FHIR Measures Data Dictionary (RPS)

FHIR Measures Data Dictionary (RPS)_09_27_2023.xlsx

[NCEZID] The National Healthcare Safety Network (NHSN)

FHIR Measures Data Dictionary (RPS)

OMB: 0920-0666

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0666 can be found here:

2024-11-15 - Revision of a currently approved collection

Document [xlsx]

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Overview

TOC
Abbreviations
Diagnostic Report-Lab -US Core
Encounter-US Core
Lab Result Observation-US Core
Location-US Core
Medication-US Core
MedicationAdministration-R4
MedicationRequest-US Core
Patient-US Core
Procedure-US Core
Service Request-R4
Specimen-R4
Metadata

Sheet 1: TOC

Table of Contents - Resources & Profiles	FHIR R4 Version 4.0.1	US Core Profile Version 3.1.1*	NHSN IG -Cross Measure	RPS
Diagnostic Report (Lab) - US Core		3.1.1		MS
Encounter-US Core		3.1.1	NHSN Encounter Profile	R
Laboratory Result Observation - US Core		3.1.1		MS
Location-US Core		3.1.1		R
Medication-US Core		3.1.1		MS
MedicationAdministration	4.0.1**			MS
MedicationRequest-US Core		3.1.1		MS
Patient - US Core		3.1.1	NHSN Patient Profile - R	R
Procedure - US Core		3.1.1		MS
Service Request	4.0.1**			MS
Specimen	4.0.1**		NHSN Specimen Profile	MS


Comment:
* 3.1.0 Version cited in 21 st Centuries Cures Act https://www.federalregister.gov/documents/2020/05/01/2020-07419/21st-century-cures-act-interoperability-information-blocking-and-the-onc-health-it-certification	3.1.1 is the bug fix release-use this one.

FHIR R4:
http://hl7.org/fhir/R4/downloads.html

Sheet 2: Abbreviations

Abbreviation	Name	Details	Comments
MS	Must Support	If available in FHIR API/EHR, must send as required for measure calculation or risk adjustment	Must be designated as MS or R if wanted in the Silver table.
R	Required	Required to send for NHSN Application to determine initial population	Must be designated as MS or R if wanted in the Silver table.
NR	Not Required	Not required for calculating the metrics, No current use for technical eval on data side, will not appear in the Bronze table	Elements designated as NR will go into the bronze table but will not progress to Silver.
NRT	Not Required by Technical Team	After review, the technical team determined these data elements were not needed.	NRT elements will not be copied to Bronze and will only exist in the bundle itself, which we archive so in the future we could switch them back as needed.


Technical Guidance
Mark all {Resource}.{dataElement}.identifiers as NRT.
Mark all {Resource}.contained as NRT.
Mark all {Resource}.meta as NRT.
Mark all {Resource}.text as NRT.

Sheet 3: Diagnostic Report-Lab -US Core

http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab
Back to TOC
FHIR Path	Min	Max	Must Support?	Data Type(s)	FHIR Short Description	FHIR Definition	Binding Strength	Binding Description	FHIR Binding Value Set	RPS
DiagnosticReport	0	*			A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports	The US Core Diagnostic Report Profile is based upon the core FHIR DiagnosticReport Resource and created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.				MS [0..*]
DiagnosticReport.id	0	1		string	Logical id of this artifact	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.				R[1..1]
DiagnosticReport.meta	0	1		Meta	Metadata about the resource	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.				NRT
DiagnosticReport.implicitRules	0	1		uri	A set of rules under which this content was created	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.				NRT
DiagnosticReport.language	0	1		code	Language of the resource content	The base language in which the resource is written.	preferred	CommonLanguages Max Binding: All Languages	http://hl7.org/fhir/R4/ValueSet/languages	NRT
DiagnosticReport.text	0	1		Narrative	Text summary of the resource, for human interpretation	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.				NR
DiagnosticReport.contained	0	*		Resource	Contained, inline Resources	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.				NRT
DiagnosticReport.extension	0	*		Extension	Additional content defined by implementations	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.				NRT
DiagnosticReport.modifierExtension	0	*		Extension	Extensions that cannot be ignored	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
DiagnosticReport.identifier	0	*		Identifier	Business identifier for report	Identifiers assigned to this report by the performer or other systems.				NRT
DiagnosticReport.basedOn	0	*		Reference(CarePlan\|ImmunizationRecommendation\|MedicationRequest\|NutritionOrder\|ServiceRequest)	What was requested	Details concerning a service requested.				NR
DiagnosticReport.status	1	1	Y	code	registered \| partial \| preliminary \| final +	The status of the diagnostic report.	required		http://hl7.org/fhir/R4/ValueSet/diagnostic-report-status	R [1..1] The following constraints are written into the CQL: 'final','registered','preliminary','partial'
DiagnosticReport.category	1	*	Y	CodeableConcept	Service category	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.	example	Codes for diagnostic service sections.	http://hl7.org/fhir/R4/ValueSet/diagnostic-service-sections	R [1..*]
DiagnosticReport.category:LaboratorySlice	1	1	Y	CodeableConcept	Service category	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.	example	Required Pattern: At least the following		R [1..1]
DiagnosticReport.category:LaboratorySlice.id	0	1		string	Unique id for inter-element referencing					NRT
DiagnosticReport.category:LaboratorySlice.id.extension	0	*		Extension	Additional content defined by implementations					NRT
DiagnosticReport.category:LaboratorySlice.coding	1	*		Coding	Code defined by a terminology system		Complex	Fixed Value: (complex)		NR
DiagnosticReport.category:LaboratorySlice.coding.id	0	1		string	Unique id for inter-element referencing					NRT
DiagnosticReport.category:LaboratorySlice.coding.system	1	1		url	identity of the terminology system		Fixed Value	diagnostiServiceSectionID	http://terminology.hl7.org/CodeSystem/v2-0074	NR
DiagnosticReport.category:LaboratorySlice.coding.version	0	1		string	Version of the system - if relevant					NR
DiagnosticReport.category:LaboratorySlice.coding.code	0	2		code	Symbol in syntax defined by the system		Fixed Value		LAB	NR
DiagnosticReport.category:LaboratorySlice.coding.display	0	1		string	Representation defined by the system					NR
DiagnosticReport.category:LaboratorySlice.coding.userSelected	0	1		boolean	If this coding was chosen directly by the user					NR
DiagnosticReport.code	1	1	Y	CodeableConcept	US Core Laboratory Report Order Code	The test, panel or battery that was ordered.	extensible	US Core Diagnostic Report Laboratory Codes (LOINC codes)	https://www.hl7.org/fhir/R4/valueset-report-codes	R [1..1]
DiagnosticReport.subject	1	1	Y	Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)	The subject of the report - usually, but not always, the patient	The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.				R [1..1]
DiagnosticReport.encounter	0	1		Reference(Encounter)	Health care event when test ordered	The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.				MS [0..1]
DiagnosticReport.effective[x]	1	1	Y	dateTime Period	Specimen Collection Datetime or Period	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.				R [1..1]
DiagnosticReport.issued	1	1	Y	instant	DateTime this version was made	The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.				R [1..1]
DiagnosticReport.performer	0	*	Y	Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner\|http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization\|http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam\|http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)	Responsible Diagnostic Service	The diagnostic service that is responsible for issuing the report.				MS [0..*]
DiagnosticReport.resultsInterpreter	0	*		Reference(Practitioner\|PractitionerRole\|Organization\|CareTeam)	Primary result interpreter	The practitioner or organization that is responsible for the report's conclusions and interpretations.				NR
DiagnosticReport.specimen	0	*		Reference(Specimen)	Specimens this report is based on	Details about the specimens on which this diagnostic report is based.				MS [0..*]
DiagnosticReport.result	0	*	Y	Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab)	Observations	[Observations](http://hl7.org/fhir/R4/observation.html) that are part of this diagnostic report.				MS [0..*]
DiagnosticReport.imagingStudy	0	*		Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report	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.				NR
DiagnosticReport.media	0	*		BackboneElement	Key images associated with this report	A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).				NR
DiagnosticReport.media.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
DiagnosticReport.media.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
DiagnosticReport.media.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
DiagnosticReport.media.comment	0	1		string	Comment about the image (e.g. explanation)	A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.				NR
DiagnosticReport.media.link	1	1		Reference(Media)	Reference to the image source	Reference to the image source.				NR
DiagnosticReport.conclusion	0	1		string	Clinical conclusion (interpretation) of test results	Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.				MS [0..1]
DiagnosticReport.conclusionCode	0	*		CodeableConcept	Codes for the clinical conclusion of test results	One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.	example	SNOMEDCTCLinicalFindings	http://hl7.org/fhir/R4/ValueSet/clinical-findings	MS [0..*]
DiagnosticReport.presentedForm	0	*		Attachment	Entire report as issued	Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.				NR

Sheet 4: Encounter-US Core

Back to TOC
FHIR Path	Min	Max	Must Support?	Data Type(s)	Short Description	FHIR Definition	Binding Strength	Binding Description	FHIR Binding Value Set	RPS
Encounter	0	*		Encounter	An interaction during which services are provided to the patient	This is basic constraint on Encounter for use in US Core resources.				R [1..*]
Encounter.id	0	1		string	Logical id of this artifact	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.				R [1..1]
Encounter.meta	0	1		Meta	Metadata about the resource	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.				NRT
Encounter.implicitRules	0	1		uri	A set of rules under which this content was created	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.				NRT
Encounter.language	0	1		code	Language of the resource content	The base language in which the resource is written.	Preferred Max Binding	CommonLanguages AllLanguages	http://hl7.org/fhir/R4/valueset-languages.html http://hl7.org/fhir/R4/valueset-all-languages.html	NRT
Encounter.text	0	1		Narrative	Text summary of the resource, for human interpretation	Lynn Perrine: Zabrina - what does the red font mean in this document? 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.				NRT
Encounter.contained	0	*		Resource	Contained, inline Resources	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.				NRT
Encounter.extension	0	*		Extension	Additional content defined by implementations	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.				NRT
Encounter.modifierExtension	0	*		Extension	Extensions that cannot be ignored	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Encounter.identifier	0	*	Y	Identifier	Identifier(s) by which this encounter is known	Identifier(s) by which this encounter is known.				R [1..*]
Encounter.identifier.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Encounter.identifier.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Encounter.identifier.use	0	1		code	usual \| official \| temp \| secondary \| old (If known)	The purpose of this identifier.	required	IdentifierUse	http://hl7.org/fhir/R4/ValueSet/identifier-use	MS [0..1]
Encounter.identifier.type	0	1		CodeableConcept	Description of identifier	A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.	extensible	IdentifierType	http://hl7.org/fhir/R4/ValueSet/identifier-type	MS [0..1]
Encounter.identifier.system	1	1	Y	uri	The namespace for the identifier value	Establishes the namespace for the value - that is, a URL that describes a set values that are unique.				R[1..1]
Encounter.identifier.value	1	1	Y	string	The value that is unique	The portion of the identifier typically relevant to the user and which is unique within the context of the system.				R [1..1]
Encounter.identifier.period	0	1		Period	Time period when id is/was valid for use	Time period during which identifier is/was valid for use.				MS [0..1]
Encounter.identifier.assigner	0	1		Reference(Organization)	Organization that issued id (may be just text)	Organization that issued/manages the identifier.				NRT
Encounter.status	1	1	Y	code	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled +	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled +.	required	EncounterStatus	http://hl7.org/fhir/R4/ValueSet/encounter-status	R [1..1] Constrain CQL to triaged \| in-progress \| onleave \| finished
Encounter.statusHistory	0	*		BackboneElement	List of past encounter statuses	The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.				NR
Encounter.statusHistory.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Encounter.statusHistory.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Encounter.statusHistory.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Encounter.statusHistory.status	1	1		code	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled +	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled +.	required	EncounterStatus	http://hl7.org/fhir/R4/ValueSet/encounter-status	R [1..1]
Encounter.statusHistory.period	1	1		Period	The time that the episode was in the specified status	The time that the episode was in the specified status.				R [1..1]
Encounter.class	1	1	Y	Coding	Classification of patient encounter	Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.	extensible	ActEncounterCode	http://hl7.org/fhir/R4/v3/ActEncounterCode/vs	R [1..1] CQL will constrain the qualifying encounter to classes: 'inpatient acute', 'inpatient encounter', 'observation encounter', 'inpatient non-acute', 'short stay'
Encounter.classHistory	0	*		BackboneElement	List of past encounter classes	The class history permits the tracking of the encounters transitions without needing to go through the resource history. This would be used for a case where an admission starts of as an emergency encounter, then transitions into an inpatient scenario. Doing this and not restarting a new encounter ensures that any lab/diagnostic results can more easily follow the patient and not require re-processing and not get lost or cancelled during a kind of discharge from emergency to inpatient.				MS [0..*]
Encounter.classHistory.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Encounter.classHistory.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Encounter.classHistory.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Encounter.classHistory.class	1	1		Coding	inpatient \| outpatient \| ambulatory \| emergency +	inpatient \| outpatient \| ambulatory \| emergency +.	extensible	ActEncounterCode	http://hl7.org/fhir/R4/v3/ActEncounterCode/vs	R [1..1]
Encounter.classHistory.period	1	1		Period	The time that the episode was in the specified class	The time that the episode was in the specified class.				R [1..1]
Encounter.type	1	*	Y	CodeableConcept	Specific type of encounter	Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).	extensible	USCoreEncounterType	http://hl7.org/fhir/us/core/STU3.1.1/ValueSet-us-core-encounter-type	R [1..*] CQL constrains to: "Observation Services": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.143' "Encounter Inpatient": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'
Encounter.serviceType	0	1		CodeableConcept	Specific type of service	Broad categorization of the service that is to be provided (e.g. cardiology).	example	ServiceType	http://hl7.org/fhir/R4/ValueSet/service-type	NR
Encounter.priority	0	1		CodeableConcept	Indicates the urgency of the encounter	Indicates the urgency of the encounter.	example	ActPriority	https://terminology.hl7.org/1.0.0//ValueSet-v3-ActPriority	NR
Encounter.subject	1	1	Y	Reference(US Core Patient Profile)	The patient or group present at the encounter	The patient or group present at the encounter.				R [1..1]
Encounter.episodeOfCare	0	*		Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against	Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem. The association is recorded on the encounter as these are typically created after the episode of care and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years).				NRT
Encounter.basedOn	0	*		Reference(ServiceRequest)	The ServiceRequest that initiated this encounter	The request this encounter satisfies (e.g. incoming referral or procedure request).				NRT
Encounter.participant	0	*	Y	BackboneElement	List of participants involved in the encounter	The list of people responsible for providing the service.				NR
Encounter.participant.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Encounter.participant.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Encounter.participant.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Encounter.participant.type	0	*	Y	CodeableConcept	Role of participant in encounter	Role of participant in encounter.	extensible	ParticipantType	http://hl7.org/fhir/R4/ValueSet/encounter-participant-type	NR
Encounter.participant.period	0	1	Y	Period	Period of time during the encounter that the participant participated	The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.				NR
Encounter.participant.individual	0	1	Y	Reference(US Core Practitioner Profile)	Persons involved in the encounter other than the patient	Persons involved in the encounter other than the patient.				NR
Encounter.appointment	0	*		Reference(Appointment)	The appointment that scheduled this encounter	The appointment that scheduled this encounter.				NRT
Encounter.period	0	1	Y	Period	The start and end time of the encounter	The start and end time of the encounter.				R[1..1]
Encounter.length	0	1		Duration	Quantity of time the encounter lasted (less time absent)	Quantity of time the encounter lasted. This excludes the time during leaves of absence.				NR
Encounter.reasonCode	0	*	Y	CodeableConcept	Coded reason the encounter takes place	Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.	preferred	EncounterReasonCodes	http://hl7.org/fhir/R4/ValueSet/encounter-reason	MS [0..*]
Encounter.reasonReference	0	*	Y	Reference(Condition \| Procedure \| Observation \| ImmunizationRecommendation)	Reason the encounter takes place (reference)	Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.				NR
Encounter.diagnosis	0	*		BackboneElement	The list of diagnosis relevant to this encounter	The list of diagnosis relevant to this encounter.				NR
Encounter.diagnosis.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Encounter.diagnosis.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Encounter.diagnosis.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Encounter.diagnosis.condition	1	1		Reference(Condition\|Procedure)	The diagnosis or procedure relevant to the encounter	Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.				NR
Encounter.diagnosis.use	0	1		CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).	preferred	DiagnosisRole	http://hl7.org/fhir/R4/ValueSet/diagnosis-role	NR
Encounter.diagnosis.rank	0	1		positiveInt	Ranking of the diagnosis (for each role type)	Ranking of the diagnosis (for each role type).				NR
Encounter.account	0	*		Reference(Account)	The set of accounts that may be used for billing for this Encounter	The set of accounts that may be used for billing for this Encounter.				NR
Encounter.hospitalization	0	1	Y	BackboneElement	Details about the admission to a healthcare service	Details about the admission to a healthcare service.				MS [0..1]
Encounter.hospitalization.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Encounter.hospitalization.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Encounter.hospitalization.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Encounter.hospitalization.preAdmissionIdentifier	0	1		Identifier	Pre-admission identifier	Pre-admission identifier.				NR
Encounter.hospitalization.origin	0	1		Reference(Location\|Organization)	The location/organization from which the patient came before admission	The location/organization from which the patient came before admission.				NR
Encounter.hospitalization.admitSource	0	1		CodeableConcept	From where patient was admitted (physician referral, transfer)	From where patient was admitted (physician referral, transfer).	preferred	AdmitSource	http://hl7.org/fhir/R4/ValueSet/encounter-admit-source	MS [0..1]
Encounter.hospitalization.reAdmission	0	1		CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission	Whether this hospitalization is a readmission and why if known.	example	Hl7VSReAdmissionIndicator	https://terminology.hl7.org/1.0.0//ValueSet-v2-0092	MS [0..1]
Encounter.hospitalization.dietPreference	0	*		CodeableConcept	Diet preferences reported by the patient	Diet preferences reported by the patient.	example	Diet	http://hl7.org/fhir/R4/valueset-encounter-diet.html	NR
Encounter.hospitalization.specialCourtesy	0	*		CodeableConcept	Special courtesies (VIP, board member)	Special courtesies (VIP, board member).	preferred	SpecialCourtesy	http://hl7.org/fhir/R4/ValueSet/encounter-special-courtesy	NR
Encounter.hospitalization.specialArrangement	0	*		CodeableConcept	Wheelchair, translator, stretcher, etc.	Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.	preferred	SpecialArrangements	http://hl7.org/fhir/R4/ValueSet/encounter-special-arrangements	NR
Encounter.hospitalization.destination	0	1		Reference(Location\|Organization)	Location/organization to which the patient is discharged	Location/organization to which the patient is discharged.				NR
Encounter.hospitalization.dischargeDisposition	0	1	Y	CodeableConcept	Category or kind of location after discharge	Category or kind of location after discharge.	example	DischargeDisposition	http://hl7.org/fhir/R4/ValueSet/encounter-discharge-disposition	MS [0..1] CQL is constrained to: HL7V2 DischargeDisposition codes
Encounter.location	0	*	Y	BackboneElement	List of locations where the patient has been	List of locations where the patient has been during this encounter.				R [1..*] The following constraints are written into the CQL: Inpatient, Emergency, and Observation Locations 2.16.840.1.113762.1.4.1046.265
Encounter.location.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Encounter.location.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Encounter.location.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Encounter.location.location	1	1	Y	Reference(Location)	Location the encounter takes place	The location where the encounter takes place.				R [1..1]
Encounter.location.status	0	1		code	planned \| active \| reserved \| completed	The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.	required	EncounterLocationStatus	http://hl7.org/fhir/R4/ValueSet/encounter-location-status	MS [0..1]
Encounter.location.physicalType	0	1		CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.)	This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query.	example	LocationType	http://hl7.org/fhir/R4/valueset-location-physical-type	NR
Encounter.location.period	0	1		Period	Time period during which the patient was present at the location	Time period during which the patient was present at the location.				R [1..1]
Encounter.serviceProvider	0	1	Y	Reference(Organization)	The organization (facility) responsible for this encounter	The organization that is primarily responsible for this Encounter's services. This MAY be the same as the organization on the Patient record, however it could be different, such as if the actor performing the services was from an external organization (which may be billed seperately) for an external consultation. Refer to the example bundle showing an abbreviated set of Encounters for a colonoscopy.				NRT
Encounter.partOf	0	1		Reference(Encounter)	Another Encounter this encounter is part of	Another Encounter of which this encounter is a part of (administratively or in time).				NR

Sheet 5: Lab Result Observation-US Core

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FHIR Path	Min	Max	Must Support?	Type(s)	Short	Definition	Binding Strength	Binding Description (Value Set Name)	Binding Value Set	RPS
Observation	0	*		Observation	Measurements and simple assertions	This profile is created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.				MS [0..*]
Observation.id	0	1		string	Logical id of this artifact	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.				R [1..1]
Observation.meta	0	1		Meta	Metadata about the resource	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.				NRT
Observation.implicitRules	0	1		uri	A set of rules under which this content was created	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.				NRT
Observation.language	0	1		code	Language of the resource content	The base language in which the resource is written.	preferred	CommonLanguages	http://hl7.org/fhir/R4/ValueSet/languages	NRT
Observation.text	0	1		Narrative	Text summary of the resource, for human interpretation	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.				NRT
Observation.contained	0	*		Resource	Contained, inline Resources	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.				NRT
Observation.extension	0	*		Extension	Additional content defined by implementations	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.				NRT
Observation.modifierExtension	0	*		Extension	Extensions that cannot be ignored	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Observation.identifier	0	*		Identifier	Business Identifier for observation	A unique identifier assigned to this observation.				NRT
Observation.basedOn	0	*		Reference(CarePlan\|DeviceRequest\|ImmunizationRecommendation\|MedicationRequest\|NutritionOrder\|ServiceRequest)	Fulfills plan, proposal or order	A plan, proposal or order that is fulfilled in whole or in part by this event. For example, a MedicationRequest may require a patient to have laboratory test performed before it is dispensed.				NR
Observation.partOf	0	*		Reference(MedicationAdministration\|MedicationDispense\|MedicationStatement\|Procedure\|Immunization\|ImagingStudy)	Part of referenced event	A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.				NR
Observation.status	1	1	Y	code	registered \| preliminary \| final \| amended +	The status of the result value.	required	ObservationStatus	http://hl7.org/fhir/R4/ValueSet/observation-status	R[1..1
Observation.category	1	*	Y	Slice Definition	Classification of type of observation Slice: Unordered, Open by pattern:$this	A code that classifies the general type of observation being made.	preferred	ObservationCategoryCodes	http://hl7.org/fhir/R4/ValueSet/observation-category	R [1..*]	RPS question for FHIR SME: what does this mean? 5/10/23 Per Dave: Observation.category notes the classification of the type of the observation. It is a flag that can be use (ie implemented) to represent one or many concepts referring to the type or classification of the observation. Some common examples of classifications we might see (some of the time) are here. I could see a hospital including a local code ‘transmission-based-precaution’ or ‘tbp’ code here; I could also see a hospital using one of these codes or their own other codes to represent the concept of ‘tbp’. But also, expect some hospitals may not use Observations to convey the concept of a TBP. In a nutshell, to me, Observation.category is a key element that Link should transmit to NHSN. beyond that, I think we need to wait and see multiple hospitals’ data before we can begin to inform an understanding/expectation regarding what coded concepts we may expect here. And our understanding will need to keep evolving as we onboard more and more hospitals. Note- while many .category repetitions are allowed for a single Observation, at least 1 is required, so any Observation that does not have at least one Observation.category will be an invalid Observation.
Observation.category:Laboratory	1	1	Y	CodeableConcept	Classification of type of observation	A code that classifies the general type of observation being made.	preferred	ObservationCategoryCodes	http://hl7.org/fhir/R4/ValueSet/observation-category	R [1..1]
Observation.category.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Observation.category.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Observation.category.coding	1	*	Y	Coding	Code defined by a terminology system	A reference to a code defined by a terminology system.				NR
Observation.category.coding.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NR
Observation.category.coding.extension	0	*		Extension	Additional content defined by implementations	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.				NR
Observation.category.coding.system	1	1	Y	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category	The identification of the code system that defines the meaning of the symbol in the code.				NR
Observation.category.coding.version	0	1		string	Version of the system - if relevant	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.				NR
Observation.category.coding.code	1	1	Y	code	Symbol in syntax defined by the system Fixed Value: laboratory	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).				NR
Observation.category.coding.display	0	1		string	Representation defined by the system	A representation of the meaning of the code in the system, following the rules of the system.				NR
Observation.category.coding.userSelected	0	1		boolean	If this coding was chosen directly by the user	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).				NR
Observation.category.text	0	1		string	Plain text representation of the concept	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.				NR
Observation.code	1	1	Y	CodeableConcept	Laboratory Test Name	The test that was performed. A LOINC SHALL be used if the concept is present in LOINC.	extensible	LOINCCodes	http://hl7.org/fhir/R4/ValueSet/observation-codes	R [1..1]
Observation.subject	1	1	Y	Reference(US Core Patient Profile)	Who and/or what the observation is about	The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.				R [1..1]
Observation.focus	0	*		Reference(Resource)	What the observation is about, when it is not about the subject of record	The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record. The focus of an observation could also be an existing condition, an intervention, the subject's diet, another observation of the subject, or a body structure such as tumor or implanted device. An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.				NR
Observation.encounter	0	1		Reference(Encounter)	Healthcare event during which this observation is made	The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.				MS [0..1]
Observation.effective[x]	0	1	Y	dateTime Period	Clinically relevant time/time-period for observation us-core-1: Datetime must be at least to day.	For lab tests this is the specimen collection date. For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.				R [1..1]
Observation.issued	0	1		instant	Date/Time this version was made available	The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.				MS [0..1]
Observation.performer	0	*		Reference(Practitioner\|PractitionerRole\|Organization\|CareTeam\|Patient\|RelatedPerson)	Who is responsible for the observation	Who was responsible for asserting the observed value as "true".				NR
Observation.value[x]	0	1	Y	Quantity CodeableConcept string boolean integer Range Ratio SampledData time dateTime Period	Result Value	The Laboratory result value. If a coded value, the valueCodeableConcept.code SHOULD be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults) if the concept exists. If a numeric value, valueQuantity.code SHALL be selected from [UCUM](http://unitsofmeasure.org). A FHIR [UCUM Codes value set](http://hl7.org/fhir/STU3/valueset-ucum-units.html) that defines all UCUM codes is in the FHIR specification.				MS [0..1] (could have a null if lab result/status is not yet finalized)
Observation.dataAbsentReason	0	1	Y	CodeableConcept	Why the result is missing	Provides a reason why the expected value in the element Observation.value[x] is missing.	extensible	DataAbsentReason	http://hl7.org/fhir/R4/ValueSet/data-absent-reason	NR
Observation.interpretation	0	*		CodeableConcept	High, low, normal, etc.	A categorical assessment of an observation value. For example, high, low, normal.	extensible	ObservationInterpretationCodes	http://hl7.org/fhir/R4/ValueSet/observation-interpretation	MS [0..*]
Observation.note	0	*		Annotation	Comments about the observation	Comments about the observation or the results.				NR
Observation.bodySite	0	1		CodeableConcept	Observed body part	Indicates the site on the subject's body where the observation was made (i.e. the target site).	example	SNOMEDCTBodyStructures	http://hl7.org/fhir/R4/ValueSet/body-site	MS [0..1]
Observation.method	0	1		CodeableConcept	How it was done	Indicates the mechanism used to perform the observation.	example	ObservationMethods	http://hl7.org/fhir/R4/ValueSet/observation-methods	MS [0..1]
Observation.specimen	0	1		Reference(Specimen)	Specimen used for this observation	The specimen that was used when this observation was made.				MS [0..1]
Observation.device	0	1		Reference(Device\|DeviceMetric)	(Measurement) Device	The device used to generate the observation data.				NR
Observation.referenceRange	0	*		BackboneElement	Provides guide for interpretation	Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an "OR". In other words, to represent two distinct target populations, two `referenceRange` elements would be used.				NR
Observation.referenceRange.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Observation.referenceRange.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Observation.referenceRange.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Observation.referenceRange.low	0	1		SimpleQuantity	Low Range, if relevant	The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).				NR
Observation.referenceRange.high	0	1		SimpleQuantity	High Range, if relevant	The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).				NR
Observation.referenceRange.type	0	1		CodeableConcept	Reference range qualifier	Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.	preferred	ObservationReferenceRangeMeaningCodes	http://hl7.org/fhir/R4/ValueSet/referencerange-meaning	NR
Observation.referenceRange.appliesTo	0	*		CodeableConcept	Reference range population	Codes to indicate the target population this reference range applies to. For example, a reference range may be based on the normal population or a particular sex or race. Multiple `appliesTo` are interpreted as an "AND" of the target populations. For example, to represent a target population of African American females, both a code of female and a code for African American would be used.	example	ObservationReferenceRangeAppliesToCodes	http://hl7.org/fhir/R4/ValueSet/referencerange-appliesto	NR
Observation.referenceRange.age	0	1		Range	Applicable age range, if relevant	The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.				NR
Observation.referenceRange.text	0	1		string	Text based reference range in an observation	Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation. An example would be a reference value of "Negative" or a list or table of "normals".				NR
Observation.hasMember	0	*		Reference(Observation\|QuestionnaireResponse\|MolecularSequence)	Related resource that belongs to the Observation group	This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.				MS [0..*]
Observation.derivedFrom	0	*		Reference(DocumentReference\|ImagingStudy\|Media\|QuestionnaireResponse\|Observation\|MolecularSequence)	Related measurements the observation is made from	The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.				MS [0..*]
Observation.component	0	*		BackboneElement	Component results	Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.				MS [0..*]
Observation.component.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Observation.component.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Observation.component.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Observation.component.code	1	1		CodeableConcept	Type of component observation (code / type)	Describes what was observed. Sometimes this is called the observation "code".	example	LOINCCodes	http://hl7.org/fhir/R4/valueset-observation-codes	R [1..1]
Observation.component.value[x]	0	1		Quantity CodeableConcept string boolean integer Range Ratio SampledData time dateTime Period	Actual component result	The information determined as a result of making the observation, if the information has a simple value.				MS [0..1]
Observation.component.dataAbsentReason	0	1		CodeableConcept	Why the component result is missing	Provides a reason why the expected value in the element Observation.component.value[x] is missing.	extensible	DataAbsentReason	http://hl7.org/fhir/R4/ValueSet/data-absent-reason	NR
Observation.component.interpretation	0	*		CodeableConcept	High, low, normal, etc.	A categorical assessment of an observation value. For example, high, low, normal.	extensible	ObservationInterpretationCodes	http://hl7.org/fhir/R4/ValueSet/observation-interpretation	MS [0..*]
Observation.component.referenceRange	0	*			Provides guide for interpretation of component result	Guidance on how to interpret the value by comparison to a normal or recommended range.				NR

Sheet 6: Location-US Core

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FHIR Path - http://hl7.org/fhir/us/core/StructureDefinition/us-core-location	Min	Max	Must Support	Type(s)	Short	Definition	Binding Strength	Binding Description	Binding Value Set	RPS
Location	0	*			Details and position information for a physical place	Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.				R [1..*]
Location.id	0	1	Y	string	Logical id of this artifact	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.				R [1..1]
Location.meta	0	1		Meta	Metadata about the resource	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.				NRT
Location.implicitRules	0	1		uri	A set of rules under which this content was created	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.				NRT
Location.language	0	1		code	Language of the resource content	The base language in which the resource is written.	preferred	CommonLanguages	http://hl7.org/fhir/R4/ValueSet/languages	NRT
Location.text	0	1		Narrative	Text summary of the resource, for human interpretation	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.				NRT
Location.contained	0	*		Resource	Contained, inline Resources	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.				NRT
Location.extension	0	*		Extension	Additional content defined by implementations	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.				NRT
Location.modifierExtension	0	*		Extension	Extensions that cannot be ignored	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Location.identifier	0	*		Identifier	Unique code or number identifying the location to its users	Unique code or number identifying the location to its users.				NR
Location.status	0	1	Y	code	active \| suspended \| inactive	The status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location.	required	LocationStatus	http://hl7.org/fhir/R4/ValueSet/location-status	MS [0..1]
Location.operationalStatus	0	1		Coding	The operational status of the location (typically only for a bed/room)	The operational status covers operation values most relevant to beds (but can also apply to rooms/units/chairs/etc. such as an isolation unit/dialysis chair). This typically covers concepts such as contamination, housekeeping, and other activities like maintenance.	preferred	hl7VS-bedStatus	https://terminology.hl7.org/1.0.0//ValueSet-v2-0116	NR
Location.name	1	1	Y	string	Name of the location as used by humans	Name of the location as used by humans. Does not need to be unique.				R [1..1]
Location.alias	0	*		string	A list of alternate names that the location is known as, or was known as, in the past	A list of alternate names that the location is known as, or was known as, in the past.				MS [0..*]
Location.description	0	1		string	Additional details about the location that could be displayed as further information to identify the location beyond its name	Description of the Location, which helps in finding or referencing the place.				NR
Location.mode	0	1		code	instance \| kind	Indicates whether a resource instance represents a specific location or a class of locations.	required	LocationMode	http://hl7.org/fhir/R4/ValueSet/location-mode	NR
Location.type	0	*		CodeableConcept	Type of function performed	Indicates the type of function performed at the location.	extensible	ServiceDeliveryLocationRoleType	https://terminology.hl7.org/1.0.0//ValueSet-v3-ServiceDeliveryLocationRoleType	R [1..*] The following constraint is written into the CQL: valueset "Inpatient, Emergency, and Observation Locations": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.265'
Location.telecom	0	*	Y	ContactPoint	Contact details of the location	The contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.				MS [0..*]
Location.address	0	1	Y	Address	Physical location	Physical location.				MS [0..1]
Location.address.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Location.address.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Location.address.use	0	1		code	home \| work \| temp \| old \| billing - purpose of this address	The purpose of this address.	required	AddressUse	http://hl7.org/fhir/R4/ValueSet/address-use	MS [0..1]
Location.address.type	0	1		code	postal \| physical \| both	Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.	required	AddressType	http://hl7.org/fhir/R4/ValueSet/address-type	NR
Location.address.text	0	1		string	Text representation of the address	Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.				NR
Location.address.line	0	*	Y	string	Street name, number, direction & P.O. Box etc.	This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.				NR
Location.address.city	0	1	Y	string	Name of city, town etc.	The name of the city, town, suburb, village or other community or delivery center.				NR
Location.address.district	0	1		string	District name (aka county)	The name of the administrative area (county).				NR
Location.address.state	0	1	Y	string	Sub-unit of country (abbreviations ok)	Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).	extensible	USPS Two Letter Alphabetic Codes	http://hl7.org/fhir/us/core/STU3.1.1/ValueSet-us-core-usps-state	NR
Location.address.postalCode	0	1	Y	string	US Zip Codes	A postal code designating a region defined by the postal service.				NR
Location.address.country	0	1		string	Country (e.g. can be ISO 3166 2 or 3 letter code)	Country - a nation as commonly understood or generally accepted.				NR
Location.address.period	0	1		Period	Time period when address was/is in use	Time period when address was/is in use.				NR
Location.physicalType	0	1		CodeableConcept	Physical form of the location	Physical form of the location, e.g. building, room, vehicle, road.	example	Physical form of the location.	http://hl7.org/fhir/R4/ValueSet/location-physical-type	NR
Location.position	0	1		BackboneElement	The absolute geographic location	The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML).				NR
Location.position.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Location.position.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Location.position.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Location.position.longitude	1	1		decimal	Longitude with WGS84 datum	Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below).				NR
Location.position.latitude	1	1		decimal	Latitude with WGS84 datum	Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below).				NR
Location.position.altitude	0	1		decimal	Altitude with WGS84 datum	Altitude. The value domain and the interpretation are the same as for the text of the altitude element in KML (see notes below).				NR
Location.managingOrganization	0	1	Y	Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)	Organization responsible for provisioning and upkeep	The organization responsible for the provisioning and upkeep of the location.				MS [0..1]
Location.partOf	0	1		Reference(Location)	Another Location this one is physically a part of	Another Location of which this Location is physically a part of.				MS [0..1]
Location.hoursOfOperation	0	*		BackboneElement	What days/times during a week is this location usually open	What days/times during a week is this location usually open.				NR
Location.hoursOfOperation.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Location.hoursOfOperation.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Location.hoursOfOperation.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Location.hoursOfOperation.daysOfWeek	0	*		code	mon \| tue \| wed \| thu \| fri \| sat \| sun	Indicates which days of the week are available between the start and end Times.	required	The days of the week.	http://hl7.org/fhir/R4/ValueSet/days-of-week	NR
Location.hoursOfOperation.allDay	0	1		boolean	The Location is open all day	The Location is open all day.				NR
Location.hoursOfOperation.openingTime	0	1		time	Time that the Location opens	Time that the Location opens.				NR
Location.hoursOfOperation.closingTime	0	1		time	Time that the Location closes	Time that the Location closes.				NR
Location.availabilityExceptions	0	1		string	Description of availability exceptions	A description of when the locations opening ours are different to normal, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as detailed in the opening hours Times.				NR
Location.endpoint	0	*		Reference(Endpoint)	Technical endpoints providing access to services operated for the location	Technical endpoints providing access to services operated for the location.				NR

Sheet 7: Medication-US Core

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FHIR Path	Min	Max	Must Support?	Type(s)	Short	Definition	Binding Strength	Binding Description	Binding Value Set	RPS
Medication	0	*		Medication	Definition of a Medication	The US Core Medication Profile is based upon the core FHIR Medication Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medications' requirements.				MS [0..*]
Medication.id	0	1		string	Logical id of this artifact	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.				R [1..1]
Medication.meta	0	1		Meta	Metadata about the resource	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.				NRT
Medication.implicitRules	0	1		uri	A set of rules under which this content was created	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.				NRT
Medication.language	0	1		code	Language of the resource content	The base language in which the resource is written. (ex English)	preferred	CommonLanguages	http://hl7.org/fhir/R4/ValueSet/languages	NRT
Medication.text	0	1		Narrative	Text summary of the resource, for human interpretation	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.				NRT
Medication.contained	0	*		Resource	Contained, inline Resources	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.				NRT
Medication.extension	0	*		Extension	Additional content defined by implementations	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.				NRT
Medication.modifierExtension	0	*		Extension	Extensions that cannot be ignored	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Medication.identifier	0	*		Identifier	Business identifier for this medication	Business identifier for this medication.				NRT
Medication.code	1	1	Y	CodeableConcept	Codes that identify this medication	A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.	extensible	USCoreMedicationCodes	http://hl7.org/fhir/us/core/STU3.1.1/ValueSet-us-core-medication-codes	R [1..1]
Medication.status	0	1		code	active \| inactive \| entered-in-error	A code to indicate if the medication is in active use.	required	Medication Status Codes	http://hl7.org/fhir/R4/ValueSet/medication-status	NR
Medication.manufacturer	0	1		Reference(Organization)	Manufacturer of the item	Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.				NR
Medication.form	0	1		CodeableConcept	powder \| tablets \| capsule +	Describes the form of the item. Powder; tablets; capsule.	example	4.0.1 SNOMEDCTFormCodes	http://hl7.org/fhir/R4/ValueSet/medication-form-codes	MS [0..1]
Medication.amount	0	1		Ratio	Amount of drug in package	Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).				MS [0..1]
Medication.ingredient	0	*		BackboneElement	Active or inactive ingredient	Identifies a particular constituent of interest in the product.				MS [0..*]
Medication.ingredient.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Medication.ingredient.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Medication.ingredient.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Medication.ingredient.item[x]	1	1		CodeableConcept Reference(Substance\|Medication)	The actual ingredient or content	The actual ingredient - either a substance (simple ingredient) or another medication of a medication.				R [1..1]
Medication.ingredient.isActive	0	1		boolean	Active ingredient indicator	Indication of whether this ingredient affects the therapeutic action of the drug.				NRT
Medication.ingredient.strength	0	1		Ratio	Quantity of ingredient present	Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.				NR
Medication.batch	0	1		BackboneElement	Details about packaged medications	Information that only applies to packages (not products).				NR
Medication.batch.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Medication.batch.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Medication.batch.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Medication.batch.lotNumber	0	1		string	Identifier assigned to batch	The assigned lot number of a batch of the specified product.				NR
Medication.batch.expirationDate	0	1		dateTime	When batch will expire	When this specific batch of product will expire.				NR

Sheet 8: MedicationAdministration-R4

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FHIR Path	Min	Max	Type(s)	Short	Definition	Binding Strength	Binding Description (Value Set Name)	Binding Value Set	RPS
MedicationAdministration	0	*		Administration of medication to a patient	Describes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.				MS [0..*]
MedicationAdministration.id	0	1	id	Logical id of this artifact	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.				R [1..1]
MedicationAdministration.meta	0	1	Meta	Metadata about the resource	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.				NRT
MedicationAdministration.implicitRules	0	1	uri	A set of rules under which this content was created	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.				NRT
MedicationAdministration.language	0	1	code	Language of the resource content	The base language in which the resource is written.	preferred but limited to AllLanguages	CommonLanguages	http://hl7.org/fhir/R4/ValueSet/languages	NRT
MedicationAdministration.text	0	1	Narrative	Text summary of the resource, for human interpretation	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.				NRT
MedicationAdministration.contained	0	*	Resource	Contained, inline Resources	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.				NRT
MedicationAdministration.extension	0	*	Extension	Additional content defined by implementations	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.				NRT
MedicationAdministration.modifierExtension	0	*	Extension	Extensions that cannot be ignored	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
MedicationAdministration.identifier	0	*	Identifier	External identifier	Identifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.				NRT
MedicationAdministration.instantiates	0	*	uri	Instantiates protocol or definition	A protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event.				NR
MedicationAdministration.partOf	0	*	Reference(MedicationAdministration\|Procedure)	Part of referenced event	A larger event of which this particular event is a component or step.				NR
MedicationAdministration.status	1	1	code	in-progress \| not-done \| on-hold \| completed \| entered-in-error \| stopped \| unknown	Will generally be set to show that the administration has been completed. For some long running administrations such as infusions, it is possible for an administration to be started but not completed or it may be paused while some other process is under way.	required	MedicationAdministration Status Codes	http://hl7.org/fhir/R4/ValueSet/medication-admin-status	R [1..1]
MedicationAdministration.statusReason	0	*	CodeableConcept	Reason administration not performed	A code indicating why the administration was not performed.	example	SNOMEDCTReasonMedicationNotGivenCodes	http://hl7.org/fhir/R4/ValueSet/reason-medication-not-given-codes	MS [0..*]
MedicationAdministration.category	0	1	CodeableConcept	Type of medication usage	Indicates where the medication is expected to be consumed or administered.	preferred	MedicationAdministration Category Codes	http://hl7.org/fhir/R4/valueset-medication-admin-category	MS [0..*]
MedicationAdministration.medication[x]	1	1	CodeableConcept Reference(Medication)	What was administered	Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.	example	SNOMEDCTMedicationCodes	http://hl7.org/fhir/R4/ValueSet/medication-codes	R [1..1]
MedicationAdministration.subject	1	1	Reference(Patient\|Group)	Who received medication	The person or animal or group receiving the medication.				R [1..1]
MedicationAdministration.context	0	1	Reference(Encounter\|EpisodeOfCare)	Encounter or Episode of Care administered as part of	The visit, admission, or other contact between patient and health care provider during which the medication administration was performed.				MS [0..1]
MedicationAdministration.supportingInformation	0	*	Reference(Any)	Additional information to support administration	Additional information (for example, patient height and weight) that supports the administration of the medication.				NR
MedicationAdministration.effective[x]	1	1	dateTime Period	Start and end time of administration	A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.				R [1..1]
MedicationAdministration.performer	0	*	BackboneElement	Who performed the medication administration and what they did	Indicates who or what performed the medication administration and how they were involved.				NR
MedicationAdministration.performer.id	0	1	string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
MedicationAdministration.performer.extension	0	*	Extension	Additional content defined by implementations	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.				NRT
MedicationAdministration.performer.modifierExtension	0	*	Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
MedicationAdministration.performer.function	0	1	CodeableConcept	Type of performance	Distinguishes the type of involvement of the performer in the medication administration.	example	MedicationAdministration Performer Function Codes	http://hl7.org/fhir/R4/ValueSet/med-admin-perform-function	NR
MedicationAdministration.performer.actor	1	1	Reference(Practitioner\|PractitionerRole\|Patient\|RelatedPerson\|Device)	Who performed the medication administration	Indicates who or what performed the medication administration.				NR
MedicationAdministration.reasonCode	0	*	CodeableConcept	Reason administration performed	A code indicating why the medication was given.	example	ReasonMedicationGivenCodes	http://hl7.org/fhir/R4/ValueSet/reason-medication-given-codes	MS [0..*]
MedicationAdministration.reasonReference	0	*	Reference(Condition\|Observation\|DiagnosticReport)	Condition or observation that supports why the medication was administered	Condition or observation that supports why the medication was administered.				MS [0..*]
MedicationAdministration.request	0	1	Reference(MedicationRequest)	Request administration performed against	The original request, instruction or authority to perform the administration.				MS [0..1]
MedicationAdministration.device	0	*	Reference(Device)	Device used to administer	The device used in administering the medication to the patient. For example, a particular infusion pump.				NR
MedicationAdministration.note	0	*	Annotation	Information about the administration	Extra information about the medication administration that is not conveyed by the other attributes.				NR
MedicationAdministration.dosage	0	1	BackboneElement	Details of how medication was taken + Rule: SHALL have at least one of dosage.dose or dosage.rate[x]	Describes the medication dosage information details e.g. dose, rate, site, route, etc.				NR
MedicationAdministration.dosage.id	0	1	string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
MedicationAdministration.dosage.extension	0	*	Extension	Additional content defined by implementations	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.				NRT
MedicationAdministration.dosage.modifierExtension	0	*	Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
MedicationAdministration.dosage.text	0	1	string	Free text dosage instructions e.g. SIG	Free text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans._x000D__x000D_The dosage instructions should reflect the dosage of the medication that was administered.				NR
MedicationAdministration.dosage.site	0	1	CodeableConcept	Body site administered to	A coded specification of the anatomic site where the medication first entered the body. For example, "left arm".	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes	http://hl7.org/fhir/R4/ValueSet/approach-site-codes	NR
MedicationAdministration.dosage.route	0	1	CodeableConcept	Path of substance into body	A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc.	example	SNOMEDCTRouteCodes	http://hl7.org/fhir/R4/ValueSet/route-codes	NR
MedicationAdministration.dosage.method	0	1	CodeableConcept	How drug was administered	A coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV.	example	SNOMEDCTAdministrationMethodCodes	http://hl7.org/fhir/R4/ValueSet/administration-method-codes	NR
MedicationAdministration.dosage.dose	0	1	SimpleQuantity	Amount of medication per dose	The amount of the medication given at one administration event. Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection.				NR
MedicationAdministration.dosage.rate[x]	0	1	Ratio SimpleQuantity	Dose quantity per unit of time	Identifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.				NR
MedicationAdministration.eventHistory	0	*	Reference(Provenance)	A list of events of interest in the lifecycle	A summary of the events of interest that have occurred, such as when the administration was verified.				NR

Sheet 9: MedicationRequest-US Core

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FHIR Path

Min

Max

Must Support?

Type(s)

Short

Definition

Binding Strength

Binding Description

Binding Value Set

RPS

MedicationRequest

Ordering of medication for patient or group

The US Core Medication Request (Order) Profile is based upon the core FHIR MedicationRequest Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medications' requirements.

MS [0..*]

MedicationRequest.id

string

Logical id of this artifact

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

R [1..1]

MedicationRequest.meta

Sheet 10: Patient-US Core

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FHIR Path	Min	Max	Must Support?	Type(s)	Short	Definition	Binding Strength	Binding Description	Binding Value Set	RPS
Patient	0	*			Information about an individual or animal receiving health care services	The US Core Patient Profile is based upon the core FHIR Patient Resource and designed to meet the applicable patient demographic data elements from the 2015 Edition Common Clinical Data Set.				R [1..1]
Patient.id	0	1		string	Logical id of this artifact	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.				R [1..1]
Patient.meta	0	1		Meta	Metadata about the resource	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.				NRT
Patient.implicitRules	0	1		uri	A set of rules under which this content was created	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.				NRT
Patient.language	0	1		code	Language of the resource content	The base language in which the resource is written.	preferred	A human language.	http://hl7.org/fhir/R4/ValueSet/languages	NRT
Patient.text	0	1		Narrative	Text summary of the resource, for human interpretation	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.				NRT
Patient.contained	0	*		Resource	Contained, inline Resources	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.				NRT
Patient.extension	0	*		Extension	Extension	An Extension				NR
Patient.extension (race)	0	1	Y	(Complex) optional ‘ombCategory’, optional ‘detailed’ and a required ‘text’. -‘ombCategory’ component is optional, but allows for up to 5 races from ombCategory-race ValueSet (note this is denoted by the 0..5 cardinality on the 3.1.1 definition of us-core-race oWhen present, the structure will always following a ‘coding’ datatype, as denoted by ‘valueCoding’ -‘detailed’ component is also optional, but may be present an infinite number of times, each ‘detailed’ containing one of the 917 race codes oWhen present, the structure will always following a ‘coding’ datatype, as denoted by ‘valueCoding’ -‘text’ as required is required to be present, but there are no rules around this data beyond it’ll be a string (ie it likely will be some combination of ombCategory and/or ‘detailed’, if present, but that’s about the as far as I’d go with a safe assumption). http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-race.html	US Core Race Extension	Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.		US Core Race Extension	http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-race	MS[0...*]
Patient.extension (ethnicity)	0	1	Y	(Complex)	US Core ethnicity Extension	Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.		US Core ethnicity Extension	http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-ethnicity	MS[0..*]
Patient.extension (sex at birth)	0	1	Y	code	Extension	A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc).	required	Birth Sex	http://hl7.org/fhir/us/core/STU3.1.1/ValueSet-birthsex	MS [0..1]
Patient.extension (gender identity)	0	1		Extension {http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity}	Extension	An Extension				MS [0..1]
Patient.modifierExtension	0	*		Extension	Extensions that cannot be ignored	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Patient.identifier	1	*	Y	Identifier	An identifier for this patient	An identifier for this patient.				R [1..*]
Patient.identifier.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NR
Patient.identifier.extension	0	*		Extension	Additional content defined by implementations	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.				NR
Patient.identifier.use	0	1		code	usual \| official \| temp \| secondary \| old (If known)	The purpose of this identifier.	required	Identifier Use	http://hl7.org/fhir/R4/ValueSet/identifier-use	MS[0..1]
Patient.identifier.type	0	1		CodeableConcept	Description of identifier	A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.	extensible	Identifier Type Codes	http://hl7.org/fhir/R4/ValueSet/identifier-type	MS[0..1]
Patient.identifier.system	1	1	Y	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient	Establishes the namespace for the value - that is, a URL that describes a set values that are unique.				NR
Patient.identifier.value	1	1	Y	string	The value that is unique within the system.	The portion of the identifier typically relevant to the user and which is unique within the context of the system.				R [1..1]
Patient.identifier.period	0	1		Period	Time period when id is/was valid for use	Time period during which identifier is/was valid for use.				MS [0..1]
Patient.identifier.assigner	0	1		Reference(Organization)	Organization that issued id (may be just text)	Organization that issued/manages the identifier.				NR
Patient.active	0	1		boolean	Whether this patient's record is in active use	Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.				NR
Patient.name	1	*	Y	HumanName	A name associated with the patient us-core-8: Either Patient.name.given and/or Patient.name.family SHALL be present or a Data Absent Reason Extension SHALL be present.	A name associated with the individual.				R [1..*]
Patient.name.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NR
Patient.name.extension	0	*		Extension	Additional content defined by implementations	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.				NR
Patient.name.use	0	1		code	usual \| official \| temp \| nickname \| anonymous \| old \| maiden	Identifies the purpose for this name.	required	NameUse	http://hl7.org/fhir/R4/ValueSet/name-use	MS[0..1]
Patient.name.text	0	1		string	Text representation of the full name	Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.				MS[0..1]
Patient.name.family	0	1	Y	string	Family name (often called 'Surname')	The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.				MS[0..1]
Patient.name.given	0	*	Y	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name	Given name.				MS[0..*]
Patient.name.prefix	0	*		string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name	Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.				MS[0..*]
Patient.name.suffix	0	*		string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name	Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.				MS[0..*]
Patient.name.period	0	1		Period	Time period when name was/is in use	Indicates the period of time when this name was valid for the named person.				MS[0..1]
Patient.telecom	0	*	Y	ContactPoint	A contact detail for the individual	A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.				MS[0..*]
Patient.telecom.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Patient.telecom.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Patient.telecom.system	1	1	Y	code	phone \| fax \| email \| pager \| url \| sms \| other	Telecommunications form for contact point - what communications system is required to make use of the contact.	required	ContactPointSystem	http://hl7.org/fhir/R4/ValueSet/contact-point-system	R [1..1]
Patient.telecom.value	1	1	Y	string	The actual contact point details	The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).				R [1..1]
Patient.telecom.use	0	1	Y	code	home \| work \| temp \| old \| mobile - purpose of this contact point	Identifies the purpose for the contact point.	required	ContactPointUse	http://hl7.org/fhir/R4/ValueSet/contact-point-use	MS[0..1]
Patient.telecom.rank	0	1		positiveInt	Specify preferred order of use (1 = highest)	Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.				MS[0..1]
Patient.telecom.period	0	1		Period	Time period when the contact point was/is in use	Time period when the contact point was/is in use.				MS[0..1]
Patient.gender	1	1	Y	code	male \| female \| other \| unknown	Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.	required	AdminstrativeGender	http://hl7.org/fhir/R4/ValueSet/administrative-gender	R [1..1]
Patient.birthDate	0	1	Y	date	The date of birth for the individual	The date of birth for the individual.				R [1..1]
Patient.deceased[x]	0	1		boolean dateTime	Indicates if the individual is deceased or not	Indicates if the individual is deceased or not.				MS[0..1]
Patient.address	0	*	Y	Address	An address for the individual	An address for the individual.				MS[0..*]
Patient.address.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NR
Patient.address.extension	0	*		Extension	Additional content defined by implementations	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.				NR
Patient.address.use	0	1		code	home \| work \| temp \| old \| billing - purpose of this address	The purpose of this address.	required	AddressUse	http://hl7.org/fhir/R4/ValueSet/address-use	MS[0..1]
Patient.address.type	0	1		code	home\|postal \| physical \| both	Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.	required	AddressType	http://hl7.org/fhir/R4/ValueSet/address-type	MS[0..1]
Patient.address.text	0	1		string	Text representation of the address	Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.				MS[0..1]
Patient.address.line	0	*	Y	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label	This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.				MS[0..*]
Patient.address.city	0	1	Y	string	Name of city, town etc.	The name of the city, town, suburb, village or other community or delivery center.				MS[0..1]
Patient.address.district	0	1		string	District name (aka county)	The name of the administrative area (county).				MS[0..1]
Patient.address.state	0	1	Y	string	Sub-unit of country (abbreviations ok)	Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).	extensible	USPS Two Letter Alphabetic Codes	http://hl7.org/fhir/us/core/STU3.1.1/ValueSet-us-core-usps-state	MS[0..1]
Patient.address.postalCode	0	1	Y	string	US Zip Codes	A postal code designating a region defined by the postal service.				MS[0..1]
Patient.address.country	0	1		string	Country (e.g. can be ISO 3166 2 or 3 letter code)	Country - a nation as commonly understood or generally accepted.				MS[0..1]
Patient.address.period	0	1	Y	Period	Time period when address was/is in use	Time period when address was/is in use.				MS[0..1]
Patient.maritalStatus	0	1		CodeableConcept	Marital (civil) status of a patient	This field contains a patient's most recent marital (civil) status.	extensible	Marital Status Codes	http://hl7.org/fhir/R4/ValueSet/marital-status	NR
Patient.multipleBirth[x]	0	1		boolean integer	Whether patient is part of a multiple birth	Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).				NR
Patient.photo	0	*		Attachment	Image of the patient	Image of the patient.				NR
Patient.contact	0	*		BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient	A contact party (e.g. guardian, partner, friend) for the patient.				MS[0..*]
Patient.contact.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NR
Patient.contact.extension	0	*		Extension	Additional content defined by implementations	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.				NR
Patient.contact.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Patient.contact.relationship	0	*		CodeableConcept	The kind of relationship	The nature of the relationship between the patient and the contact person.	extensible	The nature of the relationship between a patient and a contact person for that patient.	http://hl7.org/fhir/R4/ValueSet/patient-contactrelationship	MS[0..*]
Patient.contact.name	0	1		HumanName	A name associated with the contact person	A name associated with the contact person.				MS[0..1]
Patient.contact.telecom	0	*		ContactPoint	A contact detail for the person	A contact detail for the person, e.g. a telephone number or an email address.				MS[0..*]
Patient.contact.address	0	1		Address	Address for the contact person	Address for the contact person.				MS[0..1]
Patient.contact.gender	0	1		code	male \| female \| other \| unknown	Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.	required	The gender of a person used for administrative purposes.	http://hl7.org/fhir/R4/ValueSet/administrative-gender	NR
Patient.contact.organization	0	1		Reference(Organization)	Organization that is associated with the contact	Organization on behalf of which the contact is acting or for which the contact is working.				NR
Patient.contact.period	0	1		Period	The period during which this contact person or organization is valid to be contacted relating to this patient	The period during which this contact person or organization is valid to be contacted relating to this patient.				MS[0..1)
Patient.communication	0	*	Y	BackboneElement	A language which may be used to communicate with the patient about his or her health	A language which may be used to communicate with the patient about his or her health.				MS[0..*]
Patient.communication.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NR
Patient.communication.extension	0	*		Extension	Additional content defined by implementations	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.				NR
Patient.communication.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Patient.communication.language	1	1	Y	CodeableConcept	The language which can be used to communicate with the patient about his or her health	The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.	extensible		http://hl7.org/fhir/us/core/STU3.1.1/ValueSet-simple-language	R [1..1]
Patient.communication.preferred	0	1		boolean	Language preference indicator	Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).				MS[0..1]
Patient.generalPractitioner	0	*		Reference(Organization\|Practitioner\|PractitionerRole)	Patient's nominated primary care provider	Patient's nominated care provider.				NR
Patient.managingOrganization	0	1		Reference(Organization)	Organization that is the custodian of the patient record	Organization that is the custodian of the patient record.				[0..1]
Patient.link	0	*		BackboneElement	Link to another patient resource that concerns the same actual person	Link to another patient resource that concerns the same actual patient.				MS[0..*]
Patient.link.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				[0..*]
Patient.link.extension	0	*		Extension	Additional content defined by implementations	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.				[0..*]
Patient.link.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				[0..*]
Patient.link.other	1	1		Reference(Patient\|RelatedPerson)	The other patient or related person resource that the link refers to	The other patient resource that the link refers to.				R [1..1]
Patient.link.type	1	1		code	replaced-by \| replaces \| refer \| seealso	The type of link between this patient resource and another patient resource.	required	LinkType	http://hl7.org/fhir/R4/ValueSet/link-type	R [1..1]

Sheet 11: Procedure-US Core

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FHIR Path	Min	Max	Must Support?	Type(s)	Short	Definition	Binding Strength	Binding Description	Binding Value Set	RPS
Procedure	0	*			An action that is being or was performed on a patient	The US Core Condition Profile is based upon the core FHIR Procedure Resource and created to meet the 2015 Edition Common Clinical Data Set 'Procedures' requirements.				MS [0..*]
Procedure.id	0	1		string	Logical id of this artifact	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.				R [1..1]
Procedure.meta	0	1		Meta	Metadata about the resource	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.				NRT
Procedure.implicitRules	0	1		uri	A set of rules under which this content was created	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.				NRT
Procedure.language	0	1		code	Language of the resource content	The base language in which the resource is written.	preferred	A human language.	http://hl7.org/fhir/R4/ValueSet/languages	NRT
Procedure.text	0	1		Narrative	Text summary of the resource, for human interpretation	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.				NRT
Procedure.contained	0	*		Resource	Contained, inline Resources	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.				NRT
Procedure.extension	0	*		Extension	Additional content defined by implementations	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.				NRT
Procedure.modifierExtension	0	*		Extension	Extensions that cannot be ignored	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Procedure.identifier	0	*		Identifier	External Identifiers for this procedure	Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and is propagated from server to server.				NRT
Procedure.instantiatesCanonical	0	*		canonical(PlanDefinition\|ActivityDefinition\|Measure\|OperationDefinition\|Questionnaire)	Instantiates FHIR protocol or definition	The URL pointing to a FHIR-defined protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure.				NR
Procedure.instantiatesUri	0	*		uri	Instantiates external protocol or definition	The URL pointing to an externally maintained protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure.				NR
Procedure.basedOn	0	*		Reference(CarePlan\|ServiceRequest)	A request for this procedure	A reference to a resource that contains details of the request for this procedure.				NR
Procedure.partOf	0	*		Reference(Procedure\|Observation\|MedicationAdministration)	Part of referenced event	A larger event of which this particular procedure is a component or step.				NR
Procedure.status	1	1	Y	code	preparation \| in-progress \| not-done \| on-hold \| stopped \| completed \| entered-in-error \| unknown	A code specifying the state of the procedure. Generally, this will be the in-progress or completed state.	required		http://hl7.org/fhir/R4/ValueSet/event-status	R [1..1]
Procedure.statusReason	0	1		CodeableConcept	Reason for current status	Captures the reason for the current state of the procedure.	example	A code that identifies the reason a procedure was not performed.	http://hl7.org/fhir/R4/ValueSet/procedure-not-performed-reason	NR
Procedure.category	0	1		CodeableConcept	Classification of the procedure	A code that classifies the procedure for searching, sorting and display purposes (e.g. "Surgical Procedure").	example	A code that classifies a procedure for searching, sorting and display purposes.	http://hl7.org/fhir/R4/ValueSet/procedure-category	NR
Procedure.code	1	1	Y	CodeableConcept	Identification of the procedure	The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. "Laparoscopic Appendectomy").	extensible	Codes describing the type of Procedure	http://hl7.org/fhir/R4/valueset-procedure-code.html	R [1..1]
Procedure.subject	1	1	Y	Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)	Who the procedure was performed on	The person, animal or group on which the procedure was performed.				R [1..1]
Procedure.encounter	0	1		Reference(Encounter)	Encounter created as part of	The Encounter during which this Procedure was created or performed or to which the creation of this record is tightly associated.				MS [0..1]
Procedure.performed[x]	[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: 3/15 Updated from 0 to 1 - this was an error 1	1	Y	dateTime Period string Age Range	When the procedure was performed	Estimated or actual date, date-time, period, or age when the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured.				R [1..1]
Procedure.recorder	0	1		Reference(Patient\|RelatedPerson\|Practitioner\|PractitionerRole)	Who recorded the procedure	Individual who recorded the record and takes responsibility for its content.				NR
Procedure.asserter	0	1		Reference(Patient\|RelatedPerson\|Practitioner\|PractitionerRole)	Person who asserts this procedure	Individual who is making the procedure statement.				NR
Procedure.performer	0	*		BackboneElement	The people who performed the procedure	Limited to "real" people rather than equipment.				NR
Procedure.performer.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Procedure.performer.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Procedure.performer.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Procedure.performer.function	0	1		CodeableConcept	Type of performance	Distinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaesthetist, endoscopist.	example	A code that identifies the role of a performer of the procedure.	http://hl7.org/fhir/R4/ValueSet/performer-role	NR
Procedure.performer.actor	1	1		Reference(Practitioner\|PractitionerRole\|Organization\|Patient\|RelatedPerson\|Device)	The reference to the practitioner	The practitioner who was involved in the procedure.				NR
Procedure.performer.onBehalfOf	0	1		Reference(Organization)	Organization the device or practitioner was acting for	The organization the device or practitioner was acting on behalf of.				NR
Procedure.location	0	1		Reference(Location)	Where the procedure happened	The location where the procedure actually happened. E.g. a newborn at home, a tracheostomy at a restaurant.				MS [0..1]
Procedure.reasonCode	0	*		CodeableConcept	Coded reason procedure performed	The coded reason why the procedure was performed. This may be a coded entity of some type, or may simply be present as text.	example	A code that identifies the reason a procedure is required.	http://hl7.org/fhir/R4/ValueSet/procedure-reason	NR
Procedure.reasonReference	0	*		Reference(Condition\|Observation\|Procedure\|DiagnosticReport\|DocumentReference)	The justification that the procedure was performed	The justification of why the procedure was performed.				NR
Procedure.bodySite	0	*		CodeableConcept	Target body sites	Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.	example	Codes describing anatomical locations. May include laterality.	http://hl7.org/fhir/R4/ValueSet/body-site	NR
Procedure.outcome	0	1		CodeableConcept	The result of procedure	The outcome of the procedure - did it resolve the reasons for the procedure being performed?	example	An outcome of a procedure - whether it was resolved or otherwise.	http://hl7.org/fhir/R4/ValueSet/procedure-outcome	NR
Procedure.report	0	*		Reference(DiagnosticReport\|DocumentReference\|Composition)	Any report resulting from the procedure	This could be a histology result, pathology report, surgical report, etc.				NR
Procedure.complication	0	*		CodeableConcept	Complication following the procedure	Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues.	example	Codes describing complications that resulted from a procedure.	http://hl7.org/fhir/R4/ValueSet/condition-code	NR
Procedure.complicationDetail	0	*		Reference(Condition)	A condition that is a result of the procedure	Any complications that occurred during the procedure, or in the immediate post-performance period.				NR
Procedure.followUp	0	*		CodeableConcept	Instructions for follow up	If the procedure required specific follow up - e.g. removal of sutures. The follow up may be represented as a simple note or could potentially be more complex, in which case the CarePlan resource can be used.	example	Specific follow up required for a procedure e.g. removal of sutures.	http://hl7.org/fhir/R4/ValueSet/procedure-followup	NR
Procedure.note	0	*		Annotation	Additional information about the procedure	Any other notes and comments about the procedure.				NR
Procedure.focalDevice	0	*		BackboneElement	Manipulated, implanted, or removed device	A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.				NR
Procedure.focalDevice.id	0	1		string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Procedure.focalDevice.extension	0	*		Extension	Additional content defined by implementations	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.				NRT
Procedure.focalDevice.modifierExtension	0	*		Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Procedure.focalDevice.action	0	1		CodeableConcept	Kind of change to device	The kind of change that happened to the device during the procedure.	preferred	A kind of change that happened to the device during the procedure.	http://hl7.org/fhir/R4/ValueSet/device-action	NR
Procedure.focalDevice.manipulated	1	1		Reference(Device)	Device that was changed	The device that was manipulated (changed) during the procedure.				NR
Procedure.usedReference	0	*		Reference(Device\|Medication\|Substance)	Items used during procedure	Identifies medications, devices and any other substance used as part of the procedure.				NR
Procedure.usedCode	0	*		CodeableConcept	Coded items used during the procedure	Identifies coded items that were used as part of the procedure.	example	Codes describing items used during a procedure.	http://hl7.org/fhir/R4/ValueSet/device-kind	NR

Sheet 12: Service Request-R4

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FHIR Path	Min	Max	Type(s)	Short	Definition	Binding Strength	Binding Description	Binding Value Set	RPS
ServiceRequest	0	*		A request for a service to be performed	A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.				MS [0..*]
ServiceRequest.id	0	1	id	Logical id of this artifact	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.				R [1..1]
ServiceRequest.meta	0	1	Meta	Metadata about the resource	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.				NRT
ServiceRequest.implicitRules	0	1	uri	A set of rules under which this content was created	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.				NRT
ServiceRequest.language	0	1	code	Language of the resource content	The base language in which the resource is written.	preferred	Common Languages	http://hl7.org/fhir/R4/ValueSet/languages	NRT
ServiceRequest.text	0	1	Narrative	Text summary of the resource, for human interpretation	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.				NRT
ServiceRequest.contained	0	*	Resource	Contained, inline Resources	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.				NRT
ServiceRequest.extension	0	*	Extension	Additional content defined by implementations	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.				NRT
ServiceRequest.modifierExtension	0	*	Extension	Extensions that cannot be ignored	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
ServiceRequest.identifier	0	*	Identifier	Identifiers assigned to this order	Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller.				NRT
ServiceRequest.instantiatesCanonical	0	*	canonical(ActivityDefinition\|PlanDefinition)	Instantiates FHIR protocol or definition	The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest.				NR
ServiceRequest.instantiatesUri	0	*	uri	Instantiates external protocol or definition	The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest.				NR
ServiceRequest.basedOn	0	*	Reference(CarePlan\|ServiceRequest\|MedicationRequest)	What request fulfills	Plan/proposal/order fulfilled by this request.				NR
ServiceRequest.replaces	0	*	Reference(ServiceRequest)	What request replaces	The request takes the place of the referenced completed or terminated request(s).				NR
ServiceRequest.requisition	0	1	Identifier	Composite Request ID	A shared identifier common to all service requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier.				NR
ServiceRequest.status	1	1	code	draft \| active \| on-hold \| revoked \| completed \| entered-in-error \| unknown	The status of the order.	required	RequestStatus	http://hl7.org/fhir/R4/ValueSet/request-status	R [1..1]
ServiceRequest.intent	1	1	code	proposal \| plan \| directive \| order \| original-order \| reflex-order \| filler-order \| instance-order \| option	Whether the request is a proposal, plan, an original order or a reflex order.	required	RequestIntent	http://hl7.org/fhir/R4/ValueSet/request-intent	R [1..1]
ServiceRequest.category	0	*	CodeableConcept	Classification of service	A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure").	example	Service Request Category Codes	http://hl7.org/fhir/R4/ValueSet/servicerequest-category	MS [0..*]
ServiceRequest.priority	0	1	code	routine \| urgent \| asap \| stat	Indicates how quickly the ServiceRequest should be addressed with respect to other requests.	required	Request priority	http://hl7.org/fhir/R4/ValueSet/request-priority	MS [0…1]
ServiceRequest.doNotPerform	0	1	boolean	True if service/procedure should not be performed	Set this to true if the record is saying that the service/procedure should NOT be performed.				MS [0..1]
ServiceRequest.code	0	1	CodeableConcept	What is being requested/ordered	A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested.	example	Procedure Codes (SNOMED CT)	http://hl7.org/fhir/R4/ValueSet/procedure-code	MS [0..1]
ServiceRequest.orderDetail	0	*	CodeableConcept	Additional order information	Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied.	example	Service Request Order Details Codes	http://hl7.org/fhir/R4/ValueSet/servicerequest-orderdetail	NR
ServiceRequest.quantity[x]	0	1	Quantity RatioRange	Service amount	An amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction).				NR
ServiceRequest.subject	1	1	Reference(Patient\|Group\|Location\|Device)	Individual or Entity the service is ordered for	On whom or what the service is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans).				R [1..1]
ServiceRequest.encounter	0	1	Reference(Encounter)	Encounter in which the request was created	An encounter that provides additional information about the healthcare context in which this request is made.				MS [0..1]
ServiceRequest.occurrence[x]	0	1	dateTime Period Timing	When service should occur	The date/time at which the requested service should occur.				MS [0..1]
ServiceRequest.asNeeded[x]	0	1	boolean CodeableConcept	Preconditions for service	If a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc.	example	SNOMED CT Medication As Needed Reason Codes	http://hl7.org/fhir/R4/ValueSet/medication-as-needed-reason	MS [0..1]
ServiceRequest.authoredOn	0	1	dateTime	Date request signed	When the request transitioned to being actionable.				MS [0..1]
ServiceRequest.requester	0	1	Reference(Practitioner\|PractitionerRole\|Organization\|Patient\|RelatedPerson\|Device)	Who/what is requesting service	The individual who initiated the request and has responsibility for its activation.				NR
ServiceRequest.performerType	0	1	CodeableConcept	Performer role	Desired type of performer for doing the requested service.	example	Participant Roles	https://hl7.org/fhir/R4/valueset-participant-role	NR
ServiceRequest.performer	0	*	Reference(Practitioner\|PractitionerRole\|Organization\|CareTeam\|HealthcareService\|Patient\|Device\|RelatedPerson)	Requested performer	The desired performer for doing the requested service. For example, the surgeon, dermatopathologist, endoscopist, etc.				NR
ServiceRequest.locationCode	0	*	CodeableConcept	Requested location	The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center.	example	V3 Value SetServiceDeliveryLocationRoleType	https://hl7.org/fhir/R4/v3/ServiceDeliveryLocationRoleType/vs	NR
ServiceRequest.locationReference	0	*	Reference(Location)	Requested location	A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center.				NR
ServiceRequest.reasonCode	0	*	CodeableConcept	Explanation/Justification for procedure or service	An explanation or justification for why this service is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in `supportingInfo`.	example	Procedure Reason Codes	http://hl7.org/fhir/R4/ValueSet/procedure-reason	NR
ServiceRequest.reasonReference	0	*	Reference(Condition\|Observation\|DiagnosticReport\|DocumentReference)	Explanation/Justification for service or service	Indicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in `supportingInfo`.				MS [0..*]
ServiceRequest.insurance	0	*	Reference(Coverage\|ClaimResponse)	Associated insurance coverage	Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service.				NR
ServiceRequest.supportingInfo	0	*	Reference(Resource)	Additional clinical information	Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as "ask at order entry questions (AOEs)". This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements.				NR
ServiceRequest.specimen	0	*	Reference(Specimen)	Procedure Samples	One or more specimens that the laboratory procedure will use.				NR
ServiceRequest.bodySite	0	*	CodeableConcept	Location on Body	Anatomic location where the procedure should be performed. This is the target site.	example	SNOMED CT Body Structures	http://hl7.org/fhir/R4/ValueSet/body-site	NR
ServiceRequest.note	0	*	Annotation	Comments	Any other notes and comments made about the service request. For example, internal billing notes.				NR
ServiceRequest.patientInstruction	0	1	string	Patient or consumer-oriented instructions	Instructions in terms that are understood by the patient or consumer.				NR
ServiceRequest.relevantHistory	0	*	Reference(Provenance)	Request provenance	Key events in the history of the request.				NR

Sheet 13: Specimen-R4

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FHIR Path	Min	Max	Type(s)	Short	Definition	Binding Strength	Binding Description	Binding Value Set	RPS
Specimen	0	*		Sample for analysis	A sample to be used for analysis.				MS [0..*]
Specimen.id	0	1	id	Logical id of this artifact	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.				R [1..1]
Specimen.meta	0	1	Meta	Metadata about the resource	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.				NRT
Specimen.implicitRules	0	1	uri	A set of rules under which this content was created	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.				NRT
Specimen.language	0	1	code	Language of the resource content	The base language in which the resource is written.	preferred	Common Languages	http://hl7.org/fhir/R4/ValueSet/languages	NRT
Specimen.text	0	1	Narrative	Text summary of the resource, for human interpretation	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.				NRT
Specimen.contained	0	*	Resource	Contained, inline Resources	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.				NRT
Specimen.extension	0	*	Extension	Additional content defined by implementations	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.				NRT
Specimen.modifierExtension	0	*	Extension	Extensions that cannot be ignored	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Specimen.identifier	0	*	Identifier	External Identifier	Id for specimen.				MS [0..*]
Specimen.accessionIdentifier	0	1	Identifier	Identifier assigned by the lab	The identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures.				R [1..1]
Specimen.status	0	1	code	available \| unavailable \| unsatisfactory \| entered-in-error	The availability of the specimen.	required	SpecimenStatus	http://hl7.org/fhir/R4/ValueSet/specimen-status	NR
Specimen.type	0	1	CodeableConcept	Kind of material that forms the specimen	The kind of material that forms the specimen.	example	V2 Specimen Type	https://hl7.org/fhir/R4/v2/0487/index	R [1..1]
Specimen.subject	0	1	Reference(Patient\|Group\|Device\|Substance\|Location)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device.				MS [0..1]
Specimen.receivedTime	0	1	dateTime	The time when specimen was received for processing	Time when specimen was received for processing or testing.				NR
Specimen.parent	0	*	Reference(Specimen)	Specimen from which this specimen originated	Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen.				NR
Specimen.request	0	*	Reference(ServiceRequest)	Why the specimen was collected	Details concerning a service request that required a specimen to be collected.				MS [0..*]
Specimen.collection	0	1	BackboneElement	Collection details	Details concerning the specimen collection.				R [1..1]
Specimen.collection.id	0	1	string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Specimen.collection.extension	0	*	Extension	Additional content defined by implementations	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.				NRT
Specimen.collection.modifierExtension	0	*	Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Specimen.collection.collector	0	1	Reference(Practitioner\|PractitionerRole)	Who collected the specimen	Person who collected the specimen.				NR
Specimen.collection.collected[x]	0	1	dateTime Period	Collection time	Time when specimen was collected from subject - the physiologically relevant time.				R [1..1]
Specimen.collection.duration	0	1	Duration	How long it took to collect specimen	The span of time over which the collection of a specimen occurred.				NR
Specimen.collection.quantity	0	1	Quantity {SimpleQuantity}	The quantity of specimen collected	The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample.				NR
Specimen.collection.method	0	1	CodeableConcept	Technique used to perform collection	A coded value specifying the technique that is used to perform the procedure.	example	FHIR Specimen Collection Method	http://hl7.org/fhir/R4/ValueSet/specimen-collection-method	NR
Specimen.collection.bodySite	0	1	CodeableConcept	Anatomical collection site	Anatomical location from which the specimen was collected (if subject is a patient). This is the target site. This element is not used for environmental specimens.	example	SNOMED CT Body Structures	http://hl7.org/fhir/R4/valueset-body-site	R [1..1]
Specimen.collection.fastingStatus[x]	0	1	CodeableConcept Duration	Whether or how long patient abstained from food and/or drink	Abstinence or reduction from some or all food, drink, or both, for a period of time prior to sample collection.	extensible	v2 Relevant Clinical Inforrmation	https://hl7.org/fhir/R4/v2/0916/index	NR
Specimen.processing	0	*	BackboneElement	Processing and processing step details	Details concerning processing and processing steps for the specimen.				NR
Specimen.processing.id	0	1	string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Specimen.processing.extension	0	*	Extension	Additional content defined by implementations	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.				NRT
Specimen.processing.modifierExtension	0	*	Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Specimen.processing.description	0	1	string	Textual description of procedure	Textual description of procedure.				NR
Specimen.processing.procedure	0	1	CodeableConcept	Indicates the treatment step applied to the specimen	A coded value specifying the procedure used to process the specimen.	example	Specimen processing procedure	http://hl7.org/fhir/R4/ValueSet/specimen-processing-procedure	NR
Specimen.processing.additive	0	*	Reference(Substance)	Material used in the processing step	Material used in the processing step.				NR
Specimen.processing.time[x]	0	1	dateTime Period	Date and time of specimen processing	A record of the time or period when the specimen processing occurred. For example the time of sample fixation or the period of time the sample was in formalin.				NR
Specimen.container	0	*	BackboneElement	Direct container of specimen (tube/slide, etc.)	The container holding the specimen. The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here.				NR
Specimen.container.id	0	1	string	Unique id for inter-element referencing	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.				NRT
Specimen.container.extension	0	*	Extension	Additional content defined by implementations	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.				NRT
Specimen.container.modifierExtension	0	*	Extension	Extensions that cannot be ignored even if unrecognized	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).				NRT
Specimen.container.identifier	0	*	Identifier	Id for the container	Id for container. There may be multiple; a manufacturer's bar code, lab assigned identifier, etc. The container ID may differ from the specimen id in some circumstances.				NRT
Specimen.container.description	0	1	string	Textual description of the container	Textual description of the container.				NR
Specimen.container.type	0	1	CodeableConcept	Kind of container directly associated with specimen	The type of container associated with the specimen (e.g. slide, aliquot, etc.).	example	Speciment container	http://hl7.org/fhir/R4/ValueSet/specimen-container-type	NR
Specimen.container.capacity	0	1	Quantity {SimpleQuantity}	Container volume or size	The capacity (volume or other measure) the container may contain.				NR
Specimen.container.specimenQuantity	0	1	Quantity {SimpleQuantity}	Quantity of specimen within container	The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type.				NR
Specimen.container.additive[x]	0	1	CodeableConcept Reference(Substance)	Additive associated with container	Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.	example	v2 Additive	https://hl7.org/fhir/R4/v2/0371/index	NR
Specimen.condition	0	*	CodeableConcept	State of the specimen	A mode or state of being that describes the nature of the specimen.	extensible	v2 Specimen Condition	https://hl7.org/fhir/R4/v2/0493/index	NR
Specimen.note	0	*	Annotation	Comments	To communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen).				NR

Sheet 14: Metadata

Property	Value
URL	http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition
Version	4.1.0
Name	USCoreCondition
Title	US Core Condition Profile
Status	active
Experimental	false
Date	2020-06-27
Publisher	HL7 International - Cross-Group Projects
Contact	No display for ContactDetail
Jurisdiction	United States of America
Description	Defines constraints and extensions on the Condition resource for the minimal set of data to query and retrieve problems and health concerns information.
Purpose
Copyright	Used by permission of HL7 International, all rights reserved Creative Commons License
FHIR Version	4.0.1
Kind	resource
Type	Condition
Base Definition	http://hl7.org/fhir/StructureDefinition/Condition
Abstract	false
Derivation	constraint

Property	Value
URL	http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition
Version	4.1.0
Name	USCoreCondition
Title	US Core Condition Profile
Status	active
Experimental	false
Date	2020-06-27
Publisher	HL7 International - Cross-Group Projects
Contact	No display for ContactDetail
Jurisdiction	United States of America
Description	Defines constraints and extensions on the Condition resource for the minimal set of data to query and retrieve problems and health concerns information.
Purpose
Copyright	Used by permission of HL7 International, all rights reserved Creative Commons License
FHIR Version	4.0.1
Kind	resource
Type	Condition
Base Definition	http://hl7.org/fhir/StructureDefinition/Condition
Abstract	false
Derivation	constraint

Property	Value
URL	http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference
Version	4.1.0
Name	USCoreDocumentReferenceProfile
Title	US Core DocumentReference Profile
Status	active
Experimental	false
Date	2020-07-02
Publisher	HL7 International - Cross-Group Projects
Contact	No display for ContactDetail
Jurisdiction	United States of America
Description	The document reference profile used in US Core.
Purpose
Copyright	Used by permission of HL7 International, all rights reserved Creative Commons License
FHIR Version	4.0.1
Kind	resource
Type	DocumentReference
Base Definition	http://hl7.org/fhir/StructureDefinition/DocumentReference
Abstract	false
Derivation	constraint

Property	Value
URL	http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter
Version	4.1.0
Name	USCoreEncounterProfile
Title	US Core Encounter Profile
Status	active
Experimental	false
Date	2019-05-21
Publisher	HL7 International - Cross-Group Projects
Contact	No display for ContactDetail
Jurisdiction	United States of America
Description	The Encounter referenced in the US Core profiles.
Purpose
Copyright	Used by permission of HL7 International, all rights reserved Creative Commons License
FHIR Version	4.0.1
Kind	resource
Type	Encounter
Base Definition	http://hl7.org/fhir/StructureDefinition/Encounter
Abstract	false
Derivation	constraint

Property	Value
URL	http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization
Version	4.1.0
Name	USCoreImmunizationProfile
Title	US Core Immunization Profile
Status	active
Experimental	false
Date	2019-08-26
Publisher	HL7 International - Cross-Group Projects
Contact	No display for ContactDetail
Jurisdiction	United States of America
Description	Defines constraints and extensions on the Immunization resource for the minimal set of data to query and retrieve patient's immunization information.
Purpose
Copyright	Used by permission of HL7 International, all rights reserved Creative Commons License
FHIR Version	4.0.1
Kind	resource
Type	Immunization
Base Definition	http://hl7.org/fhir/StructureDefinition/Immunization
Abstract	false
Derivation	constraint

Property	Value
URL	http://hl7.org/fhir/us/core/StructureDefinition/us-core-location
Version	4.1.0
Name	USCoreLocation
Title	US Core Location Profile
Status	active
Experimental	false
Date	2019-05-21
Publisher	HL7 International - Cross-Group Projects
Contact	No display for ContactDetail
Jurisdiction	United States of America
Description	Defines basic constraints and extensions on the Location resource for use with other US Core resources
Purpose
Copyright	Used by permission of HL7 International, all rights reserved Creative Commons License
FHIR Version	4.0.1
Kind	resource
Type	Location
Base Definition	http://hl7.org/fhir/StructureDefinition/Location
Abstract	false
Derivation	constraint

Property	Value
URL	http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication
Version	4.1.0
Name	USCoreMedicationProfile
Title	US Core Medication Profile
Status	active
Experimental	false
Date	2019-05-21
Publisher	HL7 International - Cross-Group Projects
Contact	No display for ContactDetail
Jurisdiction	United States of America
Description	Defines constraints and extensions on the Medication resource for the minimal set of data to query and retrieve patient retrieving patient's medication information.
Purpose
Copyright	Used by permission of HL7 International, all rights reserved Creative Commons License
FHIR Version	4.0.1
Kind	resource
Type	Medication
Base Definition	http://hl7.org/fhir/StructureDefinition/Medication
Abstract	false
Derivation	constraint

Property	Value
URL	http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
Version	4.1.0
Name	USCoreMedicationRequestProfile
Title	US Core MedicationRequest Profile
Status	active
Experimental	false
Date	2020-06-26
Publisher	HL7 International - Cross-Group Projects
Contact	No display for ContactDetail
Jurisdiction	United States of America
Description	Defines constraints and extensions on the MedicationRequest resource for the minimal set of data to query and retrieve prescription information.
Purpose
Copyright	Used by permission of HL7 International, all rights reserved Creative Commons License
FHIR Version	4.0.1
Kind	resource
Type	MedicationRequest
Base Definition	http://hl7.org/fhir/StructureDefinition/MedicationRequest
Abstract	false
Derivation	constraint

Property	Value
URL	http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
Version	4.1.0
Name	USCoreLaboratoryResultObservationProfile
Title	US Core Laboratory Result Observation Profile
Status	active
Experimental	false
Date	2020-06-27
Publisher	HL7 International - Cross-Group Projects
Contact	No display for ContactDetail
Jurisdiction	United States of America
Description	Defines constraints and extensions on the Observation resource for the minimal set of data to query and retrieve laboratory test results
Purpose
Copyright	Used by permission of HL7 International, all rights reserved Creative Commons License
FHIR Version	4.0.1
Kind	resource
Type	Observation
Base Definition	http://hl7.org/fhir/StructureDefinition/Observation
Abstract	false
Derivation	constraint


Property	Value
URL	http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure
Version	4.1.0
Name	USCoreProcedureProfile
Title	US Core Procedure Profile
Status	active
Experimental	false
Date	2020-06-29
Publisher	HL7 International - Cross-Group Projects
Contact	No display for ContactDetail
Jurisdiction	United States of America
Description	Defines constraints and extensions on the Procedure resource for the minimal set of data to query and retrieve patient's procedure information. This profile can be used to record a service or intervention that is or was performed on or for a patient.
Purpose
Copyright	Used by permission of HL7 International, all rights reserved Creative Commons License
FHIR Version	4.0.1
Kind	resource
Type	Procedure
Base Definition	http://hl7.org/fhir/StructureDefinition/Procedure
Abstract	false
Derivation	constraint

Property	Value
URL	http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest
Version	4.1.0
Name	USCoreServiceRequest
Title	US Core Service Request
Status	active
Experimental
Date	2018-08-22T00:00:00+00:00
Publisher	HL7 International - Cross-Group Projects
Contact	No display for ContactDetail
Jurisdiction	United States of America
Description	Defines constraints and extensions on the ServiceRequest resource for the minimal set of data to query and retrieve orders associated with diagnostic and clinical tests and clinical interventions for a patient
Purpose
Copyright	Used by permission of HL7 International, all rights reserved Creative Commons License
FHIR Version	4.0.1
Kind	resource
Type	ServiceRequest
Base Definition	http://hl7.org/fhir/StructureDefinition/ServiceRequest
Abstract	false
Derivation	constraint

Property	Value
URL	http://hl7.org/fhir/StructureDefinition/Coverage
Version	4.3.0
Name	Coverage
Title
Status	draft
Experimental	false
Date	2022-05-28T12:47:40+10:00
Publisher	Health Level Seven International (Financial Management)
Contact	No display for ContactDetail
Contact	No display for ContactDetail
Description	Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.
Purpose	Coverage provides a link between covered parties (patients) and the payors of their healthcare costs (both insurance and self-pay).
Copyright
FHIR Version	4.3.0
Kind	resource
Type	Coverage
Base Definition	http://hl7.org/fhir/StructureDefinition/DomainResource
Abstract	false
Derivation	specialization


Property	Value
URL	http://hl7.org/fhir/StructureDefinition/MedicationAdministration
Version	4.3.0
Name	MedicationAdministration
Title
Status	draft
Experimental	false
Date	2022-05-28T12:47:40+10:00
Publisher	Health Level Seven International (Pharmacy)
Contact	No display for ContactDetail
Contact	No display for ContactDetail
Description	Describes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.
Purpose
Copyright
FHIR Version	4.3.0
Kind	resource
Type	MedicationAdministration
Base Definition	http://hl7.org/fhir/StructureDefinition/DomainResource
Abstract	false
Derivation	specialization

Property	Value
URL	http://hl7.org/fhir/StructureDefinition/Observation
Version	4.3.0
Name	Observation
Title
Status	active
Experimental	false
Date	2022-05-28T12:47:40+10:00
Publisher	Health Level Seven International (Orders and Observations)
Contact	No display for ContactDetail
Contact	No display for ContactDetail
Description	Measurements and simple assertions made about a patient, device or other subject.
Purpose	Observations are a key aspect of healthcare. This resource is used to capture those that do not require more sophisticated mechanisms.
Copyright
FHIR Version	4.3.0
Kind	resource
Type	Observation
Base Definition	http://hl7.org/fhir/StructureDefinition/DomainResource
Abstract	false
Derivation	specialization

Property	Value
URL	http://hl7.org/fhir/StructureDefinition/Specimen
Version	4.3.0
Name	Specimen
Title
Status	draft
Experimental	false
Date	2022-05-28T12:47:40+10:00
Publisher	Health Level Seven International (Orders and Observations)
Contact	No display for ContactDetail
Contact	No display for ContactDetail
Description	A sample to be used for analysis.
Purpose
Copyright
FHIR Version	4.3.0
Kind	resource
Type	Specimen
Base Definition	http://hl7.org/fhir/StructureDefinition/DomainResource
Abstract	false
Derivation	specialization

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File Modified	0000-00-00
File Created	0000-00-00