{ "resourceType" : "StructureDefinition", "id" : "KBV-EX-MIO-LAB-Alternative-Result", "text" : { "status" : "extensions", "div" : "

Generated Narrative: StructureDefinition KBV-EX-MIO-LAB-Alternative-Result

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Extension 0..*ExtensionExtension
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\".\"\".\"\".\" Slices for extension Content/Rules for all slices
\".\"\".\"\".\"\".\" extension:value 1..1ExtensionExtension
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\".\"\".\"\".\"\".\"\".\" url 1..1uri"value"
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Slice: Unordered, Open by type:$this
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Required Pattern: At least the following
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\".\"\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriSystem that defines coded unit form
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\".\"\".\"\".\"\".\"\".\"\".\"\".\" low 0..1SimpleQuantity(4.0.1)Low limit
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" value 1..1decimalNumerical value (with implicit precision)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" unit 1..1stringUnit representation
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Fixed Value: http://unitsofmeasure.org
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Required Pattern: At least the following
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\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" unit 1..1stringUnit representation
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriSystem that defines coded unit form
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\".\"\".\"\".\"\".\"\".\"\".\" value[x]:valueRatio 0..1RatioValue of extension
\".\"\".\"\".\"\".\"\".\"\".\"\".\" numerator 1..1QuantityNumerator value
Required Pattern: At least the following
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Fixed Value: http://unitsofmeasure.org
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\".\"\".\"\".\"\".\"\".\"\".\"\".\" denominator 1..1QuantityDenominator value
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" value 1..1decimalNumerical value (with implicit precision)
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Fixed Value: http://unitsofmeasure.org
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\".\"\".\"\".\"\".\"\".\" url 1..1uri"referenceRange"
\".\"\".\"\".\"\".\"\".\" value[x] 1..1RangeValue of extension
\".\"\".\"\".\"\".\"\".\"\".\" low 0..1SimpleQuantity(4.0.1)Low limit
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\" value 1..1decimalNumerical value (with implicit precision)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" unit 1..1stringUnit representation
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 1..1codeCoded form of the unit
\".\"\".\"\".\"\".\"\".\"\".\" high 0..1SimpleQuantity(4.0.1)High limit
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\" value 1..1decimalNumerical value (with implicit precision)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" unit 1..1stringUnit representation
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
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\".\"\".\"\".\"\".\"\".\" url 1..1uri"zlog"
\".\"\".\"\".\"\".\"\".\" value[x] 1..1decimalValue of extension
\".\"\".\"\".\" url 1..1uri"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Alternative_Result"
\".\"\".\"\".\" value[x] 0..0Value of extension

\"doco\" Documentation for this format
" }, "url" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Alternative_Result", "version" : "1.0.0-update", "name" : "KBV_EX_MIO_LAB_Alternative_Result", "title" : "KBV_EX_MIO_LAB_Alternative_Result", "status" : "draft", "experimental" : false, "date" : "2026-06-11", "publisher" : "mio42 GmbH", "contact" : [{ "name" : "mio42 GmbH", "telecom" : [{ "system" : "url", "value" : "https://mio.kbv.de" }, { "system" : "email", "value" : "hello@mio42.de" }] }], "description" : "Diese Extension bildet das Resultat einer Laboruntersuchung mit einer Alternativeinheit ab.", "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "DE", "display" : "Germany" }] }], "copyright" : "Im folgenden Profil können Codes aus den Code-Systemen SNOMED CT®, LOINC, Ucum, ATC, ICD-10-GM, ICD-10-WHO, OPS, Alpha-ID/Alpha-ID-SE und ICF enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED CT® Clinical Terms® (SNOMED CT® CT®) which is used by permission of SNOMED CT® International. All rights reserved. SNOMED CT® CT®, was originally created by The College of American Pathologists. SNOMED CT® and SNOMED CT® CT are registered trademarks of SNOMED CT® International. Implementers of these artefacts must have the appropriate SNOMED CT® CT Affiliate license. This material contains content from LOINC (http://LOINC.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://LOINC.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright © 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED 'AS IS.' ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Dieses Material enthält Inhalte aus ATC. Die Erstellung erfolgte unter Verwendung der Datenträger der amtlichen Fassung der ATC-Klassifikation mit DDD des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICD-10-GM, ICD-10-WHO, OPS Alpha-ID ans Alpha-ID-SE. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICF. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Deutschen Instituts für Medizinische Dokumentation und Information (DIMDI). ICF-Kodes, -Begriffe und -Texte © Weltgesundheitsorganisation, übersetzt und herausgegeben durch das Deutsche Institut für Medizinische Dokumentation und Information von der International classification of functioning, disability and health - ICF, herausgegeben durch die Weltgesundheitsorganisation.", "fhirVersion" : "4.0.1", "mapping" : [{ "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }], "kind" : "complex-type", "abstract" : false, "context" : [{ "type" : "element", "expression" : "Observation" }], "type" : "Extension", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension", "derivation" : "constraint", "snapshot" : { "extension" : [{ "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString" : "4.0.1" }], "element" : [{ "id" : "Extension", "path" : "Extension", "short" : "Extension", "definition" : "Diese Extension bildet das Resultat einer Laboruntersuchung mit einer Alternativeinheit ab.", "min" : 0, "max" : "*", "base" : { "path" : "Extension", "min" : 0, "max" : "*" }, "condition" : ["ele-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false }, { "id" : "Extension.id", "path" : "Extension.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension", "path" : "Extension.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 1, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Extension.extension:value", "path" : "Extension.extension", "sliceName" : "value", "short" : "Extension", "definition" : "An Extension", "min" : 1, "max" : "1", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Extension.extension:value.id", "path" : "Extension.extension.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:value.extension", "path" : "Extension.extension.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Extension.extension:value.url", "path" : "Extension.extension.url", "representation" : ["xmlAttr"], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "uri" }], "code" : "http://hl7.org/fhirpath/System.String" }], "fixedUri" : "value", "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Extension.extension:value.value[x]", "path" : "Extension.extension.value[x]", "slicing" : { "discriminator" : [{ "type" : "type", "path" : "$this" }], "ordered" : false, "rules" : "closed" }, "short" : "Value of extension", "definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).", "min" : 1, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Quantity" }, { "code" : "Range" }, { "code" : "Ratio" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Extension.extension:value.value[x]:valueQuantity", "path" : "Extension.extension.value[x]", "sliceName" : "valueQuantity", "short" : "Value of extension", "definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).", "min" : 0, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Quantity" }], "patternQuantity" : { "system" : "http://unitsofmeasure.org" }, "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Extension.extension:value.value[x]:valueQuantity.id", "path" : "Extension.extension.value[x].id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:value.value[x]:valueQuantity.extension", "path" : "Extension.extension.value[x].extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:value.value[x]:valueQuantity.value", "path" : "Extension.extension.value[x].value", "short" : "Numerical value (with implicit precision)", "definition" : "The value of the measured amount. The value includes an implicit precision in the presentation of the value.", "comment" : "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" : "Precision is handled implicitly in almost all cases of measurement.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "decimal" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "SN.2 / CQ - N/A" }, { "identity" : "rim", "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" }] }, { "id" : "Extension.extension:value.value[x]:valueQuantity.comparator", "path" : "Extension.extension.value[x].comparator", "short" : "< | <= | >= | > - how to understand the value", "definition" : "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 \"<\" , then the real value is < stated value.", "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.", "min" : 0, "max" : "1", "base" : { "path" : "Quantity.comparator", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "QuantityComparator" }], "strength" : "required", "description" : "How the Quantity should be understood and represented.", "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "SN.1 / CQ.1" }, { "identity" : "rim", "map" : "IVL properties" }] }, { "id" : "Extension.extension:value.value[x]:valueQuantity.unit", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Extension.extension.value[x].unit", "short" : "Unit representation", "definition" : "A human-readable form of the unit.", "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.unit", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.unit" }] }, { "id" : "Extension.extension:value.value[x]:valueQuantity.system", "path" : "Extension.extension.value[x].system", "short" : "System that defines coded unit form", "definition" : "The identification of the system that provides the coded form of the unit.", "requirements" : "Need to know the system that defines the coded form of the unit.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "condition" : ["qty-3"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "CO.codeSystem, PQ.translation.codeSystem" }] }, { "id" : "Extension.extension:value.value[x]:valueQuantity.code", "path" : "Extension.extension.value[x].code", "short" : "Coded form of the unit", "definition" : "A computer processable form of the unit in some unit representation system.", "comment" : "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" : "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" : 1, "max" : "1", "base" : { "path" : "Quantity.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.code, MO.currency, PQ.translation.code" }] }, { "id" : "Extension.extension:value.value[x]:valueRange", "path" : "Extension.extension.value[x]", "sliceName" : "valueRange", "short" : "Value of extension", "definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).", "min" : 0, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Range" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.id", "path" : "Extension.extension.value[x].id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.extension", "path" : "Extension.extension.value[x].extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.low", "path" : "Extension.extension.value[x].low", "short" : "Low limit", "definition" : "The low limit. The boundary is inclusive.", "comment" : "If the low element is missing, the low boundary is not known.", "min" : 0, "max" : "1", "base" : { "path" : "Range.low", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Quantity", "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"] }], "patternQuantity" : { "system" : "http://unitsofmeasure.org" }, "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "NR.1" }, { "identity" : "rim", "map" : "./low" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.low.id", "path" : "Extension.extension.value[x].low.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.low.extension", "path" : "Extension.extension.value[x].low.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.low.value", "path" : "Extension.extension.value[x].low.value", "short" : "Numerical value (with implicit precision)", "definition" : "The value of the measured amount. The value includes an implicit precision in the presentation of the value.", "comment" : "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" : "Precision is handled implicitly in almost all cases of measurement.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "decimal" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "SN.2 / CQ - N/A" }, { "identity" : "rim", "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.low.comparator", "path" : "Extension.extension.value[x].low.comparator", "short" : "< | <= | >= | > - how to understand the value", "definition" : "Not allowed to be used in this context", "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.comparator", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "QuantityComparator" }], "strength" : "required", "description" : "How the Quantity should be understood and represented.", "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "SN.1 / CQ.1" }, { "identity" : "rim", "map" : "IVL properties" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.low.unit", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Extension.extension.value[x].low.unit", "short" : "Unit representation", "definition" : "A human-readable form of the unit.", "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.unit", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.unit" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.low.system", "path" : "Extension.extension.value[x].low.system", "short" : "System that defines coded unit form", "definition" : "The identification of the system that provides the coded form of the unit.", "requirements" : "Need to know the system that defines the coded form of the unit.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "condition" : ["qty-3"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "CO.codeSystem, PQ.translation.codeSystem" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.low.code", "path" : "Extension.extension.value[x].low.code", "short" : "Coded form of the unit", "definition" : "A computer processable form of the unit in some unit representation system.", "comment" : "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" : "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" : 1, "max" : "1", "base" : { "path" : "Quantity.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.code, MO.currency, PQ.translation.code" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.high", "path" : "Extension.extension.value[x].high", "short" : "High limit", "definition" : "The high limit. The boundary is inclusive.", "comment" : "If the high element is missing, the high boundary is not known.", "min" : 0, "max" : "1", "base" : { "path" : "Range.high", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Quantity", "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"] }], "patternQuantity" : { "system" : "http://unitsofmeasure.org" }, "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "NR.2" }, { "identity" : "rim", "map" : "./high" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.high.id", "path" : "Extension.extension.value[x].high.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.high.extension", "path" : "Extension.extension.value[x].high.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.high.value", "path" : "Extension.extension.value[x].high.value", "short" : "Numerical value (with implicit precision)", "definition" : "The value of the measured amount. The value includes an implicit precision in the presentation of the value.", "comment" : "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" : "Precision is handled implicitly in almost all cases of measurement.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "decimal" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "SN.2 / CQ - N/A" }, { "identity" : "rim", "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.high.comparator", "path" : "Extension.extension.value[x].high.comparator", "short" : "< | <= | >= | > - how to understand the value", "definition" : "Not allowed to be used in this context", "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.comparator", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "QuantityComparator" }], "strength" : "required", "description" : "How the Quantity should be understood and represented.", "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "SN.1 / CQ.1" }, { "identity" : "rim", "map" : "IVL properties" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.high.unit", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Extension.extension.value[x].high.unit", "short" : "Unit representation", "definition" : "A human-readable form of the unit.", "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.unit", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.unit" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.high.system", "path" : "Extension.extension.value[x].high.system", "short" : "System that defines coded unit form", "definition" : "The identification of the system that provides the coded form of the unit.", "requirements" : "Need to know the system that defines the coded form of the unit.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "condition" : ["qty-3"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "CO.codeSystem, PQ.translation.codeSystem" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.high.code", "path" : "Extension.extension.value[x].high.code", "short" : "Coded form of the unit", "definition" : "A computer processable form of the unit in some unit representation system.", "comment" : "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" : "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" : 1, "max" : "1", "base" : { "path" : "Quantity.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.code, MO.currency, PQ.translation.code" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio", "path" : "Extension.extension.value[x]", "sliceName" : "valueRatio", "short" : "Value of extension", "definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).", "min" : 0, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Ratio" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.id", "path" : "Extension.extension.value[x].id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.extension", "path" : "Extension.extension.value[x].extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.numerator", "path" : "Extension.extension.value[x].numerator", "short" : "Numerator value", "definition" : "The value of the numerator.", "min" : 1, "max" : "1", "base" : { "path" : "Ratio.numerator", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Quantity" }], "patternQuantity" : { "system" : "http://unitsofmeasure.org" }, "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".numerator" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.numerator.id", "path" : "Extension.extension.value[x].numerator.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.numerator.extension", "path" : "Extension.extension.value[x].numerator.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.numerator.value", "path" : "Extension.extension.value[x].numerator.value", "short" : "Numerical value (with implicit precision)", "definition" : "The value of the measured amount. The value includes an implicit precision in the presentation of the value.", "comment" : "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" : "Precision is handled implicitly in almost all cases of measurement.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "decimal" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "SN.2 / CQ - N/A" }, { "identity" : "rim", "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.numerator.comparator", "path" : "Extension.extension.value[x].numerator.comparator", "short" : "< | <= | >= | > - how to understand the value", "definition" : "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 \"<\" , then the real value is < stated value.", "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.", "min" : 0, "max" : "1", "base" : { "path" : "Quantity.comparator", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "QuantityComparator" }], "strength" : "required", "description" : "How the Quantity should be understood and represented.", "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "SN.1 / CQ.1" }, { "identity" : "rim", "map" : "IVL properties" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.numerator.unit", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Extension.extension.value[x].numerator.unit", "short" : "Unit representation", "definition" : "A human-readable form of the unit.", "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.unit", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.unit" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.numerator.system", "path" : "Extension.extension.value[x].numerator.system", "short" : "System that defines coded unit form", "definition" : "The identification of the system that provides the coded form of the unit.", "requirements" : "Need to know the system that defines the coded form of the unit.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "condition" : ["qty-3"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "CO.codeSystem, PQ.translation.codeSystem" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.numerator.code", "path" : "Extension.extension.value[x].numerator.code", "short" : "Coded form of the unit", "definition" : "A computer processable form of the unit in some unit representation system.", "comment" : "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" : "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" : 1, "max" : "1", "base" : { "path" : "Quantity.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.code, MO.currency, PQ.translation.code" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.denominator", "path" : "Extension.extension.value[x].denominator", "short" : "Denominator value", "definition" : "The value of the denominator.", "min" : 1, "max" : "1", "base" : { "path" : "Ratio.denominator", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Quantity" }], "patternQuantity" : { "system" : "http://unitsofmeasure.org" }, "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".denominator" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.denominator.id", "path" : "Extension.extension.value[x].denominator.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.denominator.extension", "path" : "Extension.extension.value[x].denominator.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.denominator.value", "path" : "Extension.extension.value[x].denominator.value", "short" : "Numerical value (with implicit precision)", "definition" : "The value of the measured amount. The value includes an implicit precision in the presentation of the value.", "comment" : "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" : "Precision is handled implicitly in almost all cases of measurement.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "decimal" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "SN.2 / CQ - N/A" }, { "identity" : "rim", "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.denominator.comparator", "path" : "Extension.extension.value[x].denominator.comparator", "short" : "< | <= | >= | > - how to understand the value", "definition" : "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 \"<\" , then the real value is < stated value.", "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.", "min" : 0, "max" : "1", "base" : { "path" : "Quantity.comparator", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "QuantityComparator" }], "strength" : "required", "description" : "How the Quantity should be understood and represented.", "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "SN.1 / CQ.1" }, { "identity" : "rim", "map" : "IVL properties" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.denominator.unit", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Extension.extension.value[x].denominator.unit", "short" : "Unit representation", "definition" : "A human-readable form of the unit.", "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.unit", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.unit" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.denominator.system", "path" : "Extension.extension.value[x].denominator.system", "short" : "System that defines coded unit form", "definition" : "The identification of the system that provides the coded form of the unit.", "requirements" : "Need to know the system that defines the coded form of the unit.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "condition" : ["qty-3"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "CO.codeSystem, PQ.translation.codeSystem" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.denominator.code", "path" : "Extension.extension.value[x].denominator.code", "short" : "Coded form of the unit", "definition" : "A computer processable form of the unit in some unit representation system.", "comment" : "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" : "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" : 1, "max" : "1", "base" : { "path" : "Quantity.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.code, MO.currency, PQ.translation.code" }] }, { "id" : "Extension.extension:referenceRange", "path" : "Extension.extension", "sliceName" : "referenceRange", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "1", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Extension.extension:referenceRange.id", "path" : "Extension.extension.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:referenceRange.extension", "path" : "Extension.extension.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Extension.extension:referenceRange.url", "path" : "Extension.extension.url", "representation" : ["xmlAttr"], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "uri" }], "code" : "http://hl7.org/fhirpath/System.String" }], "fixedUri" : "referenceRange", "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Extension.extension:referenceRange.value[x]", "path" : "Extension.extension.value[x]", "short" : "Value of extension", "definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).", "min" : 1, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Range" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Extension.extension:referenceRange.value[x].id", "path" : "Extension.extension.value[x].id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:referenceRange.value[x].extension", "path" : "Extension.extension.value[x].extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:referenceRange.value[x].low", "path" : "Extension.extension.value[x].low", "short" : "Low limit", "definition" : "The low limit. The boundary is inclusive.", "comment" : "If the low element is missing, the low boundary is not known.", "min" : 0, "max" : "1", "base" : { "path" : "Range.low", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Quantity", "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"] }], "patternQuantity" : { "system" : "http://unitsofmeasure.org" }, "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "NR.1" }, { "identity" : "rim", "map" : "./low" }] }, { "id" : "Extension.extension:referenceRange.value[x].low.id", "path" : "Extension.extension.value[x].low.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:referenceRange.value[x].low.extension", "path" : "Extension.extension.value[x].low.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:referenceRange.value[x].low.value", "path" : "Extension.extension.value[x].low.value", "short" : "Numerical value (with implicit precision)", "definition" : "The value of the measured amount. The value includes an implicit precision in the presentation of the value.", "comment" : "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" : "Precision is handled implicitly in almost all cases of measurement.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "decimal" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "SN.2 / CQ - N/A" }, { "identity" : "rim", "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" }] }, { "id" : "Extension.extension:referenceRange.value[x].low.comparator", "path" : "Extension.extension.value[x].low.comparator", "short" : "< | <= | >= | > - how to understand the value", "definition" : "Not allowed to be used in this context", "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.comparator", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "QuantityComparator" }], "strength" : "required", "description" : "How the Quantity should be understood and represented.", "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "SN.1 / CQ.1" }, { "identity" : "rim", "map" : "IVL properties" }] }, { "id" : "Extension.extension:referenceRange.value[x].low.unit", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Extension.extension.value[x].low.unit", "short" : "Unit representation", "definition" : "A human-readable form of the unit.", "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.unit", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.unit" }] }, { "id" : "Extension.extension:referenceRange.value[x].low.system", "path" : "Extension.extension.value[x].low.system", "short" : "System that defines coded unit form", "definition" : "The identification of the system that provides the coded form of the unit.", "requirements" : "Need to know the system that defines the coded form of the unit.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "condition" : ["qty-3"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "CO.codeSystem, PQ.translation.codeSystem" }] }, { "id" : "Extension.extension:referenceRange.value[x].low.code", "path" : "Extension.extension.value[x].low.code", "short" : "Coded form of the unit", "definition" : "A computer processable form of the unit in some unit representation system.", "comment" : "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" : "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" : 1, "max" : "1", "base" : { "path" : "Quantity.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.code, MO.currency, PQ.translation.code" }] }, { "id" : "Extension.extension:referenceRange.value[x].high", "path" : "Extension.extension.value[x].high", "short" : "High limit", "definition" : "The high limit. The boundary is inclusive.", "comment" : "If the high element is missing, the high boundary is not known.", "min" : 0, "max" : "1", "base" : { "path" : "Range.high", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Quantity", "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1"] }], "patternQuantity" : { "system" : "http://unitsofmeasure.org" }, "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "NR.2" }, { "identity" : "rim", "map" : "./high" }] }, { "id" : "Extension.extension:referenceRange.value[x].high.id", "path" : "Extension.extension.value[x].high.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:referenceRange.value[x].high.extension", "path" : "Extension.extension.value[x].high.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:referenceRange.value[x].high.value", "path" : "Extension.extension.value[x].high.value", "short" : "Numerical value (with implicit precision)", "definition" : "The value of the measured amount. The value includes an implicit precision in the presentation of the value.", "comment" : "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" : "Precision is handled implicitly in almost all cases of measurement.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "decimal" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "SN.2 / CQ - N/A" }, { "identity" : "rim", "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" }] }, { "id" : "Extension.extension:referenceRange.value[x].high.comparator", "path" : "Extension.extension.value[x].high.comparator", "short" : "< | <= | >= | > - how to understand the value", "definition" : "Not allowed to be used in this context", "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.comparator", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "QuantityComparator" }], "strength" : "required", "description" : "How the Quantity should be understood and represented.", "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "SN.1 / CQ.1" }, { "identity" : "rim", "map" : "IVL properties" }] }, { "id" : "Extension.extension:referenceRange.value[x].high.unit", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "Extension.extension.value[x].high.unit", "short" : "Unit representation", "definition" : "A human-readable form of the unit.", "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.unit", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.unit" }] }, { "id" : "Extension.extension:referenceRange.value[x].high.system", "path" : "Extension.extension.value[x].high.system", "short" : "System that defines coded unit form", "definition" : "The identification of the system that provides the coded form of the unit.", "requirements" : "Need to know the system that defines the coded form of the unit.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "condition" : ["qty-3"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "CO.codeSystem, PQ.translation.codeSystem" }] }, { "id" : "Extension.extension:referenceRange.value[x].high.code", "path" : "Extension.extension.value[x].high.code", "short" : "Coded form of the unit", "definition" : "A computer processable form of the unit in some unit representation system.", "comment" : "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" : "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" : 1, "max" : "1", "base" : { "path" : "Quantity.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.code, MO.currency, PQ.translation.code" }] }, { "id" : "Extension.extension:zlog", "path" : "Extension.extension", "sliceName" : "zlog", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "1", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Extension.extension:zlog.id", "path" : "Extension.extension.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension:zlog.extension", "path" : "Extension.extension.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false }, { "id" : "Extension.extension:zlog.url", "path" : "Extension.extension.url", "representation" : ["xmlAttr"], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "uri" }], "code" : "http://hl7.org/fhirpath/System.String" }], "fixedUri" : "zlog", "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Extension.extension:zlog.value[x]", "path" : "Extension.extension.value[x]", "short" : "Value of extension", "definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).", "min" : 1, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "decimal" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Extension.url", "path" : "Extension.url", "representation" : ["xmlAttr"], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "uri" }], "code" : "http://hl7.org/fhirpath/System.String" }], "fixedUri" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Alternative_Result", "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Extension.value[x]", "path" : "Extension.value[x]", "short" : "Value of extension", "definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).", "min" : 0, "max" : "0", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "base64Binary" }, { "code" : "boolean" }, { "code" : "canonical" }, { "code" : "code" }, { "code" : "date" }, { "code" : "dateTime" }, { "code" : "decimal" }, { "code" : "id" }, { "code" : "instant" }, { "code" : "integer" }, { "code" : "markdown" }, { "code" : "oid" }, { "code" : "positiveInt" }, { "code" : "string" }, { "code" : "time" }, { "code" : "unsignedInt" }, { "code" : "uri" }, { "code" : "url" }, { "code" : "uuid" }, { "code" : "Address" }, { "code" : "Age" }, { "code" : "Annotation" }, { "code" : "Attachment" }, { "code" : "CodeableConcept" }, { "code" : "Coding" }, { "code" : "ContactPoint" }, { "code" : "Count" }, { "code" : "Distance" }, { "code" : "Duration" }, { "code" : "HumanName" }, { "code" : "Identifier" }, { "code" : "Money" }, { "code" : "Period" }, { "code" : "Quantity" }, { "code" : "Range" }, { "code" : "Ratio" }, { "code" : "Reference" }, { "code" : "SampledData" }, { "code" : "Signature" }, { "code" : "Timing" }, { "code" : "ContactDetail" }, { "code" : "Contributor" }, { "code" : "DataRequirement" }, { "code" : "Expression" }, { "code" : "ParameterDefinition" }, { "code" : "RelatedArtifact" }, { "code" : "TriggerDefinition" }, { "code" : "UsageContext" }, { "code" : "Dosage" }, { "code" : "Meta" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }] }, "differential" : { "element" : [{ "id" : "Extension", "path" : "Extension", "definition" : "Diese Extension bildet das Resultat einer Laboruntersuchung mit einer Alternativeinheit ab." }, { "id" : "Extension.extension", "path" : "Extension.extension", "min" : 1 }, { "id" : "Extension.extension:value", "path" : "Extension.extension", "sliceName" : "value", "min" : 1, "max" : "1" }, { "id" : "Extension.extension:value.extension", "path" : "Extension.extension.extension", "max" : "0" }, { "id" : "Extension.extension:value.url", "path" : "Extension.extension.url", "fixedUri" : "value" }, { "id" : "Extension.extension:value.value[x]", "path" : "Extension.extension.value[x]", "slicing" : { "discriminator" : [{ "type" : "type", "path" : "$this" }], "ordered" : false, "rules" : "open" }, "min" : 1, "type" : [{ "code" : "Quantity" }, { "code" : "Range" }, { "code" : "Ratio" }] }, { "id" : "Extension.extension:value.value[x]:valueQuantity", "path" : "Extension.extension.value[x]", "sliceName" : "valueQuantity", "min" : 0, "max" : "1", "type" : [{ "code" : "Quantity" }], "patternQuantity" : { "system" : "http://unitsofmeasure.org" } }, { "id" : "Extension.extension:value.value[x]:valueQuantity.value", "path" : "Extension.extension.value[x].value", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueQuantity.unit", "path" : "Extension.extension.value[x].unit", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueQuantity.system", "path" : "Extension.extension.value[x].system", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueQuantity.code", "path" : "Extension.extension.value[x].code", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueRange", "path" : "Extension.extension.value[x]", "sliceName" : "valueRange", "min" : 0, "max" : "1", "type" : [{ "code" : "Range" }] }, { "id" : "Extension.extension:value.value[x]:valueRange.low", "path" : "Extension.extension.value[x].low", "patternQuantity" : { "system" : "http://unitsofmeasure.org" } }, { "id" : "Extension.extension:value.value[x]:valueRange.low.value", "path" : "Extension.extension.value[x].low.value", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueRange.low.unit", "path" : "Extension.extension.value[x].low.unit", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueRange.low.system", "path" : "Extension.extension.value[x].low.system", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueRange.low.code", "path" : "Extension.extension.value[x].low.code", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueRange.high", "path" : "Extension.extension.value[x].high", "patternQuantity" : { "system" : "http://unitsofmeasure.org" } }, { "id" : "Extension.extension:value.value[x]:valueRange.high.value", "path" : "Extension.extension.value[x].high.value", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueRange.high.unit", "path" : "Extension.extension.value[x].high.unit", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueRange.high.system", "path" : "Extension.extension.value[x].high.system", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueRange.high.code", "path" : "Extension.extension.value[x].high.code", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueRatio", "path" : "Extension.extension.value[x]", "sliceName" : "valueRatio", "min" : 0, "max" : "1", "type" : [{ "code" : "Ratio" }] }, { "id" : "Extension.extension:value.value[x]:valueRatio.numerator", "path" : "Extension.extension.value[x].numerator", "min" : 1, "patternQuantity" : { "system" : "http://unitsofmeasure.org" } }, { "id" : "Extension.extension:value.value[x]:valueRatio.numerator.value", "path" : "Extension.extension.value[x].numerator.value", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueRatio.numerator.unit", "path" : "Extension.extension.value[x].numerator.unit", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueRatio.numerator.system", "path" : "Extension.extension.value[x].numerator.system", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueRatio.numerator.code", "path" : "Extension.extension.value[x].numerator.code", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueRatio.denominator", "path" : "Extension.extension.value[x].denominator", "min" : 1, "patternQuantity" : { "system" : "http://unitsofmeasure.org" } }, { "id" : "Extension.extension:value.value[x]:valueRatio.denominator.value", "path" : "Extension.extension.value[x].denominator.value", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueRatio.denominator.unit", "path" : "Extension.extension.value[x].denominator.unit", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueRatio.denominator.system", "path" : "Extension.extension.value[x].denominator.system", "min" : 1 }, { "id" : "Extension.extension:value.value[x]:valueRatio.denominator.code", "path" : "Extension.extension.value[x].denominator.code", "min" : 1 }, { "id" : "Extension.extension:referenceRange", "path" : "Extension.extension", "sliceName" : "referenceRange", "min" : 0, "max" : "1" }, { "id" : "Extension.extension:referenceRange.extension", "path" : "Extension.extension.extension", "max" : "0" }, { "id" : "Extension.extension:referenceRange.url", "path" : "Extension.extension.url", "fixedUri" : "referenceRange" }, { "id" : "Extension.extension:referenceRange.value[x]", "path" : "Extension.extension.value[x]", "min" : 1, "type" : [{ "code" : "Range" }] }, { "id" : "Extension.extension:referenceRange.value[x].low", "path" : "Extension.extension.value[x].low", "patternQuantity" : { "system" : "http://unitsofmeasure.org" } }, { "id" : "Extension.extension:referenceRange.value[x].low.value", "path" : "Extension.extension.value[x].low.value", "min" : 1 }, { "id" : "Extension.extension:referenceRange.value[x].low.unit", "path" : "Extension.extension.value[x].low.unit", "min" : 1 }, { "id" : "Extension.extension:referenceRange.value[x].low.system", "path" : "Extension.extension.value[x].low.system", "min" : 1 }, { "id" : "Extension.extension:referenceRange.value[x].low.code", "path" : "Extension.extension.value[x].low.code", "min" : 1 }, { "id" : "Extension.extension:referenceRange.value[x].high", "path" : "Extension.extension.value[x].high", "patternQuantity" : { "system" : "http://unitsofmeasure.org" } }, { "id" : "Extension.extension:referenceRange.value[x].high.value", "path" : "Extension.extension.value[x].high.value", "min" : 1 }, { "id" : "Extension.extension:referenceRange.value[x].high.unit", "path" : "Extension.extension.value[x].high.unit", "min" : 1 }, { "id" : "Extension.extension:referenceRange.value[x].high.system", "path" : "Extension.extension.value[x].high.system", "min" : 1 }, { "id" : "Extension.extension:referenceRange.value[x].high.code", "path" : "Extension.extension.value[x].high.code", "min" : 1 }, { "id" : "Extension.extension:zlog", "path" : "Extension.extension", "sliceName" : "zlog", "min" : 0, "max" : "1" }, { "id" : "Extension.extension:zlog.extension", "path" : "Extension.extension.extension", "max" : "0" }, { "id" : "Extension.extension:zlog.url", "path" : "Extension.extension.url", "fixedUri" : "zlog" }, { "id" : "Extension.extension:zlog.value[x]", "path" : "Extension.extension.value[x]", "min" : 1, "type" : [{ "code" : "decimal" }] }, { "id" : "Extension.url", "path" : "Extension.url", "fixedUri" : "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Alternative_Result" }, { "id" : "Extension.value[x]", "path" : "Extension.value[x]", "max" : "0" }] } }