [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-OncotypeDxDCISRecurrenceScore-model"]; fhir:StructureDefinition.identifier [ fhir:index 0; fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/us/breastcancer" ]; fhir:Identifier.value [ fhir:value "oncology.OncotypeDxDCISRecurrenceScore" ] ]; fhir:StructureDefinition.version [ fhir:value "0.2.0"]; fhir:StructureDefinition.name [ fhir:value "OncotypeDxDCISRecurrenceScoreModel"]; fhir:StructureDefinition.title [ fhir:value "BC OncotypeDxDCISRecurrenceScore Logical Model"]; fhir:StructureDefinition.status [ fhir:value "draft"]; fhir:StructureDefinition.date [ fhir:value "2018-08-17T00:00:00+10:00"^^xsd:dateTime]; fhir:StructureDefinition.publisher [ fhir:value "The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)"]; fhir:StructureDefinition.contact [ fhir:index 0; fhir:ContactDetail.telecom [ fhir:index 0; fhir:ContactPoint.system [ fhir:value "url" ]; fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cic/index.cfm" ] ] ]; fhir:StructureDefinition.description [ fhir:value "The Oncotype DX test for DCIS (Ductal Carcinoma in Situ) breast cancer. Risk scores range from 0 to 100 with the following interpretations: 0-38: Low-Risk, 39-54: Intermediate-Risk, 55+: High-Risk.\nNo LOINC code currently exists for this test. We are seeking feedback on the value of separating OncotypeDx scores for DCIS and invasive breast carcinomas. Does it make more sense to report the OncotypeDx as a single score, regardless of the type of cancer?"]; fhir:StructureDefinition.keyword [ fhir:index 0; fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ]; fhir:Coding.code [ fhir:value "C3898101" ]; fhir:Coding.display [ fhir:value "Oncotype DX DCIS Score" ] ]; fhir:StructureDefinition.kind [ fhir:value "logical"]; fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean]; fhir:StructureDefinition.type [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model"]; fhir:StructureDefinition.baseDefinition [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element"]; fhir:StructureDefinition.derivation [ fhir:value "specialization"]; fhir:StructureDefinition.snapshot [ fhir:StructureDefinition.snapshot.element [ fhir:index 0; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model" ]; fhir:ElementDefinition.definition [ fhir:value "The Oncotype DX test for DCIS (Ductal Carcinoma in Situ) breast cancer. Risk scores range from 0 to 100 with the following interpretations: 0-38: Low-Risk, 39-54: Intermediate-Risk, 55+: High-Risk.\nNo LOINC code currently exists for this test. We are seeking feedback on the value of separating OncotypeDx scores for DCIS and invasive breast carcinomas. Does it make more sense to report the OncotypeDx as a single score, regardless of the type of cancer?" ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 1; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.personOfRecord" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.personOfRecord" ]; fhir:ElementDefinition.short [ fhir:value "The person this entry belongs to." ]; fhir:ElementDefinition.definition [ fhir:value "The person this entry belongs to." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.personOfRecord" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-core-PersonOfRecord-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 2; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic" ]; fhir:ElementDefinition.short [ fhir:value "The topic composition for laboratory observations. A specimen is required, anatomical location is excluded (since the specimen indicates the collection body site). Also includes a diagnostic service (indicating the type of laboratory), not present in general observations." ]; fhir:ElementDefinition.definition [ fhir:value "The topic composition for laboratory observations. A specimen is required, anatomical location is excluded (since the specimen indicates the collection body site). Also includes a diagnostic service (indicating the type of laboratory), not present in general observations." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 3; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode" ]; fhir:ElementDefinition.short [ fhir:value "The concept representing the finding or action that is the topic of the statement." ]; fhir:ElementDefinition.definition [ fhir:value "The concept representing the finding or action that is the topic of the statement.\n\nFor action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the 'question' or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic independent of the context of the action or the finding." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 4; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.id" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 5; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.extension" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.extension" ]; fhir:ElementDefinition.slicing [ fhir:ElementDefinition.slicing.discriminator [ fhir:index 0; fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ]; fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ]; fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ]; fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 6; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.system" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.system" ]; fhir:ElementDefinition.short [ fhir:value "Identity of the terminology system" ]; fhir:ElementDefinition.definition [ fhir:value "The identification of the code system that defines the meaning of the symbol in the code." ]; fhir:ElementDefinition.comment [ fhir:value "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be unambiguous about the source of the definition of the symbol." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.system" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "uri" ] ]; fhir:ElementDefinition.fixedUri [ fhir:value "http://ncimeta.nci.nih.gov" ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.3" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystem" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ] ] ], [ fhir:index 7; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.version" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.version" ]; fhir:ElementDefinition.short [ fhir:value "Version of the system - if relevant" ]; fhir:ElementDefinition.definition [ fhir:value "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." ]; fhir:ElementDefinition.comment [ fhir:value "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.version" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.7" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystemVersion" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ] ] ], [ fhir:index 8; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.code" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.code" ]; fhir:ElementDefinition.short [ fhir:value "Symbol in syntax defined by the system" ]; fhir:ElementDefinition.definition [ fhir:value "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to refer to a particular code in the system." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.code" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.fixedCode [ fhir:value "C3898101" ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./code" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ] ] ], [ fhir:index 9; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.display" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ]; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.display" ]; fhir:ElementDefinition.short [ fhir:value "Representation defined by the system" ]; fhir:ElementDefinition.definition [ fhir:value "A representation of the meaning of the code in the system, following the rules of the system." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be able to carry a human-readable meaning of the code for readers that do not know the system." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.display" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.2 - but note this is not well followed" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "CV.displayName" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ] ] ], [ fhir:index 10; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.userSelected" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.userSelected" ]; fhir:ElementDefinition.short [ fhir:value "If this coding was chosen directly by the user" ]; fhir:ElementDefinition.definition [ fhir:value "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)." ]; fhir:ElementDefinition.comment [ fhir:value "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ]; fhir:ElementDefinition.requirements [ fhir:value "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.userSelected" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Sometimes implied by being first" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "CD.codingRationale" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" ] ] ], [ fhir:index 11; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.findingMethod" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.findingMethod" ]; fhir:ElementDefinition.short [ fhir:value "The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle." ]; fhir:ElementDefinition.definition [ fhir:value "The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.findingMethod" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://loinc.org/vs>; fhir:Reference.reference [ fhir:value "http://loinc.org/vs" ] ] ] ], [ fhir:index 12; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.details" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.details" ]; fhir:ElementDefinition.code [ fhir:index 0; fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ]; fhir:Coding.code [ fhir:value "C0947611" ] ]; fhir:ElementDefinition.short [ fhir:value "A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information." ]; fhir:ElementDefinition.definition [ fhir:value "A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.details" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 13; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.media" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.media" ]; fhir:ElementDefinition.short [ fhir:value "A file that contains audio, video, image, or similar content." ]; fhir:ElementDefinition.definition [ fhir:value "A file that contains audio, video, image, or similar content." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "0" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.media" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "0" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Media-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 14; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category" ]; fhir:ElementDefinition.short [ fhir:value "A class or division of people or things having particular shared characteristics" ]; fhir:ElementDefinition.definition [ fhir:value "A class or division of people or things having particular shared characteristics" ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 15; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.id" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 16; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.extension" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.extension" ]; fhir:ElementDefinition.slicing [ fhir:ElementDefinition.slicing.discriminator [ fhir:index 0; fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ]; fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ]; fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ]; fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 17; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.system" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.system" ]; fhir:ElementDefinition.short [ fhir:value "Identity of the terminology system" ]; fhir:ElementDefinition.definition [ fhir:value "The identification of the code system that defines the meaning of the symbol in the code." ]; fhir:ElementDefinition.comment [ fhir:value "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be unambiguous about the source of the definition of the symbol." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.system" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "uri" ] ]; fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/observation-category" ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.3" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystem" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ] ] ], [ fhir:index 18; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.version" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.version" ]; fhir:ElementDefinition.short [ fhir:value "Version of the system - if relevant" ]; fhir:ElementDefinition.definition [ fhir:value "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." ]; fhir:ElementDefinition.comment [ fhir:value "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.version" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.7" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystemVersion" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ] ] ], [ fhir:index 19; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.code" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.code" ]; fhir:ElementDefinition.short [ fhir:value "Symbol in syntax defined by the system" ]; fhir:ElementDefinition.definition [ fhir:value "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to refer to a particular code in the system." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.code" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.fixedCode [ fhir:value "laboratory" ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./code" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ] ] ], [ fhir:index 20; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.display" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ]; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.display" ]; fhir:ElementDefinition.short [ fhir:value "Representation defined by the system" ]; fhir:ElementDefinition.definition [ fhir:value "A representation of the meaning of the code in the system, following the rules of the system." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be able to carry a human-readable meaning of the code for readers that do not know the system." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.display" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.2 - but note this is not well followed" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "CV.displayName" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ] ] ], [ fhir:index 21; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.userSelected" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.userSelected" ]; fhir:ElementDefinition.short [ fhir:value "If this coding was chosen directly by the user" ]; fhir:ElementDefinition.definition [ fhir:value "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)." ]; fhir:ElementDefinition.comment [ fhir:value "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ]; fhir:ElementDefinition.requirements [ fhir:value "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.userSelected" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Sometimes implied by being first" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "CD.codingRationale" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" ] ] ], [ fhir:index 22; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.anatomicalLocation" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.anatomicalLocation" ]; fhir:ElementDefinition.code [ fhir:index 0; a loinc:72369-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "72369-2" ] ]; fhir:ElementDefinition.short [ fhir:value "A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart." ]; fhir:ElementDefinition.definition [ fhir:value "A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "0" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.anatomicalLocation" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "0" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-element-AnatomicalLocation-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 23; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.device" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.device" ]; fhir:ElementDefinition.short [ fhir:value "A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients." ]; fhir:ElementDefinition.definition [ fhir:value "A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "0" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.device" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "0" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Device-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 24; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.breastSpecimen" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.breastSpecimen" ]; fhir:ElementDefinition.short [ fhir:value "Specimen resulting from biopsy or excision of breast and surrounding tissue." ]; fhir:ElementDefinition.definition [ fhir:value "Specimen resulting from biopsy or excision of breast and surrounding tissue." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.breastSpecimen" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSpecimen-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 25; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.precondition" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.precondition" ]; fhir:ElementDefinition.short [ fhir:value "A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar." ]; fhir:ElementDefinition.definition [ fhir:value "A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.precondition" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-Observation-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 26; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.referenceRange" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.referenceRange" ]; fhir:ElementDefinition.code [ fhir:index 0; fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ]; fhir:Coding.code [ fhir:value "C0883335" ] ]; fhir:ElementDefinition.short [ fhir:value "The usual or acceptable range for a test result." ]; fhir:ElementDefinition.definition [ fhir:value "The usual or acceptable range for a test result." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.referenceRange" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-ReferenceRange-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 27; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.evaluationComponent" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.evaluationComponent" ]; fhir:ElementDefinition.short [ fhir:value "A simplified, non-separable evaluation consisting of a finding code (represented by the Concept), value (or exception value), reference range, and interpretation. The subject of the evaluation component is the same as in the parent evaluation." ]; fhir:ElementDefinition.definition [ fhir:value "A simplified, non-separable evaluation consisting of a finding code (represented by the Concept), value (or exception value), reference range, and interpretation. The subject of the evaluation component is the same as in the parent evaluation." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "0" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.evaluationComponent" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "0" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-EvaluationComponent-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 28; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.panelMembers" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.panelMembers" ]; fhir:ElementDefinition.short [ fhir:value "PanelMembers represent the elements of a group of a related but independent evaluations." ]; fhir:ElementDefinition.definition [ fhir:value "PanelMembers represent the elements of a group of a related but independent evaluations.\nExamples are the measurements that compose a complete blood count (CBC), or the elements of a pathology report. Each member is an independent evaluation, but the grouping reflects a composite lab order, shared specimen, or a single report author. Typically the Category and Reason are not given for individual findings that are part of the panel, but rather given at the level of the panel itself." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "0" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.panelMembers" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "0" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-PanelMembers-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 29; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService" ]; fhir:ElementDefinition.short [ fhir:value "The service completing the observations, e.g. biochemistry, microbiology, blood bank." ]; fhir:ElementDefinition.definition [ fhir:value "The service completing the observations, e.g. biochemistry, microbiology, blood bank." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 30; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.id" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 31; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.extension" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.extension" ]; fhir:ElementDefinition.slicing [ fhir:ElementDefinition.slicing.discriminator [ fhir:index 0; fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ]; fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ]; fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ]; fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 32; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.system" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.system" ]; fhir:ElementDefinition.short [ fhir:value "Identity of the terminology system" ]; fhir:ElementDefinition.definition [ fhir:value "The identification of the code system that defines the meaning of the symbol in the code." ]; fhir:ElementDefinition.comment [ fhir:value "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be unambiguous about the source of the definition of the symbol." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.system" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "uri" ] ]; fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/v2/0074" ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.3" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystem" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ] ] ], [ fhir:index 33; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.version" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.version" ]; fhir:ElementDefinition.short [ fhir:value "Version of the system - if relevant" ]; fhir:ElementDefinition.definition [ fhir:value "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." ]; fhir:ElementDefinition.comment [ fhir:value "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.version" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.7" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystemVersion" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ] ] ], [ fhir:index 34; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.code" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.code" ]; fhir:ElementDefinition.short [ fhir:value "Symbol in syntax defined by the system" ]; fhir:ElementDefinition.definition [ fhir:value "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to refer to a particular code in the system." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.code" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.fixedCode [ fhir:value "PAT" ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./code" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ] ] ], [ fhir:index 35; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.display" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ]; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.display" ]; fhir:ElementDefinition.short [ fhir:value "Representation defined by the system" ]; fhir:ElementDefinition.definition [ fhir:value "A representation of the meaning of the code in the system, following the rules of the system." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be able to carry a human-readable meaning of the code for readers that do not know the system." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.display" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.2 - but note this is not well followed" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "CV.displayName" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ] ] ], [ fhir:index 36; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.userSelected" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.userSelected" ]; fhir:ElementDefinition.short [ fhir:value "If this coding was chosen directly by the user" ]; fhir:ElementDefinition.definition [ fhir:value "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)." ]; fhir:ElementDefinition.comment [ fhir:value "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ]; fhir:ElementDefinition.requirements [ fhir:value "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.userSelected" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Sometimes implied by being first" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "CD.codingRationale" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" ] ] ], [ fhir:index 37; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext" ]; fhir:ElementDefinition.short [ fhir:value "Context for recording an evaluation result, used to indicate an evaluation has been made." ]; fhir:ElementDefinition.definition [ fhir:value "Context for recording an evaluation result, used to indicate an evaluation has been made." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 38; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode" ]; fhir:ElementDefinition.short [ fhir:value "A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc." ]; fhir:ElementDefinition.definition [ fhir:value "A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.\nAttribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes: 'Finding context (attribute)' (SCTID: 408729009) and 'Procedure context (attribute)' (SCTID: 408730004). The range allowed for this attribute shall be consistent with the SNOMED CT concept model specification for SWEC." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 39; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.id" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 40; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.extension" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.extension" ]; fhir:ElementDefinition.slicing [ fhir:ElementDefinition.slicing.discriminator [ fhir:index 0; fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ]; fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ]; fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ]; fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 41; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.system" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.system" ]; fhir:ElementDefinition.short [ fhir:value "Identity of the terminology system" ]; fhir:ElementDefinition.definition [ fhir:value "The identification of the code system that defines the meaning of the symbol in the code." ]; fhir:ElementDefinition.comment [ fhir:value "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be unambiguous about the source of the definition of the symbol." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.system" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "uri" ] ]; fhir:ElementDefinition.fixedUri [ fhir:value "http://snomed.info/sct" ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.3" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystem" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ] ] ], [ fhir:index 42; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.version" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.version" ]; fhir:ElementDefinition.short [ fhir:value "Version of the system - if relevant" ]; fhir:ElementDefinition.definition [ fhir:value "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." ]; fhir:ElementDefinition.comment [ fhir:value "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.version" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.7" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystemVersion" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ] ] ], [ fhir:index 43; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.code" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.code" ]; fhir:ElementDefinition.short [ fhir:value "Symbol in syntax defined by the system" ]; fhir:ElementDefinition.definition [ fhir:value "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to refer to a particular code in the system." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.code" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.fixedCode [ fhir:value "424975005" ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./code" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ] ] ], [ fhir:index 44; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.display" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ]; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.display" ]; fhir:ElementDefinition.short [ fhir:value "Representation defined by the system" ]; fhir:ElementDefinition.definition [ fhir:value "A representation of the meaning of the code in the system, following the rules of the system." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be able to carry a human-readable meaning of the code for readers that do not know the system." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.display" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.2 - but note this is not well followed" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "CV.displayName" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ] ] ], [ fhir:index 45; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.userSelected" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.userSelected" ]; fhir:ElementDefinition.short [ fhir:value "If this coding was chosen directly by the user" ]; fhir:ElementDefinition.definition [ fhir:value "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)." ]; fhir:ElementDefinition.comment [ fhir:value "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ]; fhir:ElementDefinition.requirements [ fhir:value "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.userSelected" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Sometimes implied by being first" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "CD.codingRationale" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" ] ] ], [ fhir:index 46; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.encounter" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.encounter" ]; fhir:ElementDefinition.short [ fhir:value "A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient." ]; fhir:ElementDefinition.definition [ fhir:value "A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.encounter" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 47; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.interpretation" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.interpretation" ]; fhir:ElementDefinition.code [ fhir:index 0; fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ]; fhir:Coding.code [ fhir:value "C0420833" ] ]; fhir:ElementDefinition.short [ fhir:value "A clinical interpretation of a finding (applies to both assertions and observation)." ]; fhir:ElementDefinition.definition [ fhir:value "A clinical interpretation of a finding (applies to both assertions and observation)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.interpretation" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "required" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-RecurrenceRiskScoreInterpretationVS>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-RecurrenceRiskScoreInterpretationVS" ] ] ] ], [ fhir:index 48; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.findingStatus" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.findingStatus" ]; fhir:ElementDefinition.short [ fhir:value "Indicates whether the finding is preliminary, amended, final, etc." ]; fhir:ElementDefinition.definition [ fhir:value "Indicates whether the finding is preliminary, amended, final, etc." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.findingStatus" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "required" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/observation-status>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-status" ] ] ] ], [ fhir:index 49; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.relevantTime" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.relevantTime" ]; fhir:ElementDefinition.short [ fhir:value "The time or time period that the finding addresses." ]; fhir:ElementDefinition.definition [ fhir:value "The time or time period that the finding addresses.\nThe clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.relevantTime" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 50; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.resultValue" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.resultValue" ]; fhir:ElementDefinition.short [ fhir:value "The finding itself, such as the blood pressure value recorded." ]; fhir:ElementDefinition.definition [ fhir:value "The finding itself, such as the blood pressure value recorded." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.resultValue" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Quantity-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 51; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.exceptionValue" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.exceptionValue" ]; fhir:ElementDefinition.short [ fhir:value "Reason that a value associated with a test or other finding is missing." ]; fhir:ElementDefinition.definition [ fhir:value "Reason that a value associated with a test or other finding is missing." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.exceptionValue" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/data-absent-reason>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/data-absent-reason" ] ] ] ], [ fhir:index 52; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.deltaFlag" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.deltaFlag" ]; fhir:ElementDefinition.code [ fhir:index 0; fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ]; fhir:Coding.code [ fhir:value "C1705241" ] ]; fhir:ElementDefinition.short [ fhir:value "Indicator of significant change (delta) from the last or previous measurement." ]; fhir:ElementDefinition.definition [ fhir:value "Indicator of significant change (delta) from the last or previous measurement." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.deltaFlag" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "required" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-context-DeltaFlagVS>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-context-DeltaFlagVS" ] ] ] ], [ fhir:index 53; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.issued" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.issued" ]; fhir:ElementDefinition.short [ fhir:value "The date and time this observation was made available to providers, typically after the results have been reviewed and verified." ]; fhir:ElementDefinition.definition [ fhir:value "The date and time this observation was made available to providers, typically after the results have been reviewed and verified." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.issued" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "instant" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 54; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.observer" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.observer" ]; fhir:ElementDefinition.short [ fhir:value "The person or organization who observed or informed the reporter about the characteristic, potentially the clinician, the patient, or a related person." ]; fhir:ElementDefinition.definition [ fhir:value "The person or organization who observed or informed the reporter about the characteristic, potentially the clinician, the patient, or a related person." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.observer" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Practitioner-model" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Organization-model" ] ], [ fhir:index 2; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Patient-model" ] ], [ fhir:index 3; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-RelatedPerson-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ] ]; fhir:StructureDefinition.differential [ fhir:StructureDefinition.differential.element [ fhir:index 0; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model" ]; fhir:ElementDefinition.definition [ fhir:value "The Oncotype DX test for DCIS (Ductal Carcinoma in Situ) breast cancer. Risk scores range from 0 to 100 with the following interpretations: 0-38: Low-Risk, 39-54: Intermediate-Risk, 55+: High-Risk.\nNo LOINC code currently exists for this test. We are seeking feedback on the value of separating OncotypeDx scores for DCIS and invasive breast carcinomas. Does it make more sense to report the OncotypeDx as a single score, regardless of the type of cancer?" ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 1; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.personOfRecord" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.personOfRecord" ]; fhir:ElementDefinition.short [ fhir:value "The person this entry belongs to." ]; fhir:ElementDefinition.definition [ fhir:value "The person this entry belongs to." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.personOfRecord" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-core-PersonOfRecord-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 2; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic" ]; fhir:ElementDefinition.short [ fhir:value "The topic composition for laboratory observations. A specimen is required, anatomical location is excluded (since the specimen indicates the collection body site). Also includes a diagnostic service (indicating the type of laboratory), not present in general observations." ]; fhir:ElementDefinition.definition [ fhir:value "The topic composition for laboratory observations. A specimen is required, anatomical location is excluded (since the specimen indicates the collection body site). Also includes a diagnostic service (indicating the type of laboratory), not present in general observations." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 3; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode" ]; fhir:ElementDefinition.short [ fhir:value "The concept representing the finding or action that is the topic of the statement." ]; fhir:ElementDefinition.definition [ fhir:value "The concept representing the finding or action that is the topic of the statement.\n\nFor action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the 'question' or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic independent of the context of the action or the finding." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 4; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.id" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 5; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.extension" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.extension" ]; fhir:ElementDefinition.slicing [ fhir:ElementDefinition.slicing.discriminator [ fhir:index 0; fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ]; fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ]; fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ]; fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 6; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.system" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.system" ]; fhir:ElementDefinition.short [ fhir:value "Identity of the terminology system" ]; fhir:ElementDefinition.definition [ fhir:value "The identification of the code system that defines the meaning of the symbol in the code." ]; fhir:ElementDefinition.comment [ fhir:value "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be unambiguous about the source of the definition of the symbol." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.system" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "uri" ] ]; fhir:ElementDefinition.fixedUri [ fhir:value "http://ncimeta.nci.nih.gov" ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.3" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystem" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ] ] ], [ fhir:index 7; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.version" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.version" ]; fhir:ElementDefinition.short [ fhir:value "Version of the system - if relevant" ]; fhir:ElementDefinition.definition [ fhir:value "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." ]; fhir:ElementDefinition.comment [ fhir:value "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.version" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.7" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystemVersion" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ] ] ], [ fhir:index 8; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.code" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.code" ]; fhir:ElementDefinition.short [ fhir:value "Symbol in syntax defined by the system" ]; fhir:ElementDefinition.definition [ fhir:value "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to refer to a particular code in the system." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.code" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.fixedCode [ fhir:value "C3898101" ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./code" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ] ] ], [ fhir:index 9; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.display" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ]; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.display" ]; fhir:ElementDefinition.short [ fhir:value "Representation defined by the system" ]; fhir:ElementDefinition.definition [ fhir:value "A representation of the meaning of the code in the system, following the rules of the system." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be able to carry a human-readable meaning of the code for readers that do not know the system." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.display" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.2 - but note this is not well followed" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "CV.displayName" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ] ] ], [ fhir:index 10; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.userSelected" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.topicCode.userSelected" ]; fhir:ElementDefinition.short [ fhir:value "If this coding was chosen directly by the user" ]; fhir:ElementDefinition.definition [ fhir:value "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)." ]; fhir:ElementDefinition.comment [ fhir:value "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ]; fhir:ElementDefinition.requirements [ fhir:value "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.userSelected" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Sometimes implied by being first" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "CD.codingRationale" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" ] ] ], [ fhir:index 11; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.findingMethod" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.findingMethod" ]; fhir:ElementDefinition.short [ fhir:value "The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle." ]; fhir:ElementDefinition.definition [ fhir:value "The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.findingMethod" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://loinc.org/vs>; fhir:Reference.reference [ fhir:value "http://loinc.org/vs" ] ] ] ], [ fhir:index 12; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.details" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.details" ]; fhir:ElementDefinition.code [ fhir:index 0; fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ]; fhir:Coding.code [ fhir:value "C0947611" ] ]; fhir:ElementDefinition.short [ fhir:value "A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information." ]; fhir:ElementDefinition.definition [ fhir:value "A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.details" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 13; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.media" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.media" ]; fhir:ElementDefinition.short [ fhir:value "A file that contains audio, video, image, or similar content." ]; fhir:ElementDefinition.definition [ fhir:value "A file that contains audio, video, image, or similar content." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "0" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.media" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "0" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Media-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 14; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category" ]; fhir:ElementDefinition.short [ fhir:value "A class or division of people or things having particular shared characteristics" ]; fhir:ElementDefinition.definition [ fhir:value "A class or division of people or things having particular shared characteristics" ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 15; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.id" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 16; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.extension" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.extension" ]; fhir:ElementDefinition.slicing [ fhir:ElementDefinition.slicing.discriminator [ fhir:index 0; fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ]; fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ]; fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ]; fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 17; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.system" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.system" ]; fhir:ElementDefinition.short [ fhir:value "Identity of the terminology system" ]; fhir:ElementDefinition.definition [ fhir:value "The identification of the code system that defines the meaning of the symbol in the code." ]; fhir:ElementDefinition.comment [ fhir:value "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be unambiguous about the source of the definition of the symbol." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.system" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "uri" ] ]; fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/observation-category" ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.3" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystem" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ] ] ], [ fhir:index 18; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.version" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.version" ]; fhir:ElementDefinition.short [ fhir:value "Version of the system - if relevant" ]; fhir:ElementDefinition.definition [ fhir:value "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." ]; fhir:ElementDefinition.comment [ fhir:value "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.version" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.7" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystemVersion" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ] ] ], [ fhir:index 19; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.code" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.code" ]; fhir:ElementDefinition.short [ fhir:value "Symbol in syntax defined by the system" ]; fhir:ElementDefinition.definition [ fhir:value "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to refer to a particular code in the system." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.code" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.fixedCode [ fhir:value "laboratory" ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./code" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ] ] ], [ fhir:index 20; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.display" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ]; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.display" ]; fhir:ElementDefinition.short [ fhir:value "Representation defined by the system" ]; fhir:ElementDefinition.definition [ fhir:value "A representation of the meaning of the code in the system, following the rules of the system." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be able to carry a human-readable meaning of the code for readers that do not know the system." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.display" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.2 - but note this is not well followed" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "CV.displayName" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ] ] ], [ fhir:index 21; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.userSelected" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.userSelected" ]; fhir:ElementDefinition.short [ fhir:value "If this coding was chosen directly by the user" ]; fhir:ElementDefinition.definition [ fhir:value "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)." ]; fhir:ElementDefinition.comment [ fhir:value "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ]; fhir:ElementDefinition.requirements [ fhir:value "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.category.userSelected" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Sometimes implied by being first" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "CD.codingRationale" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" ] ] ], [ fhir:index 22; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.anatomicalLocation" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.anatomicalLocation" ]; fhir:ElementDefinition.code [ fhir:index 0; a loinc:72369-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "72369-2" ] ]; fhir:ElementDefinition.short [ fhir:value "A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart." ]; fhir:ElementDefinition.definition [ fhir:value "A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "0" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.anatomicalLocation" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "0" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-element-AnatomicalLocation-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 23; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.device" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.device" ]; fhir:ElementDefinition.short [ fhir:value "A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients." ]; fhir:ElementDefinition.definition [ fhir:value "A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "0" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.device" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "0" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Device-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 24; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.breastSpecimen" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.breastSpecimen" ]; fhir:ElementDefinition.short [ fhir:value "Specimen resulting from biopsy or excision of breast and surrounding tissue." ]; fhir:ElementDefinition.definition [ fhir:value "Specimen resulting from biopsy or excision of breast and surrounding tissue." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.breastSpecimen" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSpecimen-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 25; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.precondition" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.precondition" ]; fhir:ElementDefinition.short [ fhir:value "A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar." ]; fhir:ElementDefinition.definition [ fhir:value "A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.precondition" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-Observation-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 26; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.referenceRange" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.referenceRange" ]; fhir:ElementDefinition.code [ fhir:index 0; fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ]; fhir:Coding.code [ fhir:value "C0883335" ] ]; fhir:ElementDefinition.short [ fhir:value "The usual or acceptable range for a test result." ]; fhir:ElementDefinition.definition [ fhir:value "The usual or acceptable range for a test result." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.referenceRange" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-ReferenceRange-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 27; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.evaluationComponent" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.evaluationComponent" ]; fhir:ElementDefinition.short [ fhir:value "A simplified, non-separable evaluation consisting of a finding code (represented by the Concept), value (or exception value), reference range, and interpretation. The subject of the evaluation component is the same as in the parent evaluation." ]; fhir:ElementDefinition.definition [ fhir:value "A simplified, non-separable evaluation consisting of a finding code (represented by the Concept), value (or exception value), reference range, and interpretation. The subject of the evaluation component is the same as in the parent evaluation." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "0" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.evaluationComponent" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "0" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-EvaluationComponent-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 28; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.panelMembers" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.panelMembers" ]; fhir:ElementDefinition.short [ fhir:value "PanelMembers represent the elements of a group of a related but independent evaluations." ]; fhir:ElementDefinition.definition [ fhir:value "PanelMembers represent the elements of a group of a related but independent evaluations.\nExamples are the measurements that compose a complete blood count (CBC), or the elements of a pathology report. Each member is an independent evaluation, but the grouping reflects a composite lab order, shared specimen, or a single report author. Typically the Category and Reason are not given for individual findings that are part of the panel, but rather given at the level of the panel itself." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "0" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.panelMembers" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "0" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-topic-PanelMembers-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 29; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService" ]; fhir:ElementDefinition.short [ fhir:value "The service completing the observations, e.g. biochemistry, microbiology, blood bank." ]; fhir:ElementDefinition.definition [ fhir:value "The service completing the observations, e.g. biochemistry, microbiology, blood bank." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 30; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.id" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 31; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.extension" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.extension" ]; fhir:ElementDefinition.slicing [ fhir:ElementDefinition.slicing.discriminator [ fhir:index 0; fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ]; fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ]; fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ]; fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 32; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.system" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.system" ]; fhir:ElementDefinition.short [ fhir:value "Identity of the terminology system" ]; fhir:ElementDefinition.definition [ fhir:value "The identification of the code system that defines the meaning of the symbol in the code." ]; fhir:ElementDefinition.comment [ fhir:value "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be unambiguous about the source of the definition of the symbol." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.system" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "uri" ] ]; fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/v2/0074" ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.3" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystem" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ] ] ], [ fhir:index 33; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.version" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.version" ]; fhir:ElementDefinition.short [ fhir:value "Version of the system - if relevant" ]; fhir:ElementDefinition.definition [ fhir:value "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." ]; fhir:ElementDefinition.comment [ fhir:value "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.version" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.7" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystemVersion" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ] ] ], [ fhir:index 34; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.code" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.code" ]; fhir:ElementDefinition.short [ fhir:value "Symbol in syntax defined by the system" ]; fhir:ElementDefinition.definition [ fhir:value "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to refer to a particular code in the system." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.code" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.fixedCode [ fhir:value "PAT" ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./code" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ] ] ], [ fhir:index 35; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.display" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ]; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.display" ]; fhir:ElementDefinition.short [ fhir:value "Representation defined by the system" ]; fhir:ElementDefinition.definition [ fhir:value "A representation of the meaning of the code in the system, following the rules of the system." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be able to carry a human-readable meaning of the code for readers that do not know the system." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.display" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.2 - but note this is not well followed" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "CV.displayName" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ] ] ], [ fhir:index 36; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.userSelected" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.laboratoryObservationTopic.diagnosticService.userSelected" ]; fhir:ElementDefinition.short [ fhir:value "If this coding was chosen directly by the user" ]; fhir:ElementDefinition.definition [ fhir:value "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)." ]; fhir:ElementDefinition.comment [ fhir:value "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ]; fhir:ElementDefinition.requirements [ fhir:value "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Coding.userSelected" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Sometimes implied by being first" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "CD.codingRationale" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" ] ] ], [ fhir:index 37; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext" ]; fhir:ElementDefinition.short [ fhir:value "Context for recording an evaluation result, used to indicate an evaluation has been made." ]; fhir:ElementDefinition.definition [ fhir:value "Context for recording an evaluation result, used to indicate an evaluation has been made." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 38; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode" ]; fhir:ElementDefinition.short [ fhir:value "A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc." ]; fhir:ElementDefinition.definition [ fhir:value "A code representing the ontological status of the statement, e.g., whether it exists, does not exist, is planned, etc.\nAttribute aligns with the SNOMED CT Situation with Explicit Context (SWEC) Concept Model context attributes: 'Finding context (attribute)' (SCTID: 408729009) and 'Procedure context (attribute)' (SCTID: 408730004). The range allowed for this attribute shall be consistent with the SNOMED CT concept model specification for SWEC." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 39; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.id" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 40; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.extension" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.extension" ]; fhir:ElementDefinition.slicing [ fhir:ElementDefinition.slicing.discriminator [ fhir:index 0; fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ]; fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ] ]; fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ]; fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ] ] ], [ fhir:index 41; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.system" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.system" ]; fhir:ElementDefinition.short [ fhir:value "Identity of the terminology system" ]; fhir:ElementDefinition.definition [ fhir:value "The identification of the code system that defines the meaning of the symbol in the code." ]; fhir:ElementDefinition.comment [ fhir:value "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be unambiguous about the source of the definition of the symbol." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.system" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "uri" ] ]; fhir:ElementDefinition.fixedUri [ fhir:value "http://snomed.info/sct" ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.3" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystem" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ] ] ], [ fhir:index 42; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.version" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.version" ]; fhir:ElementDefinition.short [ fhir:value "Version of the system - if relevant" ]; fhir:ElementDefinition.definition [ fhir:value "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." ]; fhir:ElementDefinition.comment [ fhir:value "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.version" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.7" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystemVersion" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ] ] ], [ fhir:index 43; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.code" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.code" ]; fhir:ElementDefinition.short [ fhir:value "Symbol in syntax defined by the system" ]; fhir:ElementDefinition.definition [ fhir:value "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to refer to a particular code in the system." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.code" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.fixedCode [ fhir:value "424975005" ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./code" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ] ] ], [ fhir:index 44; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.display" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ]; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.display" ]; fhir:ElementDefinition.short [ fhir:value "Representation defined by the system" ]; fhir:ElementDefinition.definition [ fhir:value "A representation of the meaning of the code in the system, following the rules of the system." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be able to carry a human-readable meaning of the code for readers that do not know the system." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.display" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.2 - but note this is not well followed" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "CV.displayName" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ] ] ], [ fhir:index 45; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.userSelected" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.userSelected" ]; fhir:ElementDefinition.short [ fhir:value "If this coding was chosen directly by the user" ]; fhir:ElementDefinition.definition [ fhir:value "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)." ]; fhir:ElementDefinition.comment [ fhir:value "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ]; fhir:ElementDefinition.requirements [ fhir:value "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.contextCode.userSelected" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "boolean" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Sometimes implied by being first" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "CD.codingRationale" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" ] ] ], [ fhir:index 46; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.encounter" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.encounter" ]; fhir:ElementDefinition.short [ fhir:value "A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient." ]; fhir:ElementDefinition.definition [ fhir:value "A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.encounter" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-encounter-Encounter-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 47; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.interpretation" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.interpretation" ]; fhir:ElementDefinition.code [ fhir:index 0; fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ]; fhir:Coding.code [ fhir:value "C0420833" ] ]; fhir:ElementDefinition.short [ fhir:value "A clinical interpretation of a finding (applies to both assertions and observation)." ]; fhir:ElementDefinition.definition [ fhir:value "A clinical interpretation of a finding (applies to both assertions and observation)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.interpretation" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "required" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-RecurrenceRiskScoreInterpretationVS>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-RecurrenceRiskScoreInterpretationVS" ] ] ] ], [ fhir:index 48; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.findingStatus" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.findingStatus" ]; fhir:ElementDefinition.short [ fhir:value "Indicates whether the finding is preliminary, amended, final, etc." ]; fhir:ElementDefinition.definition [ fhir:value "Indicates whether the finding is preliminary, amended, final, etc." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.findingStatus" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "required" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/observation-status>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-status" ] ] ] ], [ fhir:index 49; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.relevantTime" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.relevantTime" ]; fhir:ElementDefinition.short [ fhir:value "The time or time period that the finding addresses." ]; fhir:ElementDefinition.definition [ fhir:value "The time or time period that the finding addresses.\nThe clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.relevantTime" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 50; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.resultValue" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.resultValue" ]; fhir:ElementDefinition.short [ fhir:value "The finding itself, such as the blood pressure value recorded." ]; fhir:ElementDefinition.definition [ fhir:value "The finding itself, such as the blood pressure value recorded." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.resultValue" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Quantity-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 51; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.exceptionValue" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.exceptionValue" ]; fhir:ElementDefinition.short [ fhir:value "Reason that a value associated with a test or other finding is missing." ]; fhir:ElementDefinition.definition [ fhir:value "Reason that a value associated with a test or other finding is missing." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.exceptionValue" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/data-absent-reason>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/data-absent-reason" ] ] ] ], [ fhir:index 52; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.deltaFlag" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.deltaFlag" ]; fhir:ElementDefinition.code [ fhir:index 0; fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ]; fhir:Coding.code [ fhir:value "C1705241" ] ]; fhir:ElementDefinition.short [ fhir:value "Indicator of significant change (delta) from the last or previous measurement." ]; fhir:ElementDefinition.definition [ fhir:value "Indicator of significant change (delta) from the last or previous measurement." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.deltaFlag" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "required" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-context-DeltaFlagVS>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-context-DeltaFlagVS" ] ] ] ], [ fhir:index 53; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.issued" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.issued" ]; fhir:ElementDefinition.short [ fhir:value "The date and time this observation was made available to providers, typically after the results have been reviewed and verified." ]; fhir:ElementDefinition.definition [ fhir:value "The date and time this observation was made available to providers, typically after the results have been reviewed and verified." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.issued" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "instant" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 54; fhir:Element.id [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.observer" ]; fhir:ElementDefinition.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.observer" ]; fhir:ElementDefinition.short [ fhir:value "The person or organization who observed or informed the reporter about the characteristic, potentially the clinician, the patient, or a related person." ]; fhir:ElementDefinition.definition [ fhir:value "The person or organization who observed or informed the reporter about the characteristic, potentially the clinician, the patient, or a related person." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "oncology-OncotypeDxDCISRecurrenceScore-model.observationContext.observer" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Practitioner-model" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Organization-model" ] ], [ fhir:index 2; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Patient-model" ] ], [ fhir:index 3; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-RelatedPerson-model" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ] ]. <http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-RecurrenceRiskScoreInterpretationVS> a fhir:us. <http://hl7.org/fhir/ValueSet/observation-status> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/data-absent-reason> a fhir:ValueSet. <http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-context-DeltaFlagVS> a fhir:us. # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl.