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StructureDefinition: Example Lipid Profile - XML

Orders and Observations Work Group Maturity Level: 0Trial UseUse Context: Not yet ready for Production use, Not yet ready for Production use

Example Lipid Profile

<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="lipidprofile"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">to do</div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-summary">
    <valueMarkdown value="This is a test summary [lipids](observation.html)"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="oo"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/build/StructureDefinition/summary">
    <valueString value="This is a test summary [lipids](observation.html)"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/lipidprofile"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.5.1392"/> 
  </identifier> 
  <version value="5.0.0-cibuild"/> 
  <name value="Example Lipid Profile"/> 
  <status value="draft"/> 
  <experimental value="true"/> 
  <date value="2012-05-12"/> 
  <publisher value="Grahame Grieve"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="grahame@healthintersections.com.au"/> 
    </telecom> 
  </contact> 
  <description value="Lipid Lab Report"/> 
  <fhirVersion value="5.0.0"/> 
  <mapping> 
    <identity value="workflow"/> 
    <uri value="http://hl7.org/fhir/workflow"/> 
    <name value="Workflow Pattern"/> 
  </mapping> 
  <mapping> 
    <identity value="v2"/> 
    <uri value="http://hl7.org/v2"/> 
    <name value="HL7 v2 Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern Mapping"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="DiagnosticReport"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> 
  <derivation value="constraint"/> 
  <snapshot> 
    <element id="DiagnosticReport">
      <path value="DiagnosticReport"/> 
      <short value="Lipid Lab Report"/> 
      <definition value="The findings and interpretation of a general lipid lab profile."/> 
      <comment value="In this profile, mustSupport means that authoring systems must include the ability
       to report these elements, and processing systems must cater for them by either
       displaying them to the user or considering them appropriately in decision support
       systems."/> 
      <alias value="Report"/> 
      <alias value="Test"/> 
      <alias value="Result"/> 
      <alias value="Results"/> 
      <alias value="Labs"/> 
      <alias value="Laboratory"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="dgr-1"/> 
        <severity value="error"/> 
        <human value="A resource referenced in a Composition entry must also be included in the DiagnosticReport
         result (Observation resources or nested resources via Observation.hasMember)"/> 
        <expression value="composition.exists() implies composition.resolve().section.entry.resolve().descendants().wher
        e((id in result.resolve().descendants().id).not()).empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> 
      </constraint> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> 
        <expression value="contained.contained.empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL be referred to from
         elsewhere in the resource or SHALL refer to the containing resource"/> 
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofTy
        pe(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url)))
         or descendants().where(reference = '#').exists() or descendants().where(as(canonical)
         = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched
        ', id).empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId
         or a meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-5"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> 
        <expression value="contained.meta.security.empty()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can
           display the resource to a human safely. Including a human readable representation
           in the resource makes for a much more robust eco-system and cheaper handling of
           resources by intermediary systems. Some ecosystems restrict distribution of resources
           to only those systems that do fully understand the resources, and as a consequence
           implementers may believe that the narrative is superfluous. However experience
           shows that such eco-systems often open up to new participants over time."/> 
        </extension> 
        <key value="dom-6"/> 
        <severity value="warning"/> 
        <human value="A resource should have narrative for robust management"/> 
        <expression value="text.`div`.exists()"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity. Role, or Act"/> 
      </mapping> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="ORU -&gt; OBR"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Observation[classCode=OBS, moodCode=EVN]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="clinical.diagnostics"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.id">
      <path value="DiagnosticReport.id"/> 
      <short value="Logical id of this artifact"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,
       this value never changes."/> 
      <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except
       for cases like the create and conditional update. Otherwise, the use of the resouce
       id depends on the given use case."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="DiagnosticReport.meta">
      <path value="DiagnosticReport.meta"/> 
      <short value="Metadata about the resource"/> 
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content might not always be associated with version changes to the
       resource."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="DiagnosticReport.implicitRules">
      <path value="DiagnosticReport.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      <definition value="A reference to a set of rules that were followed when the resource was constructed,
       and which must be understood when processing the content. Often, this is a reference
       to an implementation guide that defines the special rules along with other profiles
       etc."/> 
      <comment value="Asserting this rule set restricts the content to be only understood by a limited
       set of trading partners. This inherently limits the usefulness of the data in the
       long term. However, the existing health eco-system is highly fractured, and not
       yet ready to define, collect, and exchange data in a generally computable sense.
       Wherever possible, implementers and/or specification writers should avoid using
       this element. Often, when used, the URL is a reference to an implementation guide
       that defines these special rules as part of it's narrative along with other profiles,
       value sets, etc."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="DiagnosticReport.language">
      <path value="DiagnosticReport.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      <comment value="Language is provided to support indexing and accessibility (typically, services
       such as text to speech use the language tag). The html language tag in the narrative
       applies  to the narrative. The language tag on the resource may be used to specify
       the language of other presentations generated from the data in the resource. Not
       all the content has to be in the base language. The Resource.language should not
       be assumed to apply to the narrative automatically. If a language is specified,
       it should it also be specified on the div element in the html (see rules in HTML5
       for information about the relationship between xml:lang and the html lang attribute)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="IETF language tag"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> 
      </binding> 
    </element> 
    <element id="DiagnosticReport.text">
      <path value="DiagnosticReport.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      <definition value="A human-readable narrative that contains a summary of the resource and can be used
       to represent the content of the resource to a human. The narrative need not encode
       all the structured data, but is required to contain sufficient detail to make it
       &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
       may define what content should be represented in the narrative to ensure clinical
       safety."/> 
      <comment value="Contained resources do not have a narrative. Resources that are not contained SHOULD
       have a narrative. In some cases, a resource may only have text with little or no
       additional discrete data (as long as all minOccurs=1 elements are satisfied). 
       This may be necessary for data from legacy systems where information is captured
       as a &quot;text blob&quot; or where text is additionally entered raw or narrated
       and encoded information is added later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.contained">
      <path value="DiagnosticReport.contained"/> 
      <short value="Contained, inline Resources"/> 
      <definition value="These resources do not have an independent existence apart from the resource that
       contains them - they cannot be identified independently, nor can they have their
       own independent transaction scope. This is allowed to be a Parameters resource
       if and only if it is referenced by a resource that provides context/meaning."/> 
      <comment value="This should never be done when the content can be identified properly, as once
       identification is lost, it is extremely difficult (and context dependent) to restore
       it again. Contained resources may have profiles and tags in their meta elements,
       but SHALL NOT have security labels."/> 
      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.extension">
      <path value="DiagnosticReport.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. 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 value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.modifierExtension">
      <path value="DiagnosticReport.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource and that modifies the understanding of the element that contains
       it and/or the understanding of the containing element's descendants. Usually modifier
       elements provide negation or qualification. To make the use of extensions safe
       and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there
       is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       resource that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.identifier">
      <path value="DiagnosticReport.identifier"/> 
      <short value="Business identifier for report"/> 
      <definition value="Identifiers assigned to this report by the performer or other systems."/> 
      <comment value="Usually assigned by the Information System of the diagnostic service provider (filler
       id)."/> 
      <requirements value="Need to know what identifier to use when making queries about this report from
       the source laboratory, and for linking to the report outside FHIR context."/> 
      <alias value="ReportID"/> 
      <alias value="Filler ID"/> 
      <alias value="Placer ID"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DiagnosticReport.identifier"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBR-51/ for globally unique filler ID  - OBR-3 , For non-globally unique filler-id
         the flller/placer number must be combined with the universal service Id -  OBR-2(if
         present)+OBR-3+OBR-4"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="id"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.basedOn">
      <path value="DiagnosticReport.basedOn"/> 
      <short value="What was requested"/> 
      <definition value="Details concerning a service requested."/> 
      <comment value="Note: Usually there is one test request for each result, however in some circumstances
       multiple test requests may be represented using a single test result resource.
       Note that there are also cases where one request leads to multiple reports."/> 
      <requirements value="This allows tracing of authorization for the report and tracking whether proposals/recommenda
      tions were acted upon."/> 
      <alias value="Request"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DiagnosticReport.basedOn"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.basedOn"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="ORC? OBR-2/3?"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="outboundRelationship[typeCode=FLFS].target"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.status">
      <path value="DiagnosticReport.status"/> 
      <short value="registered | partial | preliminary | final +"/> 
      <definition value="The status of the diagnostic report."/> 
      <requirements value="Diagnostic services routinely issue provisional/incomplete reports, and sometimes
       withdraw previously released reports."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport.status"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because it is a status element that contains
       status entered-in-error which means that the resource should not be treated as
       valid"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DiagnosticReportStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The status of the diagnostic report."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0-cibuild"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.status"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBR-25 (not 1:1 mapping)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="statusCode  Note: final and amended are distinguished by whether observation is
         the subject of a ControlAct event of type &quot;revise&quot;"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.category">
      <path value="DiagnosticReport.category"/> 
      <short value="Service category"/> 
      <definition value="A code that classifies the clinical discipline, department or diagnostic service
       that created the report (e.g. cardiology, biochemistry, hematology, MRI). This
       is used for searching, sorting and display purposes."/> 
      <comment value="Multiple categories are allowed using various categorization schemes.   The level
       of granularity is defined by the category concepts in the value set. More fine-grained
       filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticRepor
      t.code."/> 
      <alias value="Department"/> 
      <alias value="Sub-department"/> 
      <alias value="Service"/> 
      <alias value="Discipline"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DiagnosticReport.category"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DiagnosticServiceSection"/> 
        </extension> 
        <strength value="example"/> 
        <description value="HL7 V2 table 0074"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/diagnostic-service-sections"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBR-24"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code &lt;
         LabService].code"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.code">
      <path value="DiagnosticReport.code"/> 
      <short value="LOINC Code for Lipid Panel with LDL"/> 
      <definition value="LOINC Code for Lipid Panel with LDL."/> 
      <comment value="LOINC code includes &quot;direct&quot; LDL - does this mean LDL derived by measuring
       VLDL by ultracentrifugation? This panel includes both measured and calculated LDL."/> 
      <alias value="Type"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport.code"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <patternCodeableConcept> 
        <coding> 
          <system value="http://loinc.org"/> 
          <code value="57698-3"/> 
          <display value="Lipid panel with direct LDL - Serum or Plasma"/> 
        </coding> 
      </patternCodeableConcept> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DiagnosticReportCodes"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="LOINC Codes for Diagnostic Reports"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/report-codes"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.code"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and
         the performed panel)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="code"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.subject">
      <path value="DiagnosticReport.subject"/> 
      <short value="The subject of the report - usually, but not always, the patient"/> 
      <definition value="The subject of the report. Usually, but not always, this is a patient. However,
       diagnostic services also perform analyses on specimens collected from a variety
       of other sources."/> 
      <requirements value="SHALL know the subject context."/> 
      <alias value="Patient"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport.subject"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3 (no HL7 v2 mapping for Group or Device)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="participation[typeCode=SBJ]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.encounter">
      <path value="DiagnosticReport.encounter"/> 
      <short value="Health care event when test ordered"/> 
      <definition value="The healthcare event  (e.g. a patient and healthcare provider interaction) which
       this DiagnosticReport is about."/> 
      <comment value="This will typically be the encounter the event occurred within, but some events
       may be initiated prior to or after the official completion of an encounter  but
       still be tied to the context of the encounter  (e.g. pre-admission laboratory tests)."/> 
      <requirements value="Links the request to the Encounter context."/> 
      <alias value="Context"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport.encounter"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.encounter"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PV1-19"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.effective[x]">
      <path value="DiagnosticReport.effective[x]"/> 
      <short value="Clinically relevant time/time-period for report"/> 
      <definition value="The time or time-period the observed values are related to. When the subject of
       the report is a patient, this is usually either the time of the procedure or of
       specimen collection(s), but very often the source of the date/time is not known,
       only the date/time itself."/> 
      <comment value="If the diagnostic procedure was performed on the patient, this is the time it was
       performed. If there are specimens, the diagnostically relevant time can be derived
       from the specimen collection times, but the specimen information is not always
       available, and the exact relationship between the specimens and the diagnostically
       relevant time is not always automatic."/> 
      <requirements value="Need to know where in the patient history to file/present this report."/> 
      <alias value="Observation time"/> 
      <alias value="Effective Time"/> 
      <alias value="Occurrence"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport.effective[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.occurrence[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.done[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBR-7"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="effectiveTime"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.issued">
      <path value="DiagnosticReport.issued"/> 
      <short value="DateTime this version was made"/> 
      <definition value="The date and time that this version of the report was made available to providers,
       typically after the report was reviewed and verified."/> 
      <comment value="May be different from the update time of the resource itself, because that is the
       status of the record (potentially a secondary copy), not the actual release time
       of the report."/> 
      <requirements value="Clinicians need to be able to check the date that the report was released."/> 
      <alias value="Date published"/> 
      <alias value="Date Issued"/> 
      <alias value="Date Verified"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport.issued"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="instant"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBR-22"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="participation[typeCode=VRF or AUT].time"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.performer">
      <path value="DiagnosticReport.performer"/> 
      <short value="Responsible Diagnostic Service"/> 
      <definition value="The diagnostic service that is responsible for issuing the report."/> 
      <comment value="This is not necessarily the source of the atomic data items or the entity that
       interpreted the results. It is the entity that takes responsibility for the clinical
       report."/> 
      <requirements value="Need to know whom to contact if there are queries about the results. Also may need
       to track the source of reports for secondary data analysis."/> 
      <alias value="Laboratory"/> 
      <alias value="Service"/> 
      <alias value="Practitioner"/> 
      <alias value="Department"/> 
      <alias value="Company"/> 
      <alias value="Authorized by"/> 
      <alias value="Director"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DiagnosticReport.performer"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRT-8 (where this PRT-4-Participation = &quot;PO&quot;)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=PRF]"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.resultsInterpreter">
      <path value="DiagnosticReport.resultsInterpreter"/> 
      <short value="Primary result interpreter"/> 
      <definition value="The practitioner or organization that is responsible for the report's conclusions
       and interpretations."/> 
      <comment value="Might not be the same entity that takes responsibility for the clinical report."/> 
      <requirements value="Need to know whom to contact if there are queries about the results. Also may need
       to track the source of reports for secondary data analysis."/> 
      <alias value="Analyzed by"/> 
      <alias value="Reported by"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DiagnosticReport.resultsInterpreter"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBR-32, PRT-8 (where this PRT-4-Participation = &quot;PI&quot;)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=PRF]"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.specimen">
      <path value="DiagnosticReport.specimen"/> 
      <short value="Specimens this report is based on"/> 
      <definition value="Details about the specimens on which this diagnostic report is based."/> 
      <comment value="If the specimen is sufficiently specified with a code in the test result name,
       then this additional data may be redundant. If there are multiple specimens, these
       may be represented per observation or group."/> 
      <requirements value="Need to be able to report information about the collected specimens on which the
       report is based."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DiagnosticReport.specimen"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="participation[typeCode=SBJ]"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.result">
      <path value="DiagnosticReport.result"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="resolve().code"/> 
        </discriminator> 
        <ordered value="true"/> 
        <rules value="closed"/> 
      </slicing> 
      <short value="Observations"/> 
      <definition value="[Observations](observation.html)  that are part of this diagnostic report."/> 
      <comment value="Observations can contain observations."/> 
      <requirements value="Need to support individual results, or  groups of results, where the result grouping
       is arbitrary, but meaningful."/> 
      <alias value="Data"/> 
      <alias value="Atomic Value"/> 
      <alias value="Result"/> 
      <alias value="Atomic result"/> 
      <alias value="Data"/> 
      <alias value="Test"/> 
      <alias value="Analyte"/> 
      <alias value="Battery"/> 
      <alias value="Organizer"/> 
      <min value="3"/> 
      <max value="4"/> 
      <base> 
        <path value="DiagnosticReport.result"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBXs"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="outboundRelationship[typeCode=COMP].target"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.result:Cholesterol">
      <path value="DiagnosticReport.result"/> 
      <sliceName value="Cholesterol"/> 
      <short value="Cholesterol Result"/> 
      <definition value="Reference to Cholesterol Result."/> 
      <comment value="Observations can contain observations."/> 
      <requirements value="Need to support individual results, or  groups of results, where the result grouping
       is arbitrary, but meaningful."/> 
      <alias value="Data"/> 
      <alias value="Atomic Value"/> 
      <alias value="Result"/> 
      <alias value="Atomic result"/> 
      <alias value="Data"/> 
      <alias value="Test"/> 
      <alias value="Analyte"/> 
      <alias value="Battery"/> 
      <alias value="Organizer"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport.result"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/cholesterol"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBXs"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="outboundRelationship[typeCode=COMP].target"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.result:Triglyceride">
      <path value="DiagnosticReport.result"/> 
      <sliceName value="Triglyceride"/> 
      <short value="Triglyceride Result"/> 
      <definition value="Group of elements for Triglyceride result."/> 
      <comment value="Observations can contain observations."/> 
      <requirements value="Need to support individual results, or  groups of results, where the result grouping
       is arbitrary, but meaningful."/> 
      <alias value="Data"/> 
      <alias value="Atomic Value"/> 
      <alias value="Result"/> 
      <alias value="Atomic result"/> 
      <alias value="Data"/> 
      <alias value="Test"/> 
      <alias value="Analyte"/> 
      <alias value="Battery"/> 
      <alias value="Organizer"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport.result"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/triglyceride"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBXs"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="outboundRelationship[typeCode=COMP].target"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.result:HDLCholesterol">
      <path value="DiagnosticReport.result"/> 
      <sliceName value="HDLCholesterol"/> 
      <short value="HDL Cholesterol Result"/> 
      <definition value="Group of elements for HDL Cholesterol result."/> 
      <comment value="Observations can contain observations."/> 
      <requirements value="Need to support individual results, or  groups of results, where the result grouping
       is arbitrary, but meaningful."/> 
      <alias value="Data"/> 
      <alias value="Atomic Value"/> 
      <alias value="Result"/> 
      <alias value="Atomic result"/> 
      <alias value="Data"/> 
      <alias value="Test"/> 
      <alias value="Analyte"/> 
      <alias value="Battery"/> 
      <alias value="Organizer"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport.result"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/hdlcholesterol"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBXs"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="outboundRelationship[typeCode=COMP].target"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.result:LDLCholesterol">
      <path value="DiagnosticReport.result"/> 
      <sliceName value="LDLCholesterol"/> 
      <short value="LDL Cholesterol result, if reported"/> 
      <definition value="LDL Cholesterol result, if reported."/> 
      <comment value="Observations can contain observations."/> 
      <requirements value="Need to support individual results, or  groups of results, where the result grouping
       is arbitrary, but meaningful."/> 
      <alias value="Data"/> 
      <alias value="Atomic Value"/> 
      <alias value="Result"/> 
      <alias value="Atomic result"/> 
      <alias value="Data"/> 
      <alias value="Test"/> 
      <alias value="Analyte"/> 
      <alias value="Battery"/> 
      <alias value="Organizer"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport.result"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ldlcholesterol"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBXs"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="outboundRelationship[typeCode=COMP].target"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.note">
      <path value="DiagnosticReport.note"/> 
      <short value="Comments about the diagnostic report"/> 
      <definition value="Comments about the diagnostic report."/> 
      <comment value="May include general statements about the diagnostic report, or statements about
       significant, unexpected or unreliable results values contained within the diagnostic
       report, or information about its source when relevant to its interpretation."/> 
      <requirements value="Need to be able to provide free text additional information."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DiagnosticReport.note"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="unknown"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.study">
      <path value="DiagnosticReport.study"/> 
      <short value="Reference to full details of an analysis associated with the diagnostic report"/> 
      <definition value="One or more links to full details of any study performed during the diagnostic
       investigation. An ImagingStudy might comprise a set of radiologic images obtained
       via a procedure that are analyzed as a group. Typically, this is imaging performed
       by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer
       can use this information to provide views of the source images. A GenomicStudy
       might comprise one or more analyses, each serving a specific purpose. These analyses
       may vary in method (e.g., karyotyping, CNV, or SNV detection), performer, software,
       devices used, or regions targeted."/> 
      <comment value="For laboratory-type studies like GenomeStudy, type resources will be used for tracking
       additional metadata and workflow aspects of complex studies. ImagingStudy and the
       media element are somewhat overlapping - typically, the list of image references
       in the media element will also be found in one of the imaging study resources.
       However, each caters to different types of displays for different types of purposes.
       Neither, either, or both may be provided."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DiagnosticReport.study"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/GenomicStudy"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="DiagnosticReport.supportingInfo">
      <path value="DiagnosticReport.supportingInfo"/> 
      <short value="Additional information supporting the diagnostic report"/> 
      <definition value="This backbone element contains supporting information that was used in the creation
       of the report not included in the results already included in the report."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DiagnosticReport.supportingInfo"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="DiagnosticReport.supportingInfo.id">
      <path value="DiagnosticReport.supportingInfo.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <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> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.supportingInfo.extension">
      <path value="DiagnosticReport.supportingInfo.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. 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 value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.supportingInfo.modifierExtension">
      <path value="DiagnosticReport.supportingInfo.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.supportingInfo.type">
      <path value="DiagnosticReport.supportingInfo.type"/> 
      <short value="Supporting information role code"/> 
      <definition value="The code value for the role of the supporting information in the diagnostic report."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport.supportingInfo.type"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DiagnosticReportSupportingInfoType"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The code value for the role of the supporting information in the diagnostic report."/> 
        <valueSet value="http://terminology.hl7.org/ValueSet/v2-0936"/> 
      </binding> 
    </element> 
    <element id="DiagnosticReport.supportingInfo.reference">
      <path value="DiagnosticReport.supportingInfo.reference"/> 
      <short value="Supporting information reference"/> 
      <definition value="The reference for the supporting information in the diagnostic report."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport.supportingInfo.reference"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Citation"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="DiagnosticReport.media">
      <path value="DiagnosticReport.media"/> 
      <short value="Key images or data associated with this report"/> 
      <definition value="A list of key images or data associated with this report. The images or data are
       generally created during the diagnostic process, and may be directly of the patient,
       or of treated specimens (i.e. slides of interest)."/> 
      <requirements value="Many diagnostic services include images or data in the report as part of their
       service."/> 
      <alias value="DICOM"/> 
      <alias value="Slides"/> 
      <alias value="Scans"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DiagnosticReport.media"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX?"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="outboundRelationship[typeCode=COMP].target"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.media.id">
      <path value="DiagnosticReport.media.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <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> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.media.extension">
      <path value="DiagnosticReport.media.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. 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 value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.media.modifierExtension">
      <path value="DiagnosticReport.media.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <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."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.media.comment">
      <path value="DiagnosticReport.media.comment"/> 
      <short value="Comment about the image or data (e.g. explanation)"/> 
      <definition value="A comment about the image or data. Typically, this is used to provide an explanation
       for why the image or data is included, or to draw the viewer's attention to important
       features."/> 
      <comment value="The comment should be displayed with the image or data. It would be common for
       the report to include additional discussion of the image or data contents or in
       other sections such as the conclusion."/> 
      <requirements value="The provider of the report should make a comment about each image or data included
       in the report."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport.media.comment"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=&quot;annotation
        &quot;].value"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.media.link">
      <path value="DiagnosticReport.media.link"/> 
      <short value="Reference to the image or data source"/> 
      <definition value="Reference to the image or data source."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport.media.link"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".value.reference"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.composition">
      <path value="DiagnosticReport.composition"/> 
      <short value="Reference to a Composition resource for the DiagnosticReport structure"/> 
      <definition value="Reference to a Composition resource instance that provides structure for organizing
       the contents of the DiagnosticReport."/> 
      <comment value="The Composition provides structure to the content of the DiagnosticReport (and
       only contains contents referenced in the DiagnosticReport) - e.g., to order the
       sections of a anatomic pathology structured report."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport.composition"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Composition"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".value.reference"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.conclusion">
      <path value="DiagnosticReport.conclusion"/> 
      <short value="Clinical Interpretation of Lipid Panel"/> 
      <definition value="May include diagnosis or suggestions for follow up testing."/> 
      <comment value="It's not unusual for the lab to make some kind of interpretative comment on the
       set of results."/> 
      <requirements value="Need to be able to provide a conclusion that is not lost among the basic result
       data."/> 
      <alias value="Report"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DiagnosticReport.conclusion"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="inboundRelationship[typeCode=&quot;SPRT&quot;].source[classCode=OBS, moodCode=EVN,
         code=LOINC:48767-8].value (type=ST)"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.conclusionCode">
      <path value="DiagnosticReport.conclusionCode"/> 
      <short value="No codes for a lipid panel"/> 
      <definition value="No codes for a lipid panel."/> 
      <comment value="Not used in this context."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="DiagnosticReport.conclusionCode"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdjunctDiagnosis"/> 
        </extension> 
        <strength value="example"/> 
        <description value="SNOMED CT Clinical Findings"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"/> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].va
        lue (type=CD)"/> 
      </mapping> 
    </element> 
    <element id="DiagnosticReport.presentedForm">
      <path value="DiagnosticReport.presentedForm"/> 
      <short value="Entire report as issued"/> 
      <definition value="Rich text representation of the entire result as issued by the diagnostic service.
       Multiple formats are allowed but they SHALL be semantically equivalent."/> 
      <comment value="&quot;application/pdf&quot; is recommended as the most reliable and interoperable
       in this context."/> 
      <requirements value="Gives laboratory the ability to provide its own fully formatted report for clinical
       fidelity."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DiagnosticReport.presentedForm"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Attachment"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="text (type=ED)"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="DiagnosticReport">
      <path value="DiagnosticReport"/> 
      <short value="Lipid Lab Report"/> 
      <definition value="The findings and interpretation of a general lipid lab profile."/> 
      <comment value="In this profile, mustSupport means that authoring systems must include the ability
       to report these elements, and processing systems must cater for them by either
       displaying them to the user or considering them appropriately in decision support
       systems."/> 
      <min value="1"/> 
      <max value="1"/> 
    </element> 
    <element id="DiagnosticReport.code">
      <path value="DiagnosticReport.code"/> 
      <short value="LOINC Code for Lipid Panel with LDL"/> 
      <definition value="LOINC Code for Lipid Panel with LDL."/> 
      <comment value="LOINC code includes &quot;direct&quot; LDL - does this mean LDL derived by measuring
       VLDL by ultracentrifugation? This panel includes both measured and calculated LDL."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <patternCodeableConcept> 
        <coding> 
          <system value="http://loinc.org"/> 
          <code value="57698-3"/> 
          <display value="Lipid panel with direct LDL - Serum or Plasma"/> 
        </coding> 
      </patternCodeableConcept> 
    </element> 
    <element id="DiagnosticReport.result">
      <path value="DiagnosticReport.result"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="resolve().code"/> 
        </discriminator> 
        <ordered value="true"/> 
        <rules value="closed"/> 
      </slicing> 
      <min value="3"/> 
      <max value="4"/> 
    </element> 
    <element id="DiagnosticReport.result:Cholesterol">
      <path value="DiagnosticReport.result"/> 
      <sliceName value="Cholesterol"/> 
      <short value="Cholesterol Result"/> 
      <definition value="Reference to Cholesterol Result."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/cholesterol"/> 
      </type> 
      <mustSupport value="true"/> 
    </element> 
    <element id="DiagnosticReport.result:Triglyceride">
      <path value="DiagnosticReport.result"/> 
      <sliceName value="Triglyceride"/> 
      <short value="Triglyceride Result"/> 
      <definition value="Group of elements for Triglyceride result."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/triglyceride"/> 
      </type> 
      <mustSupport value="true"/> 
    </element> 
    <element id="DiagnosticReport.result:HDLCholesterol">
      <path value="DiagnosticReport.result"/> 
      <sliceName value="HDLCholesterol"/> 
      <short value="HDL Cholesterol Result"/> 
      <definition value="Group of elements for HDL Cholesterol result."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/hdlcholesterol"/> 
      </type> 
      <mustSupport value="true"/> 
    </element> 
    <element id="DiagnosticReport.result:LDLCholesterol">
      <path value="DiagnosticReport.result"/> 
      <sliceName value="LDLCholesterol"/> 
      <short value="LDL Cholesterol result, if reported"/> 
      <definition value="LDL Cholesterol result, if reported."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ldlcholesterol"/> 
      </type> 
      <mustSupport value="true"/> 
    </element> 
    <element id="DiagnosticReport.conclusion">
      <path value="DiagnosticReport.conclusion"/> 
      <short value="Clinical Interpretation of Lipid Panel"/> 
      <definition value="May include diagnosis or suggestions for follow up testing."/> 
      <comment value="It's not unusual for the lab to make some kind of interpretative comment on the
       set of results."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="true"/> 
    </element> 
    <element id="DiagnosticReport.conclusionCode">
      <path value="DiagnosticReport.conclusionCode"/> 
      <short value="No codes for a lipid panel"/> 
      <definition value="No codes for a lipid panel."/> 
      <comment value="Not used in this context."/> 
      <min value="0"/> 
      <max value="0"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
    </element> 
  </differential> 
</StructureDefinition>