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.

• Text Summary
• Differential Table
• Snapshot Table
• Snapshot Table (Must Support)
• 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

Name	Flags	Card.	Type	Description & Constraints
Observation	I	0..*	ComorbiditiesParent	Measurements and simple assertions
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
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
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	SΣ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	SΣI	0..1	integer	Actual result
dataAbsentReason	I	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Not used in this profile Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Not used in this profile
device		0..1	Reference(Device | DeviceMetric)	Not used in this profile
referenceRange	I	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	I	0..1	SimpleQuantity	Low Range, if relevant
high	I	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	SΣ	0..*	BackboneElement	Component results Slice: Unordered, Closed by pattern:code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extensions to capture specific conditions that fall into the given category. Slice: Unordered, Open by value:url
mcode-comorbid-condition-code		0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
mcode-comorbid-condition-reference		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)
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:aids	SΣ	0..1	BackboneElement	Acquired Immune Deficiency Syndrome
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AIDS
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:alcoholAbuse	SΣ	0..1	BackboneElement	Alcohol Abuse
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ALCOHOL
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:deficiencyAnemia	SΣ	0..1	BackboneElement	DeficiencyAnemia
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ANEMDF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:arthropathy	SΣ	0..1	BackboneElement	Arthropathy
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ARTH
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:bloodLossAnemia	SΣ	0..1	BackboneElement	Chronic Blood Loss Anemia
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: BLDLOSS
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:cancerLeukemia	SΣ	0..1	BackboneElement	Leukemia
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CANCER_LEUK
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:cancerLymphoma	SΣ	0..1	BackboneElement	Lymphoma
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CANCER_LYMPH
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:cancerMetastatic	SΣ	0..1	BackboneElement	Metastatic Cancer
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CANCER_METS
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:cancerSolidInSitu	SΣ	0..1	BackboneElement	Solid tumor without metastasis, in situ
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CANCER_NSITU
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:cancerSolidMalignant	SΣ	0..1	BackboneElement	Solid tumor without metastasis, malignant
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CANCER_SOLID
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:cerebrovascular	SΣ	0..1	BackboneElement	Cerebrovascular disease
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CBVD
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:congestiveHeartFailure	SΣ	0..1	BackboneElement	CongestiveHeartFailure
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: CHF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:coagulopathy	SΣ	0..1	BackboneElement	Coagulation Deficiency
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: COAG
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:dementia	SΣ	0..1	BackboneElement	Dementia
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DEMENTIA
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:depression	SΣ	0..1	BackboneElement	Depression
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DEPRESS
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:diabetesComplicated	SΣ	0..1	BackboneElement	Diabetes with chronic complications
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DIAB_CX
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:diabetesUncomplicated	SΣ	0..1	BackboneElement	Diabetes without chronic complications
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DIAB_UNCX
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:drugAbuse	SΣ	0..1	BackboneElement	Drug Abuse
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DRUG_ABUSE
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:hypertensionComplicated	SΣ	0..1	BackboneElement	Hypertension, Complicated
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HTN_CX
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:hypertensionUncomplicated	SΣ	0..1	BackboneElement	Hypertension, Uncomplicated
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: HTN_UNCX
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:liverDiseaseMild	SΣ	0..1	BackboneElement	Mild Liver Disease
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LIVER_MLD
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:liverDiseaseSevere	SΣ	0..1	BackboneElement	Moderate to Severe Liver Disease
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LIVER_SEV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:chronicPulmonaryDisease	SΣ	0..1	BackboneElement	Chronic pulmonary disease
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LUNG_CHRONIC
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:neurologicalMovement	SΣ	0..1	BackboneElement	Neurological disorders affecting movement
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NEURO_MOVT
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:neurologicalOther	SΣ	0..1	BackboneElement	Other neurological disorders
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NEURO_OTH
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:neurologicalSeizure	SΣ	0..1	BackboneElement	Seizures and epilepsy
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NEURO_SEIZ
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:obesity	SΣ	0..1	BackboneElement	Obesity
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OBESE
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:paralysis	SΣ	0..1	BackboneElement	Paralysis
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PARALYSIS
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:peripheralVascularDisease	SΣ	0..1	BackboneElement	Peripheral Vascular Disease
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PERIVASC
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:psychosis	SΣ	0..1	BackboneElement	Psychosis
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PSYCHOSIS
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:pulmonaryCirculationDisorder	SΣ	0..1	BackboneElement	Pulmonary Circulation Disorders
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PULMCIRC
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:renalFailureModerate	SΣ	0..1	BackboneElement	Moderate Renal Failure
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: RENLFL_MOD
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:renalFailureSevere	SΣ	0..1	BackboneElement	Severe Renal Failure
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: RENLFL_SEV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:hypothyroidism	SΣ	0..1	BackboneElement	Hypothyroidism
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: THYROID_HYPO
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:thyroidOther	SΣ	0..1	BackboneElement	Other Thyroid Disease
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: THYROID_OTH
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:ulcer	SΣ	0..1	BackboneElement	Ulcer
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ULCER_PEPTIC
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:valvularDisease	SΣ	0..1	BackboneElement	Valvular Disease
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VALVE
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:weightLoss	SΣ	0..1	BackboneElement	Weight Loss
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-comorbid-condition-code	S	0..*	CodeableConcept	Comorbid Condition Code Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbid-condition-code
id		0..1	string	Unique id for inter-element referencing
Slices for 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)
mcode-comorbid-condition-reference	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/loinc-requested-cs
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: WGHTLOSS
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	0..1	CodeableConcept	Actual component result
dataAbsentReason	I	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format