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StructureDefinition "argo-vitalsigns" Version "1"

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NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*Argonaut Vital Signs Observation Profile
arg-2: If there is no component or related element then either a value[x] or a data absent reason must be present
... status S1..1codeBinding: ObservationStatus (required)
... category S1..1CodeableConceptRequired Pattern: {"coding":[{"system":"http://hl7.org/fhir/observation-category","code":"vital-signs"}]}
... code S1..1CodeableConceptCoded Responses from C-CDA Vital Sign Results
Binding: Argonaut Vital Sign Codes (extensible)
... subject S1..1Reference(Argonaut Patient Profile)
... effective[x] SI1..1dateTime, PeriodOften just a dateTime for Vital Signs
arg-1: Datetime must be at least to day.
... valueQuantity SI0..1QuantityVital Sign Value recorded with UCUM
Binding: Argonaut Vital Signs Units (extensible)
.... value S1..1decimal
.... unit S1..1string
.... system S1..1uriFixed Value: http://unitsofmeasure.org
.... code S1..1codeCoded responses from the common UCUM units for vital signs value set.
... dataAbsentReason SI0..1CodeableConceptBinding: Observation Value Absent Reason (extensible)
... related S0..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
.... type S1..1codeFixed Value: has-member
.... target S1..1Reference(Argonaut Vital Signs Observation Profile)
... component SI0..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
arg-3: If there is no a value a data absent reason must be present
.... code S1..1CodeableConceptBinding: Argonaut Vital Sign Codes (extensible)
.... valueQuantity SI0..1QuantityVital Sign Value recorded with UCUM
Binding: Argonaut Vital Signs Units (extensible)
..... value S1..1decimal
..... unit S1..1string
..... system S1..1uriFixed Value: http://unitsofmeasure.org
..... code S1..1codeCoded responses from the common UCUM units for vital signs value set.
.... dataAbsentReason SI0..1CodeableConceptBinding: Observation Value Absent Reason (extensible)

doco Documentation for this format

<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="argo-vitalsigns"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-10-08T18:34:05.831Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <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://hl7.org/fhir/DSTU2/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://hl7.org/fhir/DSTU2/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://hl7.org/fhir/DSTU2/formats.html#table">Card.</a>
          </th>
          <th style="width: 100px" class="hierarchy">
            <a title="Reference to the type of the element" href="http://hl7.org/fhir/DSTU2/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://hl7.org/fhir/DSTU2/formats.html#table">Description &amp; Constraints</a>
            <span style="float: right">
              <a title="Legend for this format" href="http://hl7.org/fhir/DSTU2/formats.html#table">
                <img alt="doco" style="background-color: inherit" src="http://hl7.org/fhir/DSTU2/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 href="StructureDefinition-argo-vitalsigns-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">
            <span style="padding-left: 3px padding-right: 3px color: black background-color: white" title="This element has or is affected by some invariants">I</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">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">Argonaut Vital Signs Observation Profile
            <br/>
            <span style="font-weight:bold">arg-2: </span>If there is no component or related element then either a value[x] or a data absent reason must be present</td>
        </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_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-argo-vitalsigns-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://hl7.org/fhir/DSTU2/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://hl7.org/fhir/DSTU2/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://hl7.org/fhir/DSTU2/terminologies.html#required">required</a>)</td>
        </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_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-argo-vitalsigns-definitions.html#Observation.category">category</a>
            <a name="Observation.category"> </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://hl7.org/fhir/DSTU2/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">
            <span style="font-weight:bold">Required Pattern: </span>
            <span style="color: darkgreen">{"coding":[{"system":"http://hl7.org/fhir/observation-category","code":"vital-signs"}]}</span>
          </td>
        </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_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-argo-vitalsigns-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://hl7.org/fhir/DSTU2/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 C-CDA Vital Sign Results
            <br/>
            <span style="font-weight:bold">Binding: </span>
            <a href="ValueSet-observation-ccdavitalsignresult.html">Argonaut Vital Sign 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://hl7.org/fhir/DSTU2/terminologies.html#extensible">extensible</a>)</td>
        </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_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-argo-vitalsigns-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://hl7.org/fhir/DSTU2/references.html">Reference</a>(
            <a href="StructureDefinition-argo-patient.html">Argonaut 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>
        <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="Choice of Types"/>
            <a href="StructureDefinition-argo-vitalsigns-definitions.html#Observation.effective[x]">effective[x]</a>
            <a name="Observation.effective_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>
            <span style="padding-left: 3px padding-right: 3px color: black background-color: white" title="This element has or is affected by some invariants">I</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://hl7.org/fhir/DSTU2/datatypes.html#dateTime">dateTime</a>
            <span style="opacity: 0.4">, </span>
            <a style="opacity: 0.4" href="http://hl7.org/fhir/DSTU2/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">Often just a dateTime for Vital Signs
            <br/>
            <span style="font-weight:bold">arg-1: </span>Datetime must be at least to day.</td>
        </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_bck11.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-argo-vitalsigns-definitions.html#Observation.valueQuantity">valueQuantity</a>
            <a name="Observation.valueQuantity"> </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>
            <span style="padding-left: 3px padding-right: 3px color: black background-color: white" title="This element has or is affected by some invariants">I</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">0</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://hl7.org/fhir/DSTU2/datatypes.html#Quantity">Quantity</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Vital Sign Value recorded with UCUM
            <br/>
            <span style="font-weight:bold">Binding: </span>
            <a href="ValueSet-ucum-vitals-common.html">Argonaut Vital Signs Units</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://hl7.org/fhir/DSTU2/terminologies.html#extensible">extensible</a>)</td>
        </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_bck110.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 href="StructureDefinition-argo-vitalsigns-definitions.html#Observation.valueQuantity.value">value</a>
            <a name="Observation.valueQuantity.value"> </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://hl7.org/fhir/DSTU2/datatypes.html#decimal">decimal</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>
        <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_bck110.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 href="StructureDefinition-argo-vitalsigns-definitions.html#Observation.valueQuantity.unit">unit</a>
            <a name="Observation.valueQuantity.unit"> </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://hl7.org/fhir/DSTU2/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>
        <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_bck110.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 href="StructureDefinition-argo-vitalsigns-definitions.html#Observation.valueQuantity.system">system</a>
            <a name="Observation.valueQuantity.system"> </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://hl7.org/fhir/DSTU2/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="font-weight:bold">Fixed Value: </span>
            <span style="color: darkgreen">http://unitsofmeasure.org</span>
          </td>
        </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_bck100.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 href="StructureDefinition-argo-vitalsigns-definitions.html#Observation.valueQuantity.code">code</a>
            <a name="Observation.valueQuantity.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://hl7.org/fhir/DSTU2/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">Coded responses from the common UCUM units for vital signs value set.</td>
        </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_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-argo-vitalsigns-definitions.html#Observation.dataAbsentReason">dataAbsentReason</a>
            <a name="Observation.dataAbsentReason"> </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>
            <span style="padding-left: 3px padding-right: 3px color: black background-color: white" title="This element has or is affected by some invariants">I</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">0</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://hl7.org/fhir/DSTU2/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">
            <span style="font-weight:bold">Binding: </span>
            <a href="http://hl7.org/fhir/DSTU2/valueset-observation-valueabsentreason.html">Observation Value Absent Reason</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://hl7.org/fhir/DSTU2/terminologies.html#extensible">extensible</a>)</td>
        </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_bck11.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-argo-vitalsigns-definitions.html#Observation.related">related</a>
            <a name="Observation.related"> </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">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">
            <a style="opacity: 0.4" href="http://hl7.org/fhir/DSTU2/backboneelement.html">BackboneElement</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Used when reporting systolic and diastolic blood pressure.
            <br/>
          </td>
        </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_bck110.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 href="StructureDefinition-argo-vitalsigns-definitions.html#Observation.related.type">type</a>
            <a name="Observation.related.type"> </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://hl7.org/fhir/DSTU2/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">Fixed Value: </span>
            <span style="color: darkgreen">has-member</span>
          </td>
        </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_bck100.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="Reference to another Resource"/>
            <a href="StructureDefinition-argo-vitalsigns-definitions.html#Observation.related.target">target</a>
            <a name="Observation.related.target"> </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://hl7.org/fhir/DSTU2/references.html">Reference</a>(
            <a href="StructureDefinition-argo-vitalsigns.html">Argonaut Vital Signs Observation 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>
        <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_bck01.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-argo-vitalsigns-definitions.html#Observation.component">component</a>
            <a name="Observation.component"> </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>
            <span style="padding-left: 3px padding-right: 3px color: black background-color: white" title="This element has or is affected by some invariants">I</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">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">
            <a style="opacity: 0.4" href="http://hl7.org/fhir/DSTU2/backboneelement.html">BackboneElement</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Used when reporting systolic and diastolic blood pressure.
            <br/>
            <span style="font-weight:bold">arg-3: </span>If there is no a value a data absent reason must be present
            <br/>
          </td>
        </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_bck010.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 href="StructureDefinition-argo-vitalsigns-definitions.html#Observation.component.code">code</a>
            <a name="Observation.component.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://hl7.org/fhir/DSTU2/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">
            <span style="font-weight:bold">Binding: </span>
            <a href="ValueSet-observation-ccdavitalsignresult.html">Argonaut Vital Sign 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://hl7.org/fhir/DSTU2/terminologies.html#extensible">extensible</a>)</td>
        </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_bck011.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 href="StructureDefinition-argo-vitalsigns-definitions.html#Observation.component.valueQuantity">valueQuantity</a>
            <a name="Observation.component.valueQuantity"> </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>
            <span style="padding-left: 3px padding-right: 3px color: black background-color: white" title="This element has or is affected by some invariants">I</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">0</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://hl7.org/fhir/DSTU2/datatypes.html#Quantity">Quantity</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Vital Sign Value recorded with UCUM
            <br/>
            <span style="font-weight:bold">Binding: </span>
            <a href="ValueSet-ucum-vitals-common.html">Argonaut Vital Signs Units</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://hl7.org/fhir/DSTU2/terminologies.html#extensible">extensible</a>)</td>
        </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_bck0110.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: inherit"/>
            <img class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <a href="StructureDefinition-argo-vitalsigns-definitions.html#Observation.component.valueQuantity.value">value</a>
            <a name="Observation.component.valueQuantity.value"> </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://hl7.org/fhir/DSTU2/datatypes.html#decimal">decimal</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>
        <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_bck0110.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: inherit"/>
            <img class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <a href="StructureDefinition-argo-vitalsigns-definitions.html#Observation.component.valueQuantity.unit">unit</a>
            <a name="Observation.component.valueQuantity.unit"> </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://hl7.org/fhir/DSTU2/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>
        <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_bck0110.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: inherit"/>
            <img class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <a href="StructureDefinition-argo-vitalsigns-definitions.html#Observation.component.valueQuantity.system">system</a>
            <a name="Observation.component.valueQuantity.system"> </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://hl7.org/fhir/DSTU2/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="font-weight:bold">Fixed Value: </span>
            <span style="color: darkgreen">http://unitsofmeasure.org</span>
          </td>
        </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_bck0100.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: inherit"/>
            <img class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <a href="StructureDefinition-argo-vitalsigns-definitions.html#Observation.component.valueQuantity.code">code</a>
            <a name="Observation.component.valueQuantity.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://hl7.org/fhir/DSTU2/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">Coded responses from the common UCUM units for vital signs value set.</td>
        </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_bck000.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 href="StructureDefinition-argo-vitalsigns-definitions.html#Observation.component.dataAbsentReason">dataAbsentReason</a>
            <a name="Observation.component.dataAbsentReason"> </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>
            <span style="padding-left: 3px padding-right: 3px color: black background-color: white" title="This element has or is affected by some invariants">I</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">0</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://hl7.org/fhir/DSTU2/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">
            <span style="font-weight:bold">Binding: </span>
            <a href="http://hl7.org/fhir/DSTU2/valueset-observation-valueabsentreason.html">Observation Value Absent Reason</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://hl7.org/fhir/DSTU2/terminologies.html#extensible">extensible</a>)</td>
        </tr>
        <tr>
          <td colspan="5" class="hierarchy">
            <br/>
            <a title="Legend for this format" href="http://hl7.org/fhir/DSTU2/formats.html#table">
              <img alt="doco" style="background-color: inherit" src="http://hl7.org/fhir/DSTU2/help16.png"/>Documentation for this format</a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <url value="http://fhir.org/guides/argonaut/StructureDefinition/argo-vitalsigns"/>
  <version value="1.0.0"/>
  <name value="Argonaut Vital Signs Observation Profile"/>
  <status value="draft"/>
  <publisher value="Argonaut Project"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://argonautwiki.hl7.org"/>
      <rank value="0"/>
    </telecom>
  </contact>
  <date value="2016-10-18T00:00:00+10:00"/>
  <fhirVersion value="1.0.2"/>
  <mapping>
    <identity value="us-core-stu3"/>
    <uri value="http://unknown.org/US Core STU3"/>
    <name value="US Core STU3"/>
  </mapping>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <kind value="resource"/>
  <constrainedType value="Observation"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Observation"/>
  <snapshot>
    <element id="Observation">
      <path value="Observation"/>
      <name value="Observation"/>
      <short value="Argonaut Vital Signs Observation Profile"/>
      <definition value="Measurements and simple assertions made about a patient, device or other subject."/>
      <comments value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as lab reports, etc."/>
      <alias value="Vital Signs"/>
      <alias value="Measurement"/>
      <alias value="Results"/>
      <alias value="Tests"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Observation"/>
      </type>
      <maxLength value="0"/>
      <constraint>
        <key value="obs-6"/>
        <severity value="error"/>
        <human value="SHALL only be present if Observation.value[x] is not present"/>
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), &apos;value&apos;)])))"/>
      </constraint>
      <constraint>
        <key value="obs-7"/>
        <severity value="error"/>
        <human value="Component code SHALL not be same as observation code"/>
        <xpath value="not(exists(f:component/f:code)) or count(for $coding in f:code/f:coding return parent::*/f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value and f:system/@value=$coding/f:system/@value])=0"/>
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="(component.empty() and related.empty()) implies (dataAbsentReason or value)"/>
        </extension>
        <key value="arg-2"/>
        <severity value="error"/>
        <human value="If there is no component or related element then either a value[x] or a data absent reason must be present"/>
        <xpath value="exists(f:component) or exists(f:related) or exists(f:*[starts-with(local-name(.), &apos;value&apos;)]) or exists(f:dataAbsentReason)"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Observation[classCode=OBS, moodCode=EVN]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.diagnostics"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation"/>
      </mapping>
    </element>
    <element id="Observation.id">
      <path value="Observation.id"/>
      <name value="Observation.id"/>
      <short value="Logical id of this artifact"/>
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comments value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </element>
    <element id="Observation.meta">
      <path value="Observation.meta"/>
      <name value="Observation.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </element>
    <element id="Observation.implicitRules">
      <path value="Observation.implicitRules"/>
      <name value="Observation.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
      <comments value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="Observation.language">
      <path value="Observation.language"/>
      <name value="Observation.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://tools.ietf.org/html/bcp47"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Observation.text">
      <path value="Observation.text"/>
      <name value="Observation.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
      <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <maxLength value="0"/>
      <condition value="dom-1"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="Observation.contained">
      <path value="Observation.contained"/>
      <name value="Observation.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
      <comments value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Observation.extension">
      <path value="Observation.extension"/>
      <name value="Observation.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Observation.modifierExtension">
      <path value="Observation.modifierExtension"/>
      <name value="Observation.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Observation.identifier">
      <path value="Observation.identifier"/>
      <name value="Observation.identifier"/>
      <short value="Unique Id for this particular observation"/>
      <definition value="A unique identifier for the simple observation instance."/>
      <requirements value="Allows observations to be distinguished and referenced."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX.21"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="Observation.status">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">
        <valueString value="default: final"/>
      </extension>
      <path value="Observation.status"/>
      <name value="Observation.status"/>
      <short value="registered | preliminary | final | amended +"/>
      <definition value="The status of the result value."/>
      <requirements value="Need to track the status of individual results. Some results are finalized before the whole report is finalized."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.status"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-11"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="status Amended &amp; Final are differentiated by whether it is the subject of a ControlAct event with a type of &quot;revise&quot;"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.status"/>
      </mapping>
    </element>
    <element id="Observation.category">
      <path value="Observation.category"/>
      <name value="Observation.category"/>
      <short value="Classification of type of observation"/>
      <definition value="A code that classifies the general type of observation being made. This is used for searching, sorting and display purposes."/>
      <comments value="The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in Observation.code."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.category"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <patternCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/observation-category"/>
          <code value="vital-signs"/>
          <userSelected value="false"/>
        </coding>
      </patternCodeableConcept>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description value="Codes for high level observation categories ."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-category"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=&quot;COMP].target[classCode=&quot;LIST&quot;, moodCode=&quot;EVN&quot;].code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.category"/>
      </mapping>
    </element>
    <element id="Observation.code">
      <path value="Observation.code"/>
      <name value="Observation.code"/>
      <short value="Coded Responses from C-CDA Vital Sign Results"/>
      <definition value="Describes what was observed. Sometimes this is called the observation &quot;name&quot;."/>
      <requirements value="5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <binding>
        <strength value="extensible"/>
        <description value="This identifies the vital sign result type."/>
        <valueSetReference>
          <reference value="http://fhir.org/guides/argonaut/ValueSet/observation-ccdavitalsignresult"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="what"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.code"/>
      </mapping>
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject"/>
      <name value="Observation.subject"/>
      <short value="Who and/or what this is about"/>
      <definition value="The patient, or group of patients, location, or device whose characteristics (direct or indirect) are described by the observation and into whose record the observation is placed. Comments: Indirect characteristics may be those of a specimen, fetus, donor, other observer (for example a relative or EMT), or any observation made about the subject."/>
      <comments value="One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated. If the target of the observation is different than the subject, the general extension [observation-focal-subject](extension-observation-focal-subject.html). may be used. However, the distinction between the patient&apos;s own value for an observation versus that of the fetus, or the donor or blood product unit, etc., are often specified in the observation code."/>
      <requirements value="Observations have no value if you don&apos;t know who or what they&apos;re about."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://fhir.org/guides/argonaut/StructureDefinition/argo-patient"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.subject"/>
      </mapping>
    </element>
    <element id="Observation.encounter">
      <path value="Observation.encounter"/>
      <name value="Observation.encounter"/>
      <short value="Healthcare event during which this observation is made"/>
      <definition value="The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made."/>
      <requirements value="For some observations it may be important to know the link between an observation and a particular encounter."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="PV1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]"/>
      <name value="Observation.effective[x]"/>
      <short value="Often just a dateTime for Vital Signs"/>
      <definition value="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 &quot;physiologically relevant time&quot;. 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."/>
      <comments value="At least a date should be present unless this observation is a historical report."/>
      <requirements value="Knowing when an observation was deemed true is important to its relevance as well as determining trends."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.effective[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <maxLength value="0"/>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="($this as dateTime).toString().length() &gt;= 8"/>
        </extension>
        <key value="arg-1"/>
        <severity value="error"/>
        <human value="Datetime must be at least to day."/>
        <xpath value="f:matches(effectiveDateTime,/\d{4}-[01]\d-[0-3]\dT[0-2]\d:[0-5]\d([+-][0-2]\d:[0-5]\d|Z)/)"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.effective[x]"/>
      </mapping>
    </element>
    <element id="Observation.issued">
      <path value="Observation.issued"/>
      <name value="Observation.issued"/>
      <short value="Date/Time this was made available"/>
      <definition value="The date and time this observation was made available to providers, typically after the results have been reviewed and verified."/>
      <comments value="Updated when the result is updated."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.issued"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="instant"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=AUT].time"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
    </element>
    <element id="Observation.performer">
      <path value="Observation.performer"/>
      <name value="Observation.performer"/>
      <short value="Who is responsible for the observation"/>
      <definition value="Who was responsible for asserting the observed value as &quot;true&quot;."/>
      <requirements value="May give a degree of confidence in the observation and also indicates where follow-up questions should be directed."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.performer"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4=&apos;RO&apos; / (Device) OBX-18 , PRT-10:PRT-4=&apos;EQUIP&apos; / (Organization) OBX-23, PRT-8:PRT-4=&apos;PO&apos;"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=PRF]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.actor"/>
      </mapping>
    </element>
    <element id="Observation.valueQuantity">
      <path value="Observation.valueQuantity"/>
      <name value="Observation.valueQuantity"/>
      <short value="Vital Sign Value recorded with UCUM"/>
      <definition value="The information determined as a result of making the observation, if the information has a simple value."/>
      <comments value="Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is &quot;&apos;value&apos; + the type name&quot; with a capital on the first letter of the type). If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text. A value set is bound to the ValueCodeableConcept element. For boolean values use valueCodeableConcept and select codes from [HL7 Version 2 Table 0136](v2/0136/index.html). These &quot;yes/no&quot; concepts can be mapped to the display name &quot;true/false&quot; or other mutually exclusive terms that may be needed. For further discussion and examples see the [notes section](observation.html#4.20.4) below."/>
      <requirements value="9. SHALL contain exactly one [1..1] value with @xsi:type=&quot;PQ&quot; (CONF:7305)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Quantity"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <binding>
        <strength value="extensible"/>
        <description value="Common UCUM units for recording Vital Signs"/>
        <valueSetReference>
          <reference value="http://fhir.org/guides/argonaut/ValueSet/ucum-vitals-common"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX.2, OBX.5, OBX.6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="value"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.valueQuantity"/>
      </mapping>
    </element>
    <element id="Observation.valueQuantity.id">
      <path value="Observation.valueQuantity.id"/>
      <representation value="xmlAttr"/>
      <name value="Observation.valueQuantity.id"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Quantity.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Observation.valueQuantity.extension">
      <path value="Observation.valueQuantity.extension"/>
      <name value="Observation.valueQuantity.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Quantity.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Observation.valueQuantity.value">
      <path value="Observation.valueQuantity.value"/>
      <name value="Observation.valueQuantity.value"/>
      <short value="Numerical value (with implicit precision)"/>
      <definition value="The value of the measured amount. The value includes an implicit precision in the presentation of the value."/>
      <comments value="The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books)."/>
      <requirements value="Precision is handled implicitly in almost all cases of measurement."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Quantity.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="decimal"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="SN.2 / CQ - N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.valueQuantity.value"/>
      </mapping>
    </element>
    <element id="Observation.valueQuantity.comparator">
      <path value="Observation.valueQuantity.comparator"/>
      <name value="Observation.valueQuantity.comparator"/>
      <short value="&lt; | &lt;= | &gt;= | &gt; - how to understand the value"/>
      <definition value="How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues e.g. if the comparator is &quot;&lt;&quot; , then the real value is &lt; stated value."/>
      <comments value="This is labeled as &quot;Is Modifier&quot; because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value."/>
      <requirements value="Need a framework for handling measures where the value is &lt;5ug/L or &gt;400mg/L due to the limitations of measuring methodology."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Quantity.comparator"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <meaningWhenMissing value="If there is no comparator, then there is no modification of the value"/>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="How the Quantity should be understood and represented."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/quantity-comparator"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="SN.1 / CQ.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="IVL properties"/>
      </mapping>
    </element>
    <element id="Observation.valueQuantity.unit">
      <path value="Observation.valueQuantity.unit"/>
      <name value="Observation.valueQuantity.unit"/>
      <short value="Unit representation"/>
      <definition value="A human-readable form of the unit."/>
      <requirements value="There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Quantity.unit"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="(see OBX.6 etc.) / CQ.2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="PQ.unit"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.valueQuantity.unit"/>
      </mapping>
    </element>
    <element id="Observation.valueQuantity.system">
      <path value="Observation.valueQuantity.system"/>
      <name value="Observation.valueQuantity.system"/>
      <short value="System that defines coded unit form"/>
      <definition value="The identification of the system that provides the coded form of the unit."/>
      <requirements value="Need to know the system that defines the coded form of the unit."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Quantity.system"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://unitsofmeasure.org"/>
      <maxLength value="0"/>
      <condition value="qty-3"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="(see OBX.6 etc.) / CQ.2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CO.codeSystem, PQ.translation.codeSystem"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.valueQuantity.system"/>
      </mapping>
    </element>
    <element id="Observation.valueQuantity.code">
      <path value="Observation.valueQuantity.code"/>
      <name value="Observation.valueQuantity.code"/>
      <short value="Coded responses from the common UCUM units for vital signs value set."/>
      <definition value="A computer processable form of the unit in some unit representation system."/>
      <comments value="The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system."/>
      <requirements value="Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Quantity.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="(see OBX.6 etc.) / CQ.2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="PQ.code, MO.currency, PQ.translation.code"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.valueQuantity.code"/>
      </mapping>
    </element>
    <element id="Observation.dataAbsentReason">
      <path value="Observation.dataAbsentReason"/>
      <name value="Observation.dataAbsentReason"/>
      <short value="Why the result is missing"/>
      <definition value="Provides a reason why the expected value in the element Observation.value[x] is missing."/>
      <comments value="Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be &quot;detected&quot;, &quot;not detected&quot;, &quot;inconclusive&quot;, or &quot;specimen unsatisfactory&quot;. The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code &quot;error&quot; 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 value="For many results it is necessary to handle exceptional values in measurements."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.dataAbsentReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <condition value="obs-6"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-valueabsentreason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="value.nullFlavor"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.dataAbsentReason"/>
      </mapping>
    </element>
    <element id="Observation.interpretation">
      <path value="Observation.interpretation"/>
      <name value="Observation.interpretation"/>
      <short value="High, low, normal, etc."/>
      <definition value="The assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag."/>
      <requirements value="For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result."/>
      <alias value="Abnormal Flag"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.interpretation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <description value="Codes identifying interpretations of observations."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-interpretation"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-8"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="interpretationCode"/>
      </mapping>
    </element>
    <element id="Observation.comments">
      <path value="Observation.comments"/>
      <name value="Observation.comments"/>
      <short value="Comments about result"/>
      <definition value="May include statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result."/>
      <requirements value="Need to be able to provide free text additional information."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.comments"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="subjectOf.observationEvent[code=&quot;annotation&quot;].value"/>
      </mapping>
    </element>
    <element id="Observation.bodySite">
      <path value="Observation.bodySite"/>
      <name value="Observation.bodySite"/>
      <short value="Observed body part"/>
      <definition value="Indicates the site on the subject&apos;s body where the observation was made (i.e. the target site)."/>
      <comments value="Only used if not implicit in code found in Observation.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension[ body-site-instance](extension-body-site-instance.html)."/>
      <requirements value="Knowing where the observation is made is important for tracking if multiple sites are possible."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.bodySite"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description value="Codes describing anatomical locations. May include laterality."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/body-site"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-20"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="targetSiteCode"/>
      </mapping>
    </element>
    <element id="Observation.method">
      <path value="Observation.method"/>
      <name value="Observation.method"/>
      <short value="How it was done"/>
      <definition value="Indicates the mechanism used to perform the observation."/>
      <comments value="Only used if not implicit in code for Observation.code."/>
      <requirements value="In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.method"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description value="Methods for simple observations."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-methods"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-17"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="methodCode"/>
      </mapping>
    </element>
    <element id="Observation.specimen">
      <path value="Observation.specimen"/>
      <name value="Observation.specimen"/>
      <short value="Specimen used for this observation"/>
      <definition value="The specimen that was used when this observation was made."/>
      <comments value="Observations are not made on specimens themselves they are made on a subject, but usually by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.specimen"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Specimen"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="SPM segment"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=SPC].specimen"/>
      </mapping>
    </element>
    <element id="Observation.device">
      <path value="Observation.device"/>
      <name value="Observation.device"/>
      <short value="(Measurement) Device"/>
      <definition value="The device used to generate the observation data."/>
      <comments value="An extension should be used if further typing of the device is needed. Devices used to support obtaining an observation can be represented using either extension or through the Observation.related element."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.device"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/DeviceMetric"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-17 / PRT -10"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=DEV]"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange">
      <path value="Observation.referenceRange"/>
      <name value="Observation.referenceRange"/>
      <short value="Provides guide for interpretation"/>
      <definition value="Guidance on how to interpret the value by comparison to a normal or recommended range."/>
      <comments value="Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g. specific to the patient&apos;s age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties."/>
      <requirements value="Knowing what values are considered &quot;normal&quot; can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.referenceRange"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <maxLength value="0"/>
      <constraint>
        <key value="obs-3"/>
        <severity value="error"/>
        <human value="Must have at least a low or a high or text"/>
        <xpath value="(exists(f:low) or exists(f:high)or exists(f:text))"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX.7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange.id">
      <path value="Observation.referenceRange.id"/>
      <representation value="xmlAttr"/>
      <name value="Observation.referenceRange.id"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.referenceRange.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange.extension">
      <path value="Observation.referenceRange.extension"/>
      <name value="Observation.referenceRange.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.referenceRange.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange.modifierExtension">
      <path value="Observation.referenceRange.modifierExtension"/>
      <name value="Observation.referenceRange.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.referenceRange.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange.low">
      <path value="Observation.referenceRange.low"/>
      <name value="Observation.referenceRange.low"/>
      <short value="Low Range, if relevant"/>
      <definition value="The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is &gt;=5 - &lt;=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is &lt;=2.3)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.referenceRange.low"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <maxLength value="0"/>
      <condition value="obs-3"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="value:IVL_PQ.low"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange.high">
      <path value="Observation.referenceRange.high"/>
      <name value="Observation.referenceRange.high"/>
      <short value="High Range, if relevant"/>
      <definition value="The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is &gt;=5 - &lt;=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is &gt;= 2.3)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.referenceRange.high"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <maxLength value="0"/>
      <condition value="obs-3"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="value:IVL_PQ.high"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange.meaning">
      <path value="Observation.referenceRange.meaning"/>
      <name value="Observation.referenceRange.meaning"/>
      <short value="Indicates the meaning/use of this range of this range"/>
      <definition value="Code for the meaning of the reference range."/>
      <comments value="This SHOULD be populated if there is more than one range."/>
      <requirements value="Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, or perhaps what state this reference range applies to (i.e. age, hormonal cycles, etc.)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.referenceRange.meaning"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description value="Code for the meaning of a reference range."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/referencerange-meaning"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-10?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="interpretationCode"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange.age">
      <path value="Observation.referenceRange.age"/>
      <name value="Observation.referenceRange.age"/>
      <short value="Applicable age range, if relevant"/>
      <definition value="The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so."/>
      <requirements value="Some analytes vary greatly over age."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.referenceRange.age"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Range"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=&quot;age&quot;].value"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange.text">
      <path value="Observation.referenceRange.text"/>
      <name value="Observation.referenceRange.text"/>
      <short value="Text based reference range in an observation"/>
      <definition value="Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation. An example would be a reference value of &quot;Negative&quot; or a list or table of &apos;normals&apos;."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.referenceRange.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="value:ST"/>
      </mapping>
    </element>
    <element id="Observation.related">
      <path value="Observation.related"/>
      <name value="Observation.related"/>
      <short value="Used when reporting systolic and diastolic blood pressure."/>
      <definition value="A reference to another resource (usually another Observation but could also be a QuestionnaireAnswer) whose relationship is defined by the relationship type code."/>
      <comments value="For a discussion on the ways Observations can assembled in groups together see [Notes below](observation.html#4.20.4)."/>
      <requirements value="Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and a set of related observations or sometimes QuestionnaireResponse from which the measure is derived."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.related"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="Relationships established by OBX-4 usage"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outBoundRelationship"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.related"/>
      </mapping>
    </element>
    <element id="Observation.related.id">
      <path value="Observation.related.id"/>
      <representation value="xmlAttr"/>
      <name value="Observation.related.id"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.related.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Observation.related.extension">
      <path value="Observation.related.extension"/>
      <name value="Observation.related.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.related.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Observation.related.modifierExtension">
      <path value="Observation.related.modifierExtension"/>
      <name value="Observation.related.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.related.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Observation.related.type">
      <path value="Observation.related.type"/>
      <name value="Observation.related.type"/>
      <short value="has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by"/>
      <definition value="A code specifying the kind of relationship that exists with the target resource."/>
      <comments value="&quot;derived-from&quot; is only logical choice when referencing QuestionnaireAnswer resource."/>
      <requirements value="A relationship type SHOULD be provided."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.related.type"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="has-member"/>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <description value="Codes specifying how two observations are related."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-relationshiptypes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".typeCode"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.related.type"/>
      </mapping>
    </element>
    <element id="Observation.related.target">
      <path value="Observation.related.target"/>
      <name value="Observation.related.target"/>
      <short value="Resource that is related to this one"/>
      <definition value="A reference to the observation or [[[QuestionnaireResponse]]] resource that is related to this observation."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.related.target"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://fhir.org/guides/argonaut/StructureDefinition/argo-vitalsigns"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".targetObservation"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.related.target"/>
      </mapping>
    </element>
    <element id="Observation.component">
      <path value="Observation.component"/>
      <name value="Observation.component"/>
      <short value="Used when reporting systolic and diastolic blood pressure."/>
      <definition value="Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations."/>
      <comments value="For a discussion on the ways Observations can assembled in groups together see [Notes below](observation.html#4.20.4)."/>
      <requirements value="Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.component"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <maxLength value="0"/>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="value.exists() or dataAbsentReason.exists()"/>
        </extension>
        <key value="arg-3"/>
        <severity value="error"/>
        <human value="If there is no a value a data absent reason must be present"/>
        <xpath value="exists(f:*[starts-with(local-name(.), &apos;value&apos;)]) or exists(f:dataAbsentReason)"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="containment by OBX-4?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outBoundRelationship[typeCode=COMP]"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.component"/>
      </mapping>
    </element>
    <element id="Observation.component.id">
      <path value="Observation.component.id"/>
      <representation value="xmlAttr"/>
      <name value="Observation.component.id"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.component.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Observation.component.extension">
      <path value="Observation.component.extension"/>
      <name value="Observation.component.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.component.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Observation.component.modifierExtension">
      <path value="Observation.component.modifierExtension"/>
      <name value="Observation.component.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.component.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Observation.component.code">
      <path value="Observation.component.code"/>
      <name value="Observation.component.code"/>
      <short value="Type of component observation (code / type)"/>
      <definition value="Describes what was observed. Sometimes this is called the observation &quot;code&quot;."/>
      <requirements value="Knowing what kind of observation is being made is essential to understanding the observation."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.component.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <condition value="obs-7"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <binding>
        <strength value="extensible"/>
        <description value="This identifies the vital sign result type."/>
        <valueSetReference>
          <reference value="http://fhir.org/guides/argonaut/ValueSet/observation-ccdavitalsignresult"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="what"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.component.code"/>
      </mapping>
    </element>
    <element id="Observation.component.valueQuantity">
      <path value="Observation.component.valueQuantity"/>
      <name value="Observation.component.valueQuantity"/>
      <short value="Vital Sign Value recorded with UCUM"/>
      <definition value="The information determined as a result of making the observation, if the information has a simple value."/>
      <comments value="Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For boolean values use valueCodeableConcept and select codes from &lt;http://hl7.org/fhir/ValueSet/v2-0136&gt; (These &quot;yes/no&quot; concepts can be mapped to the display name &quot;true/false&quot; or other mutually exclusive terms that may be needed&quot;). The element, Observation.value[x], has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueRatio, valueChoice, valuePeriod, valueSampleData, or valueString (The name format is &quot;&apos;value&apos; + the type name&quot; with a capital on the first letter of the type)."/>
      <requirements value="9. SHALL contain exactly one [1..1] value with @xsi:type=&quot;PQ&quot; (CONF:7305)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.component.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Quantity"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <binding>
        <strength value="extensible"/>
        <description value="Common UCUM units for recording Vital Signs"/>
        <valueSetReference>
          <reference value="http://fhir.org/guides/argonaut/ValueSet/ucum-vitals-common"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX.2, OBX.5, OBX.6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="value"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.component.valueQuantity"/>
      </mapping>
    </element>
    <element id="Observation.component.valueQuantity.id">
      <path value="Observation.component.valueQuantity.id"/>
      <representation value="xmlAttr"/>
      <name value="Observation.component.valueQuantity.id"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Quantity.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Observation.component.valueQuantity.extension">
      <path value="Observation.component.valueQuantity.extension"/>
      <name value="Observation.component.valueQuantity.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Quantity.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Observation.component.valueQuantity.value">
      <path value="Observation.component.valueQuantity.value"/>
      <name value="Observation.component.valueQuantity.value"/>
      <short value="Numerical value (with implicit precision)"/>
      <definition value="The value of the measured amount. The value includes an implicit precision in the presentation of the value."/>
      <comments value="The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books)."/>
      <requirements value="Precision is handled implicitly in almost all cases of measurement."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Quantity.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="decimal"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="SN.2 / CQ - N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.component.valueQuantity.value"/>
      </mapping>
    </element>
    <element id="Observation.component.valueQuantity.comparator">
      <path value="Observation.component.valueQuantity.comparator"/>
      <name value="Observation.component.valueQuantity.comparator"/>
      <short value="&lt; | &lt;= | &gt;= | &gt; - how to understand the value"/>
      <definition value="How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues e.g. if the comparator is &quot;&lt;&quot; , then the real value is &lt; stated value."/>
      <comments value="This is labeled as &quot;Is Modifier&quot; because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value."/>
      <requirements value="Need a framework for handling measures where the value is &lt;5ug/L or &gt;400mg/L due to the limitations of measuring methodology."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Quantity.comparator"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <meaningWhenMissing value="If there is no comparator, then there is no modification of the value"/>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="How the Quantity should be understood and represented."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/quantity-comparator"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="SN.1 / CQ.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="IVL properties"/>
      </mapping>
    </element>
    <element id="Observation.component.valueQuantity.unit">
      <path value="Observation.component.valueQuantity.unit"/>
      <name value="Observation.component.valueQuantity.unit"/>
      <short value="Unit representation"/>
      <definition value="A human-readable form of the unit."/>
      <requirements value="There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Quantity.unit"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="(see OBX.6 etc.) / CQ.2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="PQ.unit"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.component.valueQuantity.unit"/>
      </mapping>
    </element>
    <element id="Observation.component.valueQuantity.system">
      <path value="Observation.component.valueQuantity.system"/>
      <name value="Observation.component.valueQuantity.system"/>
      <short value="System that defines coded unit form"/>
      <definition value="The identification of the system that provides the coded form of the unit."/>
      <requirements value="Need to know the system that defines the coded form of the unit."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Quantity.system"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://unitsofmeasure.org"/>
      <maxLength value="0"/>
      <condition value="qty-3"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="(see OBX.6 etc.) / CQ.2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CO.codeSystem, PQ.translation.codeSystem"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.component.valueQuantity.system"/>
      </mapping>
    </element>
    <element id="Observation.component.valueQuantity.code">
      <path value="Observation.component.valueQuantity.code"/>
      <name value="Observation.component.valueQuantity.code"/>
      <short value="Coded responses from the common UCUM units for vital signs value set."/>
      <definition value="A computer processable form of the unit in some unit representation system."/>
      <comments value="The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system."/>
      <requirements value="Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Quantity.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="(see OBX.6 etc.) / CQ.2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="PQ.code, MO.currency, PQ.translation.code"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.component.valueQuantity.code"/>
      </mapping>
    </element>
    <element id="Observation.component.dataAbsentReason">
      <path value="Observation.component.dataAbsentReason"/>
      <name value="Observation.component.dataAbsentReason"/>
      <short value="Why the component result is missing"/>
      <definition value="Provides a reason why the expected value in the element Observation.value[x] is missing."/>
      <comments value="&quot;Null&quot; 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 &quot;detected&quot;, &quot;not detected&quot;, &quot;inconclusive&quot;, or &quot;test not done&quot;. The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code &quot;error&quot; 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 value="For many results it is necessary to handle exceptional values in measurements."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.component.dataAbsentReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <condition value="obs-6"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-valueabsentreason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="value.nullFlavor"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.component.dataAbsentReason"/>
      </mapping>
    </element>
    <element id="Observation.component.referenceRange">
      <path value="Observation.component.referenceRange"/>
      <name value="Observation.component.referenceRange"/>
      <short value="Provides guide for interpretation of component result"/>
      <definition value="Guidance on how to interpret the value by comparison to a normal or recommended range."/>
      <comments value="Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g. specific to the patient&apos;s age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties."/>
      <requirements value="Knowing what values are considered &quot;normal&quot; can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.component.referenceRange"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <nameReference value="Observation.referenceRange"/>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX.7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="Observation">
      <path value="Observation"/>
      <name value="Observation"/>
      <short value="Argonaut Vital Signs Observation Profile"/>
      <alias value="Vital Signs"/>
      <alias value="Measurement"/>
      <alias value="Results"/>
      <alias value="Tests"/>
      <min value="0"/>
      <type>
        <code value="Observation"/>
      </type>
      <maxLength value="0"/>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="(component.empty() and related.empty()) implies (dataAbsentReason or value)"/>
        </extension>
        <key value="arg-2"/>
        <severity value="error"/>
        <human value="If there is no component or related element then either a value[x] or a data absent reason must be present"/>
        <xpath value="exists(f:component) or exists(f:related) or exists(f:*[starts-with(local-name(.), &apos;value&apos;)]) or exists(f:dataAbsentReason)"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation"/>
      </mapping>
    </element>
    <element id="Observation.status">
      <path value="Observation.status"/>
      <name value="Observation.status"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.status"/>
      </mapping>
    </element>
    <element id="Observation.category">
      <path value="Observation.category"/>
      <name value="Observation.category"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <patternCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/observation-category"/>
          <code value="vital-signs"/>
          <userSelected value="false"/>
        </coding>
      </patternCodeableConcept>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.category"/>
      </mapping>
    </element>
    <element id="Observation.code">
      <path value="Observation.code"/>
      <name value="Observation.code"/>
      <short value="Coded Responses from C-CDA Vital Sign Results"/>
      <requirements value="5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301)."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <description value="This identifies the vital sign result type."/>
        <valueSetReference>
          <reference value="http://fhir.org/guides/argonaut/ValueSet/observation-ccdavitalsignresult"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.code"/>
      </mapping>
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject"/>
      <name value="Observation.subject"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://fhir.org/guides/argonaut/StructureDefinition/argo-patient"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.subject"/>
      </mapping>
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]"/>
      <name value="Observation.effective[x]"/>
      <short value="Often just a dateTime for Vital Signs"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <maxLength value="0"/>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="($this as dateTime).toString().length() &gt;= 8"/>
        </extension>
        <key value="arg-1"/>
        <severity value="error"/>
        <human value="Datetime must be at least to day."/>
        <xpath value="f:matches(effectiveDateTime,/\d{4}-[01]\d-[0-3]\dT[0-2]\d:[0-5]\d([+-][0-2]\d:[0-5]\d|Z)/)"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.effective[x]"/>
      </mapping>
    </element>
    <element id="Observation.valueQuantity">
      <path value="Observation.valueQuantity"/>
      <name value="Observation.valueQuantity"/>
      <short value="Vital Sign Value recorded with UCUM"/>
      <requirements value="9. SHALL contain exactly one [1..1] value with @xsi:type=&quot;PQ&quot; (CONF:7305)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <description value="Common UCUM units for recording Vital Signs"/>
        <valueSetReference>
          <reference value="http://fhir.org/guides/argonaut/ValueSet/ucum-vitals-common"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.valueQuantity"/>
      </mapping>
    </element>
    <element id="Observation.valueQuantity.value">
      <path value="Observation.valueQuantity.value"/>
      <name value="Observation.valueQuantity.value"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.valueQuantity.value"/>
      </mapping>
    </element>
    <element id="Observation.valueQuantity.unit">
      <path value="Observation.valueQuantity.unit"/>
      <name value="Observation.valueQuantity.unit"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.valueQuantity.unit"/>
      </mapping>
    </element>
    <element id="Observation.valueQuantity.system">
      <path value="Observation.valueQuantity.system"/>
      <name value="Observation.valueQuantity.system"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://unitsofmeasure.org"/>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.valueQuantity.system"/>
      </mapping>
    </element>
    <element id="Observation.valueQuantity.code">
      <path value="Observation.valueQuantity.code"/>
      <name value="Observation.valueQuantity.code"/>
      <short value="Coded responses from the common UCUM units for vital signs value set."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.valueQuantity.code"/>
      </mapping>
    </element>
    <element id="Observation.dataAbsentReason">
      <path value="Observation.dataAbsentReason"/>
      <name value="Observation.dataAbsentReason"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-valueabsentreason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.dataAbsentReason"/>
      </mapping>
    </element>
    <element id="Observation.related">
      <path value="Observation.related"/>
      <name value="Observation.related"/>
      <short value="Used when reporting systolic and diastolic blood pressure."/>
      <min value="0"/>
      <max value="*"/>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.related"/>
      </mapping>
    </element>
    <element id="Observation.related.type">
      <path value="Observation.related.type"/>
      <name value="Observation.related.type"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <fixedCode value="has-member"/>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.related.type"/>
      </mapping>
    </element>
    <element id="Observation.related.target">
      <path value="Observation.related.target"/>
      <name value="Observation.related.target"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://fhir.org/guides/argonaut/StructureDefinition/argo-vitalsigns"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.related.target"/>
      </mapping>
    </element>
    <element id="Observation.component">
      <path value="Observation.component"/>
      <name value="Observation.component"/>
      <short value="Used when reporting systolic and diastolic blood pressure."/>
      <min value="0"/>
      <max value="*"/>
      <maxLength value="0"/>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-expression">
          <valueString value="value.exists() or dataAbsentReason.exists()"/>
        </extension>
        <key value="arg-3"/>
        <severity value="error"/>
        <human value="If there is no a value a data absent reason must be present"/>
        <xpath value="exists(f:*[starts-with(local-name(.), &apos;value&apos;)]) or exists(f:dataAbsentReason)"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.component"/>
      </mapping>
    </element>
    <element id="Observation.component.code">
      <path value="Observation.component.code"/>
      <name value="Observation.component.code"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <description value="This identifies the vital sign result type."/>
        <valueSetReference>
          <reference value="http://fhir.org/guides/argonaut/ValueSet/observation-ccdavitalsignresult"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.component.code"/>
      </mapping>
    </element>
    <element id="Observation.component.valueQuantity">
      <path value="Observation.component.valueQuantity"/>
      <name value="Observation.component.valueQuantity"/>
      <short value="Vital Sign Value recorded with UCUM"/>
      <requirements value="9. SHALL contain exactly one [1..1] value with @xsi:type=&quot;PQ&quot; (CONF:7305)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <description value="Common UCUM units for recording Vital Signs"/>
        <valueSetReference>
          <reference value="http://fhir.org/guides/argonaut/ValueSet/ucum-vitals-common"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.component.valueQuantity"/>
      </mapping>
    </element>
    <element id="Observation.component.valueQuantity.value">
      <path value="Observation.component.valueQuantity.value"/>
      <name value="Observation.component.valueQuantity.value"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.component.valueQuantity.value"/>
      </mapping>
    </element>
    <element id="Observation.component.valueQuantity.unit">
      <path value="Observation.component.valueQuantity.unit"/>
      <name value="Observation.component.valueQuantity.unit"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.component.valueQuantity.unit"/>
      </mapping>
    </element>
    <element id="Observation.component.valueQuantity.system">
      <path value="Observation.component.valueQuantity.system"/>
      <name value="Observation.component.valueQuantity.system"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri value="http://unitsofmeasure.org"/>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.component.valueQuantity.system"/>
      </mapping>
    </element>
    <element id="Observation.component.valueQuantity.code">
      <path value="Observation.component.valueQuantity.code"/>
      <name value="Observation.component.valueQuantity.code"/>
      <short value="Coded responses from the common UCUM units for vital signs value set."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.component.valueQuantity.code"/>
      </mapping>
    </element>
    <element id="Observation.component.dataAbsentReason">
      <path value="Observation.component.dataAbsentReason"/>
      <name value="Observation.component.dataAbsentReason"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-valueabsentreason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.component.dataAbsentReason"/>
      </mapping>
    </element>
  </differential>
</StructureDefinition>

StructureDefinition "argo-smokingstatus" 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
.. Observation 0..*Argonaut 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(Argonaut Patient Profile)
... issued S1..1instant
... valueCodeableConcept S1..1CodeableConceptCoded Responses from Smoking Status Value Set
Binding: Smoking Status (extensible)

doco Documentation for this format

<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="argo-smokingstatus"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2018-10-08T18:34:05.690Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <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://hl7.org/fhir/DSTU2/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://hl7.org/fhir/DSTU2/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://hl7.org/fhir/DSTU2/formats.html#table">Card.</a>
          </th>
          <th style="width: 100px" class="hierarchy">
            <a title="Reference to the type of the element" href="http://hl7.org/fhir/DSTU2/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://hl7.org/fhir/DSTU2/formats.html#table">Description &amp; Constraints</a>
            <span style="float: right">
              <a title="Legend for this format" href="http://hl7.org/fhir/DSTU2/formats.html#table">
                <img alt="doco" style="background-color: inherit" src="http://hl7.org/fhir/DSTU2/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 href="StructureDefinition-argo-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">Argonaut Smoking Status Observation Profile</td>
        </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_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-argo-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://hl7.org/fhir/DSTU2/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://hl7.org/fhir/DSTU2/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://hl7.org/fhir/DSTU2/terminologies.html#required">required</a>)</td>
        </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_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-argo-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://hl7.org/fhir/DSTU2/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>
        <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-argo-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://hl7.org/fhir/DSTU2/references.html">Reference</a>(
            <a href="StructureDefinition-argo-patient.html">Argonaut 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>
        <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-argo-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://hl7.org/fhir/DSTU2/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>
        <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-argo-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://hl7.org/fhir/DSTU2/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-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://hl7.org/fhir/DSTU2/terminologies.html#extensible">extensible</a>)</td>
        </tr>
        <tr>
          <td colspan="5" class="hierarchy">
            <br/>
            <a title="Legend for this format" href="http://hl7.org/fhir/DSTU2/formats.html#table">
              <img alt="doco" style="background-color: inherit" src="http://hl7.org/fhir/DSTU2/help16.png"/>Documentation for this format</a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <url value="http://fhir.org/guides/argonaut/StructureDefinition/argo-smokingstatus"/>
  <version value="1.0.0"/>
  <name value="Argonaut Smoking Status Observation Profile"/>
  <status value="draft"/>
  <publisher value="Argonaut Project"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://argonautwiki.hl7.org"/>
      <rank value="0"/>
    </telecom>
  </contact>
  <date value="2016-10-18T00:00:00+10:00"/>
  <fhirVersion value="1.0.2"/>
  <mapping>
    <identity value="us-core-stu3"/>
    <uri value="http://unknown.org/US Core STU3"/>
    <name value="US Core STU3"/>
  </mapping>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <kind value="resource"/>
  <constrainedType value="Observation"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Observation"/>
  <snapshot>
    <element id="Observation">
      <path value="Observation"/>
      <name value="Observation"/>
      <short value="Argonaut Smoking Status Observation Profile"/>
      <definition value="Measurements and simple assertions made about a patient, device or other subject."/>
      <comments value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as lab reports, etc."/>
      <alias value="Vital Signs"/>
      <alias value="Measurement"/>
      <alias value="Results"/>
      <alias value="Tests"/>
      <alias value="Obs"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Observation"/>
      </type>
      <maxLength value="0"/>
      <constraint>
        <key value="obs-6"/>
        <severity value="error"/>
        <human value="SHALL only be present if Observation.value[x] is not present"/>
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), &apos;value&apos;)])))"/>
      </constraint>
      <constraint>
        <key value="obs-7"/>
        <severity value="error"/>
        <human value="Component code SHALL not be same as observation code"/>
        <xpath value="not(exists(f:component/f:code)) or count(for $coding in f:code/f:coding return parent::*/f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value and f:system/@value=$coding/f:system/@value])=0"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Observation[classCode=OBS, moodCode=EVN]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.diagnostics"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation"/>
      </mapping>
    </element>
    <element id="Observation.id">
      <path value="Observation.id"/>
      <name value="Observation.id"/>
      <short value="Logical id of this artifact"/>
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comments value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </element>
    <element id="Observation.meta">
      <path value="Observation.meta"/>
      <name value="Observation.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </element>
    <element id="Observation.implicitRules">
      <path value="Observation.implicitRules"/>
      <name value="Observation.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
      <comments value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="Observation.language">
      <path value="Observation.language"/>
      <name value="Observation.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://tools.ietf.org/html/bcp47"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Observation.text">
      <path value="Observation.text"/>
      <name value="Observation.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
      <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <maxLength value="0"/>
      <condition value="dom-1"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="Observation.contained">
      <path value="Observation.contained"/>
      <name value="Observation.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
      <comments value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Observation.extension">
      <path value="Observation.extension"/>
      <name value="Observation.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Observation.modifierExtension">
      <path value="Observation.modifierExtension"/>
      <name value="Observation.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Observation.identifier">
      <path value="Observation.identifier"/>
      <name value="Observation.identifier"/>
      <short value="Unique Id for this particular observation"/>
      <definition value="A unique identifier for the simple observation instance."/>
      <requirements value="Allows observations to be distinguished and referenced."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX.21"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="Observation.status">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">
        <valueString value="default: final"/>
      </extension>
      <path value="Observation.status"/>
      <name value="Observation.status"/>
      <short value="registered | preliminary | final | amended +"/>
      <definition value="The status of the result value."/>
      <requirements value="Need to track the status of individual results. Some results are finalized before the whole report is finalized."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.status"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-11"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="status Amended &amp; Final are differentiated by whether it is the subject of a ControlAct event with a type of &quot;revise&quot;"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.status"/>
      </mapping>
    </element>
    <element id="Observation.category">
      <path value="Observation.category"/>
      <name value="Observation.category"/>
      <short value="Classification of type of observation"/>
      <definition value="A code that classifies the general type of observation being made. This is used for searching, sorting and display purposes."/>
      <comments value="The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in Observation.code."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.category"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description value="Codes for high level observation categories ."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-category"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=&quot;COMP].target[classCode=&quot;LIST&quot;, moodCode=&quot;EVN&quot;].code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element id="Observation.code">
      <path value="Observation.code"/>
      <name value="Observation.code"/>
      <short value="Smoking Status: LOINC 72166-2 = Tobacco smoking status NHIS"/>
      <definition value="Smoking Status: Limited to fixed LOINC value 72166-2 = Tobacco smoking status NHIS."/>
      <requirements value="Knowing what kind of observation is being made is essential to understanding the observation."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="72166-2"/>
          <userSelected value="false"/>
        </coding>
      </patternCodeableConcept>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Codes identifying names of simple observations."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="what"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.code"/>
      </mapping>
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject"/>
      <name value="Observation.subject"/>
      <short value="Who and/or what this is about"/>
      <definition value="The patient, or group of patients, location, or device whose characteristics (direct or indirect) are described by the observation and into whose record the observation is placed. Comments: Indirect characteristics may be those of a specimen, fetus, donor, other observer (for example a relative or EMT), or any observation made about the subject."/>
      <comments value="One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated. If the target of the observation is different than the subject, the general extension [observation-focal-subject](extension-observation-focal-subject.html). may be used. However, the distinction between the patient&apos;s own value for an observation versus that of the fetus, or the donor or blood product unit, etc., are often specified in the observation code."/>
      <requirements value="Observations have no value if you don&apos;t know who or what they&apos;re about."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.subject"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://fhir.org/guides/argonaut/StructureDefinition/argo-patient"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.subject"/>
      </mapping>
    </element>
    <element id="Observation.encounter">
      <path value="Observation.encounter"/>
      <name value="Observation.encounter"/>
      <short value="Healthcare event during which this observation is made"/>
      <definition value="The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made."/>
      <requirements value="For some observations it may be important to know the link between an observation and a particular encounter."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="PV1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]"/>
      <name value="Observation.effective[x]"/>
      <short value="Clinically relevant time/time-period for observation"/>
      <definition value="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 &quot;physiologically relevant time&quot;. 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."/>
      <comments value="At least a date should be present unless this observation is a historical report."/>
      <requirements value="Knowing when an observation was deemed true is important to its relevance as well as determining trends."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.effective[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </mapping>
    </element>
    <element id="Observation.issued">
      <path value="Observation.issued"/>
      <name value="Observation.issued"/>
      <short value="Date/Time this was made available"/>
      <definition value="The date and time this observation was made available to providers, typically after the results have been reviewed and verified."/>
      <comments value="Updated when the result is updated."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.issued"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="instant"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=AUT].time"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.issued"/>
      </mapping>
    </element>
    <element id="Observation.performer">
      <path value="Observation.performer"/>
      <name value="Observation.performer"/>
      <short value="Who is responsible for the observation"/>
      <definition value="Who was responsible for asserting the observed value as &quot;true&quot;."/>
      <requirements value="May give a degree of confidence in the observation and also indicates where follow-up questions should be directed."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.performer"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4=&apos;RO&apos; / (Device) OBX-18 , PRT-10:PRT-4=&apos;EQUIP&apos; / (Organization) OBX-23, PRT-8:PRT-4=&apos;PO&apos;"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=PRF]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.actor"/>
      </mapping>
    </element>
    <element id="Observation.valueCodeableConcept">
      <path value="Observation.valueCodeableConcept"/>
      <name value="Observation.valueCodeableConcept"/>
      <short value="Coded Responses from Smoking Status Value Set"/>
      <definition value="The information determined as a result of making the observation, if the information has a simple value."/>
      <comments value="Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and related observations (for an Apgar score, the observations from which the measure is derived). If a value is present, the datatype for this element should be determined by Observation.code. This element has a variable name depending on the type as follows: valueQuantity, valueCodeableConcept, valueString, valueRange, valueRatio, valueSampledData, valueAttachment, valueTime, valueDateTime, or valuePeriod. (The name format is &quot;&apos;value&apos; + the type name&quot; with a capital on the first letter of the type). If the data element is usually coded or if the type associated with the Observation.value defines a coded value, use CodeableConcept instead of string datatype even if the value is uncoded text. A value set is bound to the ValueCodeableConcept element. For boolean values use valueCodeableConcept and select codes from [HL7 Version 2 Table 0136](v2/0136/index.html). These &quot;yes/no&quot; concepts can be mapped to the display name &quot;true/false&quot; or other mutually exclusive terms that may be needed. For further discussion and examples see the [notes section](observation.html#4.20.4) below."/>
      <requirements value="An observation exists to have a value, though it may not if it is in error, or it represents a group of observations."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueUri value="http://fhir.org/guides/argonaut/ValueSet/observation-ccdasmokingstatus"/>
        </extension>
        <strength value="extensible"/>
        <description value="This value set indicates the current smoking status of a patient"/>
        <valueSetReference>
          <reference value="http://fhir.org/guides/argonaut/ValueSet/observation-ccdasmokingstatus"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX.2, OBX.5, OBX.6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="value"/>
      </mapping>
      <mapping>
        <identity value="us-core-stu3"/>
        <map value="Observation.valueCodeableConcept"/>
      </mapping>
    </element>
    <element id="Observation.dataAbsentReason">
      <path value="Observation.dataAbsentReason"/>
      <name value="Observation.dataAbsentReason"/>
      <short value="Why the result is missing"/>
      <definition value="Provides a reason why the expected value in the element Observation.value[x] is missing."/>
      <comments value="Null or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. For example, measurement values for a serology test could be &quot;detected&quot;, &quot;not detected&quot;, &quot;inconclusive&quot;, or &quot;specimen unsatisfactory&quot;. The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For example, the dataAbsentReason code &quot;error&quot; 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 value="For many results it is necessary to handle exceptional values in measurements."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.dataAbsentReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <condition value="obs-6"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <description value="Codes specifying why the result (Observation.value[x]) is missing."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-valueabsentreason"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="value.nullFlavor"/>
      </mapping>
    </element>
    <element id="Observation.interpretation">
      <path value="Observation.interpretation"/>
      <name value="Observation.interpretation"/>
      <short value="High, low, normal, etc."/>
      <definition value="The assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag."/>
      <requirements value="For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result."/>
      <alias value="Abnormal Flag"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.interpretation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <description value="Codes identifying interpretations of observations."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-interpretation"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-8"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="interpretationCode"/>
      </mapping>
    </element>
    <element id="Observation.comments">
      <path value="Observation.comments"/>
      <name value="Observation.comments"/>
      <short value="Comments about result"/>
      <definition value="May include statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result."/>
      <requirements value="Need to be able to provide free text additional information."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.comments"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="subjectOf.observationEvent[code=&quot;annotation&quot;].value"/>
      </mapping>
    </element>
    <element id="Observation.bodySite">
      <path value="Observation.bodySite"/>
      <name value="Observation.bodySite"/>
      <short value="Observed body part"/>
      <definition value="Indicates the site on the subject&apos;s body where the observation was made (i.e. the target site)."/>
      <comments value="Only used if not implicit in code found in Observation.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension[ body-site-instance](extension-body-site-instance.html)."/>
      <requirements value="Knowing where the observation is made is important for tracking if multiple sites are possible."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.bodySite"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description value="Codes describing anatomical locations. May include laterality."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/body-site"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-20"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="targetSiteCode"/>
      </mapping>
    </element>
    <element id="Observation.method">
      <path value="Observation.method"/>
      <name value="Observation.method"/>
      <short value="How it was done"/>
      <definition value="Indicates the mechanism used to perform the observation."/>
      <comments value="Only used if not implicit in code for Observation.code."/>
      <requirements value="In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.method"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description value="Methods for simple observations."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-methods"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-17"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="methodCode"/>
      </mapping>
    </element>
    <element id="Observation.specimen">
      <path value="Observation.specimen"/>
      <name value="Observation.specimen"/>
      <short value="Specimen used for this observation"/>
      <definition value="The specimen that was used when this observation was made."/>
      <comments value="Observations are not made on specimens themselves they are made on a subject, but usually by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.specimen"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Specimen"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="SPM segment"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=SPC].specimen"/>
      </mapping>
    </element>
    <element id="Observation.device">
      <path value="Observation.device"/>
      <name value="Observation.device"/>
      <short value="(Measurement) Device"/>
      <definition value="The device used to generate the observation data."/>
      <comments value="An extension should be used if further typing of the device is needed. Devices used to support obtaining an observation can be represented using either extension or through the Observation.related element."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.device"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/DeviceMetric"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-17 / PRT -10"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=DEV]"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange">
      <path value="Observation.referenceRange"/>
      <name value="Observation.referenceRange"/>
      <short value="Provides guide for interpretation"/>
      <definition value="Guidance on how to interpret the value by comparison to a normal or recommended range."/>
      <comments value="Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g. specific to the patient&apos;s age, gender, weight and other factors), but this may not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties."/>
      <requirements value="Knowing what values are considered &quot;normal&quot; can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.referenceRange"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <maxLength value="0"/>
      <constraint>
        <key value="obs-3"/>
        <severity value="error"/>
        <human value="Must have at least a low or a high or text"/>
        <xpath value="(exists(f:low) or exists(f:high)or exists(f:text))"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX.7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange.id">
      <path value="Observation.referenceRange.id"/>
      <representation value="xmlAttr"/>
      <name value="Observation.referenceRange.id"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.referenceRange.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange.extension">
      <path value="Observation.referenceRange.extension"/>
      <name value="Observation.referenceRange.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.referenceRange.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange.modifierExtension">
      <path value="Observation.referenceRange.modifierExtension"/>
      <name value="Observation.referenceRange.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.referenceRange.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange.low">
      <path value="Observation.referenceRange.low"/>
      <name value="Observation.referenceRange.low"/>
      <short value="Low Range, if relevant"/>
      <definition value="The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is &gt;=5 - &lt;=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is &lt;=2.3)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.referenceRange.low"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <maxLength value="0"/>
      <condition value="obs-3"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="value:IVL_PQ.low"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange.high">
      <path value="Observation.referenceRange.high"/>
      <name value="Observation.referenceRange.high"/>
      <short value="High Range, if relevant"/>
      <definition value="The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is &gt;=5 - &lt;=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is &gt;= 2.3)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.referenceRange.high"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Quantity"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
      </type>
      <maxLength value="0"/>
      <condition value="obs-3"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="value:IVL_PQ.high"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange.meaning">
      <path value="Observation.referenceRange.meaning"/>
      <name value="Observation.referenceRange.meaning"/>
      <short value="Indicates the meaning/use of this range of this range"/>
      <definition value="Code for the meaning of the reference range."/>
      <comments value="This SHOULD be populated if there is more than one range."/>
      <requirements value="Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, or perhaps what state this reference range applies to (i.e. age, hormonal cycles, etc.)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.referenceRange.meaning"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description value="Code for the meaning of a reference range."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/referencerange-meaning"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-10?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="interpretationCode"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange.age">
      <path value="Observation.referenceRange.age"/>
      <name value="Observation.referenceRange.age"/>
      <short value="Applicable age range, if relevant"/>
      <definition value="The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so."/>
      <requirements value="Some analytes vary greatly over age."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.referenceRange.age"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Range"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=&quot;age&quot;].value"/>
      </mapping>
    </element>
    <element id="Observation.referenceRange.text">
      <path value="Observation.referenceRange.text"/>
      <name value="Observation.referenceRange.text"/>
      <short value="Text based reference range in an observation"/>
      <definition value="Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation. An example would be a reference value of &quot;Negative&quot; or a list or table of &apos;normals&apos;."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.referenceRange.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX-7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="value:ST"/>
      </mapping>
    </element>
    <element id="Observation.related">
      <path value="Observation.related"/>
      <name value="Observation.related"/>
      <short value="Resource related to this observation"/>
      <definition value="A reference to another resource (usually another Observation but could also be a QuestionnaireAnswer) whose relationship is defined by the relationship type code."/>
      <comments value="For a discussion on the ways Observations can assembled in groups together see [Notes below](observation.html#4.20.4)."/>
      <requirements value="Normally, an observation will have either a value or a set of related observations. A few observations (e.g. Apgar score) may have both a value and a set of related observations or sometimes QuestionnaireResponse from which the measure is derived."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.related"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="Relationships established by OBX-4 usage"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outBoundRelationship"/>
      </mapping>
    </element>
    <element id="Observation.related.id">
      <path value="Observation.related.id"/>
      <representation value="xmlAttr"/>
      <name value="Observation.related.id"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.related.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Observation.related.extension">
      <path value="Observation.related.extension"/>
      <name value="Observation.related.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.related.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Observation.related.modifierExtension">
      <path value="Observation.related.modifierExtension"/>
      <name value="Observation.related.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Observation.related.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Observation.related.type">
      <path value="Observation.related.type"/>
      <name value="Observation.related.type"/>
      <short value="has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by"/>
      <definition value="A code specifying the kind of relationship that exists with the target resource."/>
      <comments value="&quot;derived-from&quot; is only logical choice when referencing QuestionnaireAnswer resource."/>
      <requirements value="A relationship type SHOULD be provided."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Observation.related.type"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <maxLength value="0"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <description value="Codes specifying how two observations are related."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-relationshiptypes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".typeCode"/>
      </mapping>
    </element>
    <element id="Observation.related.target">
      <path value="Observation.related.target"/>
      <name value="Observation.related.target"/>
      <short value="Resource that is related to this one"/>
      <definition value="A reference to the observation or [[[QuestionnaireResponse]]] resource that is related to this observation."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Observation.related.target"/>
        <min value="1"/>
        <max value="1"/>
      </base>