Extensions for Using Data Elements from FHIR R5 in FHIR R4
0.1.0 - STU International flag

Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions

Resource Profile: Profile_R5_MolecularSequence_R4 - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

Definitions for the profile-MolecularSequence resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. MolecularSequence
Definition

Raw data describing a biological sequence.

ShortInformation about a biological sequence
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
msq-3: Only 0 and 1 are valid for coordinateSystem (coordinateSystem = 1 or coordinateSystem = 0)
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
msq-3: Only 0 and 1 are valid for coordinateSystem (coordinateSystem = 1 or coordinateSystem = 0)
2. MolecularSequence.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. MolecularSequence.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control10..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on MolecularSequence.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. MolecularSequence.extension:focus
    Slice Namefocus
    Definition

    R5: MolecularSequence.focus (new:Reference(Resource))

    ShortR5: What the molecular sequence is about, when it is not about the subject of record (new)
    Comments

    Element MolecularSequence.focus has a context of MolecularSequence based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.focus has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: What the molecular sequence is about, when it is not about the subject of record (new)) (Extension Type: Reference(Cross-version Profile for R5.Resource for use in FHIR R4, Resource))
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. MolecularSequence.extension:formatted
    Slice Nameformatted
    Definition

    R5: MolecularSequence.formatted (new:Attachment)

    ShortR5: Embedded file or a link (URL) which contains content to represent the sequence (new)
    Comments

    Element MolecularSequence.formatted has a context of MolecularSequence based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.formatted has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Embedded file or a link (URL) which contains content to represent the sequence (new)) (Extension Type: Attachment)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. MolecularSequence.extension:coordinateSystem
    Slice NamecoordinateSystem
    Definition

    R5: MolecularSequence.relative.coordinateSystem (new:CodeableConcept)

    ShortR5: Ways of identifying nucleotides or amino acids within a sequence (new)
    Comments

    Element MolecularSequence.relative.coordinateSystem has a context of MolecularSequence based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.relative.coordinateSystem has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control1..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Ways of identifying nucleotides or amino acids within a sequence (new)) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. MolecularSequence.extension:ordinalPosition
    Slice NameordinalPosition
    Definition

    R5: MolecularSequence.relative.ordinalPosition (new:integer)

    ShortR5: Indicates the order in which the sequence should be considered when putting multiple 'relative' elements together (new)
    Comments

    Element MolecularSequence.relative.ordinalPosition has a context of MolecularSequence based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.relative.ordinalPosition has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Indicates the order in which the sequence should be considered when putting multiple 'relative' elements together (new)) (Extension Type: integer)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. MolecularSequence.extension:sequenceRange
    Slice NamesequenceRange
    Definition

    R5: MolecularSequence.relative.sequenceRange (new:Range)

    ShortR5: Indicates the nucleotide range in the composed sequence when multiple 'relative' elements are used together (new)
    Comments

    Element MolecularSequence.relative.sequenceRange has a context of MolecularSequence based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.relative.sequenceRange has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Indicates the nucleotide range in the composed sequence when multiple 'relative' elements are used together (new)) (Extension Type: Range)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. MolecularSequence.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. MolecularSequence.coordinateSystem
    Definition

    Whether the sequence is numbered starting at 0 (0-based numbering or coordinates, inclusive start, exclusive end) or starting at 1 (1-based numbering, inclusive start and inclusive end).

    ShortBase number of coordinate system (0 for 0-based numbering or coordinates, inclusive start, exclusive end, 1 for 1-based numbering, inclusive start, inclusive end)
    Control1..1
    Typeinteger
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    Guidance on how to interpret the contents of this table can be foundhere

    0. MolecularSequence
    2. MolecularSequence.extension
    Control1..*
    SlicingThis element introduces a set of slices on MolecularSequence.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 4. MolecularSequence.extension:focus
      Slice Namefocus
      Definition

      R5: MolecularSequence.focus (new:Reference(Resource))

      ShortR5: What the molecular sequence is about, when it is not about the subject of record (new)
      Comments

      Element MolecularSequence.focus has a context of MolecularSequence based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.focus has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..*
      TypeExtension(R5: What the molecular sequence is about, when it is not about the subject of record (new)) (Extension Type: Reference(Cross-version Profile for R5.Resource for use in FHIR R4, Resource))
      6. MolecularSequence.extension:formatted
      Slice Nameformatted
      Definition

      R5: MolecularSequence.formatted (new:Attachment)

      ShortR5: Embedded file or a link (URL) which contains content to represent the sequence (new)
      Comments

      Element MolecularSequence.formatted has a context of MolecularSequence based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.formatted has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..*
      TypeExtension(R5: Embedded file or a link (URL) which contains content to represent the sequence (new)) (Extension Type: Attachment)
      8. MolecularSequence.extension:coordinateSystem
      Slice NamecoordinateSystem
      Definition

      R5: MolecularSequence.relative.coordinateSystem (new:CodeableConcept)

      ShortR5: Ways of identifying nucleotides or amino acids within a sequence (new)
      Comments

      Element MolecularSequence.relative.coordinateSystem has a context of MolecularSequence based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.relative.coordinateSystem has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control1..1
      TypeExtension(R5: Ways of identifying nucleotides or amino acids within a sequence (new)) (Extension Type: CodeableConcept)
      10. MolecularSequence.extension:ordinalPosition
      Slice NameordinalPosition
      Definition

      R5: MolecularSequence.relative.ordinalPosition (new:integer)

      ShortR5: Indicates the order in which the sequence should be considered when putting multiple 'relative' elements together (new)
      Comments

      Element MolecularSequence.relative.ordinalPosition has a context of MolecularSequence based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.relative.ordinalPosition has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..1
      TypeExtension(R5: Indicates the order in which the sequence should be considered when putting multiple 'relative' elements together (new)) (Extension Type: integer)
      12. MolecularSequence.extension:sequenceRange
      Slice NamesequenceRange
      Definition

      R5: MolecularSequence.relative.sequenceRange (new:Range)

      ShortR5: Indicates the nucleotide range in the composed sequence when multiple 'relative' elements are used together (new)
      Comments

      Element MolecularSequence.relative.sequenceRange has a context of MolecularSequence based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.relative.sequenceRange has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..1
      TypeExtension(R5: Indicates the nucleotide range in the composed sequence when multiple 'relative' elements are used together (new)) (Extension Type: Range)
      14. MolecularSequence.patient
      16. MolecularSequence.patient.extension
      Control0..*
      SlicingThis element introduces a set of slices on MolecularSequence.patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 18. MolecularSequence.patient.extension:subject
        Slice Namesubject
        Definition

        R5: MolecularSequence.subject

        ShortR5: Subject this sequence is associated too
        Comments

        Element MolecularSequence.subject is mapped to FHIR R4 element MolecularSequence.patient as SourceIsBroaderThanTarget. The standard extension alternate-reference has been mapped as the representation of FHIR R5 element MolecularSequence.subject with unmapped reference targets: BiologicallyDerivedProduct, Group, NutritionProduct, Substance.

        Control0..1
        TypeExtension(Alternate Reference) (Extension Type: Reference(Resource))
        20. MolecularSequence.referenceSeq
        22. MolecularSequence.referenceSeq.extension
        Control0..*
        SlicingThis element introduces a set of slices on MolecularSequence.referenceSeq.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 24. MolecularSequence.referenceSeq.extension:genomeAssembly
          Slice NamegenomeAssembly
          Definition

          R5: MolecularSequence.relative.startingSequence.genomeAssembly (new:CodeableConcept)

          ShortR5: The genome assembly used for starting sequence, e.g. GRCh38 (new)
          Comments

          Element MolecularSequence.relative.startingSequence.genomeAssembly has a context of MolecularSequence.referenceSeq based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.relative.startingSequence.genomeAssembly has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

          Control0..1
          TypeExtension(R5: The genome assembly used for starting sequence, e.g. GRCh38 (new)) (Extension Type: CodeableConcept)
          26. MolecularSequence.referenceSeq.extension:sequence
          Slice Namesequence
          Definition

          R5: MolecularSequence.relative.startingSequence.sequence[x] additional types (CodeableConcept, Reference(http://hl7.org/fhir/StructureDefinition/MolecularSequence))

          ShortR5: The reference sequence that represents the starting sequence additional types
          Comments

          Element MolecularSequence.relative.startingSequence.sequence[x] is mapped to FHIR R4 element MolecularSequence.referenceSeq.referenceSeqString as SourceIsBroaderThanTarget. The mappings for MolecularSequence.relative.startingSequence.sequence[x] do not cover the following types: CodeableConcept, Reference. A starting sequence may be represented in one of three ways:

          1. CodeableConcept, using NCBI, LRG or other appropriate code systems
          2. a simple string of IUPAC codes
          3. a reference to another MolecularSequence resource.
          Control0..1
          TypeExtension(R5: The reference sequence that represents the starting sequence additional types) (Extension Type: Choice of: CodeableConcept, Reference(Cross-version Profile for R5.MolecularSequence for use in FHIR R4, MolecularSequence))
          28. MolecularSequence.referenceSeq.chromosome
          30. MolecularSequence.referenceSeq.chromosome.extension
          Control0..*
          SlicingThis element introduces a set of slices on MolecularSequence.referenceSeq.chromosome.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 32. MolecularSequence.referenceSeq.chromosome.extension:chromosome
            Slice Namechromosome
            Definition

            R5: MolecularSequence.relative.startingSequence.chromosome

            ShortR5: Chromosome Identifier
            Comments

            Element MolecularSequence.relative.startingSequence.chromosome is mapped to FHIR R4 element MolecularSequence.referenceSeq.chromosome as Equivalent.

            Control0..1
            TypeExtension(R5: Chromosome Identifier) (Extension Type: CodeableConcept)
            34. MolecularSequence.variant
            36. MolecularSequence.variant.extension
            Control0..*
            SlicingThis element introduces a set of slices on MolecularSequence.variant.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 38. MolecularSequence.variant.extension:start
              Slice Namestart
              Definition

              R5: MolecularSequence.relative.edit.start (new:integer)

              ShortR5: Start position of the edit on the starting sequence (new)
              Comments

              Element MolecularSequence.relative.edit.start has a context of MolecularSequence.variant based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.relative.edit.start has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

              Control0..1
              TypeExtension(R5: Start position of the edit on the starting sequence (new)) (Extension Type: integer)

              Guidance on how to interpret the contents of this table can be foundhere

              0. MolecularSequence
              Definition

              Raw data describing a biological sequence.

              ShortInformation about a biological sequence
              Control0..*
              Is Modifierfalse
              Summaryfalse
              Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
              dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
              dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
              dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
              dom-6: A resource should have narrative for robust management (text.`div`.exists())
              msq-3: Only 0 and 1 are valid for coordinateSystem (coordinateSystem = 1 or coordinateSystem = 0)
              2. MolecularSequence.id
              Definition

              The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

              ShortLogical id of this artifact
              Comments

              The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

              Control0..1
              Typeid
              Is Modifierfalse
              Summarytrue
              4. MolecularSequence.meta
              Definition

              The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

              ShortMetadata about the resource
              Control0..1
              TypeMeta
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              6. MolecularSequence.implicitRules
              Definition

              A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

              ShortA set of rules under which this content was created
              Comments

              Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

              Control0..1
              Typeuri
              Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              8. MolecularSequence.language
              Definition

              The base language in which the resource is written.

              ShortLanguage of the resource content
              Comments

              Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

              Control0..1
              BindingThe codes SHOULD be taken from CommonLanguages .
              (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

              A human language.

              Additional BindingsPurpose
              AllLanguagesMax Binding
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              10. MolecularSequence.text
              Definition

              A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

              ShortText summary of the resource, for human interpretation
              Comments

              Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

              Control0..1
              TypeNarrative
              Is Modifierfalse
              Summaryfalse
              Alternate Namesnarrative, html, xhtml, display
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              12. MolecularSequence.contained
              Definition

              These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

              ShortContained, inline Resources
              Comments

              This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

              Control0..*
              TypeResource
              Is Modifierfalse
              Summaryfalse
              Alternate Namesinline resources, anonymous resources, contained resources
              14. MolecularSequence.extension
              Definition

              An Extension

              ShortExtension
              Control1..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on MolecularSequence.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 16. MolecularSequence.extension:focus
                Slice Namefocus
                Definition

                R5: MolecularSequence.focus (new:Reference(Resource))

                ShortR5: What the molecular sequence is about, when it is not about the subject of record (new)
                Comments

                Element MolecularSequence.focus has a context of MolecularSequence based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.focus has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                Control0..*
                This element is affected by the following invariants: ele-1
                TypeExtension(R5: What the molecular sequence is about, when it is not about the subject of record (new)) (Extension Type: Reference(Cross-version Profile for R5.Resource for use in FHIR R4, Resource))
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                18. MolecularSequence.extension:formatted
                Slice Nameformatted
                Definition

                R5: MolecularSequence.formatted (new:Attachment)

                ShortR5: Embedded file or a link (URL) which contains content to represent the sequence (new)
                Comments

                Element MolecularSequence.formatted has a context of MolecularSequence based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.formatted has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                Control0..*
                This element is affected by the following invariants: ele-1
                TypeExtension(R5: Embedded file or a link (URL) which contains content to represent the sequence (new)) (Extension Type: Attachment)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                20. MolecularSequence.extension:coordinateSystem
                Slice NamecoordinateSystem
                Definition

                R5: MolecularSequence.relative.coordinateSystem (new:CodeableConcept)

                ShortR5: Ways of identifying nucleotides or amino acids within a sequence (new)
                Comments

                Element MolecularSequence.relative.coordinateSystem has a context of MolecularSequence based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.relative.coordinateSystem has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                Control1..1
                This element is affected by the following invariants: ele-1
                TypeExtension(R5: Ways of identifying nucleotides or amino acids within a sequence (new)) (Extension Type: CodeableConcept)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                22. MolecularSequence.extension:ordinalPosition
                Slice NameordinalPosition
                Definition

                R5: MolecularSequence.relative.ordinalPosition (new:integer)

                ShortR5: Indicates the order in which the sequence should be considered when putting multiple 'relative' elements together (new)
                Comments

                Element MolecularSequence.relative.ordinalPosition has a context of MolecularSequence based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.relative.ordinalPosition has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                Control0..1
                This element is affected by the following invariants: ele-1
                TypeExtension(R5: Indicates the order in which the sequence should be considered when putting multiple 'relative' elements together (new)) (Extension Type: integer)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                24. MolecularSequence.extension:sequenceRange
                Slice NamesequenceRange
                Definition

                R5: MolecularSequence.relative.sequenceRange (new:Range)

                ShortR5: Indicates the nucleotide range in the composed sequence when multiple 'relative' elements are used together (new)
                Comments

                Element MolecularSequence.relative.sequenceRange has a context of MolecularSequence based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.relative.sequenceRange has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                Control0..1
                This element is affected by the following invariants: ele-1
                TypeExtension(R5: Indicates the nucleotide range in the composed sequence when multiple 'relative' elements are used together (new)) (Extension Type: Range)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                26. MolecularSequence.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                Summaryfalse
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                28. MolecularSequence.identifier
                Definition

                A unique identifier for this particular sequence instance. This is a FHIR-defined id.

                ShortUnique ID for this particular sequence. This is a FHIR-defined id
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..*
                TypeIdentifier
                Is Modifierfalse
                Summarytrue
                Requirements

                Allows sequences to be distinguished and referenced.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                30. MolecularSequence.type
                Definition

                Amino Acid Sequence/ DNA Sequence / RNA Sequence.

                Shortaa | dna | rna
                Control0..1
                BindingThe codes SHALL be taken from sequenceType
                (required to http://hl7.org/fhir/ValueSet/sequence-type|4.0.1)

                Type if a sequence -- DNA, RNA, or amino acid sequence.

                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                32. MolecularSequence.coordinateSystem
                Definition

                Whether the sequence is numbered starting at 0 (0-based numbering or coordinates, inclusive start, exclusive end) or starting at 1 (1-based numbering, inclusive start and inclusive end).

                ShortBase number of coordinate system (0 for 0-based numbering or coordinates, inclusive start, exclusive end, 1 for 1-based numbering, inclusive start, inclusive end)
                Control1..1
                Typeinteger
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                34. MolecularSequence.patient
                Definition

                The patient whose sequencing results are described by this resource.

                ShortWho and/or what this is about
                Control0..1
                TypeReference(Patient)
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                36. MolecularSequence.patient.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                38. MolecularSequence.patient.extension
                Definition

                An Extension

                ShortExtension
                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on MolecularSequence.patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 40. MolecularSequence.patient.extension:subject
                  Slice Namesubject
                  Definition

                  R5: MolecularSequence.subject

                  ShortR5: Subject this sequence is associated too
                  Comments

                  Element MolecularSequence.subject is mapped to FHIR R4 element MolecularSequence.patient as SourceIsBroaderThanTarget. The standard extension alternate-reference has been mapped as the representation of FHIR R5 element MolecularSequence.subject with unmapped reference targets: BiologicallyDerivedProduct, Group, NutritionProduct, Substance.

                  Control0..1
                  TypeExtension(Alternate Reference) (Extension Type: Reference(Resource))
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  42. MolecularSequence.patient.reference
                  Definition

                  A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                  ShortLiteral reference, Relative, internal or absolute URL
                  Comments

                  Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                  Control0..1
                  This element is affected by the following invariants: ref-1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  44. MolecularSequence.patient.type
                  Definition

                  The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                  The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                  ShortType the reference refers to (e.g. "Patient")
                  Comments

                  This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                  Control0..1
                  BindingUnless not suitable, these codes SHALL be taken from ResourceType .
                  (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

                  Aa resource (or, for logical models, the URI of the logical model).

                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  46. MolecularSequence.patient.identifier
                  Definition

                  An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                  ShortLogical reference, when literal reference is not known
                  Comments

                  When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                  When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                  Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                  Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..1
                  TypeIdentifier
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  48. MolecularSequence.patient.display
                  Definition

                  Plain text narrative that identifies the resource in addition to the resource reference.

                  ShortText alternative for the resource
                  Comments

                  This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  50. MolecularSequence.specimen
                  Definition

                  Specimen used for sequencing.

                  ShortSpecimen used for sequencing
                  Control0..1
                  TypeReference(Specimen)
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  52. MolecularSequence.device
                  Definition

                  The method for sequencing, for example, chip information.

                  ShortThe method for sequencing
                  Control0..1
                  TypeReference(Device)
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  54. MolecularSequence.performer
                  Definition

                  The organization or lab that should be responsible for this result.

                  ShortWho should be responsible for test result
                  Control0..1
                  TypeReference(Organization)
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  56. MolecularSequence.quantity
                  Definition

                  The number of copies of the sequence of interest. (RNASeq).

                  ShortThe number of copies of the sequence of interest. (RNASeq)
                  Control0..1
                  TypeQuantity
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  58. MolecularSequence.referenceSeq
                  Definition

                  A sequence that is used as a reference to describe variants that are present in a sequence analyzed.

                  ShortA sequence used as reference
                  Control0..1
                  TypeBackboneElement
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  msq-5: GenomeBuild and chromosome must be both contained if either one of them is contained ((chromosome.empty() and genomeBuild.empty()) or (chromosome.exists() and genomeBuild.exists()))
                  msq-6: Have and only have one of the following elements in referenceSeq : 1. genomeBuild ; 2 referenceSeqId; 3. referenceSeqPointer; 4. referenceSeqString; ((genomeBuild.count()+referenceSeqId.count()+ referenceSeqPointer.count()+ referenceSeqString.count()) = 1)
                  60. MolecularSequence.referenceSeq.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  62. MolecularSequence.referenceSeq.extension
                  Definition

                  An Extension

                  ShortExtension
                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on MolecularSequence.referenceSeq.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 64. MolecularSequence.referenceSeq.extension:genomeAssembly
                    Slice NamegenomeAssembly
                    Definition

                    R5: MolecularSequence.relative.startingSequence.genomeAssembly (new:CodeableConcept)

                    ShortR5: The genome assembly used for starting sequence, e.g. GRCh38 (new)
                    Comments

                    Element MolecularSequence.relative.startingSequence.genomeAssembly has a context of MolecularSequence.referenceSeq based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.relative.startingSequence.genomeAssembly has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(R5: The genome assembly used for starting sequence, e.g. GRCh38 (new)) (Extension Type: CodeableConcept)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    66. MolecularSequence.referenceSeq.extension:sequence
                    Slice Namesequence
                    Definition

                    R5: MolecularSequence.relative.startingSequence.sequence[x] additional types (CodeableConcept, Reference(http://hl7.org/fhir/StructureDefinition/MolecularSequence))

                    ShortR5: The reference sequence that represents the starting sequence additional types
                    Comments

                    Element MolecularSequence.relative.startingSequence.sequence[x] is mapped to FHIR R4 element MolecularSequence.referenceSeq.referenceSeqString as SourceIsBroaderThanTarget. The mappings for MolecularSequence.relative.startingSequence.sequence[x] do not cover the following types: CodeableConcept, Reference. A starting sequence may be represented in one of three ways:

                    1. CodeableConcept, using NCBI, LRG or other appropriate code systems
                    2. a simple string of IUPAC codes
                    3. a reference to another MolecularSequence resource.
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(R5: The reference sequence that represents the starting sequence additional types) (Extension Type: Choice of: CodeableConcept, Reference(Cross-version Profile for R5.MolecularSequence for use in FHIR R4, MolecularSequence))
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    68. MolecularSequence.referenceSeq.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    70. MolecularSequence.referenceSeq.chromosome
                    Definition

                    Structural unit composed of a nucleic acid molecule which controls its own replication through the interaction of specific proteins at one or more origins of replication (SO:0000340).

                    ShortChromosome containing genetic finding
                    Control0..1
                    BindingFor example codes, see chromosome-human
                    (example to http://hl7.org/fhir/ValueSet/chromosome-human|4.0.1)

                    Chromosome number for human.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    72. MolecularSequence.referenceSeq.chromosome.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    74. MolecularSequence.referenceSeq.chromosome.extension
                    Definition

                    An Extension

                    ShortExtension
                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on MolecularSequence.referenceSeq.chromosome.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 76. MolecularSequence.referenceSeq.chromosome.extension:chromosome
                      Slice Namechromosome
                      Definition

                      R5: MolecularSequence.relative.startingSequence.chromosome

                      ShortR5: Chromosome Identifier
                      Comments

                      Element MolecularSequence.relative.startingSequence.chromosome is mapped to FHIR R4 element MolecularSequence.referenceSeq.chromosome as Equivalent.

                      Control0..1
                      TypeExtension(R5: Chromosome Identifier) (Extension Type: CodeableConcept)
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      78. MolecularSequence.referenceSeq.chromosome.coding
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Control0..*
                      TypeCoding
                      Is Modifierfalse
                      Summarytrue
                      Requirements

                      Allows for alternative encodings within a code system, and translations to other code systems.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      80. MolecularSequence.referenceSeq.chromosome.text
                      Definition

                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                      ShortPlain text representation of the concept
                      Comments

                      Very often the text is the same as a displayName of one of the codings.

                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      82. MolecularSequence.referenceSeq.genomeBuild
                      Definition

                      The Genome Build used for reference, following GRCh build versions e.g. 'GRCh 37'. Version number must be included if a versioned release of a primary build was used.

                      ShortThe Genome Build used for reference, following GRCh build versions e.g. 'GRCh 37'
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      84. MolecularSequence.referenceSeq.orientation
                      Definition

                      A relative reference to a DNA strand based on gene orientation. The strand that contains the open reading frame of the gene is the "sense" strand, and the opposite complementary strand is the "antisense" strand.

                      Shortsense | antisense
                      Control0..1
                      BindingThe codes SHALL be taken from orientationType
                      (required to http://hl7.org/fhir/ValueSet/orientation-type|4.0.1)

                      Type for orientation.

                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      86. MolecularSequence.referenceSeq.referenceSeqId
                      Definition

                      Reference identifier of reference sequence submitted to NCBI. It must match the type in the MolecularSequence.type field. For example, the prefix, “NG_” identifies reference sequence for genes, “NM_” for messenger RNA transcripts, and “NP_” for amino acid sequences.

                      ShortReference identifier
                      Control0..1
                      BindingFor example codes, see ENSEMBL
                      (example to http://hl7.org/fhir/ValueSet/sequence-referenceSeq|4.0.1)

                      Reference identifier.

                      TypeCodeableConcept
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      88. MolecularSequence.referenceSeq.referenceSeqPointer
                      Definition

                      A pointer to another MolecularSequence entity as reference sequence.

                      ShortA pointer to another MolecularSequence entity as reference sequence
                      Control0..1
                      TypeReference(MolecularSequence)
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      90. MolecularSequence.referenceSeq.referenceSeqString
                      Definition

                      A string like "ACGT".

                      ShortA string to represent reference sequence
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      92. MolecularSequence.referenceSeq.strand
                      Definition

                      An absolute reference to a strand. The Watson strand is the strand whose 5'-end is on the short arm of the chromosome, and the Crick strand as the one whose 5'-end is on the long arm.

                      Shortwatson | crick
                      Control0..1
                      BindingThe codes SHALL be taken from strandType
                      (required to http://hl7.org/fhir/ValueSet/strand-type|4.0.1)

                      Type for strand.

                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      94. MolecularSequence.referenceSeq.windowStart
                      Definition

                      Start position of the window on the reference sequence. If the coordinate system is either 0-based or 1-based, then start position is inclusive.

                      ShortStart position of the window on the reference sequence
                      Control0..1
                      Typeinteger
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      96. MolecularSequence.referenceSeq.windowEnd
                      Definition

                      End position of the window on the reference sequence. If the coordinate system is 0-based then end is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.

                      ShortEnd position of the window on the reference sequence
                      Control0..1
                      Typeinteger
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      98. MolecularSequence.variant
                      Definition

                      The definition of variant here originates from Sequence ontology (variant_of). This element can represent amino acid or nucleic sequence change(including insertion,deletion,SNP,etc.) It can represent some complex mutation or segment variation with the assist of CIGAR string.

                      ShortVariant in sequence
                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      100. MolecularSequence.variant.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      102. MolecularSequence.variant.extension
                      Definition

                      An Extension

                      ShortExtension
                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on MolecularSequence.variant.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 104. MolecularSequence.variant.extension:start
                        Slice Namestart
                        Definition

                        R5: MolecularSequence.relative.edit.start (new:integer)

                        ShortR5: Start position of the edit on the starting sequence (new)
                        Comments

                        Element MolecularSequence.relative.edit.start has a context of MolecularSequence.variant based on following the parent source element upwards and mapping to MolecularSequence. Element MolecularSequence.relative.edit.start has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                        Control0..1
                        This element is affected by the following invariants: ele-1
                        TypeExtension(R5: Start position of the edit on the starting sequence (new)) (Extension Type: integer)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        106. MolecularSequence.variant.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        108. MolecularSequence.variant.start
                        Definition

                        Start position of the variant on the reference sequence. If the coordinate system is either 0-based or 1-based, then start position is inclusive.

                        ShortStart position of the variant on the reference sequence
                        Control0..1
                        Typeinteger
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        110. MolecularSequence.variant.end
                        Definition

                        End position of the variant on the reference sequence. If the coordinate system is 0-based then end is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.

                        ShortEnd position of the variant on the reference sequence
                        Control0..1
                        Typeinteger
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        112. MolecularSequence.variant.observedAllele
                        Definition

                        An allele is one of a set of coexisting sequence variants of a gene (SO:0001023). Nucleotide(s)/amino acids from start position of sequence to stop position of sequence on the positive (+) strand of the observed sequence. When the sequence type is DNA, it should be the sequence on the positive (+) strand. This will lay in the range between variant.start and variant.end.

                        ShortAllele that was observed
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        114. MolecularSequence.variant.referenceAllele
                        Definition

                        An allele is one of a set of coexisting sequence variants of a gene (SO:0001023). Nucleotide(s)/amino acids from start position of sequence to stop position of sequence on the positive (+) strand of the reference sequence. When the sequence type is DNA, it should be the sequence on the positive (+) strand. This will lay in the range between variant.start and variant.end.

                        ShortAllele in the reference sequence
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        116. MolecularSequence.variant.cigar
                        Definition

                        Extended CIGAR string for aligning the sequence with reference bases. See detailed documentation here.

                        ShortExtended CIGAR string for aligning the sequence with reference bases
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        118. MolecularSequence.variant.variantPointer
                        Definition

                        A pointer to an Observation containing variant information.

                        ShortPointer to observed variant information
                        Control0..1
                        TypeReference(Observation)
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        120. MolecularSequence.observedSeq
                        Definition

                        Sequence that was observed. It is the result marked by referenceSeq along with variant records on referenceSeq. This shall start from referenceSeq.windowStart and end by referenceSeq.windowEnd.

                        ShortSequence that was observed
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        122. MolecularSequence.quality
                        Definition

                        An experimental feature attribute that defines the quality of the feature in a quantitative way, such as a phred quality score (SO:0001686).

                        ShortAn set of value as quality of sequence
                        Control0..*
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        124. MolecularSequence.quality.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        126. MolecularSequence.quality.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        128. MolecularSequence.quality.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        130. MolecularSequence.quality.type
                        Definition

                        INDEL / SNP / Undefined variant.

                        Shortindel | snp | unknown
                        Control1..1
                        BindingThe codes SHALL be taken from qualityType
                        (required to http://hl7.org/fhir/ValueSet/quality-type|4.0.1)

                        Type for quality report.

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        132. MolecularSequence.quality.standardSequence
                        Definition

                        Gold standard sequence used for comparing against.

                        ShortStandard sequence for comparison
                        Control0..1
                        BindingFor example codes, see FDA-StandardSequence
                        (example to http://hl7.org/fhir/ValueSet/sequence-quality-standardSequence|4.0.1)

                        Reference identifier of the sequence that used to mark the quality of tested samples.

                        TypeCodeableConcept
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        134. MolecularSequence.quality.start
                        Definition

                        Start position of the sequence. If the coordinate system is either 0-based or 1-based, then start position is inclusive.

                        ShortStart position of the sequence
                        Control0..1
                        Typeinteger
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        136. MolecularSequence.quality.end
                        Definition

                        End position of the sequence. If the coordinate system is 0-based then end is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.

                        ShortEnd position of the sequence
                        Control0..1
                        Typeinteger
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        138. MolecularSequence.quality.score
                        Definition

                        The score of an experimentally derived feature such as a p-value (SO:0001685).

                        ShortQuality score for the comparison
                        Control0..1
                        TypeQuantity
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        140. MolecularSequence.quality.method
                        Definition

                        Which method is used to get sequence quality.

                        ShortMethod to get quality
                        Control0..1
                        BindingFor example codes, see FDA-Method
                        (example to http://hl7.org/fhir/ValueSet/sequence-quality-method|4.0.1)

                        The method used to evaluate the numerical quality of the observed sequence.

                        TypeCodeableConcept
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        142. MolecularSequence.quality.truthTP
                        Definition

                        True positives, from the perspective of the truth data, i.e. the number of sites in the Truth Call Set for which there are paths through the Query Call Set that are consistent with all of the alleles at this site, and for which there is an accurate genotype call for the event.

                        ShortTrue positives from the perspective of the truth data
                        Control0..1
                        Typedecimal
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        144. MolecularSequence.quality.queryTP
                        Definition

                        True positives, from the perspective of the query data, i.e. the number of sites in the Query Call Set for which there are paths through the Truth Call Set that are consistent with all of the alleles at this site, and for which there is an accurate genotype call for the event.

                        ShortTrue positives from the perspective of the query data
                        Control0..1
                        Typedecimal
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        146. MolecularSequence.quality.truthFN
                        Definition

                        False negatives, i.e. the number of sites in the Truth Call Set for which there is no path through the Query Call Set that is consistent with all of the alleles at this site, or sites for which there is an inaccurate genotype call for the event. Sites with correct variant but incorrect genotype are counted here.

                        ShortFalse negatives
                        Control0..1
                        Typedecimal
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        148. MolecularSequence.quality.queryFP
                        Definition

                        False positives, i.e. the number of sites in the Query Call Set for which there is no path through the Truth Call Set that is consistent with this site. Sites with correct variant but incorrect genotype are counted here.

                        ShortFalse positives
                        Control0..1
                        Typedecimal
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        150. MolecularSequence.quality.gtFP
                        Definition

                        The number of false positives where the non-REF alleles in the Truth and Query Call Sets match (i.e. cases where the truth is 1/1 and the query is 0/1 or similar).

                        ShortFalse positives where the non-REF alleles in the Truth and Query Call Sets match
                        Control0..1
                        Typedecimal
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        152. MolecularSequence.quality.precision
                        Definition

                        QUERY.TP / (QUERY.TP + QUERY.FP).

                        ShortPrecision of comparison
                        Control0..1
                        Typedecimal
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        154. MolecularSequence.quality.recall
                        Definition

                        TRUTH.TP / (TRUTH.TP + TRUTH.FN).

                        ShortRecall of comparison
                        Control0..1
                        Typedecimal
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        156. MolecularSequence.quality.fScore
                        Definition

                        Harmonic mean of Recall and Precision, computed as: 2 * precision * recall / (precision + recall).

                        ShortF-score
                        Control0..1
                        Typedecimal
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        158. MolecularSequence.quality.roc
                        Definition

                        Receiver Operator Characteristic (ROC) Curve to give sensitivity/specificity tradeoff.

                        ShortReceiver Operator Characteristic (ROC) Curve
                        Control0..1
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        160. MolecularSequence.quality.roc.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        162. MolecularSequence.quality.roc.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        164. MolecularSequence.quality.roc.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        166. MolecularSequence.quality.roc.score
                        Definition

                        Invidual data point representing the GQ (genotype quality) score threshold.

                        ShortGenotype quality score
                        Control0..*
                        Typeinteger
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        168. MolecularSequence.quality.roc.numTP
                        Definition

                        The number of true positives if the GQ score threshold was set to "score" field value.

                        ShortRoc score true positive numbers
                        Control0..*
                        Typeinteger
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        170. MolecularSequence.quality.roc.numFP
                        Definition

                        The number of false positives if the GQ score threshold was set to "score" field value.

                        ShortRoc score false positive numbers
                        Control0..*
                        Typeinteger
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        172. MolecularSequence.quality.roc.numFN
                        Definition

                        The number of false negatives if the GQ score threshold was set to "score" field value.

                        ShortRoc score false negative numbers
                        Control0..*
                        Typeinteger
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        174. MolecularSequence.quality.roc.precision
                        Definition

                        Calculated precision if the GQ score threshold was set to "score" field value.

                        ShortPrecision of the GQ score
                        Control0..*
                        Typedecimal
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        176. MolecularSequence.quality.roc.sensitivity
                        Definition

                        Calculated sensitivity if the GQ score threshold was set to "score" field value.

                        ShortSensitivity of the GQ score
                        Control0..*
                        Typedecimal
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        178. MolecularSequence.quality.roc.fMeasure
                        Definition

                        Calculated fScore if the GQ score threshold was set to "score" field value.

                        ShortFScore of the GQ score
                        Control0..*
                        Typedecimal
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        180. MolecularSequence.readCoverage
                        Definition

                        Coverage (read depth or depth) is the average number of reads representing a given nucleotide in the reconstructed sequence.

                        ShortAverage number of reads representing a given nucleotide in the reconstructed sequence
                        Control0..1
                        Typeinteger
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        182. MolecularSequence.repository
                        Definition

                        Configurations of the external repository. The repository shall store target's observedSeq or records related with target's observedSeq.

                        ShortExternal repository which contains detailed report related with observedSeq in this resource
                        Control0..*
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        184. MolecularSequence.repository.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        186. MolecularSequence.repository.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        188. MolecularSequence.repository.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        190. MolecularSequence.repository.type
                        Definition

                        Click and see / RESTful API / Need login to see / RESTful API with authentication / Other ways to see resource.

                        Shortdirectlink | openapi | login | oauth | other
                        Control1..1
                        BindingThe codes SHALL be taken from repositoryType
                        (required to http://hl7.org/fhir/ValueSet/repository-type|4.0.1)

                        Type for access of external URI.

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        192. MolecularSequence.repository.url
                        Definition

                        URI of an external repository which contains further details about the genetics data.

                        ShortURI of the repository
                        Control0..1
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        194. MolecularSequence.repository.name
                        Definition

                        URI of an external repository which contains further details about the genetics data.

                        ShortRepository's name
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        196. MolecularSequence.repository.datasetId
                        Definition

                        Id of the variant in this external repository. The server will understand how to use this id to call for more info about datasets in external repository.

                        ShortId of the dataset that used to call for dataset in repository
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        198. MolecularSequence.repository.variantsetId
                        Definition

                        Id of the variantset in this external repository. The server will understand how to use this id to call for more info about variantsets in external repository.

                        ShortId of the variantset that used to call for variantset in repository
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        200. MolecularSequence.repository.readsetId
                        Definition

                        Id of the read in this external repository.

                        ShortId of the read
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        202. MolecularSequence.pointer
                        Definition

                        Pointer to next atomic sequence which at most contains one variant.

                        ShortPointer to next atomic sequence
                        Control0..*
                        TypeReference(MolecularSequence)
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        204. MolecularSequence.structureVariant
                        Definition

                        Information about chromosome structure variation.

                        ShortStructural variant
                        Control0..*
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        206. MolecularSequence.structureVariant.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        208. MolecularSequence.structureVariant.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        210. MolecularSequence.structureVariant.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        212. MolecularSequence.structureVariant.variantType
                        Definition

                        Information about chromosome structure variation DNA change type.

                        ShortStructural variant change type
                        Control0..1
                        BindingThe codes SHALL be taken from LOINC Answer List LL379-9|4.0.1
                        (required to http://loinc.org/vs/LL379-9|4.0.1)

                        DNA change type.

                        TypeCodeableConcept
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        214. MolecularSequence.structureVariant.exact
                        Definition

                        Used to indicate if the outer and inner start-end values have the same meaning.

                        ShortDoes the structural variant have base pair resolution breakpoints?
                        Control0..1
                        Typeboolean
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        216. MolecularSequence.structureVariant.length
                        Definition

                        Length of the variant chromosome.

                        ShortStructural variant length
                        Control0..1
                        Typeinteger
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        218. MolecularSequence.structureVariant.outer
                        Definition

                        Structural variant outer.

                        ShortStructural variant outer
                        Control0..1
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        220. MolecularSequence.structureVariant.outer.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        222. MolecularSequence.structureVariant.outer.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        224. MolecularSequence.structureVariant.outer.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        226. MolecularSequence.structureVariant.outer.start
                        Definition

                        Structural variant outer start. If the coordinate system is either 0-based or 1-based, then start position is inclusive.

                        ShortStructural variant outer start
                        Control0..1
                        Typeinteger
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        228. MolecularSequence.structureVariant.outer.end
                        Definition

                        Structural variant outer end. If the coordinate system is 0-based then end is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.

                        ShortStructural variant outer end
                        Control0..1
                        Typeinteger
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        230. MolecularSequence.structureVariant.inner
                        Definition

                        Structural variant inner.

                        ShortStructural variant inner
                        Control0..1
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        232. MolecularSequence.structureVariant.inner.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        234. MolecularSequence.structureVariant.inner.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        236. MolecularSequence.structureVariant.inner.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        238. MolecularSequence.structureVariant.inner.start
                        Definition

                        Structural variant inner start. If the coordinate system is either 0-based or 1-based, then start position is inclusive.

                        ShortStructural variant inner start
                        Control0..1
                        Typeinteger
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        240. MolecularSequence.structureVariant.inner.end
                        Definition

                        Structural variant inner end. If the coordinate system is 0-based then end is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.

                        ShortStructural variant inner end
                        Control0..1
                        Typeinteger
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))