Background

“Comorbidity” speaks to the presence of more than one distinct condition in an individual. Typically, the term refers to additional disorders relative to a current “index” disease (Valderas, et al.).

Co-occurring disorders are typically treated as high-level categories, for example, “dementia” or “renal disease”. Comorbidity categories are not universal, but rather, selected because of their clinical significance to the diagnosis, prognosis, or treatment of the index disease. The comorbidities significant in COVID-19 treatment are different than those for congestive heart failure.

Notwithstanding, there are several general models used to note the presence of multiple disease categories in one individual, typically used to calculate a morbidity burden or risk score.The Charlson Index is one of the most widely used indices, but there are dozens of others (DeGroot et al.).

Elixhauser Comorbidities

The current profile captures comorbidities in the form of a checklist, based on one of these general models, the Elixhauser Comorbidity Index.

The Elixhauser Index categorizes comorbidities using International Classification of Diseases (ICD) diagnosis codes. Each comorbidity category is dichotomous – it is either present or it is not. The Index can be used to predict hospital resource use and in-hospital mortality (see https://pubmed.ncbi.nlm.nih.gov/9431328).

Over time, there have been changes to the Index. The list of specific ICD diagnosis codes was updated from ICD-9-CM to ICD-10, and categories have been been revised. As a result, there are different versions of the categories and associated ICD-10 codes. The particular version used here was defined by the Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project (H-CUP) (see https://www.hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/comorbidity_icd10.jsp).

FHIR Implementation Overview

In this profile, each comorbidity category is represented by a component (Observation.component). Each component is identified by a code, and has the same set of coded values: present, absent, or unknown.

If a comorbidity is present, the user can optionally supply a specific code detailing the disease, or provide link to an existing Condition resource.

For any component, “present” or “absent” refers back to a comorbidity category defined by Observation.component.code. Since there are no existing codes for individual Elixhauser categories, mCODE provides them. For example, a component relating to congestive heart failure (CHF) will have component.code.coding.system of http://hl7.org/fhir/us/mcode/CodeSystem/mcode-elixhauser-category-cs and component.code.coding.code “CHF”. The implication is that the patient has a disease found in the specific version of Elixhauser CHF codes corresponding to the definition of the “CHF” code; in this case, one of the codes in Elixhauser Comorbid Condition Value Set for Congestive Heart Failure.

If an overall calculated index score should be recorded in Observation.value[valueInteger]. Two situations where the index value might be missing are (1) when the standardized comorbidity components are themselves of interest and the index is not, and (2) If the components have been collected, but the index has not yet be calculated. In the second case, the observation might be sent across the wire to a server that fills in the index value, so in the interim before that, the value is missing.

Usage

This profile assumes the current focus or “index” condition is the patient’s cancer. Typically, a cancer condition would not be considered a comorbidity in a cancer patient, but it is possible that there could be pre-existing or concurrent cancer condition could be included in the list of comorbidities. There are many comorbidity categories, and usually only the comorbidities that are present are worth recording. However, if there is a need to know a comorbidity is not present, it can be documented using the current structure. Reporting of the actual condition, by reference or by code, is not required.

Conformance

Observation resources associated with an in-scope patient with Observation.code of LNC#78923-0 MUST conform to this profile. Beyond this requirement, a producer of resources SHOULD ensure that any resource instance associated with an in-scope patient that would reasonably be expected to conform to this profile SHOULD be published in this form.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from ComorbiditiesParent

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	ComorbiditiesParent	Measurements and simple assertions
status	S	1..1	code	registered | preliminary | final | amended +
code	S	1..1	CodeableConcept	Type of observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: comorbidities-elixhauser
display		1..1	string	Representation defined by the system Fixed Value: Elixhauser Comorbidity Panel
subject	S	0..1	Reference(Cancer Patient Profile)	Who and/or what the observation is about
focus	S	0..*	Reference(Primary Cancer Condition Profile)	The Index Condition
effective[x]	S	0..1	dateTime, Period, Timing, instant	Clinically relevant time/time-period for observation
value[x]	S	0..1	integer	Actual result
Slices for component	S	0..*	BackboneElement	Component results Slice: Unordered, Closed by pattern:code
component:All Slices				Content/Rules for all slices
value[x]		0..1	CodeableConcept	Actual component result Binding: Present Absent Value Set (required)
component:aids	S	0..1	BackboneElement	Acquired Immune Deficiency Syndrome
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser HIV-AIDS Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AIDS
value[x]	S	0..1	CodeableConcept	Actual component result
component:alcoholAbuse	S	0..1	BackboneElement	Alcohol Abuse
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Alcohol Abuse Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ALCOHOL
value[x]	S	0..1	CodeableConcept	Actual component result
component:deficiencyAnemia	S	0..1	BackboneElement	DeficiencyAnemia
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Deficiency Anemia Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ANEMDF
value[x]	S	0..1	CodeableConcept	Actual component result
component:arthropathy	S	0..1	BackboneElement	Arthropathy
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Rheumatoid Arthritis and Collagen Vascular Disease Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ARTH
value[x]	S	0..1	CodeableConcept	Actual component result
component:bloodLossAnemia	S	0..1	BackboneElement	Chronic Blood Loss Anemia
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Blood Loss Anemia Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: BLDLOSS
value[x]	S	0..1	CodeableConcept	Actual component result
component:cancerLeukemia	S	0..1	BackboneElement	Leukemia
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Leukemia Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CANCER_LEUK
value[x]	S	0..1	CodeableConcept	Actual component result
component:cancerLymphoma	S	0..1	BackboneElement	Lymphoma
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Lymphoma Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CANCER_LYMPH
value[x]	S	0..1	CodeableConcept	Actual component result
component:cancerMetastatic	S	0..1	BackboneElement	Metastatic Cancer
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Metastatic Cancer Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CANCER_METS
value[x]	S	0..1	CodeableConcept	Actual component result
component:cancerSolidInSitu	S	0..1	BackboneElement	Solid tumor without metastasis, in situ
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Malignant Solid Tumors In Situ Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CANCER_NSITU
value[x]	S	0..1	CodeableConcept	Actual component result
component:cancerSolidMalignant	S	0..1	BackboneElement	Solid tumor without metastasis, malignant
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Malignant Solid Tumors Without Metastases Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CANCER_SOLID
value[x]	S	0..1	CodeableConcept	Actual component result
component:cerebrovascular	S	0..1	BackboneElement	Cerebrovascular disease
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Cerebrovascular Disease Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CBVD
value[x]	S	0..1	CodeableConcept	Actual component result
component:congestiveHeartFailure	S	0..1	BackboneElement	CongestiveHeartFailure
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Congestive Heart Failure Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CHF
value[x]	S	0..1	CodeableConcept	Actual component result
component:coagulopathy	S	0..1	BackboneElement	Coagulation Deficiency
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Coagulation Deficiency Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: COAG
value[x]	S	0..1	CodeableConcept	Actual component result
component:dementia	S	0..1	BackboneElement	Dementia
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Dementia Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DEMENTIA
value[x]	S	0..1	CodeableConcept	Actual component result
component:depression	S	0..1	BackboneElement	Depression
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Depression Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DEPRESS
value[x]	S	0..1	CodeableConcept	Actual component result
component:diabetesComplicated	S	0..1	BackboneElement	Diabetes with chronic complications
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Diabetes With Chronic Complications Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DIAB_CX
value[x]	S	0..1	CodeableConcept	Actual component result
component:diabetesUncomplicated	S	0..1	BackboneElement	Diabetes without chronic complications
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Diabetes Without Chronic Complications Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DIAB_UNCX
value[x]	S	0..1	CodeableConcept	Actual component result
component:drugAbuse	S	0..1	BackboneElement	Drug Abuse
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Drug Abuse Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DRUG_ABUSE
value[x]	S	0..1	CodeableConcept	Actual component result
component:hypertensionComplicated	S	0..1	BackboneElement	Hypertension, Complicated
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Hypertension, Complicated Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HTN_CX
value[x]	S	0..1	CodeableConcept	Actual component result
component:hypertensionUncomplicated	S	0..1	BackboneElement	Hypertension, Uncomplicated
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Hypertension, Uncomplicated Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HTN_UNCX
value[x]	S	0..1	CodeableConcept	Actual component result
component:liverDiseaseMild	S	0..1	BackboneElement	Mild Liver Disease
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Mild Liver Disease Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LIVER_MLD
value[x]	S	0..1	CodeableConcept	Actual component result
component:liverDiseaseSevere	S	0..1	BackboneElement	Moderate to Severe Liver Disease
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Moderate To Severe Liver Disease Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LIVER_SEV
value[x]	S	0..1	CodeableConcept	Actual component result
component:chronicPulmonaryDisease	S	0..1	BackboneElement	Chronic pulmonary disease
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Chronic Pulmonary Disease Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LUNG_CHRONIC
value[x]	S	0..1	CodeableConcept	Actual component result
component:neurologicalMovement	S	0..1	BackboneElement	Neurological disorders affecting movement
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Neurological Movement Disorder Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NEURO_MOVT
value[x]	S	0..1	CodeableConcept	Actual component result
component:neurologicalOther	S	0..1	BackboneElement	Other neurological disorders
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Other Neurological Disorder Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NEURO_OTH
value[x]	S	0..1	CodeableConcept	Actual component result
component:neurologicalSeizure	S	0..1	BackboneElement	Seizures and epilepsy
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Neurological Seizure Disorder Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NEURO_SEIZ
value[x]	S	0..1	CodeableConcept	Actual component result
component:obesity	S	0..1	BackboneElement	Obesity
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Obesity Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OBESE
value[x]	S	0..1	CodeableConcept	Actual component result
component:paralysis	S	0..1	BackboneElement	Paralysis
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Paralysis Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PARALYSIS
value[x]	S	0..1	CodeableConcept	Actual component result
component:peripheralVascularDisease	S	0..1	BackboneElement	Peripheral Vascular Disease
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Peripheral Vascular Disease Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PERIVASC
value[x]	S	0..1	CodeableConcept	Actual component result
component:psychosis	S	0..1	BackboneElement	Psychosis
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Psychosis Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PSYCHOSIS
value[x]	S	0..1	CodeableConcept	Actual component result
component:pulmonaryCirculationDisorder	S	0..1	BackboneElement	Pulmonary Circulation Disorders
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Pulmonary Circulation Disorder Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PULMCIRC
value[x]	S	0..1	CodeableConcept	Actual component result
component:renalFailureModerate	S	0..1	BackboneElement	Moderate Renal Failure
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Moderate Renal Failure Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: RENLFL_MOD
value[x]	S	0..1	CodeableConcept	Actual component result
component:renalFailureSevere	S	0..1	BackboneElement	Severe Renal Failure
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Severe Renal Failure Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: RENLFL_SEV
value[x]	S	0..1	CodeableConcept	Actual component result
component:hypothyroidism	S	0..1	BackboneElement	Hypothyroidism
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Hypothyroidism Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: THYROID_HYPO
value[x]	S	0..1	CodeableConcept	Actual component result
component:thyroidOther	S	0..1	BackboneElement	Other Thyroid Disease
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Other Thyroid Disorder Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: THYROID_OTH
value[x]	S	0..1	CodeableConcept	Actual component result
component:ulcer	S	0..1	BackboneElement	Ulcer
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Chronic Peptic Ulcer Disease Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ULCER_PEPTIC
value[x]	S	0..1	CodeableConcept	Actual component result
component:valvularDisease	S	0..1	BackboneElement	Valvular Disease
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Valvular Disease Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VALVE
value[x]	S	0..1	CodeableConcept	Actual component result
component:weightLoss	S	0..1	BackboneElement	Weight Loss
extension	S	0..*	Extension	Extension
extension:conditionCode	S	0..*	ComorbidConditionCode	Comorbid Condition Code Extension
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Weight Loss Value Set (required)
extension:conditionReference	S	0..*	ComorbidConditionReference	Comorbid Condition Reference Extension
code	S	1..1	CodeableConcept	Code representing the comorbidity category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGHTLOSS
value[x]	S	0..1	CodeableConcept	Actual component result
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.component.value[x]	required	PresentAbsentVS
Observation.component:aids.extension:conditionCode.value[x]	required	ElixhauserAidsVS
Observation.component:alcoholAbuse.extension:conditionCode.value[x]	required	ElixhauserAlcoholAbuseVS
Observation.component:deficiencyAnemia.extension:conditionCode.value[x]	required	ElixhauserDeficiencyAnemiaVS
Observation.component:arthropathy.extension:conditionCode.value[x]	required	ElixhauserRheumatoidArthritisVS
Observation.component:bloodLossAnemia.extension:conditionCode.value[x]	required	ElixhauserBloodLossAnemiaVS
Observation.component:cancerLeukemia.extension:conditionCode.value[x]	required	ElixhauserCancerLeukemiaVS
Observation.component:cancerLymphoma.extension:conditionCode.value[x]	required	ElixhauserCancerLymphomaVS
Observation.component:cancerMetastatic.extension:conditionCode.value[x]	required	ElixhauserCancerMetastaticVS
Observation.component:cancerSolidInSitu.extension:conditionCode.value[x]	required	ElixhauserCancerSolidTumorInSituVS
Observation.component:cancerSolidMalignant.extension:conditionCode.value[x]	required	ElixhauserCancerSolidTumorMalignantVS
Observation.component:cerebrovascular.extension:conditionCode.value[x]	required	ElixhauserCerebrovascularDiseaseVS
Observation.component:congestiveHeartFailure.extension:conditionCode.value[x]	required	ElixhauserCongestiveHeartFailureVS
Observation.component:coagulopathy.extension:conditionCode.value[x]	required	ElixhauserCoagulationDeficiencyVS
Observation.component:dementia.extension:conditionCode.value[x]	required	ElixhauserDementiaVS
Observation.component:depression.extension:conditionCode.value[x]	required	ElixhauserDepressionVS
Observation.component:diabetesComplicated.extension:conditionCode.value[x]	required	ElixhauserDiabetesComplicatedVS
Observation.component:diabetesUncomplicated.extension:conditionCode.value[x]	required	ElixhauserDiabetesUncomplicatedVS
Observation.component:drugAbuse.extension:conditionCode.value[x]	required	ElixhauserDrugAbuseVS
Observation.component:hypertensionComplicated.extension:conditionCode.value[x]	required	ElixhauserHypertensionComplicatedVS
Observation.component:hypertensionUncomplicated.extension:conditionCode.value[x]	required	ElixhauserHypertensionUncomplicatedVS
Observation.component:liverDiseaseMild.extension:conditionCode.value[x]	required	ElixhauserLiverDiseaseMildVS
Observation.component:liverDiseaseSevere.extension:conditionCode.value[x]	required	ElixhauserLiverDiseaseSevereVS
Observation.component:chronicPulmonaryDisease.extension:conditionCode.value[x]	required	ElixhauserChronicPulmonaryDiseaseVS
Observation.component:neurologicalMovement.extension:conditionCode.value[x]	required	ElixhauserNeurologicalMovementDisorderVS
Observation.component:neurologicalOther.extension:conditionCode.value[x]	required	ElixhauserOtherNeurologicalVS
Observation.component:neurologicalSeizure.extension:conditionCode.value[x]	required	ElixhauserNeurologicalSeizureDisorderVS
Observation.component:obesity.extension:conditionCode.value[x]	required	ElixhauserObesityVS
Observation.component:paralysis.extension:conditionCode.value[x]	required	ElixhauserParalysisVS
Observation.component:peripheralVascularDisease.extension:conditionCode.value[x]	required	ElixhauserPeripheralVascularDiseaseVS
Observation.component:psychosis.extension:conditionCode.value[x]	required	ElixhauserPsychosisVS
Observation.component:pulmonaryCirculationDisorder.extension:conditionCode.value[x]	required	ElixhauserPulmonaryCirculationDisorderVS
Observation.component:renalFailureModerate.extension:conditionCode.value[x]	required	ElixhauserRenalFailureModerateVS
Observation.component:renalFailureSevere.extension:conditionCode.value[x]	required	ElixhauserRenalFailureSevereVS
Observation.component:hypothyroidism.extension:conditionCode.value[x]	required	ElixhauserHypothyroidismVS
Observation.component:thyroidOther.extension:conditionCode.value[x]	required	ElixhauserOtherThyroidDisorderVS
Observation.component:ulcer.extension:conditionCode.value[x]	required	ElixhauserUlcerVS
Observation.component:valvularDisease.extension:conditionCode.value[x]	required	ElixhauserValvularDiseaseVS
Observation.component:weightLoss.extension:conditionCode.value[x]	required	ElixhauserWeightLossVS

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ComorbiditiesParent	Measurements and simple assertions
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: comorbidities-elixhauser
display		1..1	string	Representation defined by the system Fixed Value: Elixhauser Comorbidity Panel
subject	SΣ	0..1	Reference(Cancer Patient Profile)	Who and/or what the observation is about
focus	SΣ	0..*	Reference(Primary Cancer Condition Profile)	The Index Condition
effective[x]	SΣ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
value[x]	SΣC	0..1	integer	Actual result
Slices for component	SΣ	0..*	BackboneElement	Component results Slice: Unordered, Closed by pattern:code
component:All Slices				Content/Rules for all slices
conditionCode		0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
conditionReference		0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	Σ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Present Absent Value Set (required)
component:aids	SΣ	0..1	BackboneElement	Acquired Immune Deficiency Syndrome
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser HIV-AIDS Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AIDS
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:alcoholAbuse	SΣ	0..1	BackboneElement	Alcohol Abuse
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Alcohol Abuse Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ALCOHOL
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:deficiencyAnemia	SΣ	0..1	BackboneElement	DeficiencyAnemia
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Deficiency Anemia Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ANEMDF
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:arthropathy	SΣ	0..1	BackboneElement	Arthropathy
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Rheumatoid Arthritis and Collagen Vascular Disease Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ARTH
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:bloodLossAnemia	SΣ	0..1	BackboneElement	Chronic Blood Loss Anemia
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Blood Loss Anemia Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: BLDLOSS
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:cancerLeukemia	SΣ	0..1	BackboneElement	Leukemia
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Leukemia Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CANCER_LEUK
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:cancerLymphoma	SΣ	0..1	BackboneElement	Lymphoma
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Lymphoma Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CANCER_LYMPH
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:cancerMetastatic	SΣ	0..1	BackboneElement	Metastatic Cancer
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Metastatic Cancer Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CANCER_METS
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:cancerSolidInSitu	SΣ	0..1	BackboneElement	Solid tumor without metastasis, in situ
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Malignant Solid Tumors In Situ Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CANCER_NSITU
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:cancerSolidMalignant	SΣ	0..1	BackboneElement	Solid tumor without metastasis, malignant
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Malignant Solid Tumors Without Metastases Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CANCER_SOLID
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:cerebrovascular	SΣ	0..1	BackboneElement	Cerebrovascular disease
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Cerebrovascular Disease Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CBVD
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:congestiveHeartFailure	SΣ	0..1	BackboneElement	CongestiveHeartFailure
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Congestive Heart Failure Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CHF
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:coagulopathy	SΣ	0..1	BackboneElement	Coagulation Deficiency
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Coagulation Deficiency Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: COAG
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:dementia	SΣ	0..1	BackboneElement	Dementia
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Dementia Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DEMENTIA
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:depression	SΣ	0..1	BackboneElement	Depression
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Depression Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DEPRESS
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:diabetesComplicated	SΣ	0..1	BackboneElement	Diabetes with chronic complications
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Diabetes With Chronic Complications Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DIAB_CX
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:diabetesUncomplicated	SΣ	0..1	BackboneElement	Diabetes without chronic complications
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Diabetes Without Chronic Complications Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DIAB_UNCX
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:drugAbuse	SΣ	0..1	BackboneElement	Drug Abuse
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Drug Abuse Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DRUG_ABUSE
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:hypertensionComplicated	SΣ	0..1	BackboneElement	Hypertension, Complicated
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Hypertension, Complicated Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HTN_CX
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:hypertensionUncomplicated	SΣ	0..1	BackboneElement	Hypertension, Uncomplicated
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Hypertension, Uncomplicated Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HTN_UNCX
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:liverDiseaseMild	SΣ	0..1	BackboneElement	Mild Liver Disease
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Mild Liver Disease Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LIVER_MLD
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:liverDiseaseSevere	SΣ	0..1	BackboneElement	Moderate to Severe Liver Disease
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Moderate To Severe Liver Disease Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LIVER_SEV
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:chronicPulmonaryDisease	SΣ	0..1	BackboneElement	Chronic pulmonary disease
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Chronic Pulmonary Disease Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LUNG_CHRONIC
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:neurologicalMovement	SΣ	0..1	BackboneElement	Neurological disorders affecting movement
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Neurological Movement Disorder Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NEURO_MOVT
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:neurologicalOther	SΣ	0..1	BackboneElement	Other neurological disorders
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Other Neurological Disorder Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NEURO_OTH
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:neurologicalSeizure	SΣ	0..1	BackboneElement	Seizures and epilepsy
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Neurological Seizure Disorder Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NEURO_SEIZ
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:obesity	SΣ	0..1	BackboneElement	Obesity
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Obesity Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OBESE
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:paralysis	SΣ	0..1	BackboneElement	Paralysis
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Paralysis Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PARALYSIS
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:peripheralVascularDisease	SΣ	0..1	BackboneElement	Peripheral Vascular Disease
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Peripheral Vascular Disease Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PERIVASC
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:psychosis	SΣ	0..1	BackboneElement	Psychosis
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Psychosis Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PSYCHOSIS
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:pulmonaryCirculationDisorder	SΣ	0..1	BackboneElement	Pulmonary Circulation Disorders
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Pulmonary Circulation Disorder Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PULMCIRC
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:renalFailureModerate	SΣ	0..1	BackboneElement	Moderate Renal Failure
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Moderate Renal Failure Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: RENLFL_MOD
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:renalFailureSevere	SΣ	0..1	BackboneElement	Severe Renal Failure
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Severe Renal Failure Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: RENLFL_SEV
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:hypothyroidism	SΣ	0..1	BackboneElement	Hypothyroidism
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Hypothyroidism Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: THYROID_HYPO
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:thyroidOther	SΣ	0..1	BackboneElement	Other Thyroid Disease
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Other Thyroid Disorder Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: THYROID_OTH
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:ulcer	SΣ	0..1	BackboneElement	Ulcer
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Chronic Peptic Ulcer Disease Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ULCER_PEPTIC
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:valvularDisease	SΣ	0..1	BackboneElement	Valvular Disease
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Valvular Disease Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VALVE
value[x]	SΣ	0..1	CodeableConcept	Actual component result
component:weightLoss	SΣ	0..1	BackboneElement	Weight Loss
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
conditionCode	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code"
value[x]		1..1	CodeableConcept	Code for a specific condition in the named comorbidity category. Binding: Elixhauser Weight Loss Value Set (required)
conditionReference	S	0..*	Reference(Condition)	Comorbid Condition Reference Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-reference
code	SΣ	1..1	CodeableConcept	Code representing the comorbidity category Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGHTLOSS
value[x]	SΣ	0..1	CodeableConcept	Actual component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.status	required	ObservationStatus
Observation.code	example	Pattern: comorbidities-elixhauser("Elixhauser Comorbidity Panel")
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component.value[x]	required	PresentAbsentVS
Observation.component:aids.extension:conditionCode.value[x]	required	ElixhauserAidsVS
Observation.component:aids.code	example	Pattern: AIDS
Observation.component:alcoholAbuse.extension:conditionCode.value[x]	required	ElixhauserAlcoholAbuseVS
Observation.component:alcoholAbuse.code	example	Pattern: ALCOHOL
Observation.component:deficiencyAnemia.extension:conditionCode.value[x]	required	ElixhauserDeficiencyAnemiaVS
Observation.component:deficiencyAnemia.code	example	Pattern: ANEMDF
Observation.component:arthropathy.extension:conditionCode.value[x]	required	ElixhauserRheumatoidArthritisVS
Observation.component:arthropathy.code	example	Pattern: ARTH
Observation.component:bloodLossAnemia.extension:conditionCode.value[x]	required	ElixhauserBloodLossAnemiaVS
Observation.component:bloodLossAnemia.code	example	Pattern: BLDLOSS
Observation.component:cancerLeukemia.extension:conditionCode.value[x]	required	ElixhauserCancerLeukemiaVS
Observation.component:cancerLeukemia.code	example	Pattern: CANCER_LEUK
Observation.component:cancerLymphoma.extension:conditionCode.value[x]	required	ElixhauserCancerLymphomaVS
Observation.component:cancerLymphoma.code	example	Pattern: CANCER_LYMPH
Observation.component:cancerMetastatic.extension:conditionCode.value[x]	required	ElixhauserCancerMetastaticVS
Observation.component:cancerMetastatic.code	example	Pattern: CANCER_METS
Observation.component:cancerSolidInSitu.extension:conditionCode.value[x]	required	ElixhauserCancerSolidTumorInSituVS
Observation.component:cancerSolidInSitu.code	example	Pattern: CANCER_NSITU
Observation.component:cancerSolidMalignant.extension:conditionCode.value[x]	required	ElixhauserCancerSolidTumorMalignantVS
Observation.component:cancerSolidMalignant.code	example	Pattern: CANCER_SOLID
Observation.component:cerebrovascular.extension:conditionCode.value[x]	required	ElixhauserCerebrovascularDiseaseVS
Observation.component:cerebrovascular.code	example	Pattern: CBVD
Observation.component:congestiveHeartFailure.extension:conditionCode.value[x]	required	ElixhauserCongestiveHeartFailureVS
Observation.component:congestiveHeartFailure.code	example	Pattern: CHF
Observation.component:coagulopathy.extension:conditionCode.value[x]	required	ElixhauserCoagulationDeficiencyVS
Observation.component:coagulopathy.code	example	Pattern: COAG
Observation.component:dementia.extension:conditionCode.value[x]	required	ElixhauserDementiaVS
Observation.component:dementia.code	example	Pattern: DEMENTIA
Observation.component:depression.extension:conditionCode.value[x]	required	ElixhauserDepressionVS
Observation.component:depression.code	example	Pattern: DEPRESS
Observation.component:diabetesComplicated.extension:conditionCode.value[x]	required	ElixhauserDiabetesComplicatedVS
Observation.component:diabetesComplicated.code	example	Pattern: DIAB_CX
Observation.component:diabetesUncomplicated.extension:conditionCode.value[x]	required	ElixhauserDiabetesUncomplicatedVS
Observation.component:diabetesUncomplicated.code	example	Pattern: DIAB_UNCX
Observation.component:drugAbuse.extension:conditionCode.value[x]	required	ElixhauserDrugAbuseVS
Observation.component:drugAbuse.code	example	Pattern: DRUG_ABUSE
Observation.component:hypertensionComplicated.extension:conditionCode.value[x]	required	ElixhauserHypertensionComplicatedVS
Observation.component:hypertensionComplicated.code	example	Pattern: HTN_CX
Observation.component:hypertensionUncomplicated.extension:conditionCode.value[x]	required	ElixhauserHypertensionUncomplicatedVS
Observation.component:hypertensionUncomplicated.code	example	Pattern: HTN_UNCX
Observation.component:liverDiseaseMild.extension:conditionCode.value[x]	required	ElixhauserLiverDiseaseMildVS
Observation.component:liverDiseaseMild.code	example	Pattern: LIVER_MLD
Observation.component:liverDiseaseSevere.extension:conditionCode.value[x]	required	ElixhauserLiverDiseaseSevereVS
Observation.component:liverDiseaseSevere.code	example	Pattern: LIVER_SEV
Observation.component:chronicPulmonaryDisease.extension:conditionCode.value[x]	required	ElixhauserChronicPulmonaryDiseaseVS
Observation.component:chronicPulmonaryDisease.code	example	Pattern: LUNG_CHRONIC
Observation.component:neurologicalMovement.extension:conditionCode.value[x]	required	ElixhauserNeurologicalMovementDisorderVS
Observation.component:neurologicalMovement.code	example	Pattern: NEURO_MOVT
Observation.component:neurologicalOther.extension:conditionCode.value[x]	required	ElixhauserOtherNeurologicalVS
Observation.component:neurologicalOther.code	example	Pattern: NEURO_OTH
Observation.component:neurologicalSeizure.extension:conditionCode.value[x]	required	ElixhauserNeurologicalSeizureDisorderVS
Observation.component:neurologicalSeizure.code	example	Pattern: NEURO_SEIZ
Observation.component:obesity.extension:conditionCode.value[x]	required	ElixhauserObesityVS
Observation.component:obesity.code	example	Pattern: OBESE
Observation.component:paralysis.extension:conditionCode.value[x]	required	ElixhauserParalysisVS
Observation.component:paralysis.code	example	Pattern: PARALYSIS
Observation.component:peripheralVascularDisease.extension:conditionCode.value[x]	required	ElixhauserPeripheralVascularDiseaseVS
Observation.component:peripheralVascularDisease.code	example	Pattern: PERIVASC
Observation.component:psychosis.extension:conditionCode.value[x]	required	ElixhauserPsychosisVS
Observation.component:psychosis.code	example	Pattern: PSYCHOSIS
Observation.component:pulmonaryCirculationDisorder.extension:conditionCode.value[x]	required	ElixhauserPulmonaryCirculationDisorderVS
Observation.component:pulmonaryCirculationDisorder.code	example	Pattern: PULMCIRC
Observation.component:renalFailureModerate.extension:conditionCode.value[x]	required	ElixhauserRenalFailureModerateVS
Observation.component:renalFailureModerate.code	example	Pattern: RENLFL_MOD
Observation.component:renalFailureSevere.extension:conditionCode.value[x]	required	ElixhauserRenalFailureSevereVS
Observation.component:renalFailureSevere.code	example	Pattern: RENLFL_SEV
Observation.component:hypothyroidism.extension:conditionCode.value[x]	required	ElixhauserHypothyroidismVS
Observation.component:hypothyroidism.code	example	Pattern: THYROID_HYPO
Observation.component:thyroidOther.extension:conditionCode.value[x]	required	ElixhauserOtherThyroidDisorderVS
Observation.component:thyroidOther.code	example	Pattern: THYROID_OTH
Observation.component:ulcer.extension:conditionCode.value[x]	required	ElixhauserUlcerVS
Observation.component:ulcer.code	example	Pattern: ULCER_PEPTIC
Observation.component:valvularDisease.extension:conditionCode.value[x]	required	ElixhauserValvularDiseaseVS
Observation.component:valvularDisease.code	example	Pattern: VALVE
Observation.component:weightLoss.extension:conditionCode.value[x]	required	ElixhauserWeightLossVS
Observation.component:weightLoss.code	example	Pattern: WGHTLOSS