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This page is part of the US Core (v0.0.0: STU1 Ballot 1) based on FHIR v1.8.0. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions 
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <StructureDefinition/us-core-observationresults> a fhir:StructureDefinition; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "us-core-observationresults"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>url</b>: <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults</a></p><p><b>name</b>: US Core Result Observation</p><p><b>status</b>: DRAFT</p><p><b>date</b>: 01/08/2016</p><p><b>publisher</b>: Health Level Seven International (FHIR-Infrastructure)</p><p><b>contact</b>: </p><p><b>url</b>: <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults</a></p><p><b>name</b>: US Core Result Observation</p><p><b>status</b>: DRAFT</p><p><b>publisher</b>: Health Level Seven International (FHIR-Infrastructure)</p><p><b>contact</b>: </p><p><b>date</b>: 01/08/2016</p><blockquote><p><b>mapping</b></p><p><b>identity</b>: v2</p><p><b>uri</b>: <a href=\"http://hl7.org/v2\">http://hl7.org/v2</a></p><p><b>name</b>: HL7 v2 Mapping</p></blockquote><blockquote><p><b>mapping</b></p><p><b>identity</b>: rim</p><p><b>uri</b>: <a href=\"http://hl7.org/v3\">http://hl7.org/v3</a></p><p><b>name</b>: RIM Mapping</p></blockquote><blockquote><p><b>mapping</b></p><p><b>identity</b>: w5</p><p><b>uri</b>: <a href=\"http://hl7.org/fhir/w5\">http://hl7.org/fhir/w5</a></p><p><b>name</b>: W5 Mapping</p></blockquote><p><b>kind</b>: RESOURCE</p><p><b>abstract</b>: false</p><p><b>type</b>: Observation</p><p><b>baseDefinition</b>: <a href=\"http://hl7.org/fhir/StructureDefinition/Observation\">http://hl7.org/fhir/StructureDefinition/Observation</a></p><p><b>derivation</b>: CONSTRAINT</p><h3>Snapshots</h3><table class=\"grid\"><tr><td>-</td><td><b>Element</b></td></tr><tr><td>*</td><td>todo-bundle</td></tr></table><h3>Differentials</h3><table class=\"grid\"><tr><td>-</td><td><b>Element</b></td></tr><tr><td>*</td><td>todo-bundle</td></tr></table></div>" ]; fhir:StructureDefinition.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"]; fhir:StructureDefinition.name [ fhir:value "US Core Result Observation"]; fhir:StructureDefinition.status [ fhir:value "draft"]; fhir:StructureDefinition.publisher [ fhir:value "Health Level Seven International (FHIR-Infrastructure)"]; 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.healthit.gov" ] ] ]; fhir:StructureDefinition.date [ fhir:value "2016-08-01"^^xsd:date]; fhir:StructureDefinition.mapping [ fhir:index 0; fhir:StructureDefinition.mapping.identity [ fhir:value "v2" ]; fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v2" ]; fhir:StructureDefinition.mapping.name [ fhir:value "HL7 v2 Mapping" ] ], [ fhir:index 1; fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ]; fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ]; fhir:StructureDefinition.mapping.name [ fhir:value "RIM Mapping" ] ], [ fhir:index 2; fhir:StructureDefinition.mapping.identity [ fhir:value "w5" ]; fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/w5" ]; fhir:StructureDefinition.mapping.name [ fhir:value "W5 Mapping" ] ]; fhir:StructureDefinition.kind [ fhir:value "resource"]; fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean]; fhir:StructureDefinition.type [ fhir:value "Observation"]; fhir:StructureDefinition.baseDefinition [ fhir:value "http://hl7.org/fhir/StructureDefinition/Observation"]; fhir:StructureDefinition.derivation [ fhir:value "constraint"]; fhir:StructureDefinition.snapshot [ fhir:StructureDefinition.snapshot.element [ fhir:index 0; fhir:Element.id [ fhir:value "Observation:uscoreobss" ]; fhir:ElementDefinition.path [ fhir:value "Observation" ]; fhir:ElementDefinition.sliceName [ fhir:value "USCoreObss" ]; fhir:ElementDefinition.short [ fhir:value "US Core Result Observation" ]; fhir:ElementDefinition.definition [ fhir:value "US Realm clinical coded results." ]; fhir:ElementDefinition.comments [ fhir:value "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as lab reports, etc." ]; fhir:ElementDefinition.alias [ fhir:value "Vital Signs"; fhir:index 0 ], [ fhir:value "Measurement"; fhir:index 1 ], [ fhir:value "Results"; fhir:index 2 ], [ fhir:value "Tests"; fhir:index 3 ], [ fhir:value "Obs"; fhir:index 4 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "dom-2" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "contained.contained.empty()" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:contained)" ]; fhir:ElementDefinition.constraint.source [ fhir:value "DomainResource" ] ], [ fhir:index 1; fhir:ElementDefinition.constraint.key [ fhir:value "dom-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain any narrative" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "contained.text.empty()" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:text)" ]; fhir:ElementDefinition.constraint.source [ fhir:value "DomainResource" ] ], [ fhir:index 2; fhir:ElementDefinition.constraint.key [ fhir:value "dom-4" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ]; fhir:ElementDefinition.constraint.source [ fhir:value "DomainResource" ] ], [ fhir:index 3; fhir:ElementDefinition.constraint.key [ fhir:value "dom-3" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "contained.where(('#'+id in %resource.descendants().reference).not()).empty()" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))" ]; fhir:ElementDefinition.constraint.source [ fhir:value "DomainResource" ] ], [ fhir:index 4; fhir:ElementDefinition.constraint.key [ fhir:value "obs-7" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "If code is the same as a component code then the value element associated with the code SHALL NOT be present" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "value.empty() or code!=component.code" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:value)) or not(count(for $coding in f:code/f:coding return parent::*/f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value and f:system/@value=$coding/f:system/@value])=0)" ]; fhir:ElementDefinition.constraint.source [ fhir:value "Observation" ] ], [ fhir:index 5; fhir:ElementDefinition.constraint.key [ fhir:value "obs-6" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "dataAbsentReason SHALL only be present if Observation.value[x] is not present" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "dataAbsentReason.empty() or value.empty()" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" ]; fhir:ElementDefinition.constraint.source [ fhir:value "Observation" ] ], [ fhir:index 6; fhir:ElementDefinition.constraint.key [ fhir:value "us-core-2" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "If there is no component or related element then either a value[x] or a data absent reason must be present" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "(component.empty() or related.empty()) implies (value.exists() or dataAbsentReason.exists())" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:component) or exists(f:related) or exists(f:*[starts-with(local-name(.), 'value)]) or exists(f:dataAbsentReason)" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Entity. Role, or Act" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Observation[classCode=OBS, moodCode=EVN]" ] ], [ fhir:index 3; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "clinical.diagnostics" ] ] ], [ fhir:index 1; fhir:Element.id [ fhir:value "Observation:uscoreobss.id" ]; fhir:ElementDefinition.path [ fhir:value "Observation.id" ]; fhir:ElementDefinition.short [ fhir:value "Logical id of this artifact" ]; fhir:ElementDefinition.definition [ fhir:value "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ]; fhir:ElementDefinition.comments [ fhir:value "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Resource.id" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "id" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 2; fhir:Element.id [ fhir:value "Observation:uscoreobss.meta" ]; fhir:ElementDefinition.path [ fhir:value "Observation.meta" ]; fhir:ElementDefinition.short [ fhir:value "Metadata about the resource" ]; fhir:ElementDefinition.definition [ fhir:value "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Resource.meta" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Meta" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 3; fhir:Element.id [ fhir:value "Observation:uscoreobss.implicitRules" ]; fhir:ElementDefinition.path [ fhir:value "Observation.implicitRules" ]; fhir:ElementDefinition.short [ fhir:value "A set of rules under which this content was created" ]; fhir:ElementDefinition.definition [ fhir:value "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content." ]; fhir:ElementDefinition.comments [ fhir:value "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Resource.implicitRules" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "uri" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 4; fhir:Element.id [ fhir:value "Observation:uscoreobss.language" ]; fhir:ElementDefinition.path [ fhir:value "Observation.language" ]; fhir:ElementDefinition.short [ fhir:value "Language of the resource content" ]; fhir:ElementDefinition.definition [ fhir:value "The base language in which the resource is written." ]; fhir:ElementDefinition.comments [ fhir:value "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Resource.language" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.binding [ fhir:extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ]; fhir:Extension.valueReference [ fhir:link <http://hl7.org/fhir/ValueSet/all-languages>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ] ] ]; fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ]; fhir:ElementDefinition.binding.description [ fhir:value "A human language." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/languages>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/languages" ] ] ] ], [ fhir:index 5; fhir:Element.id [ fhir:value "Observation:uscoreobss.text" ]; fhir:ElementDefinition.path [ fhir:value "Observation.text" ]; fhir:ElementDefinition.short [ fhir:value "Text summary of the resource, for human interpretation" ]; fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ]; fhir:ElementDefinition.comments [ fhir:value "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later." ]; fhir:ElementDefinition.alias [ fhir:value "narrative"; fhir:index 0 ], [ fhir:value "html"; fhir:index 1 ], [ fhir:value "xhtml"; fhir:index 2 ], [ fhir:value "display"; fhir:index 3 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "DomainResource.text" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Narrative" ] ]; fhir:ElementDefinition.condition [ fhir:value "dom-1"; fhir:index 0 ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Act.text?" ] ] ], [ fhir:index 6; fhir:Element.id [ fhir:value "Observation:uscoreobss.contained" ]; fhir:ElementDefinition.path [ fhir:value "Observation.contained" ]; fhir:ElementDefinition.short [ fhir:value "Contained, inline Resources" ]; fhir:ElementDefinition.definition [ fhir:value "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." ]; fhir:ElementDefinition.comments [ fhir:value "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again." ]; fhir:ElementDefinition.alias [ fhir:value "inline resources"; fhir:index 0 ], [ fhir:value "anonymous resources"; fhir:index 1 ], [ fhir:value "contained resources"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "DomainResource.contained" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Resource" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 7; fhir:Element.id [ fhir:value "Observation:uscoreobss.extension" ]; fhir:ElementDefinition.path [ fhir:value "Observation.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comments [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; 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 8; fhir:Element.id [ fhir:value "Observation:uscoreobss.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "Observation.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." ]; fhir:ElementDefinition.comments [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "DomainResource.modifierExtension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 9; fhir:Element.id [ fhir:value "Observation:uscoreobss.identifier" ]; fhir:ElementDefinition.path [ fhir:value "Observation.identifier" ]; fhir:ElementDefinition.short [ fhir:value "Unique Id for this particular observation" ]; fhir:ElementDefinition.definition [ fhir:value "A unique identifier for the simple observation instance." ]; fhir:ElementDefinition.requirements [ fhir:value "Allows observations to be distinguished and referenced." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.identifier" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4." ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "id" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "id" ] ] ], [ fhir:index 10; fhir:Element.id [ fhir:value "Observation:uscoreobss.status" ]; fhir:extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint" ]; fhir:Extension.valueString [ fhir:value "default: final" ] ]; fhir:ElementDefinition.path [ fhir:value "Observation.status" ]; fhir:ElementDefinition.short [ fhir:value "registered | preliminary | final | amended +" ]; fhir:ElementDefinition.definition [ fhir:value "The status of the result value." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to track the status of individual results. Some results are finalized before the whole report is finalized." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.status" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:int ]; 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 "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^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:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-11" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\"" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "status" ] ] ], [ fhir:index 11; fhir:Element.id [ fhir:value "Observation:uscoreobss.category" ]; fhir:ElementDefinition.path [ fhir:value "Observation.category" ]; fhir:ElementDefinition.short [ fhir:value "Classification of type of observation" ]; fhir:ElementDefinition.definition [ fhir:value "A code that classifies the general type of observation being made." ]; fhir:ElementDefinition.comments [ fhir:value "There may be multiple axis of categoriization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set." ]; fhir:ElementDefinition.requirements [ fhir:value "Used for filtering what observations are retreived and displayed." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.category" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.patternCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/observation-category" ]; fhir:Coding.code [ fhir:value "laboratory" ] ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Codes for high level observation categories ." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/observation-category>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-category" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "class" ] ] ], [ fhir:index 12; fhir:Element.id [ fhir:value "Observation:uscoreobss.code" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code" ]; fhir:ElementDefinition.short [ fhir:value "US Realm Laboratory Test Name" ]; fhir:ElementDefinition.definition [ fhir:value "The test that was performed. This is element is bound to LOINC." ]; fhir:ElementDefinition.comments [ fhir:value "UsageNote= The typical patterns for codes are: 1) a LOINC code either as a translation from a \"local\" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists." ]; fhir:ElementDefinition.requirements [ fhir:value "Knowing what kind of observation is being made is essential to understanding the observation." ]; fhir:ElementDefinition.alias [ fhir:value "Test Name"; fhir:index 0 ], [ fhir:value "Observation Identifer"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.code" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ]; fhir:ElementDefinition.binding.description [ fhir:value "LOINC codes" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/observation-codes>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-codes" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-3" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "code" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "what" ] ] ], [ fhir:index 13; fhir:Element.id [ fhir:value "Observation:uscoreobss.code.id" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code.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:int ]; 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:int ]; 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 14; fhir:Element.id [ fhir:value "Observation:uscoreobss.code.extension" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comments [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; 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 15; fhir:Element.id [ fhir:value "Observation:uscoreobss.code.coding" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code.coding" ]; fhir:ElementDefinition.short [ fhir:value "Standard and local codes may be included here by repeating the coding element with a different coding.system." ]; fhir:ElementDefinition.definition [ fhir:value "A reference to a code defined by a terminology system." ]; fhir:ElementDefinition.comments [ fhir:value "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true." ]; fhir:ElementDefinition.requirements [ fhir:value "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "CodeableConcept.coding" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1-8, C*E.10-22" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "union(., ./translation)" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" ] ] ], [ fhir:index 16; fhir:Element.id [ fhir:value "Observation:uscoreobss.code.coding.id" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.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:int ]; 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:int ]; 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 17; fhir:Element.id [ fhir:value "Observation:uscoreobss.code.coding.extension" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comments [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; 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 18; fhir:Element.id [ fhir:value "Observation:uscoreobss.code.coding.system" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.system" ]; fhir:ElementDefinition.short [ fhir:value "Identity of the terminology system" ]; fhir:ElementDefinition.definition [ fhir:value "The identification of the code system that defines the meaning of the symbol in the code." ]; fhir:ElementDefinition.comments [ fhir:value "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be unambiguous about the source of the definition of the symbol." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:int ]; 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:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "uri" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "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 19; fhir:Element.id [ fhir:value "Observation:uscoreobss.code.coding.version" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.version" ]; fhir:ElementDefinition.short [ fhir:value "Version of the system - if relevant" ]; fhir:ElementDefinition.definition [ fhir:value "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." ]; fhir:ElementDefinition.comments [ fhir:value "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; 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:int ]; 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 20; fhir:Element.id [ fhir:value "Observation:uscoreobss.code.coding.code" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.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.comments [ fhir:value "Logical Observation Identifiers Names and Codes (LOINC) is a database and universal standard for identifying medical laboratory observations." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to refer to a particular code in the system." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:int ]; 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:int ]; 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 "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "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 21; fhir:Element.id [ fhir:value "Observation:uscoreobss.code.coding.display" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.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.comments [ fhir:value "When using LOINC 'long common name' is preferred although the LOINC 'short name' or the LOINC 'fully-specified name can also be used. ( http://lionc.org.terms-of-use)." ]; 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:int ]; 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:int ]; 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 "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "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 22; fhir:Element.id [ fhir:value "Observation:uscoreobss.code.coding.userSelected" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.userSelected" ]; fhir:ElementDefinition.short [ fhir:value "If this coding was chosen directly by the user" ]; fhir:ElementDefinition.definition [ fhir:value "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)." ]; fhir:ElementDefinition.comments [ fhir:value "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ]; fhir:ElementDefinition.requirements [ fhir:value "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; 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:int ]; 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 23; fhir:Element.id [ fhir:value "Observation:uscoreobss.code.text" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code.text" ]; fhir:ElementDefinition.short [ fhir:value "Display text" ]; fhir:ElementDefinition.definition [ fhir:value "This is the laboratory defined display text for the lab test if different from the code display text(s)." ]; fhir:ElementDefinition.comments [ fhir:value "If this exists, this is the text to be used for display." ]; fhir:ElementDefinition.requirements [ fhir:value "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "CodeableConcept.text" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; 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 "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "C*E.9. But note many systems use C*E.2 for this" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "./originalText[mediaType/code=\"text/plain\"]/data" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" ] ] ], [ fhir:index 24; fhir:Element.id [ fhir:value "Observation:uscoreobss.subject" ]; fhir:ElementDefinition.path [ fhir:value "Observation.subject" ]; fhir:ElementDefinition.short [ fhir:value "Who and/or what this is about" ]; fhir:ElementDefinition.definition [ fhir:value "The patient, or group of patients, location, or device whose characteristics (direct or indirect) are described by the observation and into whose record the observation is placed. Comments: Indirect characteristics may be those of a specimen, fetus, donor, other observer (for example a relative or EMT), or any observation made about the subject." ]; fhir:ElementDefinition.comments [ fhir:value "One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated. If the target of the observation is different than the subject, the general extension [observation-focal-subject](extension-observation-focal-subject.html). may be used. However, the distinction between the patient's own value for an observation versus that of the fetus, or the donor or blood product unit, etc., are often specified in the observation code." ]; fhir:ElementDefinition.requirements [ fhir:value "Observations have no value if you don't know who or what they're about." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.subject" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; 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/core/StructureDefinition/us-core-patient" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "PID-3" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=SBJ]" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "who.focus" ] ] ], [ fhir:index 25; fhir:Element.id [ fhir:value "Observation:uscoreobss.encounter" ]; fhir:ElementDefinition.path [ fhir:value "Observation.encounter" ]; fhir:ElementDefinition.short [ fhir:value "Healthcare event during which this observation is made" ]; fhir:ElementDefinition.definition [ fhir:value "The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made." ]; fhir:ElementDefinition.requirements [ fhir:value "For some observations it may be important to know the link between an observation and a particular encounter." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.encounter" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; 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/StructureDefinition/Encounter" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "PV1" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "context" ] ] ], [ fhir:index 26; fhir:Element.id [ fhir:value "Observation:uscoreobss.effective[x]" ]; fhir:ElementDefinition.path [ fhir:value "Observation.effective[x]" ]; fhir:ElementDefinition.short [ fhir:value "Clinically relevant time/time-period for observation" ]; fhir:ElementDefinition.definition [ fhir:value "For lab tests this is the specimen collection date. For Ask at Order Entry Questions (AOE)'s this is the date the question was asked." ]; fhir:ElementDefinition.comments [ fhir:value "At least a date should be present unless this observation is a historical report." ]; fhir:ElementDefinition.requirements [ fhir:value "Knowing when an observation was deemed true is important to its relevance as well as determining trends." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.effective[x]" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; 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 "Period" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "us-core-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "Datetime must be at least to day." ]; fhir:ElementDefinition.constraint.expression [ fhir:value "length() >= 8" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "f:matches(effectiveDateTime,/\\d{4}-[01]\\d-[0-3]\\dT[0-2]\\d:[0-5]\\d([+-][0-2]\\d:[0-5]\\d|Z)/)" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "effectiveTime" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "when.done" ] ] ], [ fhir:index 27; fhir:Element.id [ fhir:value "Observation:uscoreobss.issued" ]; fhir:ElementDefinition.path [ fhir:value "Observation.issued" ]; fhir:ElementDefinition.short [ fhir:value "Date/Time this was made available" ]; fhir:ElementDefinition.definition [ fhir:value "The date and time this observation was made available to providers, typically after the results have been reviewed and verified." ]; fhir:ElementDefinition.comments [ fhir:value "Updated when the result is updated." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.issued" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "instant" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=AUT].time" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "when.recorded" ] ] ], [ fhir:index 28; fhir:Element.id [ fhir:value "Observation:uscoreobss.performer" ]; fhir:ElementDefinition.path [ fhir:value "Observation.performer" ]; fhir:ElementDefinition.short [ fhir:value "Who is responsible for the observation" ]; fhir:ElementDefinition.definition [ fhir:value "Who was responsible for asserting the observed value as \"true\"." ]; fhir:ElementDefinition.requirements [ fhir:value "May give a degree of confidence in the observation and also indicates where follow-up questions should be directed." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.performer" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; 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/StructureDefinition/Practitioner" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization" ] ], [ fhir:index 2; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Patient" ] ], [ fhir:index 3; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=PRF]" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "who.actor" ] ] ], [ fhir:index 29; fhir:Element.id [ fhir:value "Observation:uscoreobss.value[x]" ]; fhir:ElementDefinition.path [ fhir:value "Observation.value[x]" ]; fhir:ElementDefinition.slicing [ fhir:ElementDefinition.slicing.discriminator [ fhir:value "@type"; fhir:index 0 ]; fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ]; fhir:ElementDefinition.short [ fhir:value "Actual result" ]; fhir:ElementDefinition.definition [ fhir:value "The information determined as a result of making the observation, if the information has a simple value." ]; fhir:ElementDefinition.comments [ fhir:value "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is \"'value' + the type name\" with a capital on the first letter of the type). If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text. A value set is bound to the ValueCodeableConcept element. For boolean values use valueCodeableConcept and select codes from [HL7 Version 2 Table 0136](v2/0136/index.html). These \"yes/no\" concepts can be mapped to the display name \"true/false\" or other mutually exclusive terms that may be needed. For further discussion and examples see the [notes section](observation.html#4.20.4) below." ]; fhir:ElementDefinition.requirements [ fhir:value "An observation exists to have a value, though it may not if it is in error, or it represents a group of observations." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.value[x]" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ], [ fhir:index 2; fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [ fhir:index 3; fhir:ElementDefinition.type.code [ fhir:value "Range" ] ], [ fhir:index 4; fhir:ElementDefinition.type.code [ fhir:value "Ratio" ] ], [ fhir:index 5; fhir:ElementDefinition.type.code [ fhir:value "SampledData" ] ], [ fhir:index 6; fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ], [ fhir:index 7; fhir:ElementDefinition.type.code [ fhir:value "time" ] ], [ fhir:index 8; fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ], [ fhir:index 9; fhir:ElementDefinition.type.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.condition [ fhir:value "obs-7"; fhir:index 0 ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX.2, OBX.5, OBX.6" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "value" ] ] ], [ fhir:index 30; fhir:Element.id [ fhir:value "Observation:uscoreobss.value[x]:uscorevaluetype" ]; fhir:ElementDefinition.path [ fhir:value "Observation.value[x]" ]; fhir:ElementDefinition.sliceName [ fhir:value "USCoreValueType" ]; fhir:ElementDefinition.short [ fhir:value "Actual result" ]; fhir:ElementDefinition.definition [ fhir:value "If codeableConcept, valueCodeableConcept *SHOULD* be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults). If Quantity, valueQuantity units *SHALL* be selected from [UCUM](http://unitsofmeasure.org)." ]; fhir:ElementDefinition.comments [ fhir:value "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is \"'value' + the type name\" with a capital on the first letter of the type). If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text. A value set is bound to the ValueCodeableConcept element. For boolean values use valueCodeableConcept and select codes from [HL7 Version 2 Table 0136](v2/0136/index.html). These \"yes/no\" concepts can be mapped to the display name \"true/false\" or other mutually exclusive terms that may be needed. For further discussion and examples see the [notes section](observation.html#4.20.4) below." ]; fhir:ElementDefinition.requirements [ fhir:value "An observation exists to have a value, though it may not if it is in error, or it represents a group of observations." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.value[x]" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Range" ] ], [ fhir:index 2; fhir:ElementDefinition.type.code [ fhir:value "Ratio" ] ], [ fhir:index 3; fhir:ElementDefinition.type.code [ fhir:value "SampledData" ] ], [ fhir:index 4; fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ], [ fhir:index 5; fhir:ElementDefinition.type.code [ fhir:value "time" ] ], [ fhir:index 6; fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ], [ fhir:index 7; fhir:ElementDefinition.type.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.condition [ fhir:value "obs-7"; fhir:index 0 ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX.2, OBX.5, OBX.6" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "value" ] ] ], [ fhir:index 31; fhir:Element.id [ fhir:value "Observation:uscoreobss.valueQuantity:uscorevaluequantity" ]; fhir:ElementDefinition.path [ fhir:value "Observation.valueQuantity" ]; fhir:ElementDefinition.sliceName [ fhir:value "USCoreValueQuantity" ]; fhir:ElementDefinition.short [ fhir:value "Actual result" ]; fhir:ElementDefinition.definition [ fhir:value "If codeableConcept, valueCodeableConcept *SHOULD* be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults). If Quantity, valueQuantity units *SHALL* be selected from [UCUM](http://unitsofmeasure.org)." ]; fhir:ElementDefinition.comments [ fhir:value "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is \"'value' + the type name\" with a capital on the first letter of the type). If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text. A value set is bound to the ValueCodeableConcept element. For boolean values use valueCodeableConcept and select codes from [HL7 Version 2 Table 0136](v2/0136/index.html). These \"yes/no\" concepts can be mapped to the display name \"true/false\" or other mutually exclusive terms that may be needed. For further discussion and examples see the [notes section](observation.html#4.20.4) below." ]; fhir:ElementDefinition.requirements [ fhir:value "An observation exists to have a value, though it may not if it is in error, or it represents a group of observations." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.value[x]" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ]; fhir:ElementDefinition.condition [ fhir:value "obs-7"; fhir:index 0 ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "required" ]; fhir:ElementDefinition.binding.description [ fhir:value "UCUM Codes for units of measure" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/us/core/ValueSet/us-core-ucum>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/us/core/ValueSet/us-core-ucum" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX.2, OBX.5, OBX.6" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "value" ] ] ], [ fhir:index 32; fhir:Element.id [ fhir:value "Observation:uscoreobss.valueCodeableConcept:uscorevaluecode" ]; fhir:ElementDefinition.path [ fhir:value "Observation.valueCodeableConcept" ]; fhir:ElementDefinition.sliceName [ fhir:value "USCoreValueCode" ]; fhir:ElementDefinition.short [ fhir:value "Actual result" ]; fhir:ElementDefinition.definition [ fhir:value "If codeableConcept, valueCodeableConcept *SHOULD* be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults). If Quantity, valueQuantity units *SHALL* be selected from [UCUM](http://unitsofmeasure.org)." ]; fhir:ElementDefinition.comments [ fhir:value "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is \"'value' + the type name\" with a capital on the first letter of the type). If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text. A value set is bound to the ValueCodeableConcept element. For boolean values use valueCodeableConcept and select codes from [HL7 Version 2 Table 0136](v2/0136/index.html). These \"yes/no\" concepts can be mapped to the display name \"true/false\" or other mutually exclusive terms that may be needed. For further discussion and examples see the [notes section](observation.html#4.20.4) below." ]; fhir:ElementDefinition.requirements [ fhir:value "An observation exists to have a value, though it may not if it is in error, or it represents a group of observations." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.value[x]" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.condition [ fhir:value "obs-7"; fhir:index 0 ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ]; fhir:ElementDefinition.binding.description [ fhir:value "SNOMED CT for coded results" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/us/core/ValueSet/us-core-observation-value-codes>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/us/core/ValueSet/us-core-observation-value-codes" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX.2, OBX.5, OBX.6" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "value" ] ] ], [ fhir:index 33; fhir:Element.id [ fhir:value "Observation:uscoreobss.dataAbsentReason" ]; fhir:ElementDefinition.path [ fhir:value "Observation.dataAbsentReason" ]; fhir:ElementDefinition.short [ fhir:value "Why the result is missing" ]; fhir:ElementDefinition.definition [ fhir:value "Provides a reason why the expected value in the element Observation.value[x] is missing." ]; fhir:ElementDefinition.comments [ fhir:value "Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"specimen unsatisfactory\". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values." ]; fhir:ElementDefinition.requirements [ fhir:value "For many results it is necessary to handle exceptional values in measurements." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.dataAbsentReason" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.condition [ fhir:value "obs-6"; fhir:index 0 ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^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/observation-valueabsentreason>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-valueabsentreason" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "value.nullFlavor" ] ] ], [ fhir:index 34; fhir:Element.id [ fhir:value "Observation:uscoreobss.interpretation" ]; fhir:ElementDefinition.path [ fhir:value "Observation.interpretation" ]; fhir:ElementDefinition.short [ fhir:value "High, low, normal, etc." ]; fhir:ElementDefinition.definition [ fhir:value "The assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag." ]; fhir:ElementDefinition.requirements [ fhir:value "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result." ]; fhir:ElementDefinition.alias [ fhir:value "Abnormal Flag"; fhir:index 0 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.interpretation" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ]; fhir:ElementDefinition.binding.description [ fhir:value "Codes identifying interpretations of observations." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/observation-interpretation>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-interpretation" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-8" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "interpretationCode" ] ] ], [ fhir:index 35; fhir:Element.id [ fhir:value "Observation:uscoreobss.comment" ]; fhir:ElementDefinition.path [ fhir:value "Observation.comment" ]; fhir:ElementDefinition.short [ fhir:value "Comments about result" ]; fhir:ElementDefinition.definition [ fhir:value "May include statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be able to provide free text additional information." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.comment" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; 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 "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "subjectOf.observationEvent[code=\"annotation\"].value" ] ] ], [ fhir:index 36; fhir:Element.id [ fhir:value "Observation:uscoreobss.bodySite" ]; fhir:ElementDefinition.path [ fhir:value "Observation.bodySite" ]; fhir:ElementDefinition.short [ fhir:value "Observed body part" ]; fhir:ElementDefinition.definition [ fhir:value "Indicates the site on the subject's body where the observation was made (i.e. the target site)." ]; fhir:ElementDefinition.comments [ fhir:value "Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use The standard extension[ body-site-instance](extension-body-site-instance.html)." ]; fhir:ElementDefinition.requirements [ fhir:value "Knowing where the observation is made is important for tracking if multiple sites are possible." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.bodySite" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Codes describing anatomical locations. May include laterality." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/body-site>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/body-site" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-20" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "targetSiteCode" ] ] ], [ fhir:index 37; fhir:Element.id [ fhir:value "Observation:uscoreobss.method" ]; fhir:ElementDefinition.path [ fhir:value "Observation.method" ]; fhir:ElementDefinition.short [ fhir:value "How it was done" ]; fhir:ElementDefinition.definition [ fhir:value "Indicates the mechanism used to perform the observation." ]; fhir:ElementDefinition.comments [ fhir:value "Only used if not implicit in code for Observation.code." ]; fhir:ElementDefinition.requirements [ fhir:value "In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.method" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Methods for simple observations." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/observation-methods>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-methods" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-17" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "methodCode" ] ] ], [ fhir:index 38; fhir:Element.id [ fhir:value "Observation:uscoreobss.specimen" ]; fhir:ElementDefinition.path [ fhir:value "Observation.specimen" ]; fhir:ElementDefinition.short [ fhir:value "Specimen used for this observation" ]; fhir:ElementDefinition.definition [ fhir:value "The specimen that was used when this observation was made." ]; fhir:ElementDefinition.comments [ fhir:value "Observations are not made on specimens themselves; they are made on a subject, but usually by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.specimen" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; 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/StructureDefinition/Specimen" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "SPM segment" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=SPC].specimen" ] ] ], [ fhir:index 39; fhir:Element.id [ fhir:value "Observation:uscoreobss.device" ]; fhir:ElementDefinition.path [ fhir:value "Observation.device" ]; fhir:ElementDefinition.short [ fhir:value "(Measurement) Device" ]; fhir:ElementDefinition.definition [ fhir:value "The device used to generate the observation data." ]; fhir:ElementDefinition.comments [ fhir:value "An extension should be used if further typing of the device is needed. Devices used to support obtaining an observation can be represented using either extension or through the Observation.related element." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.device" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; 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/StructureDefinition/Device" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/DeviceMetric" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-17 / PRT -10" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=DEV]" ] ] ], [ fhir:index 40; fhir:Element.id [ fhir:value "Observation:uscoreobss.referenceRange" ]; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange" ]; fhir:ElementDefinition.short [ fhir:value "Provides guide for interpretation" ]; fhir:ElementDefinition.definition [ fhir:value "Guidance on how to interpret the value by comparison to a normal or recommended range." ]; fhir:ElementDefinition.comments [ fhir:value "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g. specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties." ]; fhir:ElementDefinition.requirements [ fhir:value "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "children().count() > id.count()" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.constraint.source [ fhir:value "Element" ] ], [ fhir:index 1; fhir:ElementDefinition.constraint.key [ fhir:value "obs-3" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "Must have at least a low or a high or text" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "low.exists() or high.exists() or text.exists()" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "(exists(f:low) or exists(f:high)or exists(f:text))" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX.7" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]" ] ] ], [ fhir:index 41; fhir:Element.id [ fhir:value "Observation:uscoreobss.referenceRange.id" ]; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.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:int ]; 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:int ]; 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 42; fhir:Element.id [ fhir:value "Observation:uscoreobss.referenceRange.extension" ]; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comments [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; 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 43; fhir:Element.id [ fhir:value "Observation:uscoreobss.referenceRange.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." ]; fhir:ElementDefinition.comments [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 44; fhir:Element.id [ fhir:value "Observation:uscoreobss.referenceRange.low" ]; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.low" ]; fhir:ElementDefinition.short [ fhir:value "Low Range, if relevant" ]; fhir:ElementDefinition.definition [ fhir:value "The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange.low" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ] ]; fhir:ElementDefinition.condition [ fhir:value "obs-3"; fhir:index 0 ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-7" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "value:IVL_PQ.low" ] ] ], [ fhir:index 45; fhir:Element.id [ fhir:value "Observation:uscoreobss.referenceRange.high" ]; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.high" ]; fhir:ElementDefinition.short [ fhir:value "High Range, if relevant" ]; fhir:ElementDefinition.definition [ fhir:value "The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange.high" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.type.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ] ]; fhir:ElementDefinition.condition [ fhir:value "obs-3"; fhir:index 0 ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-7" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "value:IVL_PQ.high" ] ] ], [ fhir:index 46; fhir:Element.id [ fhir:value "Observation:uscoreobss.referenceRange.meaning" ]; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.meaning" ]; fhir:ElementDefinition.short [ fhir:value "Reference range qualifier" ]; fhir:ElementDefinition.definition [ fhir:value "Codes to indicate the the target population this reference range applies to. For example, a reference range may be based on the normal population or a particular sex, race, therapeutic status, or endocrine or reproductive status." ]; fhir:ElementDefinition.comments [ fhir:value "This SHOULD be populated if there is more than one range. If this element is not present then the norma population is assumed." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc - for proper interpretation." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange.meaning" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Code for the meaning of a reference range." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/referencerange-meaning>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/referencerange-meaning" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-10?" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "interpretationCode" ] ] ], [ fhir:index 47; fhir:Element.id [ fhir:value "Observation:uscoreobss.referenceRange.age" ]; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.age" ]; fhir:ElementDefinition.short [ fhir:value "Applicable age range, if relevant" ]; fhir:ElementDefinition.definition [ fhir:value "The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so." ]; fhir:ElementDefinition.requirements [ fhir:value "Some analytes vary greatly over age." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange.age" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Range" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value" ] ] ], [ fhir:index 48; fhir:Element.id [ fhir:value "Observation:uscoreobss.referenceRange.text" ]; fhir:ElementDefinition.path [ fhir:value "Observation.referenceRange.text" ]; fhir:ElementDefinition.short [ fhir:value "Text based reference range in an observation" ]; fhir:ElementDefinition.definition [ fhir:value "Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation. An example would be a reference value of \"Negative\" or a list or table of 'normals'." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.referenceRange.text" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; 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 "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-7" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "value:ST" ] ] ], [ fhir:index 49; fhir:Element.id [ fhir:value "Observation:uscoreobss.related" ]; fhir:ElementDefinition.path [ fhir:value "Observation.related" ]; fhir:ElementDefinition.short [ fhir:value "Resource related to this observation" ]; fhir:ElementDefinition.definition [ fhir:value "A reference to another resource (usually another Observation) whose relationship is defined by the relationship type code." ]; fhir:ElementDefinition.comments [ fhir:value "For a discussion on the ways Observations can assembled in groups together see [Notes below](observation.html#4.20.4)." ]; fhir:ElementDefinition.requirements [ fhir:value "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and a set of related observations or sometimes QuestionnaireResponse from which the measure is derived." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.related" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "children().count() > id.count()" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.constraint.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "Relationships established by OBX-4 usage" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "outBoundRelationship" ] ] ], [ fhir:index 50; fhir:Element.id [ fhir:value "Observation:uscoreobss.related.id" ]; fhir:ElementDefinition.path [ fhir:value "Observation.related.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:int ]; 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:int ]; 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 51; fhir:Element.id [ fhir:value "Observation:uscoreobss.related.extension" ]; fhir:ElementDefinition.path [ fhir:value "Observation.related.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comments [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; 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 52; fhir:Element.id [ fhir:value "Observation:uscoreobss.related.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "Observation.related.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." ]; fhir:ElementDefinition.comments [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 53; fhir:Element.id [ fhir:value "Observation:uscoreobss.related.type" ]; fhir:ElementDefinition.path [ fhir:value "Observation.related.type" ]; fhir:ElementDefinition.short [ fhir:value "has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by" ]; fhir:ElementDefinition.definition [ fhir:value "A code specifying the kind of relationship that exists with the target resource." ]; fhir:ElementDefinition.comments [ fhir:value "\"derived-from\" is only logical choice when referencing QuestionnaireAnswer resource." ]; fhir:ElementDefinition.requirements [ fhir:value "A relationship type SHOULD be provided." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.related.type" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "required" ]; fhir:ElementDefinition.binding.description [ fhir:value "Codes specifying how two observations are related." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/observation-relationshiptypes>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-relationshiptypes" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value ".typeCode" ] ] ], [ fhir:index 54; fhir:Element.id [ fhir:value "Observation:uscoreobss.related.target" ]; fhir:ElementDefinition.path [ fhir:value "Observation.related.target" ]; fhir:ElementDefinition.short [ fhir:value "Resource that is related to this one" ]; fhir:ElementDefinition.definition [ fhir:value "A reference to the observation or [QuestionnaireResponse](questionnaireresponse.html#) resource that is related to this observation." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.related.target" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:int ]; 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/StructureDefinition/Observation" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" ] ], [ fhir:index 2; fhir:ElementDefinition.type.code [ fhir:value "Reference" ]; fhir:ElementDefinition.type.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Sequence" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value ".targetObservation" ] ] ], [ fhir:index 55; fhir:Element.id [ fhir:value "Observation:uscoreobss.component" ]; fhir:ElementDefinition.path [ fhir:value "Observation.component" ]; fhir:ElementDefinition.short [ fhir:value "Component results" ]; fhir:ElementDefinition.definition [ fhir:value "Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations." ]; fhir:ElementDefinition.comments [ fhir:value "For a discussion on the ways Observations can assembled in groups together see [Notes](observation.html#notes) below." ]; fhir:ElementDefinition.requirements [ fhir:value "Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.component" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "children().count() > id.count()" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.constraint.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "containment by OBX-4?" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "outBoundRelationship[typeCode=COMP]" ] ] ], [ fhir:index 56; fhir:Element.id [ fhir:value "Observation:uscoreobss.component.id" ]; fhir:ElementDefinition.path [ fhir:value "Observation.component.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:int ]; 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:int ]; 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 57; fhir:Element.id [ fhir:value "Observation:uscoreobss.component.extension" ]; fhir:ElementDefinition.path [ fhir:value "Observation.component.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comments [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; 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 58; fhir:Element.id [ fhir:value "Observation:uscoreobss.component.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "Observation.component.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." ]; fhir:ElementDefinition.comments [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ] ], [ fhir:index 59; fhir:Element.id [ fhir:value "Observation:uscoreobss.component.code" ]; fhir:ElementDefinition.path [ fhir:value "Observation.component.code" ]; fhir:ElementDefinition.short [ fhir:value "Type of component observation (code / type)" ]; fhir:ElementDefinition.definition [ fhir:value "Describes what was observed. Sometimes this is called the observation \"code\"." ]; fhir:ElementDefinition.requirements [ fhir:value "Knowing what kind of observation is being made is essential to understanding the observation." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.component.code" ]; fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "example" ]; fhir:ElementDefinition.binding.description [ fhir:value "Codes identifying names of simple observations." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/observation-codes>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-codes" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-3" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "code" ] ], [ fhir:index 2; fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ]; fhir:ElementDefinition.mapping.map [ fhir:value "what" ] ] ], [ fhir:index 60; fhir:Element.id [ fhir:value "Observation:uscoreobss.component.value[x]" ]; fhir:ElementDefinition.path [ fhir:value "Observation.component.value[x]" ]; fhir:ElementDefinition.short [ fhir:value "Actual component result" ]; fhir:ElementDefinition.definition [ fhir:value "The information determined as a result of making the observation, if the information has a simple value." ]; fhir:ElementDefinition.comments [ fhir:value "Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For boolean values use valueCodeableConcept and select codes from <http://hl7.org/fhir/ValueSet/v2-0136> (These \"yes/no\" concepts can be mapped to the display name \"true/false\" or other mutually exclusive terms that may be needed\"). The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (The name format is \"'value' + the type name\" with a capital on the first letter of the type)." ]; fhir:ElementDefinition.requirements [ fhir:value "An observation exists to have a value, though it may not if it is in error, or it represents a group of observations." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.component.value[x]" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ], [ fhir:index 2; fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [ fhir:index 3; fhir:ElementDefinition.type.code [ fhir:value "Range" ] ], [ fhir:index 4; fhir:ElementDefinition.type.code [ fhir:value "Ratio" ] ], [ fhir:index 5; fhir:ElementDefinition.type.code [ fhir:value "SampledData" ] ], [ fhir:index 6; fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ], [ fhir:index 7; fhir:ElementDefinition.type.code [ fhir:value "time" ] ], [ fhir:index 8; fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ], [ fhir:index 9; fhir:ElementDefinition.type.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX.2, OBX.5, OBX.6" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "value" ] ] ], [ fhir:index 61; fhir:Element.id [ fhir:value "Observation:uscoreobss.component.dataAbsentReason" ]; fhir:ElementDefinition.path [ fhir:value "Observation.component.dataAbsentReason" ]; fhir:ElementDefinition.short [ fhir:value "Why the component result is missing" ]; fhir:ElementDefinition.definition [ fhir:value "Provides a reason why the expected value in the element Observation.value[x] is missing." ]; fhir:ElementDefinition.comments [ fhir:value "\"Null\" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"test not done\". The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values." ]; fhir:ElementDefinition.requirements [ fhir:value "For many results it is necessary to handle exceptional values in measurements." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.component.dataAbsentReason" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.condition [ fhir:value "obs-6"; fhir:index 0 ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ]; fhir:ElementDefinition.binding.description [ fhir:value "Codes specifying why the result (Observation.value[x]) is missing." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/observation-valueabsentreason>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-valueabsentreason" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "value.nullFlavor" ] ] ], [ fhir:index 62; fhir:Element.id [ fhir:value "Observation:uscoreobss.component.interpretation" ]; fhir:ElementDefinition.path [ fhir:value "Observation.component.interpretation" ]; fhir:ElementDefinition.short [ fhir:value "High, low, normal, etc." ]; fhir:ElementDefinition.definition [ fhir:value "The assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag." ]; fhir:ElementDefinition.comments [ fhir:value "The component interpretation is applies only to the indivual component value. For an overall interpretation all components together use Observation.interpretation element." ]; fhir:ElementDefinition.requirements [ fhir:value "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result." ]; fhir:ElementDefinition.alias [ fhir:value "Abnormal Flag"; fhir:index 0 ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.component.interpretation" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ]; fhir:ElementDefinition.binding.description [ fhir:value "Codes identifying interpretations of observations." ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/observation-interpretation>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-interpretation" ] ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX-8" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "interpretationCode" ] ] ], [ fhir:index 63; fhir:Element.id [ fhir:value "Observation:uscoreobss.component.referenceRange" ]; fhir:ElementDefinition.path [ fhir:value "Observation.component.referenceRange" ]; fhir:ElementDefinition.short [ fhir:value "Provides guide for interpretation of component result" ]; fhir:ElementDefinition.definition [ fhir:value "Guidance on how to interpret the value by comparison to a normal or recommended range." ]; fhir:ElementDefinition.comments [ fhir:value "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g. specific to the patient's age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties." ]; fhir:ElementDefinition.requirements [ fhir:value "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.base.path [ fhir:value "Observation.component.referenceRange" ]; fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.base.max [ fhir:value "*" ] ]; fhir:ElementDefinition.contentReference [ fhir:value "#Observation:uscoreobss.referenceRange" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ]; fhir:ElementDefinition.mapping.map [ fhir:value "OBX.7" ] ], [ fhir:index 1; fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ]; fhir:ElementDefinition.mapping.map [ fhir:value "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]" ] ] ] ]; fhir:StructureDefinition.differential [ fhir:StructureDefinition.differential.element [ fhir:index 0; fhir:Element.id [ fhir:value "Observation:uscoreobss" ]; fhir:ElementDefinition.path [ fhir:value "Observation" ]; fhir:ElementDefinition.sliceName [ fhir:value "USCoreObss" ]; fhir:ElementDefinition.short [ fhir:value "US Core Result Observation" ]; fhir:ElementDefinition.definition [ fhir:value "US Realm clinical coded results." ]; fhir:ElementDefinition.alias [ fhir:value "Obs"; fhir:index 0 ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "us-core-2" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "If there is no component or related element then either a value[x] or a data absent reason must be present" ]; fhir:ElementDefinition.constraint.expression [ fhir:value "(component.empty() or related.empty()) implies (value.exists() or dataAbsentReason.exists())" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:component) or exists(f:related) or exists(f:*[starts-with(local-name(.), 'value)]) or exists(f:dataAbsentReason)" ] ]; 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 "Observation:uscoreobss.status" ]; fhir:ElementDefinition.path [ fhir:value "Observation.status" ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "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 2; fhir:Element.id [ fhir:value "Observation:uscoreobss.category" ]; fhir:ElementDefinition.path [ fhir:value "Observation.category" ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.patternCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/observation-category" ]; fhir:Coding.code [ fhir:value "laboratory" ] ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 3; fhir:Element.id [ fhir:value "Observation:uscoreobss.code" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code" ]; fhir:ElementDefinition.short [ fhir:value "US Realm Laboratory Test Name" ]; fhir:ElementDefinition.definition [ fhir:value "The test that was performed. This is element is bound to LOINC." ]; fhir:ElementDefinition.comments [ fhir:value "UsageNote= The typical patterns for codes are: 1) a LOINC code either as a translation from a \"local\" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists." ]; fhir:ElementDefinition.alias [ fhir:value "Test Name"; fhir:index 0 ], [ fhir:value "Observation Identifer"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ]; fhir:ElementDefinition.binding.description [ fhir:value "LOINC codes" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/observation-codes>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-codes" ] ] ] ], [ fhir:index 4; fhir:Element.id [ fhir:value "Observation:uscoreobss.code.coding" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code.coding" ]; fhir:ElementDefinition.short [ fhir:value "Standard and local codes may be included here by repeating the coding element with a different coding.system." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Coding" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 5; fhir:Element.id [ fhir:value "Observation:uscoreobss.code.coding.system" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.system" ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "uri" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 6; fhir:Element.id [ fhir:value "Observation:uscoreobss.code.coding.code" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.code" ]; fhir:ElementDefinition.comments [ fhir:value "Logical Observation Identifiers Names and Codes (LOINC) is a database and universal standard for identifying medical laboratory observations." ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "code" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 7; fhir:Element.id [ fhir:value "Observation:uscoreobss.code.coding.display" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code.coding.display" ]; fhir:ElementDefinition.comments [ fhir:value "When using LOINC 'long common name' is preferred although the LOINC 'short name' or the LOINC 'fully-specified name can also be used. ( http://lionc.org.terms-of-use)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 8; fhir:Element.id [ fhir:value "Observation:uscoreobss.code.text" ]; fhir:ElementDefinition.path [ fhir:value "Observation.code.text" ]; fhir:ElementDefinition.short [ fhir:value "Display text" ]; fhir:ElementDefinition.definition [ fhir:value "This is the laboratory defined display text for the lab test if different from the code display text(s)." ]; fhir:ElementDefinition.comments [ fhir:value "If this exists, this is the text to be used for display." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 9; fhir:Element.id [ fhir:value "Observation:uscoreobss.subject" ]; fhir:ElementDefinition.path [ fhir:value "Observation.subject" ]; fhir:ElementDefinition.min [ fhir:value "1"^^xsd:int ]; fhir:ElementDefinition.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/core/StructureDefinition/us-core-patient" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 10; fhir:Element.id [ fhir:value "Observation:uscoreobss.effective[x]" ]; fhir:ElementDefinition.path [ fhir:value "Observation.effective[x]" ]; fhir:ElementDefinition.definition [ fhir:value "For lab tests this is the specimen collection date. For Ask at Order Entry Questions (AOE)'s this is the date the question was asked." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.constraint.key [ fhir:value "us-core-1" ]; fhir:ElementDefinition.constraint.severity [ fhir:value "error" ]; fhir:ElementDefinition.constraint.human [ fhir:value "Datetime must be at least to day." ]; fhir:ElementDefinition.constraint.expression [ fhir:value "length() >= 8" ]; fhir:ElementDefinition.constraint.xpath [ fhir:value "f:matches(effectiveDateTime,/\\d{4}-[01]\\d-[0-3]\\dT[0-2]\\d:[0-5]\\d([+-][0-2]\\d:[0-5]\\d|Z)/)" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 11; fhir:Element.id [ fhir:value "Observation:uscoreobss.value[x]:uscorevaluetype" ]; fhir:ElementDefinition.path [ fhir:value "Observation.value[x]" ]; fhir:ElementDefinition.sliceName [ fhir:value "USCoreValueType" ]; fhir:ElementDefinition.slicing [ fhir:ElementDefinition.slicing.discriminator [ fhir:value "@type"; fhir:index 0 ]; fhir:ElementDefinition.slicing.rules [ fhir:value "open" ] ]; fhir:ElementDefinition.definition [ fhir:value "If codeableConcept, valueCodeableConcept *SHOULD* be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults). If Quantity, valueQuantity units *SHALL* be selected from [UCUM](http://unitsofmeasure.org)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "string" ] ], [ fhir:index 1; fhir:ElementDefinition.type.code [ fhir:value "Range" ] ], [ fhir:index 2; fhir:ElementDefinition.type.code [ fhir:value "Ratio" ] ], [ fhir:index 3; fhir:ElementDefinition.type.code [ fhir:value "SampledData" ] ], [ fhir:index 4; fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ], [ fhir:index 5; fhir:ElementDefinition.type.code [ fhir:value "time" ] ], [ fhir:index 6; fhir:ElementDefinition.type.code [ fhir:value "dateTime" ] ], [ fhir:index 7; fhir:ElementDefinition.type.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 12; fhir:Element.id [ fhir:value "Observation:uscoreobss.valueQuantity:uscorevaluequantity" ]; fhir:ElementDefinition.path [ fhir:value "Observation.valueQuantity" ]; fhir:ElementDefinition.sliceName [ fhir:value "USCoreValueQuantity" ]; fhir:ElementDefinition.definition [ fhir:value "If codeableConcept, valueCodeableConcept *SHOULD* be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults). If Quantity, valueQuantity units *SHALL* be selected from [UCUM](http://unitsofmeasure.org)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "required" ]; fhir:ElementDefinition.binding.description [ fhir:value "UCUM Codes for units of measure" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/us/core/ValueSet/us-core-ucum>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/us/core/ValueSet/us-core-ucum" ] ] ] ], [ fhir:index 13; fhir:Element.id [ fhir:value "Observation:uscoreobss.valueCodeableConcept:uscorevaluecode" ]; fhir:ElementDefinition.path [ fhir:value "Observation.valueCodeableConcept" ]; fhir:ElementDefinition.sliceName [ fhir:value "USCoreValueCode" ]; fhir:ElementDefinition.definition [ fhir:value "If codeableConcept, valueCodeableConcept *SHOULD* be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults). If Quantity, valueQuantity units *SHALL* be selected from [UCUM](http://unitsofmeasure.org)." ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ]; fhir:ElementDefinition.binding.description [ fhir:value "SNOMED CT for coded results" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/us/core/ValueSet/us-core-observation-value-codes>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/us/core/ValueSet/us-core-observation-value-codes" ] ] ] ], [ fhir:index 14; fhir:Element.id [ fhir:value "Observation:uscoreobss.dataAbsentReason" ]; fhir:ElementDefinition.path [ fhir:value "Observation.dataAbsentReason" ]; fhir:ElementDefinition.min [ fhir:value "0"^^xsd:int ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]; fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]; fhir:ElementDefinition.binding [ fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ]; fhir:ElementDefinition.binding.valueSetReference [ fhir:link <http://hl7.org/fhir/ValueSet/observation-valueabsentreason>; fhir:Reference.reference [ fhir:value "http://hl7.org/fhir/ValueSet/observation-valueabsentreason" ] ] ] ] ]. <http://hl7.org/fhir/ValueSet/all-languages> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/languages> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/observation-status> a fhir:ValueSet, fhir:ValueSet. <http://hl7.org/fhir/ValueSet/observation-category> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/observation-codes> a fhir:ValueSet, fhir:ValueSet, fhir:ValueSet. <http://hl7.org/fhir/us/core/ValueSet/us-core-ucum> a fhir:us, fhir:us. <http://hl7.org/fhir/us/core/ValueSet/us-core-observation-value-codes> a fhir:us, fhir:us. <http://hl7.org/fhir/ValueSet/observation-valueabsentreason> a fhir:ValueSet, fhir:ValueSet, fhir:ValueSet. <http://hl7.org/fhir/ValueSet/observation-interpretation> a fhir:ValueSet, fhir:ValueSet. <http://hl7.org/fhir/ValueSet/body-site> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/observation-methods> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/referencerange-meaning> a fhir:ValueSet. <http://hl7.org/fhir/ValueSet/observation-relationshiptypes> a fhir:ValueSet.
US-Core © FHIR STU3 (IG Publisher v1.8.0-10514) generated on Tue, Dec 6, 2016 16:58+1100. |
