HL7 FHIR Profile: Skin and Wound Assessment, Release 1 (For Comment)
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="cimi-statement-Observation-model"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p><b>SW Observation Logical Model</b></p> <p>Represents the result of evaluations (measurements, tests, or questions) that have been performed. Observation has a value representing the result (answer), or an ExceptionValue indicating why the value is not present. The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments.</p> </div> </text> <url value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Observation-model"/> <identifier> <system value="http://hl7.org/fhir/us/sw"/> <value value="cimi.statement.Observation"/> </identifier> <version value="1.0.0"/> <name value="ObservationModel"/> <title value="SW Observation Logical Model"/> <status value="draft"/> <date value="2018-08-17T00:00:00-04:00"/> <publisher value="HL7 Patient Care and Clinical Information Modeling Initiative Work Groups"/> <contact> <telecom> <system value="url"/> <value value="http://standardhealthrecord.org"/> </telecom> </contact> <description value="Represents the result of evaluations (measurements, tests, or questions) that have been performed. Observation has a value representing the result (answer), or an ExceptionValue indicating why the value is not present. The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments."/> <kind value="logical"/> <abstract value="false"/> <type value="cimi-statement-Observation-model"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/> <derivation value="specialization"/> <snapshot> <element id="cimi-statement-Observation-model"> <path value="cimi-statement-Observation-model"/> <definition value="Represents the result of evaluations (measurements, tests, or questions) that have been performed. Observation has a value representing the result (answer), or an ExceptionValue indicating why the value is not present. The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-statement-Observation-model"/> <min value="0"/> <max value="*"/> </base> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.personOfRecord"> <path value="cimi-statement-Observation-model.personOfRecord"/> <code> <system value="http://ncimeta.nci.nih.gov"/> <code value="C0027361"/> </code> <short value="The person this entry belongs to."/> <definition value="The person this entry belongs to."/> <min value="1"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.personOfRecord"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-entity-Person-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.recorded"> <path value="cimi-statement-Observation-model.recorded"/> <short value="The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order."/> <definition value="The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.recorded"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Attribution-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.signed"> <path value="cimi-statement-Observation-model.signed"/> <short value="Provenance information specific to the signing of the clinical statement."/> <definition value="Provenance information specific to the signing of the clinical statement."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.signed"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Attribution-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.additionalText"> <path value="cimi-statement-Observation-model.additionalText"/> <code> <system value="http://ncimeta.nci.nih.gov"/> <code value="C0947611"/> </code> <short value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/> <definition value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.additionalText"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.contextCode"> <path value="cimi-statement-Observation-model.contextCode"/> <short value="Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement."/> <definition value="Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.contextCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.contextCode.id"> <path value="cimi-statement-Observation-model.contextCode.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="cimi-statement-Observation-model.contextCode.extension"> <path value="cimi-statement-Observation-model.contextCode.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="cimi-statement-Observation-model.contextCode.system"> <path value="cimi-statement-Observation-model.contextCode.system"/> <short value="Identity of the terminology system"/> <definition value="The identification of the code system that defines the meaning of the symbol in the code."/> <comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously."/> <requirements value="Need to be unambiguous about the source of the definition of the symbol."/> <min value="1"/> <max value="1"/> <base> <path value="Coding.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://snomed.info/sct"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.3"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystem"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/> </mapping> </element> <element id="cimi-statement-Observation-model.contextCode.version"> <path value="cimi-statement-Observation-model.contextCode.version"/> <short value="Version of the system - if relevant"/> <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/> <comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.version"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.7"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystemVersion"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/> </mapping> </element> <element id="cimi-statement-Observation-model.contextCode.code"> <path value="cimi-statement-Observation-model.contextCode.code"/> <short value="Symbol in syntax defined by the system"/> <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/> <requirements value="Need to refer to a particular code in the system."/> <min value="1"/> <max value="1"/> <base> <path value="Coding.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <fixedCode value="424975005"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.1"/> </mapping> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/> </mapping> </element> <element id="cimi-statement-Observation-model.contextCode.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="cimi-statement-Observation-model.contextCode.display"/> <short value="Representation defined by the system"/> <definition value="A representation of the meaning of the code in the system, following the rules of the system."/> <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.2 - but note this is not well followed"/> </mapping> <mapping> <identity value="rim"/> <map value="CV.displayName"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/> </mapping> </element> <element id="cimi-statement-Observation-model.contextCode.userSelected"> <path value="cimi-statement-Observation-model.contextCode.userSelected"/> <short value="If this coding was chosen directly by the user"/> <definition value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)."/> <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/> <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.userSelected"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="Sometimes implied by being first"/> </mapping> <mapping> <identity value="rim"/> <map value="CD.codingRationale"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"/> </mapping> </element> <element id="cimi-statement-Observation-model.statementTopic"> <path value="cimi-statement-Observation-model.statementTopic"/> <short value="Compositional and reusable grouping of clinical statement attributes that make up the clinical focus of a statement."/> <definition value="Compositional and reusable grouping of clinical statement attributes that make up the clinical focus of a statement. StatementTopic class attributes are aligned with SNOMED CT Concept Model attributes when such an overlap exists. Note that this class does not include contextual attributes such as the nature of the action (ordered, proposed, planned, etc...), the nature of the patient state being described (e.g., present, suspected present, absent), and the attribution of this information (the who, when, where, how, why of the information recorded)."/> <min value="0"/> <max value="0"/> <base> <path value="cimi-statement-Observation-model.statementTopic"/> <min value="0"/> <max value="0"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-topic-StatementTopic-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.encounter"> <path value="cimi-statement-Observation-model.encounter"/> <short value="A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient."/> <definition value="A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.encounter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-encounter-Encounter-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.interpretation"> <path value="cimi-statement-Observation-model.interpretation"/> <code> <system value="http://ncimeta.nci.nih.gov"/> <code value="C0420833"/> </code> <short value="A clinical interpretation of a finding (applies to both assertions and observation)."/> <definition value="A clinical interpretation of a finding (applies to both assertions and observation)."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.interpretation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-interpretation"/> </valueSetReference> </binding> </element> <element id="cimi-statement-Observation-model.relevantTime"> <path value="cimi-statement-Observation-model.relevantTime"/> <short value="The time or time period that the finding addresses."/> <definition value="The time or time period that the finding addresses. The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium)."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.relevantTime"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-TimePeriod-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.findingMethod"> <path value="cimi-statement-Observation-model.findingMethod"/> <short value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle."/> <definition value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.findingMethod"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="preferred"/> <valueSetReference> <reference value="http://hl7.org/fhir/us/sw/ValueSet/cimi-statement-FindingMethodVS"/> </valueSetReference> </binding> </element> <element id="cimi-statement-Observation-model.media"> <path value="cimi-statement-Observation-model.media"/> <short value="A file that contains audio, video, image, or similar content."/> <definition value="A file that contains audio, video, image, or similar content."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-statement-Observation-model.media"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-datatypes-Media-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.topicCode"> <path value="cimi-statement-Observation-model.topicCode"/> <short value="The concept representing the finding or action that is the topic of the statement."/> <definition value="The concept representing the finding or action that is the topic of the statement. For action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the 'question' or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic of the action or the finding."/> <min value="1"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.topicCode"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.resultValue"> <path value="cimi-statement-Observation-model.resultValue"/> <short value="The finding itself, such as the blood pressure value recorded."/> <definition value="The finding itself, such as the blood pressure value recorded."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.resultValue"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-Quantity-model"/> </type> <type> <code value="Coding"/> </type> <type> <code value="string"/> </type> <type> <code value="boolean"/> </type> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-Range-model"/> </type> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-Ratio-model"/> </type> <type> <code value="time"/> </type> <type> <code value="dateTime"/> </type> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-TimePeriod-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.exceptionValue"> <path value="cimi-statement-Observation-model.exceptionValue"/> <short value="Reason that a value associated with a test or other finding is missing."/> <definition value="Reason that a value associated with a test or other finding is missing."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.exceptionValue"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/data-absent-reason"/> </valueSetReference> </binding> </element> <element id="cimi-statement-Observation-model.deltaFlag"> <path value="cimi-statement-Observation-model.deltaFlag"/> <code> <system value="http://ncimeta.nci.nih.gov"/> <code value="C1705241"/> </code> <short value="Indicator of significant change (delta) from the last or previous measurement."/> <definition value="Indicator of significant change (delta) from the last or previous measurement."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.deltaFlag"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="required"/> <valueSetReference> <reference value="http://hl7.org/fhir/us/sw/ValueSet/cimi-statement-DeltaFlagVS"/> </valueSetReference> </binding> </element> <element id="cimi-statement-Observation-model.category"> <path value="cimi-statement-Observation-model.category"/> <short value="The type, kind, or class of this item."/> <definition value="The type, kind, or class of this item."/> <min value="1"/> <max value="*"/> <base> <path value="cimi-statement-Observation-model.category"/> <min value="1"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-category"/> </valueSetReference> </binding> </element> <element id="cimi-statement-Observation-model.anatomicalLocation"> <path value="cimi-statement-Observation-model.anatomicalLocation"/> <code> <system value="http://loinc.org"/> <code value="72369-2"/> </code> <short value="A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart."/> <definition value="A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.anatomicalLocation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-element-AnatomicalLocation-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.device"> <path value="cimi-statement-Observation-model.device"/> <short value="A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients."/> <definition value="A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.device"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-entity-Device-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.specimen"> <path value="cimi-statement-Observation-model.specimen"/> <short value="A specimen is a substance, physical object, or collection of objects, that the laboratory considers a single discrete, uniquely identified unit that is the subject of one or more steps in the laboratory workflow. A specimen may include multiple physical pieces as long as they are considered a single unit within the laboratory workflow. A specimen results from one to many specimen collection procedures, and may be contained in multiple specimen containers. Specimen may have one or more processing activities."/> <definition value="A specimen is a substance, physical object, or collection of objects, that the laboratory considers a single discrete, uniquely identified unit that is the subject of one or more steps in the laboratory workflow. A specimen may include multiple physical pieces as long as they are considered a single unit within the laboratory workflow. A specimen results from one to many specimen collection procedures, and may be contained in multiple specimen containers. Specimen may have one or more processing activities."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.specimen"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-entity-Specimen-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.precondition"> <path value="cimi-statement-Observation-model.precondition"/> <short value="A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar."/> <definition value="A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-statement-Observation-model.precondition"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Observation-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.referenceRange"> <path value="cimi-statement-Observation-model.referenceRange"/> <code> <system value="http://ncimeta.nci.nih.gov"/> <code value="C0883335"/> </code> <short value="The usual or acceptable range for a test result."/> <definition value="The usual or acceptable range for a test result."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-statement-Observation-model.referenceRange"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ReferenceRange-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.evaluationComponent"> <path value="cimi-statement-Observation-model.evaluationComponent"/> <short value="A simplified, non-separable evaluation consisting of a finding code (represented by the Concept), value (or exception value), reference range, and interpretation. The subject of the evaluation component is the same as in the parent evaluation."/> <definition value="A simplified, non-separable evaluation consisting of a finding code (represented by the Concept), value (or exception value), reference range, and interpretation. The subject of the evaluation component is the same as in the parent evaluation."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-statement-Observation-model.evaluationComponent"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-EvaluationComponent-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.panelMembers"> <path value="cimi-statement-Observation-model.panelMembers"/> <short value="PanelMembers represent the elements of a group of a related but independent evaluations."/> <definition value="PanelMembers represent the elements of a group of a related but independent evaluations. Examples are the measurements that compose a complete blood count (CBC), or the elements of a pathology report. Each member is an independent evaluation, but the grouping reflects a composite lab order, shared specimen, or a single report author. Typically the Category and Reason are not given for individual findings that are part of the panel, but rather given at the level of the panel itself."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.panelMembers"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-PanelMembers-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> </snapshot> <differential> <element id="cimi-statement-Observation-model"> <path value="cimi-statement-Observation-model"/> <definition value="Represents the result of evaluations (measurements, tests, or questions) that have been performed. Observation has a value representing the result (answer), or an ExceptionValue indicating why the value is not present. The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-statement-Observation-model"/> <min value="0"/> <max value="*"/> </base> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.personOfRecord"> <path value="cimi-statement-Observation-model.personOfRecord"/> <code> <system value="http://ncimeta.nci.nih.gov"/> <code value="C0027361"/> </code> <short value="The person this entry belongs to."/> <definition value="The person this entry belongs to."/> <min value="1"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.personOfRecord"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-entity-Person-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.recorded"> <path value="cimi-statement-Observation-model.recorded"/> <short value="The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order."/> <definition value="The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.recorded"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Attribution-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.signed"> <path value="cimi-statement-Observation-model.signed"/> <short value="Provenance information specific to the signing of the clinical statement."/> <definition value="Provenance information specific to the signing of the clinical statement."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.signed"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-core-Attribution-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.additionalText"> <path value="cimi-statement-Observation-model.additionalText"/> <code> <system value="http://ncimeta.nci.nih.gov"/> <code value="C0947611"/> </code> <short value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/> <definition value="A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.additionalText"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.contextCode"> <path value="cimi-statement-Observation-model.contextCode"/> <short value="Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement."/> <definition value="Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.contextCode"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.contextCode.id"> <path value="cimi-statement-Observation-model.contextCode.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="cimi-statement-Observation-model.contextCode.extension"> <path value="cimi-statement-Observation-model.contextCode.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="cimi-statement-Observation-model.contextCode.system"> <path value="cimi-statement-Observation-model.contextCode.system"/> <short value="Identity of the terminology system"/> <definition value="The identification of the code system that defines the meaning of the symbol in the code."/> <comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously."/> <requirements value="Need to be unambiguous about the source of the definition of the symbol."/> <min value="1"/> <max value="1"/> <base> <path value="Coding.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://snomed.info/sct"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.3"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystem"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"/> </mapping> </element> <element id="cimi-statement-Observation-model.contextCode.version"> <path value="cimi-statement-Observation-model.contextCode.version"/> <short value="Version of the system - if relevant"/> <definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged."/> <comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.version"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.7"/> </mapping> <mapping> <identity value="rim"/> <map value="./codeSystemVersion"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"/> </mapping> </element> <element id="cimi-statement-Observation-model.contextCode.code"> <path value="cimi-statement-Observation-model.contextCode.code"/> <short value="Symbol in syntax defined by the system"/> <definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)."/> <requirements value="Need to refer to a particular code in the system."/> <min value="1"/> <max value="1"/> <base> <path value="Coding.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <fixedCode value="424975005"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.1"/> </mapping> <mapping> <identity value="rim"/> <map value="./code"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"/> </mapping> </element> <element id="cimi-statement-Observation-model.contextCode.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="cimi-statement-Observation-model.contextCode.display"/> <short value="Representation defined by the system"/> <definition value="A representation of the meaning of the code in the system, following the rules of the system."/> <requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="C*E.2 - but note this is not well followed"/> </mapping> <mapping> <identity value="rim"/> <map value="CV.displayName"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"/> </mapping> </element> <element id="cimi-statement-Observation-model.contextCode.userSelected"> <path value="cimi-statement-Observation-model.contextCode.userSelected"/> <short value="If this coding was chosen directly by the user"/> <definition value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)."/> <comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely."/> <requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing."/> <min value="0"/> <max value="1"/> <base> <path value="Coding.userSelected"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="Sometimes implied by being first"/> </mapping> <mapping> <identity value="rim"/> <map value="CD.codingRationale"/> </mapping> <mapping> <identity value="orim"/> <map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]"/> </mapping> </element> <element id="cimi-statement-Observation-model.statementTopic"> <path value="cimi-statement-Observation-model.statementTopic"/> <short value="Compositional and reusable grouping of clinical statement attributes that make up the clinical focus of a statement."/> <definition value="Compositional and reusable grouping of clinical statement attributes that make up the clinical focus of a statement. StatementTopic class attributes are aligned with SNOMED CT Concept Model attributes when such an overlap exists. Note that this class does not include contextual attributes such as the nature of the action (ordered, proposed, planned, etc...), the nature of the patient state being described (e.g., present, suspected present, absent), and the attribution of this information (the who, when, where, how, why of the information recorded)."/> <min value="0"/> <max value="0"/> <base> <path value="cimi-statement-Observation-model.statementTopic"/> <min value="0"/> <max value="0"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-topic-StatementTopic-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.encounter"> <path value="cimi-statement-Observation-model.encounter"/> <short value="A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient."/> <definition value="A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.encounter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-encounter-Encounter-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.interpretation"> <path value="cimi-statement-Observation-model.interpretation"/> <code> <system value="http://ncimeta.nci.nih.gov"/> <code value="C0420833"/> </code> <short value="A clinical interpretation of a finding (applies to both assertions and observation)."/> <definition value="A clinical interpretation of a finding (applies to both assertions and observation)."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.interpretation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-interpretation"/> </valueSetReference> </binding> </element> <element id="cimi-statement-Observation-model.relevantTime"> <path value="cimi-statement-Observation-model.relevantTime"/> <short value="The time or time period that the finding addresses."/> <definition value="The time or time period that the finding addresses. The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium)."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.relevantTime"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-TimePeriod-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.findingMethod"> <path value="cimi-statement-Observation-model.findingMethod"/> <short value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle."/> <definition value="The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.findingMethod"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="preferred"/> <valueSetReference> <reference value="http://hl7.org/fhir/us/sw/ValueSet/cimi-statement-FindingMethodVS"/> </valueSetReference> </binding> </element> <element id="cimi-statement-Observation-model.media"> <path value="cimi-statement-Observation-model.media"/> <short value="A file that contains audio, video, image, or similar content."/> <definition value="A file that contains audio, video, image, or similar content."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-statement-Observation-model.media"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-datatypes-Media-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.topicCode"> <path value="cimi-statement-Observation-model.topicCode"/> <short value="The concept representing the finding or action that is the topic of the statement."/> <definition value="The concept representing the finding or action that is the topic of the statement. For action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the 'question' or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic of the action or the finding."/> <min value="1"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.topicCode"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.resultValue"> <path value="cimi-statement-Observation-model.resultValue"/> <short value="The finding itself, such as the blood pressure value recorded."/> <definition value="The finding itself, such as the blood pressure value recorded."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.resultValue"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-Quantity-model"/> </type> <type> <code value="Coding"/> </type> <type> <code value="string"/> </type> <type> <code value="boolean"/> </type> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-Range-model"/> </type> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-Ratio-model"/> </type> <type> <code value="time"/> </type> <type> <code value="dateTime"/> </type> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/shr-core-TimePeriod-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.exceptionValue"> <path value="cimi-statement-Observation-model.exceptionValue"/> <short value="Reason that a value associated with a test or other finding is missing."/> <definition value="Reason that a value associated with a test or other finding is missing."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.exceptionValue"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/data-absent-reason"/> </valueSetReference> </binding> </element> <element id="cimi-statement-Observation-model.deltaFlag"> <path value="cimi-statement-Observation-model.deltaFlag"/> <code> <system value="http://ncimeta.nci.nih.gov"/> <code value="C1705241"/> </code> <short value="Indicator of significant change (delta) from the last or previous measurement."/> <definition value="Indicator of significant change (delta) from the last or previous measurement."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.deltaFlag"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="required"/> <valueSetReference> <reference value="http://hl7.org/fhir/us/sw/ValueSet/cimi-statement-DeltaFlagVS"/> </valueSetReference> </binding> </element> <element id="cimi-statement-Observation-model.category"> <path value="cimi-statement-Observation-model.category"/> <short value="The type, kind, or class of this item."/> <definition value="The type, kind, or class of this item."/> <min value="1"/> <max value="*"/> <base> <path value="cimi-statement-Observation-model.category"/> <min value="1"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="extensible"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-category"/> </valueSetReference> </binding> </element> <element id="cimi-statement-Observation-model.anatomicalLocation"> <path value="cimi-statement-Observation-model.anatomicalLocation"/> <code> <system value="http://loinc.org"/> <code value="72369-2"/> </code> <short value="A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart."/> <definition value="A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.anatomicalLocation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-element-AnatomicalLocation-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.device"> <path value="cimi-statement-Observation-model.device"/> <short value="A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients."/> <definition value="A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.device"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-entity-Device-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.specimen"> <path value="cimi-statement-Observation-model.specimen"/> <short value="A specimen is a substance, physical object, or collection of objects, that the laboratory considers a single discrete, uniquely identified unit that is the subject of one or more steps in the laboratory workflow. A specimen may include multiple physical pieces as long as they are considered a single unit within the laboratory workflow. A specimen results from one to many specimen collection procedures, and may be contained in multiple specimen containers. Specimen may have one or more processing activities."/> <definition value="A specimen is a substance, physical object, or collection of objects, that the laboratory considers a single discrete, uniquely identified unit that is the subject of one or more steps in the laboratory workflow. A specimen may include multiple physical pieces as long as they are considered a single unit within the laboratory workflow. A specimen results from one to many specimen collection procedures, and may be contained in multiple specimen containers. Specimen may have one or more processing activities."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.specimen"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-entity-Specimen-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.precondition"> <path value="cimi-statement-Observation-model.precondition"/> <short value="A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar."/> <definition value="A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-statement-Observation-model.precondition"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Coding"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-Observation-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.referenceRange"> <path value="cimi-statement-Observation-model.referenceRange"/> <code> <system value="http://ncimeta.nci.nih.gov"/> <code value="C0883335"/> </code> <short value="The usual or acceptable range for a test result."/> <definition value="The usual or acceptable range for a test result."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-statement-Observation-model.referenceRange"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-ReferenceRange-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.evaluationComponent"> <path value="cimi-statement-Observation-model.evaluationComponent"/> <short value="A simplified, non-separable evaluation consisting of a finding code (represented by the Concept), value (or exception value), reference range, and interpretation. The subject of the evaluation component is the same as in the parent evaluation."/> <definition value="A simplified, non-separable evaluation consisting of a finding code (represented by the Concept), value (or exception value), reference range, and interpretation. The subject of the evaluation component is the same as in the parent evaluation."/> <min value="0"/> <max value="*"/> <base> <path value="cimi-statement-Observation-model.evaluationComponent"/> <min value="0"/> <max value="*"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-EvaluationComponent-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="cimi-statement-Observation-model.panelMembers"> <path value="cimi-statement-Observation-model.panelMembers"/> <short value="PanelMembers represent the elements of a group of a related but independent evaluations."/> <definition value="PanelMembers represent the elements of a group of a related but independent evaluations. Examples are the measurements that compose a complete blood count (CBC), or the elements of a pathology report. Each member is an independent evaluation, but the grouping reflects a composite lab order, shared specimen, or a single report author. Typically the Category and Reason are not given for individual findings that are part of the panel, but rather given at the level of the panel itself."/> <min value="0"/> <max value="1"/> <base> <path value="cimi-statement-Observation-model.panelMembers"/> <min value="0"/> <max value="1"/> </base> <type> <code value="http://hl7.org/fhir/us/sw/StructureDefinition/cimi-statement-PanelMembers-model"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> </differential> </StructureDefinition>