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StructureDefinition "4" Version "1"

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Updated: by

Generated Narrative with Details

id: 4

meta:

url: http://example.org/fhir/StructureDefinition/MyAccount

name: MyAccount

status: draft

fhirVersion: 3.5.0

kind: resource

abstract: false

type: Account

baseDefinition: http://hl7.org/fhir/StructureDefinition/Account

derivation: constraint


{
  "resourceType" : "StructureDefinition",
  "id" : "4",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-10-18T10:24:22.124Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 4</p><p><b>meta</b>: </p><p><b>url</b>: <a href=\"http://example.org/fhir/StructureDefinition/MyAccount\">http://example.org/fhir/StructureDefinition/MyAccount</a></p><p><b>name</b>: MyAccount</p><p><b>status</b>: draft</p><p><b>fhirVersion</b>: 3.5.0</p><p><b>kind</b>: resource</p><p><b>abstract</b>: false</p><p><b>type</b>: <a href=\"Account\">Account</a></p><p><b>baseDefinition</b>: <a href=\"http://hl7.org/fhir/StructureDefinition/Account\">http://hl7.org/fhir/StructureDefinition/Account</a></p><p><b>derivation</b>: constraint</p></div>"
  },
  "url" : "http://example.org/fhir/StructureDefinition/MyAccount",
  "name" : "MyAccount",
  "status" : "draft",
  "fhirVersion" : "3.5.0",
  "kind" : "resource",
  "abstract" : false,
  "type" : "Account",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Account",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Account.status",
        "path" : "Account.status",
        "min" : 1
      }
    ]
  }
}

StructureDefinition "3" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 3

meta:

url: http://example.org/fhir/StructureDefinition/MyAppointment

name: MyAppointment

status: draft

fhirVersion: 3.5.0

kind: resource

abstract: false

type: Appointment

baseDefinition: http://hl7.org/fhir/StructureDefinition/Appointment

derivation: constraint


{
  "resourceType" : "StructureDefinition",
  "id" : "3",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-10-18T10:24:21.655Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 3</p><p><b>meta</b>: </p><p><b>url</b>: <a href=\"http://example.org/fhir/StructureDefinition/MyAppointment\">http://example.org/fhir/StructureDefinition/MyAppointment</a></p><p><b>name</b>: MyAppointment</p><p><b>status</b>: draft</p><p><b>fhirVersion</b>: 3.5.0</p><p><b>kind</b>: resource</p><p><b>abstract</b>: false</p><p><b>type</b>: <a href=\"Appointment\">Appointment</a></p><p><b>baseDefinition</b>: <a href=\"http://hl7.org/fhir/StructureDefinition/Appointment\">http://hl7.org/fhir/StructureDefinition/Appointment</a></p><p><b>derivation</b>: constraint</p></div>"
  },
  "url" : "http://example.org/fhir/StructureDefinition/MyAppointment",
  "name" : "MyAppointment",
  "status" : "draft",
  "fhirVersion" : "3.5.0",
  "kind" : "resource",
  "abstract" : false,
  "type" : "Appointment",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Appointment",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Appointment.reason",
        "path" : "Appointment.reason",
        "min" : 1
      }
    ]
  }
}

StructureDefinition "2" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 2

meta:

url: http://example.org/fhir/StructureDefinition/MyAccount

name: MyAccount

status: draft

fhirVersion: 3.5.0

kind: resource

abstract: false

type: Account

baseDefinition: http://hl7.org/fhir/StructureDefinition/Account

derivation: constraint


{
  "resourceType" : "StructureDefinition",
  "id" : "2",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-10-18T08:57:54.843Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 2</p><p><b>meta</b>: </p><p><b>url</b>: <a href=\"http://example.org/fhir/StructureDefinition/MyAccount\">http://example.org/fhir/StructureDefinition/MyAccount</a></p><p><b>name</b>: MyAccount</p><p><b>status</b>: draft</p><p><b>fhirVersion</b>: 3.5.0</p><p><b>kind</b>: resource</p><p><b>abstract</b>: false</p><p><b>type</b>: <a href=\"Account\">Account</a></p><p><b>baseDefinition</b>: <a href=\"http://hl7.org/fhir/StructureDefinition/Account\">http://hl7.org/fhir/StructureDefinition/Account</a></p><p><b>derivation</b>: constraint</p></div>"
  },
  "url" : "http://example.org/fhir/StructureDefinition/MyAccount",
  "name" : "MyAccount",
  "status" : "draft",
  "fhirVersion" : "3.5.0",
  "kind" : "resource",
  "abstract" : false,
  "type" : "Account",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Account",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Account.status",
        "path" : "Account.status",
        "min" : 1
      }
    ]
  }
}

StructureDefinition "1" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 1

meta:

url: http://example.org/fhir/StructureDefinition/MyAppointment

name: MyAppointment

status: draft

fhirVersion: 3.5.0

kind: resource

abstract: false

type: Appointment

baseDefinition: http://hl7.org/fhir/StructureDefinition/Appointment

derivation: constraint


{
  "resourceType" : "StructureDefinition",
  "id" : "1",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-10-18T08:57:53.718Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 1</p><p><b>meta</b>: </p><p><b>url</b>: <a href=\"http://example.org/fhir/StructureDefinition/MyAppointment\">http://example.org/fhir/StructureDefinition/MyAppointment</a></p><p><b>name</b>: MyAppointment</p><p><b>status</b>: draft</p><p><b>fhirVersion</b>: 3.5.0</p><p><b>kind</b>: resource</p><p><b>abstract</b>: false</p><p><b>type</b>: <a href=\"Appointment\">Appointment</a></p><p><b>baseDefinition</b>: <a href=\"http://hl7.org/fhir/StructureDefinition/Appointment\">http://hl7.org/fhir/StructureDefinition/Appointment</a></p><p><b>derivation</b>: constraint</p></div>"
  },
  "url" : "http://example.org/fhir/StructureDefinition/MyAppointment",
  "name" : "MyAppointment",
  "status" : "draft",
  "fhirVersion" : "3.5.0",
  "kind" : "resource",
  "abstract" : false,
  "type" : "Appointment",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Appointment",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Appointment.reason",
        "path" : "Appointment.reason",
        "min" : 1
      }
    ]
  }
}

StructureDefinition "us-core-smokingstatus" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*US Core Smoking Status Observation Profile
... status S1..1codeBinding: ObservationStatus (required)
... code S1..1CodeableConceptSmoking Status: LOINC 72166-2 = Tobacco smoking status NHIS
Required Pattern: {"coding":[{"system":"http://loinc.org","code":"72166-2"}]}
... subject S1..1Reference(US Core Patient Profile)
... issued S1..1instant
... valueCodeableConcept S1..1CodeableConceptCoded Responses from Smoking Status Value Set
Binding: Smoking Status (extensible)

doco Documentation for this format

{
  "resourceType" : "StructureDefinition",
  "id" : "us-core-smokingstatus",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-09-06T12:55:44.859Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\" border=\"0\" cellpadding=\"0\" cellspacing=\"0\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"The logical name of the element\" href=\"http://build.fhir.org/formats.html#table\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"Information about the use of the element\" href=\"http://build.fhir.org/formats.html#table\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"Minimum and Maximum # of times the the element can appear in the instance\" href=\"http://build.fhir.org/formats.html#table\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a title=\"Reference to the type of the element\" href=\"http://build.fhir.org/formats.html#table\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"Additional information about the element\" href=\"http://build.fhir.org/formats.html#table\">Description &amp; Constraints</a><span style=\"float: right\"><a title=\"Legend for this format\" href=\"http://build.fhir.org/formats.html#table\"><img alt=\"doco\" style=\"background-color: inherit\" src=\"http://build.fhir.org/help16.png\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\"/> <a title=\"The US Core Smoking Status Observation Profile is based upon the core FHIR Observation Resource and created to meet the 2015 Edition Common Clinical Data Set &apos;Smoking status&apos; requirements.\" href=\"StructureDefinition-us-core-smokingstatus-definitions.html#Observation\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">US Core Smoking Status Observation Profile</td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\"/> <a href=\"StructureDefinition-us-core-smokingstatus-definitions.html#Observation.status\">status</a><a name=\"Observation.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://build.fhir.org/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://build.fhir.org/valueset-observation-status.html\">ObservationStatus</a> (<a title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" href=\"http://build.fhir.org/terminologies.html#required\">required</a>)</td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\"/> <a title=\"Smoking Status: Limited to fixed LOINC value 72166-2 = Tobacco smoking status NHIS.\" href=\"StructureDefinition-us-core-smokingstatus-definitions.html#Observation.code\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://build.fhir.org/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Smoking Status: LOINC 72166-2 = Tobacco smoking status NHIS<br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">{\"coding\":[{\"system\":\"http://loinc.org\",\"code\":\"72166-2\"}]}</span></td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\"/> <a href=\"StructureDefinition-us-core-smokingstatus-definitions.html#Observation.subject\">subject</a><a name=\"Observation.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\"/> <a href=\"StructureDefinition-us-core-smokingstatus-definitions.html#Observation.issued\">issued</a><a name=\"Observation.issued\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://build.fhir.org/datatypes.html#instant\">instant</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\"/> <a href=\"StructureDefinition-us-core-smokingstatus-definitions.html#Observation.valueCodeableConcept\">valueCodeableConcept</a><a name=\"Observation.valueCodeableConcept\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Coded Responses from Smoking Status Value Set<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-observation-ccdasmokingstatus.html\">Smoking Status</a> (<a title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\" href=\"http://build.fhir.org/terminologies.html#extensible\">extensible</a>)</td></tr>\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a title=\"Legend for this format\" href=\"http://build.fhir.org/formats.html#table\"><img alt=\"doco\" style=\"background-color: inherit\" src=\"http://build.fhir.org/help16.png\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "url" : "http://hl7.org/fhir/us/core-r4/StructureDefinition/us-core-smokingstatus",
  "version" : "2.0.0",
  "name" : "US Core Smoking Status Observation Profile",
  "status" : "active",
  "date" : "2016-08-01",
  "publisher" : "HL7 US Realm Steering Committee",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.healthit.gov"
        }
      ]
    }
  ],
  "description" : "Defines constraints and extensions on the Observation resource for the minimal set of data to query and retrieve patient's Smoking Status information.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "fhirVersion" : "3.5.0",
  "mapping" : [
    {
      "identity" : "argonaut-dq-dstu2",
      "uri" : "http://unknown.org/Argonaut-DQ-DSTU2",
      "name" : "Argonaut-DQ-DSTU2"
    },
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "sct-concept",
      "uri" : "http://snomed.info/conceptdomain",
      "name" : "SNOMED CT Concept Domain Binding"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern"
    },
    {
      "identity" : "sct-attr",
      "uri" : "http://snomed.info/sct",
      "name" : "SNOMED CT Attribute Binding"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation" : "constraint",
  "snapshot" : {
    "element" : [
      {
        "id" : "Observation",
        "path" : "Observation",
        "short" : "US Core Smoking Status Observation Profile",
        "definition" : "The US Core Smoking Status Observation Profile is based upon the core FHIR Observation Resource and created to meet the 2015 Edition Common Clinical Data Set 'Smoking status' requirements.",
        "comment" : "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.",
        "alias" : [
          "Vital Signs",
          "Measurement",
          "Results",
          "Tests",
          "Obs"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation",
          "min" : 0,
          "max" : "*"
        },
        "constraint" : [
          {
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "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",
            "expression" : "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()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean" : true
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a guman readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
              }
            ],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "obs-7",
            "severity" : "error",
            "human" : "If Observation.code is the same as a Observation.component.code then the value element associated with the code SHALL NOT be present",
            "expression" : "value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()",
            "xpath" : "not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))",
            "source" : "Observation"
          },
          {
            "key" : "obs-6",
            "severity" : "error",
            "human" : "dataAbsentReason SHALL only be present if Observation.value[x] is not present",
            "expression" : "dataAbsentReason.empty() or value.empty()",
            "xpath" : "not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))",
            "source" : "Observation"
          }
        ],
        "mustSupport" : false,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "sct-concept",
            "map" : "< 363787002 |Observable entity|"
          },
          {
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=EVN]"
          },
          {
            "identity" : "argonaut-dq-dstu2",
            "map" : "Observation"
          }
        ]
      },
      {
        "id" : "Observation.id",
        "path" : "Observation.id",
        "short" : "Logical id of this artifact",
        "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "id"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "Observation.meta",
        "path" : "Observation.meta",
        "short" : "Metadata about the resource",
        "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.meta",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Meta"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "Observation.implicitRules",
        "path" : "Observation.implicitRules",
        "short" : "A set of rules under which this content was created",
        "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.",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.implicitRules",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "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",
        "isSummary" : true
      },
      {
        "id" : "Observation.language",
        "path" : "Observation.language",
        "short" : "Language of the resource content",
        "definition" : "The base language in which the resource is written.",
        "comment" : "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).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.language",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }
          ],
          "strength" : "preferred",
          "description" : "A human language.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
        }
      },
      {
        "id" : "Observation.text",
        "path" : "Observation.text",
        "short" : "Text summary of the resource, for human interpretation",
        "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.",
        "comment" : "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.",
        "alias" : [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "DomainResource.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Act.text?"
          }
        ]
      },
      {
        "id" : "Observation.contained",
        "path" : "Observation.contained",
        "short" : "Contained, inline Resources",
        "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.",
        "comment" : "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.",
        "alias" : [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.contained",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Resource"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Observation.extension",
        "path" : "Observation.extension",
        "short" : "Additional Content defined by implementations",
        "definition" : "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.",
        "comment" : "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.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Observation.modifierExtension",
        "path" : "Observation.modifierExtension",
        "short" : "Extensions that cannot be ignored",
        "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. 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Observation.identifier",
        "path" : "Observation.identifier",
        "short" : "Business Identifier for observation",
        "definition" : "A unique identifier assigned to this observation.",
        "requirements" : "Allows observations to be distinguished and referenced.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.identifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Identifier"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."
          },
          {
            "identity" : "rim",
            "map" : "id"
          }
        ]
      },
      {
        "id" : "Observation.basedOn",
        "path" : "Observation.basedOn",
        "short" : "Fulfills plan, proposal or order",
        "definition" : "A plan, proposal or order that is fulfilled in whole or in part by this event. For example, a MedicationRequest may require a patient to have laboratory test performed before it is dispensed.",
        "requirements" : "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
        "alias" : [
          "Fulfills"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.basedOn",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/CarePlan",
              "http://hl7.org/fhir/StructureDefinition/DeviceRequest",
              "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
              "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
              "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
              "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
            ]
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
          }
        ]
      },
      {
        "id" : "Observation.partOf",
        "path" : "Observation.partOf",
        "short" : "Part of referenced event",
        "definition" : "A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.",
        "comment" : "To link an Observation to an Encounter use `context`. See the [Notes](observation.html#obsgrouping) below for guidance on referencing another Observation.",
        "alias" : [
          "Container"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.partOf",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
              "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
              "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
              "http://hl7.org/fhir/StructureDefinition/Procedure",
              "http://hl7.org/fhir/StructureDefinition/Immunization",
              "http://hl7.org/fhir/StructureDefinition/ImagingStudy"
            ]
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }
        ]
      },
      {
        "id" : "Observation.status",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "default: final"
          }
        ],
        "path" : "Observation.status",
        "short" : "registered | preliminary | final | amended +",
        "definition" : "The status of the result value.",
        "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
        "requirements" : "Need to track the status of individual results. Some results are finalized before the whole report is finalized.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.status",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "mustSupport" : true,
        "isModifier" : true,
        "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
        "isSummary" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/ValueSet/observation-status"
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "sct-concept",
            "map" : "< 445584004 |Report by finality status|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-11"
          },
          {
            "identity" : "rim",
            "map" : "status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""
          },
          {
            "identity" : "argonaut-dq-dstu2",
            "map" : "Observation.status"
          }
        ]
      },
      {
        "id" : "Observation.category",
        "path" : "Observation.category",
        "short" : "Classification of type of observation",
        "definition" : "A code that classifies the general type of observation being made.",
        "comment" : "In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.",
        "requirements" : "Used for filtering what observations are retrieved and displayed.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.category",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationCategory"
            }
          ],
          "strength" : "preferred",
          "description" : "Codes for high level observation categories.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/observation-category"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
          }
        ]
      },
      {
        
"id" : "Observation.code",
        
"path" : "Observation.code",
        
"short" : "Smoking Status: LOINC 72166-2 = Tobacco smoking status NHIS",
        
"definition" : "Smoking Status: Limited to fixed LOINC value 72166-2 = Tobacco smoking status NHIS.",
        
"comment" : "*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.",
        
"requirements" : "Knowing what kind of observation is being made is essential to understanding the observation.",
        
"alias" : [
          "Name"
        ],
        
"min" : 1,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.code",
          
"min" : 1,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"patternCodeableConcept" : {
          
"coding" : [
            {
              
"system" : "http://loinc.org",
              
"code" : "72166-2"
            }
          ]
        },
        
"mustSupport" : true,
        
"isModifier" : false,
        
"isSummary" : true,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "ObservationCode"
            }
          ],
          
"strength" : "example",
          
"description" : "Codes identifying names of simple observations.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
        },
        
"mapping" : [
          {
            
"identity" : "workflow",
            
"map" : "Event.code"
          },
          {
            
"identity" : "w5",
            
"map" : "FiveWs.what[x]"
          },
          {
            
"identity" : "sct-concept",
            
"map" : "< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"
          },
          {
            
"identity" : "v2",
            
"map" : "OBX-3"
          },
          {
            
"identity" : "rim",
            
"map" : "code"
          },
          {
            
"identity" : "sct-attr",
            
"map" : "116680003 |Is a|"
          },
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Observation.code"
          }
        ]
      },
      {
        
"id" : "Observation.subject",
        
"path" : "Observation.subject",
        
"short" : "Who and/or what the observation is about",
        
"definition" : "The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.",
        
"comment" : "One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.",
        
"requirements" : "Observations have no value if you don't know who or what they're about.",
        
"min" : 1,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.subject",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/us/core-r4/StructureDefinition/us-core-patient"
            ]
          }
        ],
        
"mustSupport" : true,
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "workflow",
            
"map" : "Event.subject"
          },
          {
            
"identity" : "w5",
            
"map" : "FiveWs.subject[x]"
          },
          {
            
"identity" : "v2",
            
"map" : "PID-3"
          },
          {
            
"identity" : "rim",
            
"map" : "participation[typeCode=RTGT] "
          },
          {
            
"identity" : "w5",
            
"map" : "FiveWs.subject"
          },
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Observation.subject"
          }
        ]
      },
      {
        
"id" : "Observation.focus",
        
"path" : "Observation.focus",
        
"short" : "What the observation is about, when it is not about the subject of record",
        
"definition" : "The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record. The focus of an observation could also be an existing condition, an intervention, the subject's diet, another observation of the subject, or a body structure such as tumor or implanted device. An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.",
        
"comment" : "Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension [focusCode](extension-Observation-focusCode.html).",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Observation.focus",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "w5",
            
"map" : "FiveWs.subject[x]"
          },
          {
            
"identity" : "v2",
            
"map" : "OBX-3"
          },
          {
            
"identity" : "rim",
            
"map" : "participation[typeCode=SBJ]"
          },
          {
            
"identity" : "w5",
            
"map" : "FiveWs.subject"
          }
        ]
      },
      {
        
"id" : "Observation.encounter",
        
"path" : "Observation.encounter",
        
"short" : "Healthcare event during which this observation is made",
        
"definition" : "The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.",
        
"comment" : "This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).",
        
"requirements" : "For some observations it may be important to know the link between an observation and a particular encounter.",
        
"alias" : [
          "Context"
        ],
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.encounter",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Encounter"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "workflow",
            
"map" : "Event.context"
          },
          {
            
"identity" : "w5",
            
"map" : "FiveWs.context"
          },
          {
            
"identity" : "v2",
            
"map" : "PV1"
          },
          {
            
"identity" : "rim",
            
"map" : "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }
        ]
      },
      {
        
"id" : "Observation.effective[x]",
        
"path" : "Observation.effective[x]",
        
"short" : "Clinically relevant time/time-period for observation",
        
"definition" : "The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the \"physiologically relevant time\". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.",
        
"comment" : "At least a date should be present unless this observation is a historical report. For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.",
        
"requirements" : "Knowing when an observation was deemed true is important to its relevance as well as determining trends.",
        
"alias" : [
          "Occurrence"
        ],
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.effective[x]",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "dateTime"
          },
          {
            
"code" : "Period"
          },
          {
            
"code" : "Timing"
          },
          {
            
"code" : "instant"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "workflow",
            
"map" : "Event.occurrence[x]"
          },
          {
            
"identity" : "w5",
            
"map" : "FiveWs.done[x]"
          },
          {
            
"identity" : "v2",
            
"map" : "OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"
          },
          {
            
"identity" : "rim",
            
"map" : "effectiveTime"
          }
        ]
      },
      {
        
"id" : "Observation.issued",
        
"path" : "Observation.issued",
        
"short" : "Date/Time this version was made available",
        
"definition" : "The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.",
        
"comment" : "For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.",
        
"min" : 1,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.issued",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "instant"
          }
        ],
        
"mustSupport" : true,
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "w5",
            
"map" : "FiveWs.recorded"
          },
          {
            
"identity" : "v2",
            
"map" : "OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"
          },
          {
            
"identity" : "rim",
            
"map" : "participation[typeCode=AUT].time"
          },
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Observation.issued"
          }
        ]
      },
      {
        
"id" : "Observation.performer",
        
"path" : "Observation.performer",
        
"short" : "Who is responsible for the observation",
        
"definition" : "Who was responsible for asserting the observed value as \"true\".",
        
"requirements" : "May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Observation.performer",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/CareTeam",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "workflow",
            
"map" : "Event.performer.actor"
          },
          {
            
"identity" : "w5",
            
"map" : "FiveWs.actor"
          },
          {
            
"identity" : "v2",
            
"map" : "OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'"
          },
          {
            
"identity" : "rim",
            
"map" : "participation[typeCode=PRF]"
          }
        ]
      },
      {
        
"id" : "Observation.valueCodeableConcept",
        
"path" : "Observation.valueCodeableConcept",
        
"short" : "Coded Responses from Smoking Status Value Set",
        
"definition" : "The information determined as a result of making the observation, if the information has a simple value.",
        
"comment" : "An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](observation.html#notes) below.",
        
"requirements" : "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.",
        
"min" : 1,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.value[x]",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"condition" : [
          "obs-7"
        ],
        
"mustSupport" : true,
        
"isModifier" : false,
        
"isSummary" : true,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              
"valueCanonical" : "http://hl7.org/fhir/us/core-r4/ValueSet/us-core-observation-ccdasmokingstatus"
            }
          ],
          
"strength" : "extensible",
          
"description" : "This value set indicates the current smoking status of a patient",
          
"valueSet" : "http://hl7.org/fhir/us/core-r4/ValueSet/us-core-observation-ccdasmokingstatus"
        },
        
"mapping" : [
          {
            
"identity" : "sct-concept",
            
"map" : "< 441742003 |Evaluation finding|"
          },
          {
            
"identity" : "v2",
            
"map" : "OBX.2, OBX.5, OBX.6"
          },
          {
            
"identity" : "rim",
            
"map" : "value"
          },
          {
            
"identity" : "sct-attr",
            
"map" : "363714003 |Interprets|"
          },
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Observation.valueCodeableConcept"
          }
        ]
      },
      {
        
"id" : "Observation.dataAbsentReason",
        
"path" : "Observation.dataAbsentReason",
        
"short" : "Why the result is missing",
        
"definition" : "Provides a reason why the expected value in the element Observation.value[x] is missing.",
        
"comment" : "Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"specimen unsatisfactory\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.",
        
"requirements" : "For many results it is necessary to handle exceptional values in measurements.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.dataAbsentReason",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"condition" : [
          "obs-6"
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "ObservationValueAbsentReason"
            }
          ],
          
"strength" : "extensible",
          
"description" : "Codes specifying why the result (`Observation.value[x]`) is missing.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/data-absent-reason"
        },
        
"mapping" : [
          {
            
"identity" : "v2",
            
"map" : "N/A"
          },
          {
            
"identity" : "rim",
            
"map" : "value.nullFlavor"
          }
        ]
      },
      {
        
"id" : "Observation.interpretation",
        
"path" : "Observation.interpretation",
        
"short" : "High, low, normal, etc.",
        
"definition" : "A categorical assessment of an observation value. For example, high, low, normal.",
        
"comment" : "Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.",
        
"requirements" : "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.",
        
"alias" : [
          "Abnormal Flag"
        ],
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Observation.interpretation",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "ObservationInterpretation"
            }
          ],
          
"strength" : "extensible",
          
"description" : "Codes identifying interpretations of observations.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-interpretation"
        },
        
"mapping" : [
          {
            
"identity" : "sct-concept",
            
"map" : "< 260245000 |Findings values|"
          },
          {
            
"identity" : "v2",
            
"map" : "OBX-8"
          },
          {
            
"identity" : "rim",
            
"map" : "interpretationCode"
          },
          {
            
"identity" : "sct-attr",
            
"map" : "363713009 |Has interpretation|"
          }
        ]
      },
      {
        
"id" : "Observation.comment",
        
"path" : "Observation.comment",
        
"short" : "Comments about the test result value",
        
"definition" : "Comments about the test result value may include statements about significant, unexpected or unreliable results values, or information about the its source when this is relevant to its interpretation.",
        
"requirements" : "Need to be able to provide free text additional information.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.comment",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "string"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "v2",
            
"map" : "NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"
          },
          {
            
"identity" : "rim",
            
"map" : "subjectOf.observationEvent[code=\"annotation\"].value"
          }
        ]
      },
      {
        
"id" : "Observation.bodySite",
        
"path" : "Observation.bodySite",
        
"short" : "Observed body part",
        
"definition" : "Indicates the site on the subject's body where the observation was made (i.e. the target site).",
        
"comment" : "Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](extension-bodysite.html).",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.bodySite",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "BodySite"
            }
          ],
          
"strength" : "example",
          
"description" : "Codes describing anatomical locations. May include laterality.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
        },
        
"mapping" : [
          {
            
"identity" : "sct-concept",
            
"map" : "< 123037004 |Body structure|"
          },
          {
            
"identity" : "v2",
            
"map" : "OBX-20"
          },
          {
            
"identity" : "rim",
            
"map" : "targetSiteCode"
          },
          {
            
"identity" : "sct-attr",
            
"map" : "718497002 |Inherent location|"
          }
        ]
      },
      {
        
"id" : "Observation.method",
        
"path" : "Observation.method",
        
"short" : "How it was done",
        
"definition" : "Indicates the mechanism used to perform the observation.",
        
"comment" : "Only used if not implicit in code for Observation.code.",
        
"requirements" : "In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.method",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "ObservationMethod"
            }
          ],
          
"strength" : "example",
          
"description" : "Methods for simple observations.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-methods"
        },
        
"mapping" : [
          {
            
"identity" : "v2",
            
"map" : "OBX-17"
          },
          {
            
"identity" : "rim",
            
"map" : "methodCode"
          }
        ]
      },
      {
        
"id" : "Observation.specimen",
        
"path" : "Observation.specimen",
        
"short" : "Specimen used for this observation",
        
"definition" : "The specimen that was used when this observation was made.",
        
"comment" : "Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.specimen",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Specimen"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "sct-concept",
            
"map" : "< 123038009 |Specimen|"
          },
          {
            
"identity" : "v2",
            
"map" : "SPM segment"
          },
          {
            
"identity" : "rim",
            
"map" : "participation[typeCode=SPC].specimen"
          },
          {
            
"identity" : "sct-attr",
            
"map" : "704319004 |Inherent in|"
          }
        ]
      },
      {
        
"id" : "Observation.device",
        
"path" : "Observation.device",
        
"short" : "(Measurement) Device",
        
"definition" : "The device used to generate the observation data.",
        
"comment" : "An extension should be used if further typing of the device is needed. Devices used to support obtaining an observation can be represented using an extension or the [Provenance](provenance.html) resource. (e.g., a device gateway such as a smart phone).",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.device",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/DeviceMetric"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "sct-concept",
            
"map" : "< 49062001 |Device|"
          },
          {
            
"identity" : "v2",
            
"map" : "OBX-17 / PRT -10"
          },
          {
            
"identity" : "rim",
            
"map" : "participation[typeCode=DEV]"
          },
          {
            
"identity" : "sct-attr",
            
"map" : "424226004 |Using device|"
          }
        ]
      },
      {
        
"id" : "Observation.referenceRange",
        
"path" : "Observation.referenceRange",
        
"short" : "Provides guide for interpretation",
        
"definition" : "Guidance on how to interpret the value by comparison to a normal or recommended range.",
        
"comment" : "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.",
        
"requirements" : "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Observation.referenceRange",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "BackboneElement"
          }
        ],
        
"constraint" : [
          {
            
"key" : "ele-1",
            
"severity" : "error",
            
"human" : "All FHIR elements must have a @value or children",
            
"expression" : "hasValue() or (children().count() > id.count())",
            
"xpath" : "@value|f:*|h:div",
            
"source" : "Element"
          },
          {
            
"key" : "obs-3",
            
"severity" : "error",
            
"human" : "Must have at least a low or a high or text",
            
"expression" : "low.exists() or high.exists() or text.exists()",
            
"xpath" : "(exists(f:low) or exists(f:high)or exists(f:text))"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "v2",
            
"map" : "OBX.7"
          },
          {
            
"identity" : "rim",
            
"map" : "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        
"id" : "Observation.referenceRange.id",
        
"path" : "Observation.referenceRange.id",
        
"representation" : [
          "xmlAttr"
        ],
        
"short" : "xml:id (or equivalent in JSON)",
        
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Element.id",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "string"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : "n/a"
          }
        ]
      },
      {
        
"id" : "Observation.referenceRange.extension",
        
"path" : "Observation.referenceRange.extension",
        
"short" : "Additional content defined by implementations",
        
"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.",
        
"comment" : "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.",
        
"alias" : [
          "extensions",
          "user content"
        ],
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Element.extension",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Extension"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : "n/a"
          }
        ]
      },
      {
        
"id" : "Observation.referenceRange.modifierExtension",
        
"path" : "Observation.referenceRange.modifierExtension",
        
"short" : "Extensions that cannot be ignored if unrecognized",
        
"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. 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        
"comment" : "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.",
        
"alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "BackboneElement.modifierExtension",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Extension"
          }
        ],
        
"isModifier" : true,
        
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : "N/A"
          }
        ]
      },
      {
        
"id" : "Observation.referenceRange.low",
        
"path" : "Observation.referenceRange.low",
        
"short" : "Low Range, if relevant",
        
"definition" : "The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.referenceRange.low",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "Quantity",
            
"profile" : [
              "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
            ]
          }
        ],
        
"condition" : [
          "obs-3"
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "v2",
            
"map" : "OBX-7"
          },
          {
            
"identity" : "rim",
            
"map" : "value:IVL_PQ.low"
          }
        ]
      },
      {
        
"id" : "Observation.referenceRange.high",
        
"path" : "Observation.referenceRange.high",
        
"short" : "High Range, if relevant",
        
"definition" : "The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.referenceRange.high",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "Quantity",
            
"profile" : [
              "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
            ]
          }
        ],
        
"condition" : [
          "obs-3"
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "v2",
            
"map" : "OBX-7"
          },
          {
            
"identity" : "rim",
            
"map" : "value:IVL_PQ.high"
          }
        ]
      },
      {
        
"id" : "Observation.referenceRange.type",
        
"path" : "Observation.referenceRange.type",
        
"short" : "Reference range qualifier",
        
"definition" : "Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.",
        
"comment" : "This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed.",
        
"requirements" : "Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc., - for proper interpretation.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.referenceRange.type",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "ObservationRangeMeaning"
            }
          ],
          
"strength" : "preferred",
          
"description" : "Code for the meaning of a reference range.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/referencerange-meaning"
        },
        
"mapping" : [
          {
            
"identity" : "sct-concept",
            
"map" : "< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"
          },
          {
            
"identity" : "v2",
            
"map" : "OBX-10"
          },
          {
            
"identity" : "rim",
            
"map" : "interpretationCode"
          }
        ]
      },
      {
        
"id" : "Observation.referenceRange.appliesTo",
        
"path" : "Observation.referenceRange.appliesTo",
        
"short" : "Reference range population",
        
"definition" : "Codes to indicate the target population this reference range applies to. For example, a reference range may be based on the normal population or a particular sex or race.",
        
"comment" : "This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed.",
        
"requirements" : "Need to be able to identify the target population for proper interpretation.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Observation.referenceRange.appliesTo",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "ObservationRangeType"
            }
          ],
          
"strength" : "example",
          
"description" : "Codes identifying the population the reference range applies to.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/referencerange-appliesto"
        },
        
"mapping" : [
          {
            
"identity" : "sct-concept",
            
"map" : "< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"
          },
          {
            
"identity" : "v2",
            
"map" : "OBX-10"
          },
          {
            
"identity" : "rim",
            
"map" : "interpretationCode"
          }
        ]
      },
      {
        
"id" : "Observation.referenceRange.age",
        
"path" : "Observation.referenceRange.age",
        
"short" : "Applicable age range, if relevant",
        
"definition" : "The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.",
        
"requirements" : "Some analytes vary greatly over age.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.referenceRange.age",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "Range"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : "outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"
          }
        ]
      },
      {
        
"id" : "Observation.referenceRange.text",
        
"path" : "Observation.referenceRange.text",
        
"short" : "Text based reference range in an observation",
        
"definition" : "Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation. An example would be a reference value of \"Negative\" or a list or table of \"normals\".",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.referenceRange.text",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "string"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "v2",
            
"map" : "OBX-7"
          },
          {
            
"identity" : "rim",
            
"map" : "value:ST"
          }
        ]
      },
      {
        
"id" : "Observation.hasMember",
        
"path" : "Observation.hasMember",
        
"short" : "Related resource that belongs to the Observation group",
        
"definition" : "This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.",
        
"comment" : "When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](questionnaireresponse.html) into a final score and represent the score as an Observation.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Observation.hasMember",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Observation",
              "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
              "http://hl7.org/fhir/StructureDefinition/Sequence"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "v2",
            
"map" : "Relationships established by OBX-4 usage"
          },
          {
            
"identity" : "rim",
            
"map" : "outBoundRelationship"
          }
        ]
      },
      {
        
"id" : "Observation.derivedFrom",
        
"path" : "Observation.derivedFrom",
        
"short" : "Related measurements the observation is made from",
        
"definition" : "The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.",
        
"comment" : "All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value. The most common reference will be another Observation. For a discussion on the ways Observations can assembled in groups together, see [Notes](observation.html#obsgrouping) below.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Observation.derivedFrom",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/DocumentReference",
              "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
              "http://hl7.org/fhir/StructureDefinition/Media",
              "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
              "http://hl7.org/fhir/StructureDefinition/Observation",
              "http://hl7.org/fhir/StructureDefinition/Sequence"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "v2",
            
"map" : "Relationships established by OBX-4 usage"
          },
          {
            
"identity" : "rim",
            
"map" : ".targetObservation"
          }
        ]
      },
      {
        
"id" : "Observation.component",
        
"path" : "Observation.component",
        
"short" : "Component results",
        
"definition" : "Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.",
        
"comment" : "For a discussion on the ways Observations can be assembled in groups together see [Notes](observation.html#notes) below.",
        
"requirements" : "Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Observation.component",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "BackboneElement"
          }
        ],
        
"constraint" : [
          {
            
"key" : "ele-1",
            
"severity" : "error",
            
"human" : "All FHIR elements must have a @value or children",
            
"expression" : "hasValue() or (children().count() > id.count())",
            
"xpath" : "@value|f:*|h:div",
            
"source" : "Element"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "v2",
            
"map" : "containment by OBX-4?"
          },
          {
            
"identity" : "rim",
            
"map" : "outBoundRelationship[typeCode=COMP]"
          }
        ]
      },
      {
        
"id" : "Observation.component.id",
        
"path" : "Observation.component.id",
        
"representation" : [
          "xmlAttr"
        ],
        
"short" : "xml:id (or equivalent in JSON)",
        
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Element.id",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "string"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : "n/a"
          }
        ]
      },
      {
        
"id" : "Observation.component.extension",
        
"path" : "Observation.component.extension",
        
"short" : "Additional content defined by implementations",
        
"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.",
        
"comment" : "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.",
        
"alias" : [
          "extensions",
          "user content"
        ],
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Element.extension",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Extension"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : "n/a"
          }
        ]
      },
      {
        
"id" : "Observation.component.modifierExtension",
        
"path" : "Observation.component.modifierExtension",
        
"short" : "Extensions that cannot be ignored if unrecognized",
        
"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. 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        
"comment" : "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.",
        
"alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "BackboneElement.modifierExtension",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Extension"
          }
        ],
        
"isModifier" : true,
        
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : "N/A"
          }
        ]
      },
      {
        
"id" : "Observation.component.code",
        
"path" : "Observation.component.code",
        
"short" : "Type of component observation (code / type)",
        
"definition" : "Describes what was observed. Sometimes this is called the observation \"code\".",
        
"comment" : "*All* code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.",
        
"requirements" : "Knowing what kind of observation is being made is essential to understanding the observation.",
        
"min" : 1,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.component.code",
          
"min" : 1,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "ObservationCode"
            }
          ],
          
"strength" : "example",
          
"description" : "Codes identifying names of simple observations.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
        },
        
"mapping" : [
          {
            
"identity" : "w5",
            
"map" : "FiveWs.what[x]"
          },
          {
            
"identity" : "sct-concept",
            
"map" : "< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"
          },
          {
            
"identity" : "v2",
            
"map" : "OBX-3"
          },
          {
            
"identity" : "rim",
            
"map" : "code"
          }
        ]
      },
      {
        
"id" : "Observation.component.value[x]",
        
"path" : "Observation.component.value[x]",
        
"short" : "Actual component result",
        
"definition" : "The information determined as a result of making the observation, if the information has a simple value.",
        
"comment" : "Used when observation has a set of component observations. An observation may have both a value (e.g. an Apgar score) and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](observation.html#notes) below.",
        
"requirements" : "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.component.value[x]",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "Quantity"
          },
          {
            
"code" : "CodeableConcept"
          },
          {
            
"code" : "string"
          },
          {
            
"code" : "boolean"
          },
          {
            
"code" : "integer"
          },
          {
            
"code" : "Range"
          },
          {
            
"code" : "Ratio"
          },
          {
            
"code" : "SampledData"
          },
          {
            
"code" : "time"
          },
          {
            
"code" : "dateTime"
          },
          {
            
"code" : "Period"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "sct-concept",
            
"map" : "363714003 |Interprets| < 441742003 |Evaluation finding|"
          },
          {
            
"identity" : "v2",
            
"map" : "OBX.2, OBX.5, OBX.6"
          },
          {
            
"identity" : "rim",
            
"map" : "value"
          },
          {
            
"identity" : "sct-attr",
            
"map" : "363714003 |Interprets|"
          }
        ]
      },
      {
        
"id" : "Observation.component.dataAbsentReason",
        
"path" : "Observation.component.dataAbsentReason",
        
"short" : "Why the component result is missing",
        
"definition" : "Provides a reason why the expected value in the element Observation.component.value[x] is missing.",
        
"comment" : "\"Null\" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be \"detected\", \"not detected\", \"inconclusive\", or \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Because of these options, use-case agreements are required to interpret general observations for exceptional values.",
        
"requirements" : "For many results it is necessary to handle exceptional values in measurements.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Observation.component.dataAbsentReason",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"condition" : [
          "obs-6"
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "ObservationValueAbsentReason"
            }
          ],
          
"strength" : "extensible",
          
"description" : "Codes specifying why the result (`Observation.value[x]`) is missing.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/data-absent-reason"
        },
        
"mapping" : [
          {
            
"identity" : "v2",
            
"map" : "N/A"
          },
          {
            
"identity" : "rim",
            
"map" : "value.nullFlavor"
          }
        ]
      },
      {
        
"id" : "Observation.component.interpretation",
        
"path" : "Observation.component.interpretation",
        
"short" : "High, low, normal, etc.",
        
"definition" : "A categorical assessment of an observation value. For example, high, low, normal.",
        
"comment" : "Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.",
        
"requirements" : "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.",
        
"alias" : [
          "Abnormal Flag"
        ],
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Observation.component.interpretation",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "ObservationInterpretation"
            }
          ],
          
"strength" : "extensible",
          
"description" : "Codes identifying interpretations of observations.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-interpretation"
        },
        
"mapping" : [
          {
            
"identity" : "sct-concept",
            
"map" : "< 260245000 |Findings values|"
          },
          {
            
"identity" : "v2",
            
"map" : "OBX-8"
          },
          {
            
"identity" : "rim",
            
"map" : "interpretationCode"
          },
          {
            
"identity" : "sct-attr",
            
"map" : "363713009 |Has interpretation|"
          }
        ]
      },
      {
        
"id" : "Observation.component.referenceRange",
        
"path" : "Observation.component.referenceRange",
        
"short" : "Provides guide for interpretation of component result",
        
"definition" : "Guidance on how to interpret the value by comparison to a normal or recommended range.",
        
"comment" : "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.",
        
"requirements" : "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Observation.component.referenceRange",
          
"min" : 0,
          
"max" : "*"
        },
        
"contentReference" : "#Observation.referenceRange",
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "v2",
            
"map" : "OBX.7"
          },
          {
            
"identity" : "rim",
            
"map" : "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"
          }
        ]
      }
    ]
  },
  
"differential" : {
    
"element" : [
      {
        
"id" : "Observation",
        
"path" : "Observation",
        
"short" : "US Core Smoking Status Observation Profile",
        
"definition" : "The US Core Smoking Status Observation Profile is based upon the core FHIR Observation Resource and created to meet the 2015 Edition Common Clinical Data Set 'Smoking status' requirements.",
        
"alias" : [
          "Obs"
        ],
        
"mustSupport" : false,
        
"isModifier" : false,
        
"mapping" : [
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Observation"
          }
        ]
      },
      {
        
"id" : "Observation.status",
        
"path" : "Observation.status",
        
"min" : 1,
        
"max" : "1",
        
"mustSupport" : true,
        
"isModifier" : false,
        
"binding" : {
          
"strength" : "required",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-status"
        },
        
"mapping" : [
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Observation.status"
          }
        ]
      },
      {
        
"id" : "Observation.code",
        
"path" : "Observation.code",
        
"short" : "Smoking Status: LOINC 72166-2 = Tobacco smoking status NHIS",
        
"definition" : "Smoking Status: Limited to fixed LOINC value 72166-2 = Tobacco smoking status NHIS.",
        
"min" : 1,
        
"max" : "1",
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"patternCodeableConcept" : {
          
"coding" : [
            {
              
"system" : "http://loinc.org",
              
"code" : "72166-2"
            }
          ]
        },
        
"mustSupport" : true,
        
"isModifier" : false,
        
"mapping" : [
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Observation.code"
          }
        ]
      },
      {
        
"id" : "Observation.subject",
        
"path" : "Observation.subject",
        
"min" : 1,
        
"max" : "1",
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/us/core-r4/StructureDefinition/us-core-patient"
            ]
          }
        ],
        
"mustSupport" : true,
        
"isModifier" : false,
        
"mapping" : [
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Observation.subject"
          }
        ]
      },
      {
        
"id" : "Observation.issued",
        
"path" : "Observation.issued",
        
"min" : 1,
        
"max" : "1",
        
"mustSupport" : true,
        
"isModifier" : false,
        
"mapping" : [
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Observation.issued"
          }
        ]
      },
      {
        
"id" : "Observation.valueCodeableConcept",
        
"path" : "Observation.valueCodeableConcept",
        
"short" : "Coded Responses from Smoking Status Value Set",
        
"min" : 1,
        
"max" : "1",
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"mustSupport" : true,
        
"isModifier" : false,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              
"valueCanonical" : "http://hl7.org/fhir/us/core-r4/ValueSet/us-core-observation-ccdasmokingstatus"
            }
          ],
          
"strength" : "extensible",
          
"description" : "This value set indicates the current smoking status of a patient",
          
"valueSet" : "http://hl7.org/fhir/us/core-r4/ValueSet/us-core-observation-ccdasmokingstatus"
        },
        
"mapping" : [
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Observation.valueCodeableConcept"
          }
        ]
      }
    ]
  }
}

StructureDefinition "us-core-race" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1US Core Race Extension
... extension S0..5ExtensionAmerican Indian or Alaska Native|Asian|Black or African American|Native Hawaiian or Other Pacific Islander|White
.... url 1..1uri"ombCategory"
.... valueCoding 1..1CodingBinding: OMB Race Categories (required)
... extension 0..*ExtensionExtended race codes
.... url 1..1uri"detailed"
.... valueCoding 1..1CodingBinding: US-Core Detailed Race (required)
... extension S1..1ExtensionRace Text
.... url 1..1uri"text"
.... valueString 1..1string
... url 1..1"http://hl7.org/fhir/us/core-r4/StructureDefinition/us-core-race"

doco Documentation for this format

{
  "resourceType" : "StructureDefinition",
  "id" : "us-core-race",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-09-06T12:55:44.796Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\" border=\"0\" cellpadding=\"0\" cellspacing=\"0\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"The logical name of the element\" href=\"http://build.fhir.org/formats.html#table\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"Information about the use of the element\" href=\"http://build.fhir.org/formats.html#table\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"Minimum and Maximum # of times the the element can appear in the instance\" href=\"http://build.fhir.org/formats.html#table\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a title=\"Reference to the type of the element\" href=\"http://build.fhir.org/formats.html#table\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"Additional information about the element\" href=\"http://build.fhir.org/formats.html#table\">Description &amp; Constraints</a><span style=\"float: right\"><a title=\"Legend for this format\" href=\"http://build.fhir.org/formats.html#table\"><img alt=\"doco\" style=\"background-color: inherit\" src=\"http://build.fhir.org/help16.png\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\"/> <a title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.\" href=\"StructureDefinition-us-core-race-definitions.html#Extension:race\">Extension</a><a name=\"Extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">US Core Race Extension</td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\"/> <a title=\"Slice ombCategory: The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).\" href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:ombcategory\">extension</a><a name=\"Extension.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..5</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/datatypes.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">American Indian or Alaska Native|Asian|Black or African American|Native Hawaiian or Other Pacific Islander|White</td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck150.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\"/> <a title=\"null\" href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:ombcategory.url\">url</a><a name=\"Extension.extension.url\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">\"ombCategory\"</span></td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck140.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\"/> <a title=\"null\" href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:ombcategory.valueCoding\">valueCoding</a><a name=\"Extension.extension.valueCoding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-omb-race-category.html\">OMB Race Categories</a> (<a title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" href=\"http://build.fhir.org/terminologies.html#required\">required</a>)</td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\"/> <a title=\"Slice detailed: The 900+ CDC race codes that are grouped under one of the 5 OMB race category codes:.\" href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:detailed\">extension</a><a name=\"Extension.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/datatypes.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Extended race codes<br/></td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck150.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\"/> <a title=\"null\" href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:detailed.url\">url</a><a name=\"Extension.extension.url\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">\"detailed\"</span></td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck140.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\"/> <a title=\"null\" href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:detailed.valueCoding\">valueCoding</a><a name=\"Extension.extension.valueCoding\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-detailed-race.html\">US-Core Detailed Race</a> (<a title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" href=\"http://build.fhir.org/terminologies.html#required\">required</a>)</td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Simple Extension\"/> <a title=\"Slice text: Plain text representation of the race concept(s).\" href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:text\">extension</a><a name=\"Extension.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/datatypes.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Race Text</td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck150.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\"/> <a title=\"null\" href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:text.url\">url</a><a name=\"Extension.extension.url\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">\"text\"</span></td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck140.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\"/> <a title=\"null\" href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.extension:text.valueString\">valueString</a><a name=\"Extension.extension.valueString\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\"/> <a title=\"null\" href=\"StructureDefinition-us-core-race-definitions.html#Extension:race.url\">url</a><a name=\"Extension.url\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">\"http://hl7.org/fhir/us/core-r4/StructureDefinition/us-core-race\"</span></td></tr>\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a title=\"Legend for this format\" href=\"http://build.fhir.org/formats.html#table\"><img alt=\"doco\" style=\"background-color: inherit\" src=\"http://build.fhir.org/help16.png\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "url" : "http://hl7.org/fhir/us/core-r4/StructureDefinition/us-core-race",
  "version" : "2.0.0",
  "name" : "US Core Race Extension",
  "title" : "US Core Race Extension",
  "status" : "draft",
  "date" : "2016-08-01",
  "publisher" : "HL7 US Realm Steering Committee",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.healthit.gov"
        }
      ]
    }
  ],
  "description" : "Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "purpose" : "Complies with 2015 Edition Common Clinical Data Set for patient race.",
  "fhirVersion" : "3.5.0",
  "mapping" : [
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    }
  ],
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [
    {
      "type" : "element",
      "expression" : "Patient"
    }
  ],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "snapshot" : {
    "element" : [
      {
        "id" : "Extension:race",
        "path" : "Extension",
        "short" : "US Core Race Extension",
        "definition" : "Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Extension",
          "min" : 0,
          "max" : "*"
        },
        "condition" : [
          "ele-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "children().count() > id.count()",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both
",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
",
            "source" : "Extension"
          }
        ],
        "isModifier" : false
      },
      {
        "id" : "Extension:race.id",
        "path" : "Extension.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "xml:id (or equivalent in JSON)",
        "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Extension:race.extension",
        "path" : "Extension.extension",
        "slicing" : {
          "id" : "1",
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "short" : "Extension",
        "definition" : "An Extension",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ]
      },
      {
        "id" : "Extension:race.extension:ombcategory",
        "path" : "Extension.extension",
        "sliceName" : "ombCategory",
        "short" : "American Indian or Alaska Native|Asian|Black or African American|Native Hawaiian or Other Pacific Islander|White",
        "definition" : "The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).",
        "min" : 0,
        "max" : "5",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "mapping" : [
          {
            "identity" : "iso11179",
            "map" : "/ClinicalDocument/recordTarget/patientRole/patient/raceCode"
          }
        ]
      },
      {
        "id" : "Extension:race.extension:ombcategory.id",
        "path" : "Extension.extension.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "xml:id (or equivalent in JSON)",
        "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Extension:race.extension:ombcategory.extension",
        "path" : "Extension.extension.extension",
        "short" : "Additional Content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "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.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Extension:race.extension:ombcategory.url",
        "path" : "Extension.extension.url",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "identifies the meaning of the extension",
        "definition" : "Source of the definition for the extension code - a logical name or a URL.",
        "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Extension.url",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "fixedUri" : "ombCategory",
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Extension:race.extension:ombcategory.valueCoding",
        "path" : "Extension.extension.valueCoding",
        "short" : "Value of extension",
        "definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Extension.value[x]",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "binding" : {
          "strength" : "required",
          "description" : "The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).",
          "valueSet" : "http://hl7.org/fhir/us/core-r4/ValueSet/omb-race-category"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Extension:race.extension:detailed",
        "path" : "Extension.extension",
        "sliceName" : "detailed",
        "short" : "Extended race codes",
        "definition" : "The 900+ CDC race codes that are grouped under one of the 5 OMB race category codes:.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : false,
        "mapping" : [
          {
            "identity" : "iso11179",
            "map" : "/ClinicalDocument/recordTarget/patientRole/patient/sdtc:raceCode"
          }
        ]
      },
      {
        "id" : "Extension:race.extension:detailed.id",
        "path" : "Extension.extension.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "xml:id (or equivalent in JSON)",
        "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Extension:race.extension:detailed.extension",
        "path" : "Extension.extension.extension",
        "short" : "Additional Content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "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.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Extension:race.extension:detailed.url",
        "path" : "Extension.extension.url",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "identifies the meaning of the extension",
        "definition" : "Source of the definition for the extension code - a logical name or a URL.",
        "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Extension.url",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "fixedUri" : "detailed",
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Extension:race.extension:detailed.valueCoding",
        "path" : "Extension.extension.valueCoding",
        "short" : "Value of extension",
        "definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Extension.value[x]",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "binding" : {
          "strength" : "required",
          "description" : "The [900+ CDC Race codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 5 OMB race category codes.",
          "valueSet" : "http://hl7.org/fhir/us/core-r4/ValueSet/detailed-race"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Extension:race.extension:text",
        "path" : "Extension.extension",
        "sliceName" : "text",
        "short" : "Race Text",
        "definition" : "Plain text representation of the race concept(s).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false
      },
      {
        "id" : "Extension:race.extension:text.id",
        "path" : "Extension.extension.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "xml:id (or equivalent in JSON)",
        "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Extension:race.extension:text.extension",
        "path" : "Extension.extension.extension",
        "short" : "Additional Content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "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.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Extension:race.extension:text.url",
        "path" : "Extension.extension.url",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "identifies the meaning of the extension",
        "definition" : "Source of the definition for the extension code - a logical name or a URL.",
        "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Extension.url",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "fixedUri" : "text",
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Extension:race.extension:text.valueString",
        "path" : "Extension.extension.valueString",
        "short" : "Value of extension",
        "definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Extension.value[x]",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Extension:race.url",
        "path" : "Extension.url",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "identifies the meaning of the extension",
        "definition" : "Source of the definition for the extension code - a logical name or a URL.",
        "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Extension.url",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "fixedUri" : "http://hl7.org/fhir/us/core-r4/StructureDefinition/us-core-race",
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Extension:race.value[x]",
        "path" : "Extension.value[x]",
        "short" : "Value of extension",
        "definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "Extension.value[x]",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "base64Binary"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "code"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "id"
          },
          {
            "code" : "instant"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "markdown"
          },
          {
            "code" : "oid"
          },
          {
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          },
          {
            "code" : "time"
          },
          {
            "code" : "unsignedInt"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Annotation"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "ContactPoint"
          },
          {
            "code" : "Count"
          },
          {
            "code" : "Distance"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "HumanName"
          },
          {
            "code" : "Identifier"
          },
          {
            "code" : "Money"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "Reference"
          },
          {
            "code" : "SampledData"
          },
          {
            "code" : "Signature"
          },
          {
            "code" : "Timing"
          },
          {
            "code" : "Meta"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "Extension:race",
        "path" : "Extension",
        "short" : "US Core Race Extension",
        "definition" : "Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.",
        "min" : 0,
        "max" : "1",
        "isModifier" : false
      },
      {
        "id" : "Extension:race.extension:ombcategory",
        "path" : "Extension.extension",
        "sliceName" : "ombCategory",
        "short" : "American Indian or Alaska Native|Asian|Black or African American|Native Hawaiian or Other Pacific Islander|White",
        "definition" : "The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).",
        "min" : 0,
        "max" : "5",
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "mapping" : [
          {
            "identity" : "iso11179",
            "map" : "/ClinicalDocument/recordTarget/patientRole/patient/raceCode"
          }
        ]
      },
      {
        "id" : "Extension:race.extension:ombcategory.url",
        "path" : "Extension.extension.url",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "fixedUri" : "ombCategory"
      },
      {
        "id" : "Extension:race.extension:ombcategory.valueCoding",
        "path" : "Extension.extension.valueCoding",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "binding" : {
          "strength" : "required",
          "description" : "The 5 race category codes according to the [OMB Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, Statistical Policy Directive No. 15, as revised, October 30, 1997](https://www.whitehouse.gov/omb/fedreg_1997standards).",
          "valueSet" : "http://hl7.org/fhir/us/core-r4/ValueSet/omb-race-category"
        }
      },
      {
        "id" : "Extension:race.extension:detailed",
        "path" : "Extension.extension",
        "sliceName" : "detailed",
        "short" : "Extended race codes",
        "definition" : "The 900+ CDC race codes that are grouped under one of the 5 OMB race category codes:.",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : false,
        "mapping" : [
          {
            "identity" : "iso11179",
            "map" : "/ClinicalDocument/recordTarget/patientRole/patient/sdtc:raceCode"
          }
        ]
      },
      {
        "id" : "Extension:race.extension:detailed.url",
        "path" : "Extension.extension.url",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "fixedUri" : "detailed"
      },
      {
        "id" : "Extension:race.extension:detailed.valueCoding",
        "path" : "Extension.extension.valueCoding",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "binding" : {
          "strength" : "required",
          "description" : "The [900+ CDC Race codes](http://www.cdc.gov/phin/resources/vocabulary/index.html) that are grouped under one of the 5 OMB race category codes.",
          "valueSet" : "http://hl7.org/fhir/us/core-r4/ValueSet/detailed-race"
        }
      },
      {
        "id" : "Extension:race.extension:text",
        "path" : "Extension.extension",
        "sliceName" : "text",
        "short" : "Race Text",
        "definition" : "Plain text representation of the race concept(s).",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false
      },
      {
        "id" : "Extension:race.extension:text.url",
        "path" : "Extension.extension.url",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "fixedUri" : "text"
      },
      {
        "id" : "Extension:race.extension:text.valueString",
        "path" : "Extension.extension.valueString",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ]
      },
      {
        "id" : "Extension:race.url",
        "path" : "Extension.url",
        "min" : 1,
        "max" : "1",
        "fixedUri" : "http://hl7.org/fhir/us/core-r4/StructureDefinition/us-core-race"
      }
    ]
  }
}

StructureDefinition "us-core-profile-link" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*Resource that this profile is based on
... url "http://hl7.org/fhir/us/core-r4/StructureDefinition/us-core-profile-link"
... valueCode 0..1codeBinding: ResourceType (required)

doco Documentation for this format

{
  "resourceType" : "StructureDefinition",
  "id" : "us-core-profile-link",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-09-06T12:55:44.734Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\" border=\"0\" cellpadding=\"0\" cellspacing=\"0\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"The logical name of the element\" href=\"http://build.fhir.org/formats.html#table\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"Information about the use of the element\" href=\"http://build.fhir.org/formats.html#table\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"Minimum and Maximum # of times the the element can appear in the instance\" href=\"http://build.fhir.org/formats.html#table\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a title=\"Reference to the type of the element\" href=\"http://build.fhir.org/formats.html#table\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"Additional information about the element\" href=\"http://build.fhir.org/formats.html#table\">Description &amp; Constraints</a><span style=\"float: right\"><a title=\"Legend for this format\" href=\"http://build.fhir.org/formats.html#table\"><img alt=\"doco\" style=\"background-color: inherit\" src=\"http://build.fhir.org/help16.png\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\"/> <a title=\"This is a code that references a resource listed in CapabilityStatement.rest.resource. This is used to link the profile to the resources for the purpose of describing profile specific capababilties such as specific search criteria or operations which are supported on a profile by profile bases.\" href=\"StructureDefinition-us-core-profile-link-definitions.html#Extension:profile-link\">Extension</a><a name=\"Extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Resource that this profile is based on<br/></td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\"/> <a title=\"null\" href=\"StructureDefinition-us-core-profile-link-definitions.html#Extension:profile-link.url\">url</a><a name=\"Extension.url\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">\"http://hl7.org/fhir/us/core-r4/StructureDefinition/us-core-profile-link\"</span></td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\"/> <a title=\"null\" href=\"StructureDefinition-us-core-profile-link-definitions.html#Extension:profile-link.valueCode\">valueCode</a><a name=\"Extension.valueCode\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://build.fhir.org/valueset-resource-types.html\">ResourceType</a> (<a title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" href=\"http://build.fhir.org/terminologies.html#required\">required</a>)</td></tr>\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a title=\"Legend for this format\" href=\"http://build.fhir.org/formats.html#table\"><img alt=\"doco\" style=\"background-color: inherit\" src=\"http://build.fhir.org/help16.png\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "url" : "http://hl7.org/fhir/us/core-r4/StructureDefinition/us-core-profile-link",
  "version" : "2.0.0",
  "name" : "Profile-resource association extension",
  "title" : "Profile-resource association extension",
  "status" : "draft",
  "date" : "2018-08-21T01:46:22+00:00",
  "publisher" : "HL7 US Realm Steering Committee",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.healthit.gov"
        }
      ]
    }
  ],
  "description" : "Used in the CapabilityStatment resource to link profiles to the resources they are based upon for the purpose of describing profile specific capababilties such as specific search criteria or operations which are supported on a profile by profile bases. It is a code that references a resource listed in Capability.rest.resource. For more information on how the Capability resource describes profiles on resources, see [Two uses of Profiles](http://hl7.org/fhir/STU3/profiling.html#profile-uses).",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "purpose" : "To allow profiles to be associated with resources in CapabilityStatements.",
  "fhirVersion" : "3.5.0",
  "mapping" : [
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    }
  ],
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [
    {
      "type" : "element",
      "expression" : "CapapbilityStatement.profile"
    }
  ],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "snapshot" : {
    "element" : [
      {
        "id" : "Extension:profile-link",
        "path" : "Extension",
        "short" : "Resource that this profile is based on",
        "definition" : "This is a code that references a resource listed in CapabilityStatement.rest.resource. This is used to link the profile to the resources for the purpose of describing profile specific capababilties such as specific search criteria or operations which are supported on a profile by profile bases.",
        "comment" : "This is helpful for publishing the CapabilityResource narrative.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Extension",
          "min" : 0,
          "max" : "*"
        },
        "condition" : [
          "ele-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "children().count() > id.count()",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source" : "Extension"
          }
        ],
        "isModifier" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "No v2 equivalent"
          },
          {
            "identity" : "rim",
            "map" : "No RIM equivalent"
          }
        ]
      },
      {
        "id" : "Extension:profile-link.id",
        "path" : "Extension.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "xml:id (or equivalent in JSON)",
        "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Extension:profile-link.extension",
        "path" : "Extension.extension",
        "short" : "Additional Content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "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.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Extension:profile-link.url",
        "path" : "Extension.url",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "identifies the meaning of the extension",
        "definition" : "Source of the definition for the extension code - a logical name or a URL.",
        "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Extension.url",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "fixedUri" : "http://hl7.org/fhir/us/core-r4/StructureDefinition/us-core-profile-link",
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Extension:profile-link.valueCode",
        "path" : "Extension.valueCode",
        "short" : "Value of extension",
        "definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Extension.value[x]",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "binding" : {
          "strength" : "required",
          "description" : "One of the resource types defined as part of FHIR.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "Extension:profile-link",
        "path" : "Extension",
        "short" : "Resource that this profile is based on",
        "definition" : "This is a code that references a resource listed in CapabilityStatement.rest.resource. This is used to link the profile to the resources for the purpose of describing profile specific capababilties such as specific search criteria or operations which are supported on a profile by profile bases.",
        "comment" : "This is helpful for publishing the CapabilityResource narrative.",
        "min" : 0,
        "max" : "*",
        "isModifier" : false,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "No v2 equivalent"
          },
          {
            "identity" : "rim",
            "map" : "No RIM equivalent"
          }
        ]
      },
      {
        "id" : "Extension:profile-link.url",
        "path" : "Extension.url",
        "fixedUri" : "http://hl7.org/fhir/us/core-r4/StructureDefinition/us-core-profile-link"
      },
      {
        "id" : "Extension:profile-link.valueCode",
        "path" : "Extension.valueCode",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
          }
        ],
        "binding" : {
          "strength" : "required",
          "description" : "One of the resource types defined as part of FHIR.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types"
        }
      }
    ]
  }
}

StructureDefinition "us-core-procedure" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by


{
  "resourceType" : "StructureDefinition",
  "id" : "us-core-procedure",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-09-06T12:55:44.609Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\" border=\"0\" cellpadding=\"0\" cellspacing=\"0\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"The logical name of the element\" href=\"http://build.fhir.org/formats.html#table\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"Information about the use of the element\" href=\"http://build.fhir.org/formats.html#table\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"Minimum and Maximum # of times the the element can appear in the instance\" href=\"http://build.fhir.org/formats.html#table\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a title=\"Reference to the type of the element\" href=\"http://build.fhir.org/formats.html#table\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a title=\"Additional information about the element\" href=\"http://build.fhir.org/formats.html#table\">Description &amp; Constraints</a><span style=\"float: right\"><a title=\"Legend for this format\" href=\"http://build.fhir.org/formats.html#table\"><img alt=\"doco\" style=\"background-color: inherit\" src=\"http://build.fhir.org/help16.png\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\"/> <a title=\"The US Core Condition Profile is based upon the core FHIR Procedure Resource and created to meet the 2015 Edition Common Clinical Data Set &apos;Procedures&apos; requirements.\" href=\"StructureDefinition-us-core-procedure-definitions.html#Procedure\">Procedure</a><a name=\"Procedure\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">US Core Procedure Profile</td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\"/> <a href=\"StructureDefinition-us-core-procedure-definitions.html#Procedure.status\">status</a><a name=\"Procedure.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://build.fhir.org/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">Binding: </span><a href=\"http://build.fhir.org/valueset-event-status.html\">EventStatus</a> (<a title=\"To be conformant, the concept in this element SHALL be from the specified value set.\" href=\"http://build.fhir.org/terminologies.html#required\">required</a>)</td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\"/> <a href=\"StructureDefinition-us-core-procedure-definitions.html#Procedure.code\">code</a><a name=\"Procedure.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.4\" href=\"http://build.fhir.org/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">SNOMED-CT | ICD-10 | CPT-4<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-us-core-procedure-code.html\">US Core Procedure Codes</a> (<a title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\" href=\"http://build.fhir.org/terminologies.html#extensible\">extensible</a>)</td></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\"/> <a href=\"StructureDefinition-us-core-procedure-definitions.html#Procedure.subject\">subject</a><a name=\"Procedure.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.4\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.4\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/references.html\">Reference</a>(<a href=\"StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: inherit\"/><img class=\"hierarchy\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Choice of Types\"/> <a href=\"StructureDefinition-us-core-procedure-definitions.html#Procedure.performed[x]\">performed[x]</a><a name=\"Procedure.performed_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/datatypes.html#dateTime\">dateTime</a>, <a href=\"http://build.fhir.org/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a title=\"Legend for this format\" href=\"http://build.fhir.org/formats.html#table\"><img alt=\"doco\" style=\"background-color: inherit\" src=\"http://build.fhir.org/help16.png\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "url" : "http://hl7.org/fhir/us/core-r4/StructureDefinition/us-core-procedure",
  "version" : "2.0.0",
  "name" : "US Core Procedure Profile",
  "status" : "active",
  "date" : "2016-08-01",
  "publisher" : "HL7 US Realm Steering Committee",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.healthit.gov"
        }
      ]
    }
  ],
  "description" : "Defines constraints and extensions on the Procedure resource for the minimal set of data to query and retrieve patient's procedure information.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "fhirVersion" : "3.5.0",
  "mapping" : [
    {
      "identity" : "argonaut-dq-dstu2",
      "uri" : "http://unknown.org/Argonaut-DQ-DSTU2",
      "name" : "Argonaut-DQ-DSTU2"
    },
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Procedure",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Procedure",
  "derivation" : "constraint",
  "snapshot" : {
    "element" : [
      {
        "id" : "Procedure",
        "path" : "Procedure",
        "short" : "US Core Procedure Profile",
        "definition" : "The US Core Condition Profile is based upon the core FHIR Procedure Resource and created to meet the 2015 Edition Common Clinical Data Set 'Procedures' requirements.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Procedure",
          "min" : 0,
          "max" : "*"
        },
        "constraint" : [
          {
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "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",
            "expression" : "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()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean" : true
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a guman readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
              }
            ],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }
        ],
        "mustSupport" : false,
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Procedure[moodCode=EVN]"
          },
          {
            "identity" : "argonaut-dq-dstu2",
            "map" : "Procedure"
          }
        ]
      },
      {
        "id" : "Procedure.id",
        "path" : "Procedure.id",
        "short" : "Logical id of this artifact",
        "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "id"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "Procedure.meta",
        "path" : "Procedure.meta",
        "short" : "Metadata about the resource",
        "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.meta",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Meta"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "Procedure.implicitRules",
        "path" : "Procedure.implicitRules",
        "short" : "A set of rules under which this content was created",
        "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.",
        "comment" : "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.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.implicitRules",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "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",
        "isSummary" : true
      },
      {
        "id" : "Procedure.language",
        "path" : "Procedure.language",
        "short" : "Language of the resource content",
        "definition" : "The base language in which the resource is written.",
        "comment" : "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).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.language",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }
          ],
          "strength" : "preferred",
          "description" : "A human language.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
        }
      },
      {
        "id" : "Procedure.text",
        "path" : "Procedure.text",
        "short" : "Text summary of the resource, for human interpretation",
        "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.",
        "comment" : "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.",
        "alias" : [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "DomainResource.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Act.text?"
          }
        ]
      },
      {
        "id" : "Procedure.contained",
        "path" : "Procedure.contained",
        "short" : "Contained, inline Resources",
        "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.",
        "comment" : "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.",
        "alias" : [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.contained",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Resource"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Procedure.extension",
        "path" : "Procedure.extension",
        "short" : "Additional Content defined by implementations",
        "definition" : "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.",
        "comment" : "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.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Procedure.modifierExtension",
        "path" : "Procedure.modifierExtension",
        "short" : "Extensions that cannot be ignored",
        "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. 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "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.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Procedure.identifier",
        "path" : "Procedure.identifier",
        "short" : "External Identifiers for this procedure",
        "definition" : "Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
        "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.",
        "requirements" : "Allows identification of the procedure as it is known by various participating systems and in a way that remains consistent across servers.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Procedure.identifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Identifier"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }
        ]
      },
      {
        "id" : "Procedure.instantiatesCanonical",
        "path" : "Procedure.instantiatesCanonical",
        "short" : "Instantiates FHIR protocol or definition",
        "definition" : "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Procedure.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Procedure.instantiatesCanonical",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "canonical",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/PlanDefinition",
              "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
              "http://hl7.org/fhir/StructureDefinition/Measure",
              "http://hl7.org/fhir/StructureDefinition/OperationDefinition",
              "http://hl7.org/fhir/StructureDefinition/Questionnaire"
            ]
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.instantiatesCanonical"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }
        ]
      },
      {
        "id" : "Procedure.instantiatesUri",
        "path" : "Procedure.instantiatesUri",
        "short" : "Instantiates external protocol or definition",
        "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Procedure.",
        "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Procedure.instantiatesUri",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.instantiatesUri"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }
        ]
      },
      {
        "id" : "Procedure.basedOn",
        "path" : "Procedure.basedOn",
        "short" : "A request for this procedure",
        "definition" : "A reference to a resource that contains details of the request for this procedure.",
        "alias" : [
          "fulfills"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Procedure.basedOn",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/CarePlan",
              "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
            ]
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT, moodCode=RQO].code"
          }
        ]
      },
      {
        "id" : "Procedure.partOf",
        "path" : "Procedure.partOf",
        "short" : "Part of referenced event",
        "definition" : "A larger event of which this particular procedure is a component or step.",
        "comment" : "The MedicationAdministration has a partOf reference to Procedure, but this is not a circular reference. For example, the anesthesia MedicationAdministration is part of the surgical Procedure (MedicationAdministration.partOf = Procedure). For example, the procedure to insert the IV port for an IV medication administration is part of the medication administration (Procedure.partOf = MedicationAdministration).",
        "alias" : [
          "container"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Procedure.partOf",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Procedure",
              "http://hl7.org/fhir/StructureDefinition/Observation",
              "http://hl7.org/fhir/StructureDefinition/MedicationAdministration"
            ]
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id" : "Procedure.status",
        "path" : "Procedure.status",
        "short" : "preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error | unknown",
        "definition" : "A code specifying the state of the procedure. Generally this will be in-progress or completed state.",
        "comment" : "The unknown code is not to be used to convey other statuses. The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Procedure.status",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "mustSupport" : true,
        "isModifier" : true,
        "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
        "isSummary" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/ValueSet/event-status"
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "statusCode"
          },
          {
            "identity" : "argonaut-dq-dstu2",
            "map" : "Procedure.status"
          }
        ]
      },
      {
        "id" : "Procedure.statusReason",
        "path" : "Procedure.statusReason",
        "short" : "Reason for current status",
        "definition" : "Captures the reason for the current state of the procedure.",
        "comment" : "This is generally only used for \"exception\" statuses such as \"not-done\", \"suspended\" or \"aborted\". The reason for performing the event at all is captured in reasonCode, not here.",
        "alias" : [
          "Suspended Reason",
          "Cancelled Reason"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Procedure.statusReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureNegationReason"
            }
          ],
          "strength" : "example",
          "description" : "A code that identifies the reason a procedure was not performed.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-not-performed-reason"
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".reason.Observation.value"
          }
        ]
      },
      {
        "id" : "Procedure.category",
        "path" : "Procedure.category",
        "short" : "Classification of the procedure",
        "definition" : "A code that classifies the procedure for searching, sorting and display purposes (e.g. \"Surgical Procedure\").",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Procedure.category",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureCategory"
            }
          ],
          "strength" : "example",
          "description" : "A code that classifies a procedure for searching, sorting and display purposes.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-category"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
          }
        ]
      },
      {
        
"id" : "Procedure.code",
        
"path" : "Procedure.code",
        
"short" : "SNOMED-CT | ICD-10 | CPT-4",
        
"definition" : "The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. \"Laparoscopic Appendectomy\").",
        
"requirements" : "0..1 to account for primarily narrative only resources.",
        
"alias" : [
          "type"
        ],
        
"min" : 1,
        
"max" : "1",
        
"base" : {
          
"path" : "Procedure.code",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"mustSupport" : true,
        
"isModifier" : false,
        
"isSummary" : true,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              
"valueCanonical" : "http://hl7.org/fhir/us/core-r4/ValueSet/us-core-procedure-code"
            }
          ],
          
"strength" : "extensible",
          
"description" : "Codes describing the type of Procedure",
          
"valueSet" : "http://hl7.org/fhir/us/core-r4/ValueSet/us-core-procedure-code"
        },
        
"mapping" : [
          {
            
"identity" : "workflow",
            
"map" : "Event.code"
          },
          {
            
"identity" : "w5",
            
"map" : "FiveWs.what[x]"
          },
          {
            
"identity" : "v2",
            
"map" : "OBR-44/OBR-45"
          },
          {
            
"identity" : "rim",
            
"map" : ".code"
          },
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Procedure.code"
          }
        ]
      },
      {
        
"id" : "Procedure.subject",
        
"path" : "Procedure.subject",
        
"short" : "Who the procedure was performed on",
        
"definition" : "The person, animal or group on which the procedure was performed.",
        
"alias" : [
          "patient"
        ],
        
"min" : 1,
        
"max" : "1",
        
"base" : {
          
"path" : "Procedure.subject",
          
"min" : 1,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/us/core-r4/StructureDefinition/us-core-patient"
            ]
          }
        ],
        
"mustSupport" : true,
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "workflow",
            
"map" : "Event.subject"
          },
          {
            
"identity" : "w5",
            
"map" : "FiveWs.subject[x]"
          },
          {
            
"identity" : "v2",
            
"map" : "PID-3"
          },
          {
            
"identity" : "rim",
            
"map" : ".participation[typeCode=SBJ].role"
          },
          {
            
"identity" : "w5",
            
"map" : "FiveWs.subject"
          },
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Procedure.subject"
          }
        ]
      },
      {
        
"id" : "Procedure.context",
        
"path" : "Procedure.context",
        
"short" : "Encounter or episode associated with the procedure",
        
"definition" : "The encounter during which the procedure was performed.",
        
"alias" : [
          "encounter"
        ],
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Procedure.context",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Encounter",
              "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "workflow",
            
"map" : "Event.context"
          },
          {
            
"identity" : "w5",
            
"map" : "FiveWs.context"
          },
          {
            
"identity" : "v2",
            
"map" : "PV1-19"
          },
          {
            
"identity" : "rim",
            
"map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }
        ]
      },
      {
        
"id" : "Procedure.performed[x]",
        
"path" : "Procedure.performed[x]",
        
"short" : "When the procedure was performed",
        
"definition" : "Estimated or actual date, date-time, period, or age when the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured.",
        
"comment" : "Age is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old. dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone.",
        
"min" : 1,
        
"max" : "1",
        
"base" : {
          
"path" : "Procedure.performed[x]",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "dateTime"
          },
          {
            
"code" : "Period"
          }
        ],
        
"mustSupport" : true,
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "workflow",
            
"map" : "Event.occurrence[x]"
          },
          {
            
"identity" : "w5",
            
"map" : "FiveWs.done[x]"
          },
          {
            
"identity" : "v2",
            
"map" : "OBR-7"
          },
          {
            
"identity" : "rim",
            
"map" : ".effectiveTime"
          },
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Procedure.performed[x]"
          }
        ]
      },
      {
        
"id" : "Procedure.recorder",
        
"path" : "Procedure.recorder",
        
"short" : "Who recorded the procedure",
        
"definition" : "Individual who recorded the record and takes responsibility for its content.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Procedure.recorder",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "w5",
            
"map" : "FiveWs.author"
          },
          {
            
"identity" : "rim",
            
"map" : ".participation[typeCode=AUT].role"
          }
        ]
      },
      {
        
"id" : "Procedure.asserter",
        
"path" : "Procedure.asserter",
        
"short" : "Person who asserts this procedure",
        
"definition" : "Individual who is making the procedure statement.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Procedure.asserter",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "w5",
            
"map" : "FiveWs.source"
          },
          {
            
"identity" : "rim",
            
"map" : ".participation[typeCode=INF].role"
          }
        ]
      },
      {
        
"id" : "Procedure.performer",
        
"path" : "Procedure.performer",
        
"short" : "The people who performed the procedure",
        
"definition" : "Limited to 'real' people rather than equipment.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Procedure.performer",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "BackboneElement"
          }
        ],
        
"constraint" : [
          {
            
"key" : "ele-1",
            
"severity" : "error",
            
"human" : "All FHIR elements must have a @value or children",
            
"expression" : "hasValue() or (children().count() > id.count())",
            
"xpath" : "@value|f:*|h:div",
            
"source" : "Element"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "workflow",
            
"map" : "Event.performer"
          },
          {
            
"identity" : "rim",
            
"map" : ".participation[typeCode=PRF]"
          }
        ]
      },
      {
        
"id" : "Procedure.performer.id",
        
"path" : "Procedure.performer.id",
        
"representation" : [
          "xmlAttr"
        ],
        
"short" : "xml:id (or equivalent in JSON)",
        
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Element.id",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "string"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : "n/a"
          }
        ]
      },
      {
        
"id" : "Procedure.performer.extension",
        
"path" : "Procedure.performer.extension",
        
"short" : "Additional content defined by implementations",
        
"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.",
        
"comment" : "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.",
        
"alias" : [
          "extensions",
          "user content"
        ],
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Element.extension",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Extension"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : "n/a"
          }
        ]
      },
      {
        
"id" : "Procedure.performer.modifierExtension",
        
"path" : "Procedure.performer.modifierExtension",
        
"short" : "Extensions that cannot be ignored if unrecognized",
        
"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. 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        
"comment" : "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.",
        
"alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "BackboneElement.modifierExtension",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Extension"
          }
        ],
        
"isModifier" : true,
        
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : "N/A"
          }
        ]
      },
      {
        
"id" : "Procedure.performer.function",
        
"path" : "Procedure.performer.function",
        
"short" : "Type of performance",
        
"definition" : "Distinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaethetist, endoscopist.",
        
"requirements" : "Allows disambiguation of the types of involvement of different performers.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Procedure.performer.function",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "ProcedurePerformerRole"
            }
          ],
          
"strength" : "example",
          
"description" : "A code that identifies the role of a performer of the procedure.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/performer-role"
        },
        
"mapping" : [
          {
            
"identity" : "workflow",
            
"map" : "Event.performer.function"
          },
          {
            
"identity" : "v2",
            
"map" : "Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25"
          },
          {
            
"identity" : "rim",
            
"map" : ".functionCode"
          }
        ]
      },
      {
        
"id" : "Procedure.performer.actor",
        
"path" : "Procedure.performer.actor",
        
"short" : "The reference to the practitioner",
        
"definition" : "The practitioner who was involved in the procedure.",
        
"requirements" : "A reference to Device supports use cases, such as pacemakers.",
        
"min" : 1,
        
"max" : "1",
        
"base" : {
          
"path" : "Procedure.performer.actor",
          
"min" : 1,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Device"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "workflow",
            
"map" : "Event.performer.actor"
          },
          {
            
"identity" : "w5",
            
"map" : "FiveWs.actor"
          },
          {
            
"identity" : "v2",
            
"map" : "ORC-19/PRT-5"
          },
          {
            
"identity" : "rim",
            
"map" : ".role"
          }
        ]
      },
      {
        
"id" : "Procedure.performer.onBehalfOf",
        
"path" : "Procedure.performer.onBehalfOf",
        
"short" : "Organization the device or practitioner was acting for",
        
"definition" : "The organization the device or practitioner was acting on behalf of.",
        
"requirements" : "Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when performing the action.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Procedure.performer.onBehalfOf",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : ".scoper"
          }
        ]
      },
      {
        
"id" : "Procedure.location",
        
"path" : "Procedure.location",
        
"short" : "Where the procedure happened",
        
"definition" : "The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurant.",
        
"requirements" : "Ties a procedure to where the records are likely kept.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Procedure.location",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Location"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "w5",
            
"map" : "FiveWs.where[x]"
          },
          {
            
"identity" : "rim",
            
"map" : ".participation[typeCode=LOC].role[classCode=SDLOC]"
          }
        ]
      },
      {
        
"id" : "Procedure.reasonCode",
        
"path" : "Procedure.reasonCode",
        
"short" : "Coded reason procedure performed",
        
"definition" : "The coded reason why the procedure was performed. This may be coded entity of some type, or may simply be present as text.",
        
"comment" : "Use Procedure.reasonCode when a code sufficiently describes the reason. Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative. For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used. Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference. Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Procedure.reasonCode",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "ProcedureReason"
            }
          ],
          
"strength" : "example",
          
"description" : "A code that identifies the reason a procedure is required.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/procedure-reason"
        },
        
"mapping" : [
          {
            
"identity" : "workflow",
            
"map" : "Event.reasonCode"
          },
          {
            
"identity" : "w5",
            
"map" : "FiveWs.why[x]"
          },
          {
            
"identity" : "rim",
            
"map" : ".reasonCode"
          }
        ]
      },
      {
        
"id" : "Procedure.reasonReference",
        
"path" : "Procedure.reasonReference",
        
"short" : "The justification that the procedure was performed",
        
"definition" : "The justification of why the procedure was performed.",
        
"comment" : "It is possible for a procedure to be a reason (such as C-Section) for another procedure (such as epidural). Other examples include endoscopy for dilatation and biopsy, combination diagnosis and therapeutic. \nUse Procedure.reasonCode when a code sufficiently describes the reason. Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative. For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used. Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference. Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Procedure.reasonReference",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Condition",
              "http://hl7.org/fhir/StructureDefinition/Observation",
              "http://hl7.org/fhir/StructureDefinition/Procedure",
              "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
              "http://hl7.org/fhir/StructureDefinition/DocumentReference"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "workflow",
            
"map" : "Event.reasonReference"
          },
          {
            
"identity" : "w5",
            
"map" : "FiveWs.why[x]"
          },
          {
            
"identity" : "rim",
            
"map" : ".reasonCode"
          }
        ]
      },
      {
        
"id" : "Procedure.bodySite",
        
"path" : "Procedure.bodySite",
        
"short" : "Target body sites",
        
"definition" : "Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.",
        
"comment" : "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [procedure-targetbodystructure](extension-procedure-targetbodystructure.html).",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Procedure.bodySite",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "BodySite"
            }
          ],
          
"strength" : "example",
          
"description" : "Codes describing anatomical locations. May include laterality.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
        },
        
"mapping" : [
          {
            
"identity" : "v2",
            
"map" : "OBX-20"
          },
          {
            
"identity" : "rim",
            
"map" : ".targetSiteCode"
          }
        ]
      },
      {
        
"id" : "Procedure.outcome",
        
"path" : "Procedure.outcome",
        
"short" : "The result of procedure",
        
"definition" : "The outcome of the procedure - did it resolve reasons for the procedure being performed?",
        
"comment" : "If outcome contains narrative text only, it can be captured using the CodeableConcept.text.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Procedure.outcome",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : true,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "ProcedureOutcome"
            }
          ],
          
"strength" : "example",
          
"description" : "An outcome of a procedure - whether it was resolved or otherwise.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/procedure-outcome"
        },
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : ".outboundRelationship[typeCode=OUT].target.text"
          }
        ]
      },
      {
        
"id" : "Procedure.report",
        
"path" : "Procedure.report",
        
"short" : "Any report resulting from the procedure",
        
"definition" : "This could be a histology result, pathology report, surgical report, etc.",
        
"comment" : "There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Procedure.report",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
              "http://hl7.org/fhir/StructureDefinition/DocumentReference",
              "http://hl7.org/fhir/StructureDefinition/Composition"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        
"id" : "Procedure.complication",
        
"path" : "Procedure.complication",
        
"short" : "Complication following the procedure",
        
"definition" : "Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues.",
        
"comment" : "If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Procedure.complication",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "ProcedureComplication"
            }
          ],
          
"strength" : "example",
          
"description" : "Codes describing complications that resulted from a procedure.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
        },
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value"
          }
        ]
      },
      {
        
"id" : "Procedure.complicationDetail",
        
"path" : "Procedure.complicationDetail",
        
"short" : "A condition that is a result of the procedure",
        
"definition" : "Any complications that occurred during the procedure, or in the immediate post-performance period.",
        
"requirements" : "This is used to document a condition that is a result of the procedure, not the condition that was the reason for the procedure.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Procedure.complicationDetail",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Condition"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value"
          }
        ]
      },
      {
        
"id" : "Procedure.followUp",
        
"path" : "Procedure.followUp",
        
"short" : "Instructions for follow up",
        
"definition" : "If the procedure required specific follow up - e.g. removal of sutures. The followup may be represented as a simple note, or could potentially be more complex in which case the CarePlan resource can be used.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Procedure.followUp",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "ProcedureFollowUp"
            }
          ],
          
"strength" : "example",
          
"description" : "Specific follow up required for a procedure e.g. removal of sutures.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/procedure-followup"
        },
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : ".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code"
          }
        ]
      },
      {
        
"id" : "Procedure.note",
        
"path" : "Procedure.note",
        
"short" : "Additional information about the procedure",
        
"definition" : "Any other notes and comments about the procedure.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Procedure.note",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Annotation"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "workflow",
            
"map" : "Event.note"
          },
          {
            
"identity" : "v2",
            
"map" : "NTE"
          },
          {
            
"identity" : "rim",
            
"map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
          }
        ]
      },
      {
        
"id" : "Procedure.focalDevice",
        
"path" : "Procedure.focalDevice",
        
"short" : "Manipulated, implanted, or removed device",
        
"definition" : "A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Procedure.focalDevice",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "BackboneElement"
          }
        ],
        
"constraint" : [
          {
            
"key" : "ele-1",
            
"severity" : "error",
            
"human" : "All FHIR elements must have a @value or children",
            
"expression" : "hasValue() or (children().count() > id.count())",
            
"xpath" : "@value|f:*|h:div",
            
"source" : "Element"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : ".participation[typeCode=DEV].role[classCode=MANU]"
          }
        ]
      },
      {
        
"id" : "Procedure.focalDevice.id",
        
"path" : "Procedure.focalDevice.id",
        
"representation" : [
          "xmlAttr"
        ],
        
"short" : "xml:id (or equivalent in JSON)",
        
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Element.id",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "string"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : "n/a"
          }
        ]
      },
      {
        
"id" : "Procedure.focalDevice.extension",
        
"path" : "Procedure.focalDevice.extension",
        
"short" : "Additional content defined by implementations",
        
"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.",
        
"comment" : "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.",
        
"alias" : [
          "extensions",
          "user content"
        ],
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Element.extension",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Extension"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : "n/a"
          }
        ]
      },
      {
        
"id" : "Procedure.focalDevice.modifierExtension",
        
"path" : "Procedure.focalDevice.modifierExtension",
        
"short" : "Extensions that cannot be ignored if unrecognized",
        
"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. 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        
"comment" : "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.",
        
"alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "BackboneElement.modifierExtension",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Extension"
          }
        ],
        
"isModifier" : true,
        
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        
"isSummary" : true,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : "N/A"
          }
        ]
      },
      {
        
"id" : "Procedure.focalDevice.action",
        
"path" : "Procedure.focalDevice.action",
        
"short" : "Kind of change to device",
        
"definition" : "The kind of change that happened to the device during the procedure.",
        
"min" : 0,
        
"max" : "1",
        
"base" : {
          
"path" : "Procedure.focalDevice.action",
          
"min" : 0,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "DeviceActionKind"
            }
          ],
          
"strength" : "preferred",
          
"description" : "A kind of change that happened to the device during the procedure.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/device-action"
        },
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"procedure device action\"].value=:procedure device action codes"
          }
        ]
      },
      {
        
"id" : "Procedure.focalDevice.manipulated",
        
"path" : "Procedure.focalDevice.manipulated",
        
"short" : "Device that was changed",
        
"definition" : "The device that was manipulated (changed) during the procedure.",
        
"min" : 1,
        
"max" : "1",
        
"base" : {
          
"path" : "Procedure.focalDevice.manipulated",
          
"min" : 1,
          
"max" : "1"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Device"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : ".participation[typeCode=DEV].role[classCode=SDLOC]"
          }
        ]
      },
      {
        
"id" : "Procedure.usedReference",
        
"path" : "Procedure.usedReference",
        
"short" : "Items used during procedure",
        
"definition" : "Identifies medications, devices and any other substance used as part of the procedure.",
        
"comment" : "For devices actually implanted or removed, use Procedure.device.",
        
"requirements" : "Used for tracking contamination, etc.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Procedure.usedReference",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Medication",
              "http://hl7.org/fhir/StructureDefinition/Substance"
            ]
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : ".participation[typeCode=DEV].role[classCode=MANU] or\n.participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)"
          }
        ]
      },
      {
        
"id" : "Procedure.usedCode",
        
"path" : "Procedure.usedCode",
        
"short" : "Coded items used during the procedure",
        
"definition" : "Identifies coded items that were used as part of the procedure.",
        
"comment" : "For devices actually implanted or removed, use Procedure.device.",
        
"min" : 0,
        
"max" : "*",
        
"base" : {
          
"path" : "Procedure.usedCode",
          
"min" : 0,
          
"max" : "*"
        },
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"isModifier" : false,
        
"isSummary" : false,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              
"valueString" : "ProcedureUsed"
            }
          ],
          
"strength" : "example",
          
"description" : "Codes describing items used during a procedure.",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/device-kind"
        },
        
"mapping" : [
          {
            
"identity" : "rim",
            
"map" : "participation[typeCode=Dev].role[classCode=MANU]"
          }
        ]
      }
    ]
  },
  
"differential" : {
    
"element" : [
      {
        
"id" : "Procedure",
        
"path" : "Procedure",
        
"short" : "US Core Procedure Profile",
        
"definition" : "The US Core Condition Profile is based upon the core FHIR Procedure Resource and created to meet the 2015 Edition Common Clinical Data Set 'Procedures' requirements.",
        
"mustSupport" : false,
        
"isModifier" : false,
        
"mapping" : [
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Procedure"
          }
        ]
      },
      {
        
"id" : "Procedure.status",
        
"path" : "Procedure.status",
        
"min" : 1,
        
"max" : "1",
        
"type" : [
          {
            
"code" : "code"
          }
        ],
        
"mustSupport" : true,
        
"isModifier" : false,
        
"binding" : {
          
"strength" : "required",
          
"valueSet" : "http://hl7.org/fhir/ValueSet/event-status"
        },
        
"mapping" : [
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Procedure.status"
          }
        ]
      },
      {
        
"id" : "Procedure.code",
        
"path" : "Procedure.code",
        
"short" : "SNOMED-CT | ICD-10 | CPT-4",
        
"min" : 1,
        
"max" : "1",
        
"type" : [
          {
            
"code" : "CodeableConcept"
          }
        ],
        
"mustSupport" : true,
        
"isModifier" : false,
        
"binding" : {
          
"extension" : [
            {
              
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              
"valueCanonical" : "http://hl7.org/fhir/us/core-r4/ValueSet/us-core-procedure-code"
            }
          ],
          
"strength" : "extensible",
          
"description" : "Codes describing the type of Procedure",
          
"valueSet" : "http://hl7.org/fhir/us/core-r4/ValueSet/us-core-procedure-code"
        },
        
"mapping" : [
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Procedure.code"
          }
        ]
      },
      {
        
"id" : "Procedure.subject",
        
"path" : "Procedure.subject",
        
"min" : 1,
        
"max" : "1",
        
"type" : [
          {
            
"code" : "Reference",
            
"targetProfile" : [
              "http://hl7.org/fhir/us/core-r4/StructureDefinition/us-core-patient"
            ]
          }
        ],
        
"mustSupport" : true,
        
"isModifier" : false,
        
"mapping" : [
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Procedure.subject"
          }
        ]
      },
      {
        
"id" : "Procedure.performed[x]",
        
"path" : "Procedure.performed[x]",
        
"min" : 1,
        
"max" : "1",
        
"type" : [
          {
            
"code" : "dateTime"
          },
          {
            
"code" : "Period"
          }
        ],
        
"mustSupport" : true,
        
"isModifier" : false,
        
"mapping" : [
          {
            
"identity" : "argonaut-dq-dstu2",
            
"map" : "Procedure.performed[x]"
          }
        ]
      }
    ]
  }
}

StructureDefinition "us-core-practitionerrole" Version "1"

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