@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<https://examplesihe.org.uk/StructureDefinition/LaboratoryReport> a fhir:StructureDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "LaboratoryReport"] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition LaboratoryReport</b></p><a name=\"LaboratoryReport\"> </a><a name=\"hcLaboratoryReport\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder0\"><tr class=\"xhtRowBorder1\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th scope=\"col\" style=\"; width: 100px\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport\">DiagnosticReport</a><a name=\"DiagnosticReport\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-diagnosticReport-eu-core.html\">DiagnosticReportEuCore</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Diagnostic Report EU core</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck13.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.identifier\" class=\"xhtPieceItalic\">Slices for identifier</a><a name=\"DiagnosticReport.identifier\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\" class=\"xhtPieceItalic\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceItalic\"/><span class=\"xhtPieceItalic\">1</span><span class=\"xhtPieceItalic\">..</span><span class=\"xhtPieceItalic xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"StructureDefinition-CorrelationIdentifier.html\" title=\"Identifier\" class=\"xhtPieceItalic\">CorrelationIdentifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceItalic xhtPieceDeEmphasized\">Business identifier for report</span><br class=\"xhtPieceItalic\"/><span class=\"xhtPieceBold xhtPieceItalic\">Slice: </span><span class=\"xhtPieceItalic\">Unordered, Open by value:type</span><br class=\"xhtPieceItalic\"/><span class=\"xhtPieceBold xhtPieceItalic\">Slicing Note: </span><span class=\"xhtPieceItalic\">The rules on this element (including its children) apply to all the slices, but are not repeated in them</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck124.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.Slices for identifier.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.identifier:fillerOrderNumber\" title=\"Slice fillerOrderNumber\">identifier:fillerOrderNumber</a><a name=\"DiagnosticReport.identifier:fillerOrderNumber\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"StructureDefinition-ReportIdentifier.html\" title=\"Identifier\">ReportIdentifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Report (laboratory) number assigned by the Order Filler - HL7 v2 OBR-3, shared by the OBRs of the report</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.basedOn\">basedOn</a><a name=\"DiagnosticReport.basedOn\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-LaboratoryOrder.html\">Laboratory Order</a>)</td><td style=\"\" class=\"hierarchy xhtCellBorder0\">The orders reported - one per OBR (HL7 v2 ORC-2 / OBR-2 Placer Order Number)</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.status\">status</a><a name=\"DiagnosticReport.status\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">1</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\" class=\"xhtPieceDeEmphasized\">code</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">HL7 v2 OBR-25 Result Status - see ConceptMap v2-0123 to DiagnosticReport.status</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.category\">category</a><a name=\"DiagnosticReport.category\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..<span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\" class=\"xhtPieceDeEmphasized\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Laboratory discipline (HL7 v2 OBR-24 Diagnostic Serv Sect ID)<br class=\"binding\"/><span class=\"xhtPieceBold binding\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-diagnostic-service-sections.html\" title=\"http://hl7.org/fhir/ValueSet/diagnostic-service-sections\" class=\"binding\">DiagnosticServiceSectionCodes</a><span class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\" class=\"binding\">extensible</a><span class=\"binding\">)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck11.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.code\">code</a><a name=\"DiagnosticReport.code\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">1</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\" class=\"xhtPieceDeEmphasized\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Report type: SNOMED CT 721981007 Diagnostic studies report (NHS England), LOINC 11502-2 Laboratory report; or, for a report of one test, the PaLM requestable (OBR-4). The tests reported are also ServiceRequest.code and the result Observation.code</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck103.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.code.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.code.coding\" class=\"xhtPieceItalic\">Slices for coding</a><a name=\"DiagnosticReport.code.coding\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceItalic\"/><span class=\"xhtPieceItalic xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceItalic xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceItalic xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\" class=\"xhtPieceItalic xhtPieceDeEmphasized\">Coding</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceItalic xhtPieceDeEmphasized\">Code defined by a terminology system</span><br class=\"xhtPieceItalic\"/><span class=\"xhtPieceBold xhtPieceItalic\">Slice: </span><span class=\"xhtPieceItalic\">Unordered, Open by value:system</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck1035.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.code.Slices for coding.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.code.coding:snomedCT\" title=\"Slice snomedCT\">coding:snomedCT</a><a name=\"DiagnosticReport.code.coding:snomedCT\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\" class=\"xhtPieceDeEmphasized\">Coding</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">SNOMED CT: the PaLM requestable test reported (OBR-4) - as the Genomic Test Directory code in genomics and NICIP in imaging - and/or the report type 721981007 Diagnostic studies report (NHS England)<br class=\"binding\"/><span class=\"xhtPieceBold binding\">Binding: </span><a href=\"ValueSet-laboratory-report-snomedct.html\" title=\"https://examplesihe.org.uk/ValueSet/laboratory-report-snomedct\" class=\"binding\">Laboratory Report Codes (SNOMED CT)</a><span class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\" class=\"binding\">preferred</a><span class=\"binding\">)</span><br/></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10350.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.code.Slices for coding.coding:snomedCT.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.code.coding:snomedCT.system\">system</a><a name=\"DiagnosticReport.code.coding:snomedCT.system\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..<span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\" class=\"xhtPieceDeEmphasized\">uri</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Identity of the terminology system</span><br/><span class=\"xhtPieceBold\">Required Pattern: </span><span class=\"xhtPieceDarkGreen\">http://snomed.info/sct</span> (extensions allowed)</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10340.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.code.Slices for coding.coding:snomedCT.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.code.coding:snomedCT.code\">code</a><a name=\"DiagnosticReport.code.coding:snomedCT.code\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..<span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\" class=\"xhtPieceDeEmphasized\">code</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Symbol in syntax defined by the system</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1025.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.code.Slices for coding.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.code.coding:loinc\" title=\"Slice loinc\">coding:loinc</a><a name=\"DiagnosticReport.code.coding:loinc\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\" class=\"xhtPieceDeEmphasized\">Coding</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">LOINC report type, 11502-2 Laboratory report (HL7 Europe Laboratory preferred binding)</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10250.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.code.Slices for coding.coding:loinc.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.code.coding:loinc.system\">system</a><a name=\"DiagnosticReport.code.coding:loinc.system\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..<span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\" class=\"xhtPieceDeEmphasized\">uri</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Identity of the terminology system</span><br/><span class=\"xhtPieceBold\">Required Pattern: </span><span class=\"xhtPieceDarkGreen\">http://loinc.org</span> (extensions allowed)</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10240.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.code.Slices for coding.coding:loinc.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.code.coding:loinc.code\">code</a><a name=\"DiagnosticReport.code.coding:loinc.code\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..<span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\" class=\"xhtPieceDeEmphasized\">code</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Symbol in syntax defined by the system</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.subject\">subject</a><a name=\"DiagnosticReport.subject\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">1</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-Patient.html\">Patient</a>)</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Who and/or what this report is about</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.encounter\">encounter</a><a name=\"DiagnosticReport.encounter\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"http://hl7.org/fhir/R4/encounter.html\" class=\"xhtPieceDeEmphasized\">Encounter</a>)</td><td style=\"\" class=\"hierarchy xhtCellBorder0\">HL7 v2 PV1-19 Visit Number</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck100.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.encounter.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.encounter.identifier\">identifier</a><a name=\"DiagnosticReport.encounter.identifier\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"StructureDefinition-VisitNumber.html\" title=\"Identifier\">VisitNumber</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Logical reference, when literal reference is not known</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.effective[x]\">effective[x]</a><a name=\"DiagnosticReport.effective_x_\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..<span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\" class=\"xhtPieceDeEmphasized\">dateTime</a><span class=\"xhtPieceDeEmphasized\">, </span><a href=\"http://hl7.org/fhir/R4/datatypes.html#Period\" class=\"xhtPieceDeEmphasized\">Period</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Specimen collection date/time (HL7 v2 OBR-7 Observation Date/Time)</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.issued\">issued</a><a name=\"DiagnosticReport.issued\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..<span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#instant\" class=\"xhtPieceDeEmphasized\">instant</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Date/time the report was released (HL7 v2 OBR-22 Results Rpt/Status Chng - Date/Time)</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.performer\">performer</a><a name=\"DiagnosticReport.performer\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..<span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-practitionerRole-eu-core.html\" class=\"xhtPieceDeEmphasized\">PractitionerRole (EU core)</a> | <a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-practitioner-eu-core.html\" class=\"xhtPieceDeEmphasized\">Practitioner (EU core)</a> | <a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-organization-eu-core.html\" class=\"xhtPieceDeEmphasized\">Organization (EU core)</a> | <a href=\"http://hl7.org/fhir/R4/careteam.html\" class=\"xhtPieceDeEmphasized\">CareTeam</a>)</td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Laboratory responsible for the report (HL7 v2 OBX-23 Performing Organization Name, MSH-4)</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.resultsInterpreter\">resultsInterpreter</a><a name=\"DiagnosticReport.resultsInterpreter\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-practitionerRole-eu-core.html\" class=\"xhtPieceDeEmphasized\">PractitionerRole (EU core)</a> | <a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-practitioner-eu-core.html\" class=\"xhtPieceDeEmphasized\">Practitioner (EU core)</a> | <a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-organization-eu-core.html\" class=\"xhtPieceDeEmphasized\">Organization (EU core)</a> | <a href=\"http://hl7.org/fhir/R4/careteam.html\" class=\"xhtPieceDeEmphasized\">CareTeam</a>)</td><td style=\"\" class=\"hierarchy xhtCellBorder0\">HL7 v2 OBR-32 Principal Result Interpreter</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.specimen\">specimen</a><a name=\"DiagnosticReport.specimen\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-Specimen.html\">Specimen</a>)</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Specimens this report is based on.</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.result\">result</a><a name=\"DiagnosticReport.result\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-LaboratoryResult.html\">Laboratory Result</a>)</td><td style=\"\" class=\"hierarchy xhtCellBorder0\">One per OBR: the test group organizer Observation, or the single result of a one-test OBR</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.conclusion\">conclusion</a><a name=\"DiagnosticReport.conclusion\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\" class=\"xhtPieceDeEmphasized\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Report comment or interpretation (HL7 v2 NTE following OBR, or OBX of type TX / FT)</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck00.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DiagnosticReport.</span><a href=\"StructureDefinition-LaboratoryReport-definitions.html#DiagnosticReport.presentedForm\">presentedForm</a><a name=\"DiagnosticReport.presentedForm\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #B60000\" title=\"This element must be supported\">S</span><span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\"> This element must be supported. </span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"StructureDefinition-NWAttachment.html\" title=\"Attachment\">NWAttachment</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Rendered report, e.g. PDF (HL7 v2 OBX of type ED or RP)</td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  ] ;
  fhir:StructureDefinition.url [ fhir:value "https://examplesihe.org.uk/StructureDefinition/LaboratoryReport"] ;
  fhir:StructureDefinition.version [ fhir:value "0.1.0"] ;
  fhir:StructureDefinition.name [ fhir:value "LaboratoryReport"] ;
  fhir:StructureDefinition.title [ fhir:value "Laboratory Report"] ;
  fhir:StructureDefinition.status [ fhir:value "draft"] ;
  fhir:StructureDefinition.date [ fhir:value "2026-11-04T11:14:55+00:00"^^xsd:dateTime] ;
  fhir:StructureDefinition.publisher [ fhir:value "Kevin Mayfield"] ;
  fhir:StructureDefinition.contact [
     fhir:index -1 ;
     fhir:ContactDetail.telecom [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://github.com/KevinMayfield/PathologyAndLaboratory" ]
     ]
  ] ;
  fhir:StructureDefinition.description [ fhir:value "`Diagnostic - Laboratory` A laboratory report - the IHE PaLM *Order Result*. One DiagnosticReport per report: in HL7 v2 ORU_R01, the OBR segments of a PATIENT_RESULT that share a Filler Order Number (OBR-3). Each OBR is a test group - a [Laboratory Result](StructureDefinition-LaboratoryResult.html) organizer whose `hasMember` are the OBX results - or, for a single test, the result itself. This is the pattern used by the NHS England Pathology FHIR IG."] ;
  fhir:StructureDefinition.jurisdiction [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "GB" ] ;
       fhir:Coding.display [ fhir:value "United Kingdom of Great Britain and Northern Ireland" ]
     ]
  ] ;
  fhir:StructureDefinition.fhirVersion [ fhir:value "4.0.1"] ;
  fhir:StructureDefinition.mapping [
     fhir:index -1 ;
     fhir:StructureDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v2" ] ;
     fhir:StructureDefinition.mapping.name [ fhir:value "HL7 v2.5.1 (England PaLM)" ] ;
     fhir:StructureDefinition.mapping.comment [ fhir:value "OBR segment of ORU_R01 [LAB-3, LAB-36]" ]
  ], [
     fhir:index -1 ;
     fhir:StructureDefinition.mapping.identity [ fhir:value "workflow" ] ;
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/workflow" ] ;
     fhir:StructureDefinition.mapping.name [ fhir:value "Workflow Pattern" ]
  ], [
     fhir:index -1 ;
     fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ] ;
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ] ;
     fhir:StructureDefinition.mapping.name [ fhir:value "RIM Mapping" ]
  ], [
     fhir:index -1 ;
     fhir:StructureDefinition.mapping.identity [ fhir:value "w5" ] ;
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/fivews" ] ;
     fhir:StructureDefinition.mapping.name [ fhir:value "FiveWs Pattern Mapping" ]
  ] ;
  fhir:StructureDefinition.kind [ fhir:value "resource"] ;
  fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean] ;
  fhir:StructureDefinition.type [ fhir:value "DiagnosticReport"] ;
  fhir:StructureDefinition.baseDefinition [
     fhir:value "http://hl7.eu/fhir/base/StructureDefinition/diagnosticReport-eu-core" ;
     fhir:link <http://hl7.eu/fhir/base/StructureDefinition/diagnosticReport-eu-core>
  ] ;
  fhir:StructureDefinition.derivation [ fhir:value "constraint"] ;
  fhir:StructureDefinition.snapshot [
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version" ] ;
       fhir:Extension.valueString [ fhir:value "2.0.1" ]
     ] ;
     fhir:StructureDefinition.snapshot.element [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport" ] ;
       fhir:ElementDefinition.short [ fhir:value "Diagnostic Report EU core" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Diagnostic Report EU core" ] ;
       fhir:ElementDefinition.comment [ fhir:value "This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports.  For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "Report" ;
         fhir:index -1
       ], [
         fhir:value "Test" ;
         fhir:index -1
       ], [
         fhir:value "Result" ;
         fhir:index -1
       ], [
         fhir:value "Results" ;
         fhir:index -1
       ], [
         fhir:value "Labs" ;
         fhir:index -1
       ], [
         fhir:value "Laboratory" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-2" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "contained.contained.empty()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:contained)" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-3" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir: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" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-4" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-5" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a security label" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.security.empty()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:security))" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
         ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice" ] ;
           fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ] ;
           fhir:Extension.valueMarkdown [ fhir: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." ]
         ] ;
         fhir:ElementDefinition.constraint.key [ fhir:value "dom-6" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "warning" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "A resource should have narrative for robust management" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "text.`div`.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text/h:div)" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ORU_R01 PATIENT_RESULT - the OBR segments sharing OBR-3" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Entity. Role, or Act" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ORU -> OBR" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Observation[classCode=OBS, moodCode=EVN]" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.id" ] ;
       fhir:ElementDefinition.short [ fhir:value "Logical id of this artifact" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ] ;
       fhir:ElementDefinition.comment [ fhir:value "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Resource.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "id" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.meta" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.meta" ] ;
       fhir:ElementDefinition.short [ fhir:value "Metadata about the resource" ] ;
       fhir:ElementDefinition.definition [ fhir: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." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Resource.meta" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Meta" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.implicitRules" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.implicitRules" ] ;
       fhir:ElementDefinition.short [ fhir:value "A set of rules under which this content was created" ] ;
       fhir:ElementDefinition.definition [ fhir: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." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Resource.implicitRules" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifierReason [ fhir: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" ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.language" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.language" ] ;
       fhir:ElementDefinition.short [ fhir:value "Language of the diagnostic report content" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The base language in which the resource is written." ] ;
       fhir:ElementDefinition.comment [ fhir: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)." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Resource.language" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ;
             fhir:link <http://hl7.org/fhir/ValueSet/all-languages>
           ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "Language" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "A human language." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/languages|4.0.1" ;
           fhir:link <http://hl7.org/fhir/ValueSet/languages|4.0.1>
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.text" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.text" ] ;
       fhir:ElementDefinition.short [ fhir:value "Text summary of the resource, for human interpretation" ] ;
       fhir:ElementDefinition.definition [ fhir: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 \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "narrative" ;
         fhir:index -1
       ], [
         fhir:value "html" ;
         fhir:index -1
       ], [
         fhir:value "xhtml" ;
         fhir:index -1
       ], [
         fhir:value "display" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.text" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Act.text?" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.contained" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.contained" ] ;
       fhir:ElementDefinition.short [ fhir:value "Contained, inline Resources" ] ;
       fhir:ElementDefinition.definition [ fhir:value "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "inline resources" ;
         fhir:index -1
       ], [
         fhir:value "anonymous resources" ;
         fhir:index -1
       ], [
         fhir:value "contained resources" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.contained" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Resource" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index -1 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
       fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:DiagnosticReportCompositionR5" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension" ] ;
       fhir:ElementDefinition.sliceName [ fhir:value "DiagnosticReportCompositionR5" ] ;
       fhir:ElementDefinition.short [ fhir:value "Associated  Composition" ] ;
       fhir:ElementDefinition.definition [ fhir:value "This extension implements the R5 composition element. It allow to link this DiagnosticReport with the Composition documenting this Diagnostic Report." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Element `DiagnosticReport.composition` has a context of DiagnosticReport based on following the parent source element upwards and mapping to `DiagnosticReport`.\nElement `DiagnosticReport.composition` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nThe Composition provides structure to the content of the DiagnosticReport (and only contains contents referenced in the DiagnosticReport) - e.g., to order the sections of an anatomic pathology structured report." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ;
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" ;
           fhir:index -1 ;
           fhir:link <http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition>
         ]
       ] ;
       fhir:ElementDefinition.condition [
         fhir:value "ele-1" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:DiagnosticReportCompositionR5.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:DiagnosticReportCompositionR5.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index -1 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
       fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "0" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:DiagnosticReportCompositionR5.url" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.url" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ] ;
       fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "uri" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:DiagnosticReportCompositionR5.value[x]" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.value[x]" ] ;
       fhir:ElementDefinition.short [ fhir:value "Reference to a Composition resource for the DiagnosticReport structure" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Reference to a Composition resource instance that provides structure for organizing the contents of the DiagnosticReport." ] ;
       fhir:ElementDefinition.comment [ fhir: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 an anatomic pathology structured report." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.eu/fhir/base/StructureDefinition/composition-eu-core" ;
           fhir:index -1 ;
           fhir:link <http://hl7.eu/fhir/base/StructureDefinition/composition-eu-core>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:note" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension" ] ;
       fhir:ElementDefinition.sliceName [ fhir:value "note" ] ;
       fhir:ElementDefinition.short [ fhir:value "R5: Comments about the diagnostic report (new)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "R5: `DiagnosticReport.note` (new:Annotation)" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Element `DiagnosticReport.note` has a context of DiagnosticReport based on following the parent source element upwards and mapping to `DiagnosticReport`.\nElement `DiagnosticReport.note` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nMay 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." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ;
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" ;
           fhir:index -1 ;
           fhir:link <http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note>
         ]
       ] ;
       fhir:ElementDefinition.condition [
         fhir:value "ele-1" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:note.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:note.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index -1 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
       fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "0" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:note.url" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.url" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ] ;
       fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "uri" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:note.value[x]" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.value[x]" ] ;
       fhir:ElementDefinition.short [ fhir:value "Comments about the diagnostic report" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Comments about the diagnostic report." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Annotation" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:note.value[x].id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.value[x].id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:note.value[x].extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.value[x].extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index -1 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir: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." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index -1
       ], [
         fhir:value "user content" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:note.value[x].extension:annotation-type" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.value[x].extension" ] ;
       fhir:ElementDefinition.sliceName [ fhir:value "annotation-type" ] ;
       fhir:ElementDefinition.short [ fhir:value "The type of annotation" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The type of annotation.  This extension can be used to map the v2 NTE-4 comment type field." ] ;
       fhir:ElementDefinition.comment [ fhir:value "This is used to identify the type of annotation." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ;
         fhir:ElementDefinition.type.profile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/annotationType" ;
           fhir:index -1 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/annotationType>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:note.value[x].extension:annotation-type.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.value[x].extension.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:note.value[x].extension:annotation-type.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.value[x].extension.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index -1 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
       fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "0" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:note.value[x].extension:annotation-type.url" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.value[x].extension.url" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ] ;
       fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "uri" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/StructureDefinition/annotationType" ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:note.value[x].extension:annotation-type.value[x]" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.value[x].extension.value[x]" ] ;
       fhir:ElementDefinition.short [ fhir:value "Type of note" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://terminology.hl7.org/ValueSet/v2-0364" ;
           fhir:link <http://terminology.hl7.org/ValueSet/v2-0364>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:note.value[x].author[x]" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.value[x].author[x]" ] ;
       fhir:ElementDefinition.short [ fhir:value "Individual responsible for the annotation" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The individual responsible for making the annotation." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Organization is used when there's no need for specific attribution as to who made the comment." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Annotation.author[x]" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1" ;
           fhir:index -1 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1>
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1" ;
           fhir:index -1 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Patient|4.0.1>
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1" ;
           fhir:index -1 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1>
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1" ;
           fhir:index -1 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Organization|4.0.1>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Act.participant[typeCode=AUT].role" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:note.value[x].time" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.value[x].time" ] ;
       fhir:ElementDefinition.short [ fhir:value "When the annotation was made" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Indicates when this particular annotation was made." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Annotation.time" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Act.effectiveTime" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.extension:note.value[x].text" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.extension.value[x].text" ] ;
       fhir:ElementDefinition.short [ fhir:value "The annotation  - text content (as markdown)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The text of the annotation in markdown format." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Annotation.text" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "markdown" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Act.text" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.modifierExtension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.modifierExtension" ] ;
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ] ;
       fhir:ElementDefinition.definition [ fhir: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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.requirements [ fhir: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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index -1
       ], [
         fhir:value "user content" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DomainResource.modifierExtension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.identifier" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.identifier" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index -1 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "type" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Slice based on the type" ] ;
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Business identifier for report" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Identifiers assigned to this report by the performer or other systems." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Usually assigned by the Information System of the diagnostic service provider for facilitating the Report search. The order id can be used as one of the Report identifier if only one report is produced for that order." ] ;
       fhir:ElementDefinition.requirements [ fhir: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." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "ReportID" ;
         fhir:index -1
       ], [
         fhir:value "Filler ID" ;
         fhir:index -1
       ], [
         fhir:value "Placer ID" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.identifier" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ;
         fhir:ElementDefinition.type.profile [
           fhir:value "https://examplesihe.org.uk/StructureDefinition/CorrelationIdentifier" ;
           fhir:index -1 ;
           fhir:link <https://examplesihe.org.uk/StructureDefinition/CorrelationIdentifier> ;
           fhir:Element.extension [
             fhir:index -1 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/type-profile-constraints" ] ;
             fhir:Extension.valueCode [ fhir:value "full" ]
           ]
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.identifier" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.identifier" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir: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" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "id" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.identifier:fillerOrderNumber" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.identifier" ] ;
       fhir:ElementDefinition.sliceName [ fhir:value "fillerOrderNumber" ] ;
       fhir:ElementDefinition.short [ fhir:value "Report (laboratory) number assigned by the Order Filler - HL7 v2 OBR-3, shared by the OBRs of the report" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Identifiers assigned to this report by the performer or other systems." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Usually assigned by the Information System of the diagnostic service provider for facilitating the Report search. The order id can be used as one of the Report identifier if only one report is produced for that order." ] ;
       fhir:ElementDefinition.requirements [ fhir: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." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "ReportID" ;
         fhir:index -1
       ], [
         fhir:value "Filler ID" ;
         fhir:index -1
       ], [
         fhir:value "Placer ID" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.identifier" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ;
         fhir:ElementDefinition.type.profile [
           fhir:value "https://examplesihe.org.uk/StructureDefinition/ReportIdentifier" ;
           fhir:index -1 ;
           fhir:link <https://examplesihe.org.uk/StructureDefinition/ReportIdentifier> ;
           fhir:Element.extension [
             fhir:index -1 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/type-profile-constraints" ] ;
             fhir:Extension.valueCode [ fhir:value "full" ]
           ]
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-3 Filler Order Number (= ORC-3), shared by the OBRs of the report" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.identifier" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.identifier" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir: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" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "id" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.basedOn" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.basedOn" ] ;
       fhir:ElementDefinition.short [ fhir:value "The orders reported - one per OBR (HL7 v2 ORC-2 / OBR-2 Placer Order Number)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Details concerning a service requested." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "Request" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.basedOn" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "https://examplesihe.org.uk/StructureDefinition/LaboratoryOrder" ;
           fhir:index -1 ;
           fhir:link <https://examplesihe.org.uk/StructureDefinition/LaboratoryOrder>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-2 Placer Order Number (= ORC-2) - one ServiceRequest per OBR" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.basedOn" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ORC? OBR-2/3?" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "outboundRelationship[typeCode=FLFS].target" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.status" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.status" ] ;
       fhir:ElementDefinition.short [ fhir:value "HL7 v2 OBR-25 Result Status - see ConceptMap v2-0123 to DiagnosticReport.status" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The status of the diagnostic report." ] ;
       fhir:ElementDefinition.comment [ fhir:value "DiagnosticReport.status and Composition.status shall be aligned" ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.status" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifierReason [ fhir: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" ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "DiagnosticReportStatus" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "The status of the diagnostic report." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1" ;
           fhir:link <http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-25 Result Status - see ConceptMap v2-0123-to-diagnostic-report-status" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.status" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.status" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-25 (not 1:1 mapping)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "statusCode  Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type \"revise\"" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.category" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.category" ] ;
       fhir:ElementDefinition.short [ fhir:value "Laboratory discipline (HL7 v2 OBR-24 Diagnostic Serv Sect ID)" ] ;
       fhir:ElementDefinition.definition [ fhir: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." ] ;
       fhir:ElementDefinition.comment [ fhir: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 DiagnosticReport.code." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "Department" ;
         fhir:index -1
       ], [
         fhir:value "Sub-department" ;
         fhir:index -1
       ], [
         fhir:value "Service" ;
         fhir:index -1
       ], [
         fhir:value "Discipline" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.category" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/diagnostic-service-sections" ;
           fhir:link <http://hl7.org/fhir/ValueSet/diagnostic-service-sections>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-24 Diagnostic Serv Sect ID (HL7 table 0074)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-24" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code" ] ;
       fhir:ElementDefinition.short [ fhir:value "Report type: SNOMED CT 721981007 Diagnostic studies report (NHS England), LOINC 11502-2 Laboratory report; or, for a report of one test, the PaLM requestable (OBR-4). The tests reported are also ServiceRequest.code and the result Observation.code" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines the document type, it is recommended to take this from the suggested LOINC set." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "Type" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.code" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "DiagnosticReportCodes" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "Codes that describe Diagnostic Reports." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/report-codes|4.0.1" ;
           fhir:link <http://hl7.org/fhir/ValueSet/report-codes|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Report type (SNOMED CT 721981007 / LOINC 11502-2) - not in HL7 v2; and OBR-4 (PaLM requestable) for a report of one test. OBR-4 also maps to ServiceRequest.code and Observation.code" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.code" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.what[x]" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "code" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index -1 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir: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." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index -1
       ], [
         fhir:value "user content" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index -1 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "system" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Slice based on the system" ] ;
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Code defined by a terminology system" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A reference to a code defined by a terminology system." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Allows for alternative encodings within a code system, and translations to other code systems." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CodeableConcept.coding" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1-8, C*E.10-22" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "union(., ./translation)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:snomedCT" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding" ] ;
       fhir:ElementDefinition.sliceName [ fhir:value "snomedCT" ] ;
       fhir:ElementDefinition.short [ fhir:value "SNOMED CT: the PaLM requestable test reported (OBR-4) - as the Genomic Test Directory code in genomics and NICIP in imaging - and/or the report type 721981007 Diagnostic studies report (NHS England)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A reference to a code defined by a terminology system." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Allows for alternative encodings within a code system, and translations to other code systems." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CodeableConcept.coding" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "https://examplesihe.org.uk/ValueSet/laboratory-report-snomedct" ;
           fhir:link <https://examplesihe.org.uk/ValueSet/laboratory-report-snomedct>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1-8, C*E.10-22" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "union(., ./translation)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:snomedCT.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:snomedCT.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index -1 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir: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." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index -1
       ], [
         fhir:value "user content" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:snomedCT.system" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.system" ] ;
       fhir:ElementDefinition.short [ fhir:value "Identity of the terminology system" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The identification of the code system that defines the meaning of the symbol in the code." ] ;
       fhir:ElementDefinition.comment [ fhir:value "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to be unambiguous about the source of the definition of the symbol." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.system" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]
       ] ;
       fhir:ElementDefinition.patternUri [ fhir:value "http://snomed.info/sct" ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.3" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystem" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:snomedCT.version" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.version" ] ;
       fhir:ElementDefinition.short [ fhir:value "Version of the system - if relevant" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.version" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.7" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystemVersion" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:snomedCT.code" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.code" ] ;
       fhir:ElementDefinition.short [ fhir:value "Symbol in syntax defined by the system" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to refer to a particular code in the system." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.code" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:snomedCT.display" ] ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ] ;
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.display" ] ;
       fhir:ElementDefinition.short [ fhir:value "Representation defined by the system" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A representation of the meaning of the code in the system, following the rules of the system." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.display" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.2 - but note this is not well followed" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "CV.displayName" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:snomedCT.userSelected" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.userSelected" ] ;
       fhir:ElementDefinition.short [ fhir:value "If this coding was chosen directly by the user" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.userSelected" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Sometimes implied by being first" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "CD.codingRationale" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:loinc" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding" ] ;
       fhir:ElementDefinition.sliceName [ fhir:value "loinc" ] ;
       fhir:ElementDefinition.short [ fhir:value "LOINC report type, 11502-2 Laboratory report (HL7 Europe Laboratory preferred binding)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A reference to a code defined by a terminology system." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Allows for alternative encodings within a code system, and translations to other code systems." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CodeableConcept.coding" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Coding" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1-8, C*E.10-22" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "union(., ./translation)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:loinc.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:loinc.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index -1 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir: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." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index -1
       ], [
         fhir:value "user content" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:loinc.system" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.system" ] ;
       fhir:ElementDefinition.short [ fhir:value "Identity of the terminology system" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The identification of the code system that defines the meaning of the symbol in the code." ] ;
       fhir:ElementDefinition.comment [ fhir:value "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to be unambiguous about the source of the definition of the symbol." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.system" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]
       ] ;
       fhir:ElementDefinition.patternUri [ fhir:value "http://loinc.org" ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.3" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystem" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:loinc.version" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.version" ] ;
       fhir:ElementDefinition.short [ fhir:value "Version of the system - if relevant" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.version" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.7" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./codeSystemVersion" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:loinc.code" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.code" ] ;
       fhir:ElementDefinition.short [ fhir:value "Symbol in syntax defined by the system" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to refer to a particular code in the system." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.code" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.1" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:loinc.display" ] ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ] ;
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.display" ] ;
       fhir:ElementDefinition.short [ fhir:value "Representation defined by the system" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A representation of the meaning of the code in the system, following the rules of the system." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.display" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.2 - but note this is not well followed" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "CV.displayName" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:loinc.userSelected" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.userSelected" ] ;
       fhir:ElementDefinition.short [ fhir:value "If this coding was chosen directly by the user" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Coding.userSelected" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Sometimes implied by being first" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "CD.codingRationale" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.text" ] ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ] ;
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.text" ] ;
       fhir:ElementDefinition.short [ fhir:value "Plain text representation of the concept" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Very often the text is the same as a displayName of one of the codings." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "CodeableConcept.text" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "C*E.9. But note many systems use C*E.2 for this" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "./originalText[mediaType/code=\"text/plain\"]/data" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "orim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.subject" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.subject" ] ;
       fhir:ElementDefinition.short [ fhir:value "Who and/or what this report is about" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Who or what this report is about. The report can be about a human patient, a living subject, a device (e.g. a machine), a location or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure)." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "SHALL know the subject context." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "Patient" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.subject" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "https://examplesihe.org.uk/StructureDefinition/Patient" ;
           fhir:index -1 ;
           fhir:link <https://examplesihe.org.uk/StructureDefinition/Patient>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PID" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.subject" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.subject[x]" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PID-3 (no HL7 v2 mapping for Group or Device)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=SBJ]" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.subject" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.encounter" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.encounter" ] ;
       fhir:ElementDefinition.short [ fhir:value "HL7 v2 PV1-19 Visit Number" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about." ] ;
       fhir:ElementDefinition.comment [ fhir: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)." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Links the request to the Encounter context." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "Context" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.encounter" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1" ;
           fhir:index -1 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PV1-19 Visit Number" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.encounter" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.context" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PV1-19" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.encounter.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.encounter.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.encounter.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.encounter.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index -1 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir: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." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index -1
       ], [
         fhir:value "user content" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.encounter.reference" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.encounter.reference" ] ;
       fhir:ElementDefinition.short [ fhir:value "Literal reference, Relative, internal or absolute URL" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Reference.reference" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.condition [
         fhir:value "ref-1" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.encounter.type" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.encounter.type" ] ;
       fhir:ElementDefinition.short [ fhir:value "Type the reference refers to (e.g. \"Patient\")" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." ] ;
       fhir:ElementDefinition.comment [ fhir:value "This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Reference.type" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "FHIRResourceTypeExt" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "Aa resource (or, for logical models, the URI of the logical model)." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/resource-types|4.0.1" ;
           fhir:link <http://hl7.org/fhir/ValueSet/resource-types|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.encounter.identifier" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.encounter.identifier" ] ;
       fhir:ElementDefinition.short [ fhir:value "Logical reference, when literal reference is not known" ] ;
       fhir:ElementDefinition.definition [ fhir:value "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." ] ;
       fhir:ElementDefinition.comment [ fhir:value "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Reference.identifier" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ;
         fhir:ElementDefinition.type.profile [
           fhir:value "https://examplesihe.org.uk/StructureDefinition/VisitNumber" ;
           fhir:index -1 ;
           fhir:link <https://examplesihe.org.uk/StructureDefinition/VisitNumber> ;
           fhir:Element.extension [
             fhir:index -1 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/type-profile-constraints" ] ;
             fhir:Extension.valueCode [ fhir:value "full" ]
           ]
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".identifier" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.encounter.display" ] ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ] ;
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.encounter.display" ] ;
       fhir:ElementDefinition.short [ fhir:value "Text alternative for the resource" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Plain text narrative that identifies the resource in addition to the resource reference." ] ;
       fhir:ElementDefinition.comment [ fhir:value "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Reference.display" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.effective[x]" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.effective[x]" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index -1 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "type" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "$this" ]
         ] ;
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "closed" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Specimen collection date/time (HL7 v2 OBR-7 Observation Date/Time)" ] ;
       fhir:ElementDefinition.definition [ fhir: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." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to know where in the patient history to file/present this report." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "Observation time" ;
         fhir:index -1
       ], [
         fhir:value "Effective Time" ;
         fhir:index -1
       ], [
         fhir:value "Occurrence" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.effective[x]" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Period" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-7 Observation Date/Time (specimen collection) - OBR-8 Observation End Date/Time for a period" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.occurrence[x]" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.done[x]" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-7" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "effectiveTime" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.effective[x]:effectivePeriod" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.effective[x]" ] ;
       fhir:ElementDefinition.sliceName [ fhir:value "effectivePeriod" ] ;
       fhir:ElementDefinition.short [ fhir:value "Effective period of the report" ] ;
       fhir:ElementDefinition.definition [ fhir: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." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to know where in the patient history to file/present this report." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "Observation time" ;
         fhir:index -1
       ], [
         fhir:value "Effective Time" ;
         fhir:index -1
       ], [
         fhir:value "Occurrence" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.effective[x]" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Period" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.occurrence[x]" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.done[x]" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-7" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "effectiveTime" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.effective[x]:effectiveDateTime" ] ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/implied-type-slice" ] ;
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.effective[x]" ] ;
       fhir:ElementDefinition.sliceName [ fhir:value "effectiveDateTime" ] ;
       fhir:ElementDefinition.short [ fhir:value "Clinically relevant time/time-period for report" ] ;
       fhir:ElementDefinition.definition [ fhir: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." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to know where in the patient history to file/present this report." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "Observation time" ;
         fhir:index -1
       ], [
         fhir:value "Effective Time" ;
         fhir:index -1
       ], [
         fhir:value "Occurrence" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.effective[x]" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.occurrence[x]" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.done[x]" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-7" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "effectiveTime" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.issued" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.issued" ] ;
       fhir:ElementDefinition.short [ fhir:value "Date/time the report was released (HL7 v2 OBR-22 Results Rpt/Status Chng - Date/Time)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Clinicians need to be able to check the date that the report was released." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "Date published" ;
         fhir:index -1
       ], [
         fhir:value "Date Issued" ;
         fhir:index -1
       ], [
         fhir:value "Date Verified" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.issued" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "instant" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-22 Results Rpt/Status Chng - Date/Time" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.recorded" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-22" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=VRF or AUT].time" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.performer" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.performer" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index -1 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Organization that delivered the report" ] ;
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Laboratory responsible for the report (HL7 v2 OBX-23 Performing Organization Name, MSH-4)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The diagnostic service that is responsible for issuing the report." ] ;
       fhir:ElementDefinition.comment [ fhir:value "If a DiagnosticReport.resultsInterpreter exists this is expected to be a Composition.author; otherwise a DiagnosticReport.performer should be an author." ] ;
       fhir:ElementDefinition.requirements [ fhir: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." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "Laboratory" ;
         fhir:index -1
       ], [
         fhir:value "Service" ;
         fhir:index -1
       ], [
         fhir:value "Practitioner" ;
         fhir:index -1
       ], [
         fhir:value "Department" ;
         fhir:index -1
       ], [
         fhir:value "Company" ;
         fhir:index -1
       ], [
         fhir:value "Authorized by" ;
         fhir:index -1
       ], [
         fhir:value "Director" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.performer" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core" ;
           fhir:index -1 ;
           fhir:link <http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core>
         ], [
           fhir:value "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core" ;
           fhir:index -1 ;
           fhir:link <http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core>
         ], [
           fhir:value "http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core" ;
           fhir:index -1 ;
           fhir:link <http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core>
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/CareTeam" ;
           fhir:index -1 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/CareTeam>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-23 Performing Organization Name; otherwise MSH-4 Sending Facility" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.actor" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.actor" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PRT-8 (where this PRT-4-Participation = \"PO\")" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=PRF]" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.performer:organization" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.performer" ] ;
       fhir:ElementDefinition.sliceName [ fhir:value "organization" ] ;
       fhir:ElementDefinition.short [ fhir:value "The organization producer of this report" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The organization responsible for producing this report. In case practitioners produce them in their private practices, they will be accounted as an organization for this purpose." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.requirements [ fhir: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." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "Laboratory" ;
         fhir:index -1
       ], [
         fhir:value "Service" ;
         fhir:index -1
       ], [
         fhir:value "Practitioner" ;
         fhir:index -1
       ], [
         fhir:value "Department" ;
         fhir:index -1
       ], [
         fhir:value "Company" ;
         fhir:index -1
       ], [
         fhir:value "Authorized by" ;
         fhir:index -1
       ], [
         fhir:value "Director" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.performer" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core" ;
           fhir:index -1 ;
           fhir:link <http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.actor" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.actor" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PRT-8 (where this PRT-4-Participation = \"PO\")" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=PRF]" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.resultsInterpreter" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.resultsInterpreter" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index -1 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Primary interpreter of results" ] ;
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "HL7 v2 OBR-32 Principal Result Interpreter" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The practitioner or organization that is responsible for the report's conclusions and interpretations." ] ;
       fhir:ElementDefinition.comment [ fhir:value "If a DiagnosticReport.resultsInterpreter exists this is expected to be a Composition.author; otherwise a DiagnosticReport.performer should be an author." ] ;
       fhir:ElementDefinition.requirements [ fhir: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." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "Analyzed by" ;
         fhir:index -1
       ], [
         fhir:value "Reported by" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.resultsInterpreter" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core" ;
           fhir:index -1 ;
           fhir:link <http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core>
         ], [
           fhir:value "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core" ;
           fhir:index -1 ;
           fhir:link <http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core>
         ], [
           fhir:value "http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core" ;
           fhir:index -1 ;
           fhir:link <http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core>
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/CareTeam" ;
           fhir:index -1 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/CareTeam>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-32 Principal Result Interpreter" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.actor" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.actor" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-32, PRT-8 (where this PRT-4-Participation = \"PI\")" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=PRF]" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.resultsInterpreter:author" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.resultsInterpreter" ] ;
       fhir:ElementDefinition.sliceName [ fhir:value "author" ] ;
       fhir:ElementDefinition.short [ fhir:value "Primary result interpreter" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The practitioner or organization that is responsible for the report's conclusions and interpretations." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Might not be the same entity that takes responsibility for the clinical report." ] ;
       fhir:ElementDefinition.requirements [ fhir: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." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "Analyzed by" ;
         fhir:index -1
       ], [
         fhir:value "Reported by" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.resultsInterpreter" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core" ;
           fhir:index -1 ;
           fhir:link <http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.actor" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.actor" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-32, PRT-8 (where this PRT-4-Participation = \"PI\")" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=PRF]" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.specimen" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.specimen" ] ;
       fhir:ElementDefinition.short [ fhir:value "Specimens this report is based on." ] ;
       fhir:ElementDefinition.definition [ fhir:value "Details about the specimens on which this diagnostic report is based." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to be able to report information about the collected specimens on which the report is based." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.specimen" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "https://examplesihe.org.uk/StructureDefinition/Specimen" ;
           fhir:index -1 ;
           fhir:link <https://examplesihe.org.uk/StructureDefinition/Specimen>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "SPM" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "SPM" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "participation[typeCode=SBJ]" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.result" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.result" ] ;
       fhir:ElementDefinition.short [ fhir:value "One per OBR: the test group organizer Observation, or the single result of a one-test OBR" ] ;
       fhir:ElementDefinition.definition [ fhir:value "[Observations](http://hl7.org/fhir/R4/observation.html)  that are part of this diagnostic report." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Observations can contain observations." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to support individual results, or  groups of results, where the result grouping is arbitrary, but meaningful." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "Data" ;
         fhir:index -1
       ], [
         fhir:value "Atomic Value" ;
         fhir:index -1
       ], [
         fhir:value "Result" ;
         fhir:index -1
       ], [
         fhir:value "Atomic result" ;
         fhir:index -1
       ], [
         fhir:value "Data" ;
         fhir:index -1
       ], [
         fhir:value "Test" ;
         fhir:index -1
       ], [
         fhir:value "Analyte" ;
         fhir:index -1
       ], [
         fhir:value "Battery" ;
         fhir:index -1
       ], [
         fhir:value "Organizer" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.result" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "https://examplesihe.org.uk/StructureDefinition/LaboratoryResult" ;
           fhir:index -1 ;
           fhir:link <https://examplesihe.org.uk/StructureDefinition/LaboratoryResult>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "one per OBR: the OBR as a test group Observation (several OBX), or its single OBX" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBXs" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "outboundRelationship[typeCode=COMP].target" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.imagingStudy" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.imagingStudy" ] ;
       fhir:ElementDefinition.short [ fhir:value "Study subject to this report" ] ;
       fhir:ElementDefinition.definition [ fhir:value "One or more links to full details of any imaging performed during the diagnostic investigation. 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." ] ;
       fhir:ElementDefinition.comment [ fhir:value "ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image 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." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.imagingStudy" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1" ;
           fhir:index -1 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.media" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.media" ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional data (like images, diagrams or documents) associated with this report" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A list of additional data, other then presented form of the report, associated with this report. This data is generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest)." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Some diagnostic reports may include additional data such as images, diagrams or documents that are relevant to the report. This additional information can provide further context and support for the findings presented in the report." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "DICOM" ;
         fhir:index -1
       ], [
         fhir:value "Slides" ;
         fhir:index -1
       ], [
         fhir:value "Scans" ;
         fhir:index -1
       ], [
         fhir:value "DICOM; Slides; Scans; Pictures; Documents; Diagrams" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.media" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX?" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "outboundRelationship[typeCode=COMP].target" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.media.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.media.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.media.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.media.extension" ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir: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." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index -1
       ], [
         fhir:value "user content" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.media.modifierExtension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.media.modifierExtension" ] ;
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ] ;
       fhir:ElementDefinition.definition [ fhir: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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.requirements [ fhir: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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index -1
       ], [
         fhir:value "user content" ;
         fhir:index -1
       ], [
         fhir:value "modifiers" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.media.comment" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.media.comment" ] ;
       fhir:ElementDefinition.short [ fhir:value "Comment about the image or data (e.g. explanation)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Allows for a comment about the image or data, such as an explanation of its significance or context within the diagnostic report." ] ;
       fhir:ElementDefinition.comment [ fhir:value "The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "The provider of the report should make a comment about each image or data included in the report. This comment can provide valuable context and help the reader understand the significance of the image or data in relation to the overall findings of the report." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.media.comment" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.media.link" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.media.link" ] ;
       fhir:ElementDefinition.short [ fhir:value "Reference to the image or data" ] ;
       fhir:ElementDefinition.definition [ fhir:value "A reference to the image or data associated with this report." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.media.link" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Media|4.0.1" ;
           fhir:index -1 ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Media|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value ".value.reference" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.conclusion" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.conclusion" ] ;
       fhir:ElementDefinition.short [ fhir:value "Report comment or interpretation (HL7 v2 NTE following OBR, or OBX of type TX / FT)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Need to be able to provide a conclusion that is not lost among the basic result data." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "Report" ;
         fhir:index -1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.conclusion" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "NTE following the OBR, or an OBX of type TX / FT holding the report comment" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "inboundRelationship[typeCode=\"SPRT\"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.conclusionCode" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.conclusionCode" ] ;
       fhir:ElementDefinition.short [ fhir:value "Codes for the clinical conclusion of test results" ] ;
       fhir:ElementDefinition.definition [ fhir:value "One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.conclusionCode" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:Extension.valueString [ fhir:value "AdjunctDiagnosis" ]
         ] ;
         fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ;
         fhir:ElementDefinition.binding.description [ fhir:value "Diagnosis codes provided as adjuncts to the report." ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1" ;
           fhir:link <http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.presentedForm" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.presentedForm" ] ;
       fhir:ElementDefinition.short [ fhir:value "Rendered report, e.g. PDF (HL7 v2 OBX of type ED or RP)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent." ] ;
       fhir:ElementDefinition.comment [ fhir:value "\"application/pdf\" is recommended as the most reliable and interoperable in this context." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Gives laboratory the ability to provide its own fully formatted report for clinical fidelity." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiagnosticReport.presentedForm" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ;
         fhir:ElementDefinition.type.profile [
           fhir:value "https://examplesihe.org.uk/StructureDefinition/NWAttachment" ;
           fhir:index -1 ;
           fhir:link <https://examplesihe.org.uk/StructureDefinition/NWAttachment> ;
           fhir:Element.extension [
             fhir:index -1 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/type-profile-constraints" ] ;
             fhir:Extension.valueCode [ fhir:value "full" ]
           ]
         ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index -1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX of type ED (Base64 PDF) or RP (reference pointer)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "text (type=ED)" ]
       ]
     ]
  ] ;
  fhir:StructureDefinition.differential [
     fhir:StructureDefinition.differential.element [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport" ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ORU_R01 PATIENT_RESULT - the OBR segments sharing OBR-3" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.identifier" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.identifier" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index -1 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "type" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Slice based on the type" ] ;
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ;
         fhir:ElementDefinition.type.profile [
           fhir:value "https://examplesihe.org.uk/StructureDefinition/CorrelationIdentifier" ;
           fhir:index -1 ;
           fhir:link <https://examplesihe.org.uk/StructureDefinition/CorrelationIdentifier>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.identifier:fillerOrderNumber" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.identifier" ] ;
       fhir:ElementDefinition.sliceName [ fhir:value "fillerOrderNumber" ] ;
       fhir:ElementDefinition.short [ fhir:value "Report (laboratory) number assigned by the Order Filler - HL7 v2 OBR-3, shared by the OBRs of the report" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ;
         fhir:ElementDefinition.type.profile [
           fhir:value "https://examplesihe.org.uk/StructureDefinition/ReportIdentifier" ;
           fhir:index -1 ;
           fhir:link <https://examplesihe.org.uk/StructureDefinition/ReportIdentifier>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-3 Filler Order Number (= ORC-3), shared by the OBRs of the report" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.basedOn" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.basedOn" ] ;
       fhir:ElementDefinition.short [ fhir:value "The orders reported - one per OBR (HL7 v2 ORC-2 / OBR-2 Placer Order Number)" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "https://examplesihe.org.uk/StructureDefinition/LaboratoryOrder" ;
           fhir:index -1 ;
           fhir:link <https://examplesihe.org.uk/StructureDefinition/LaboratoryOrder>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-2 Placer Order Number (= ORC-2) - one ServiceRequest per OBR" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.status" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.status" ] ;
       fhir:ElementDefinition.short [ fhir:value "HL7 v2 OBR-25 Result Status - see ConceptMap v2-0123 to DiagnosticReport.status" ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-25 Result Status - see ConceptMap v2-0123-to-diagnostic-report-status" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.category" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.category" ] ;
       fhir:ElementDefinition.short [ fhir:value "Laboratory discipline (HL7 v2 OBR-24 Diagnostic Serv Sect ID)" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/diagnostic-service-sections" ;
           fhir:link <http://hl7.org/fhir/ValueSet/diagnostic-service-sections>
         ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-24 Diagnostic Serv Sect ID (HL7 table 0074)" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code" ] ;
       fhir:ElementDefinition.short [ fhir:value "Report type: SNOMED CT 721981007 Diagnostic studies report (NHS England), LOINC 11502-2 Laboratory report; or, for a report of one test, the PaLM requestable (OBR-4). The tests reported are also ServiceRequest.code and the result Observation.code" ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "Report type (SNOMED CT 721981007 / LOINC 11502-2) - not in HL7 v2; and OBR-4 (PaLM requestable) for a report of one test. OBR-4 also maps to ServiceRequest.code and Observation.code" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index -1 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "system" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Slice based on the system" ] ;
         fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:snomedCT" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding" ] ;
       fhir:ElementDefinition.sliceName [ fhir:value "snomedCT" ] ;
       fhir:ElementDefinition.short [ fhir:value "SNOMED CT: the PaLM requestable test reported (OBR-4) - as the Genomic Test Directory code in genomics and NICIP in imaging - and/or the report type 721981007 Diagnostic studies report (NHS England)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.binding [
         fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ] ;
         fhir:ElementDefinition.binding.valueSet [
           fhir:value "https://examplesihe.org.uk/ValueSet/laboratory-report-snomedct" ;
           fhir:link <https://examplesihe.org.uk/ValueSet/laboratory-report-snomedct>
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:snomedCT.system" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.system" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.patternUri [ fhir:value "http://snomed.info/sct" ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:snomedCT.code" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.code" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:loinc" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding" ] ;
       fhir:ElementDefinition.sliceName [ fhir:value "loinc" ] ;
       fhir:ElementDefinition.short [ fhir:value "LOINC report type, 11502-2 Laboratory report (HL7 Europe Laboratory preferred binding)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:loinc.system" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.system" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.patternUri [ fhir:value "http://loinc.org" ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.code.coding:loinc.code" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.code.coding.code" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.subject" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.subject" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "https://examplesihe.org.uk/StructureDefinition/Patient" ;
           fhir:index -1 ;
           fhir:link <https://examplesihe.org.uk/StructureDefinition/Patient>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PID" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.encounter" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.encounter" ] ;
       fhir:ElementDefinition.short [ fhir:value "HL7 v2 PV1-19 Visit Number" ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PV1-19 Visit Number" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.encounter.identifier" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.encounter.identifier" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ] ;
         fhir:ElementDefinition.type.profile [
           fhir:value "https://examplesihe.org.uk/StructureDefinition/VisitNumber" ;
           fhir:index -1 ;
           fhir:link <https://examplesihe.org.uk/StructureDefinition/VisitNumber>
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.effective[x]" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.effective[x]" ] ;
       fhir:ElementDefinition.short [ fhir:value "Specimen collection date/time (HL7 v2 OBR-7 Observation Date/Time)" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-7 Observation Date/Time (specimen collection) - OBR-8 Observation End Date/Time for a period" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.issued" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.issued" ] ;
       fhir:ElementDefinition.short [ fhir:value "Date/time the report was released (HL7 v2 OBR-22 Results Rpt/Status Chng - Date/Time)" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-22 Results Rpt/Status Chng - Date/Time" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.performer" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.performer" ] ;
       fhir:ElementDefinition.short [ fhir:value "Laboratory responsible for the report (HL7 v2 OBX-23 Performing Organization Name, MSH-4)" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-23 Performing Organization Name; otherwise MSH-4 Sending Facility" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.resultsInterpreter" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.resultsInterpreter" ] ;
       fhir:ElementDefinition.short [ fhir:value "HL7 v2 OBR-32 Principal Result Interpreter" ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-32 Principal Result Interpreter" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.specimen" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.specimen" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "https://examplesihe.org.uk/StructureDefinition/Specimen" ;
           fhir:index -1 ;
           fhir:link <https://examplesihe.org.uk/StructureDefinition/Specimen>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "SPM" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.result" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.result" ] ;
       fhir:ElementDefinition.short [ fhir:value "One per OBR: the test group organizer Observation, or the single result of a one-test OBR" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
         fhir:ElementDefinition.type.targetProfile [
           fhir:value "https://examplesihe.org.uk/StructureDefinition/LaboratoryResult" ;
           fhir:index -1 ;
           fhir:link <https://examplesihe.org.uk/StructureDefinition/LaboratoryResult>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "one per OBR: the OBR as a test group Observation (several OBX), or its single OBX" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.conclusion" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.conclusion" ] ;
       fhir:ElementDefinition.short [ fhir:value "Report comment or interpretation (HL7 v2 NTE following OBR, or OBX of type TX / FT)" ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "NTE following the OBR, or an OBX of type TX / FT holding the report comment" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "DiagnosticReport.presentedForm" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiagnosticReport.presentedForm" ] ;
       fhir:ElementDefinition.short [ fhir:value "Rendered report, e.g. PDF (HL7 v2 OBX of type ED or RP)" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Attachment" ] ;
         fhir:ElementDefinition.type.profile [
           fhir:value "https://examplesihe.org.uk/StructureDefinition/NWAttachment" ;
           fhir:index -1 ;
           fhir:link <https://examplesihe.org.uk/StructureDefinition/NWAttachment>
         ]
       ] ;
       fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "palm-v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX of type ED (Base64 PDF) or RP (reference pointer)" ]
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<https://examplesihe.org.uk/StructureDefinition/LaboratoryReport.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl .

# -------------------------------------------------------------------------------------