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StructureDefinition: HDLCholesterol - XML

Orders and Observations Work Group Maturity Level: 1Trial UseUse Context: Not yet ready for Production use

HDLCholesterol

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

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="hdlcholesterol"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">to do</div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="oo"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/hdlcholesterol"/> 
  <version value="3.6.0"/> 
  <name value="Example Lipid Profile"/> 
  <status value="draft"/> 
  <experimental value="true"/> 
  <date value="2012-05-12"/> 
  <publisher value="Grahame Grieve"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="grahame@healthintersections.com.au"/> 
    </telecom> 
  </contact> 
  <description value="HDL Cholesterol Result"/> 
  <fhirVersion value="3.6.0"/> 
  <mapping> 
    <identity value="workflow"/> 
    <uri value="http://hl7.org/fhir/workflow"/> 
    <name value="Workflow Pattern"/> 
  </mapping> 
  <mapping> 
    <identity value="sct-concept"/> 
    <uri value="http://snomed.info/conceptdomain"/> 
    <name value="SNOMED CT Concept Domain Binding"/> 
  </mapping> 
  <mapping> 
    <identity value="v2"/> 
    <uri value="http://hl7.org/v2"/> 
    <name value="HL7 v2 Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern"/> 
  </mapping> 
  <mapping> 
    <identity value="sct-attr"/> 
    <uri value="http://snomed.info/sct"/> 
    <name value="SNOMED CT Attribute Binding"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="Observation"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
  <derivation value="constraint"/> 
  <snapshot> 
    <element id="Observation">
      <path value="Observation"/> 
      <short value="HDL Cholesterol Result"/> 
      <definition value="Group of elements for HDL Cholesterol result."/> 
      <comment value="Используется для таких простых наблюдений, как измерения устройств, лабораторные атомарные
       результаты, основные показатели состояния организма, рост, вес, статус курильщика, комментарии
       и т. п. Для обеспечения контекста наблюдений используются другие ресурсы, например лабораторные
       отчеты и др."/> 
      <alias value="Vital Signs"/> 
      <alias value="Measurement"/> 
      <alias value="Results"/> 
      <alias value="Tests"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
        <human value="Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН содержать описательной части"/> 
        <expression value="contained.contained.empty()"/> 
        <xpath value="not(parent::f:contained and f:contained)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        <human value="Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН иметь meta.versionId или meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        <human value="Если ресурс встроен в другой ресурс, где-то в родительском ресурсе на него ДОЛЖНА БЫТЬ
         дана ссылка or SHALL refer to the containing resource"/> 
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonica
        l) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(refer
        ence = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(c
        anonical) = '#').exists()).not()).trace('unmatched', id).empty()"/> 
        <xpath value="not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@va
        lue=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display
           the resource to a human safely. Including a human readable representation in the resource
           makes for a much more robust eco-system and cheaper handling of resources by intermediary
           systems. Some ecosystems restrict distribution of resources to only those systems that
           do fully understand the resources, and as a consequence implementers may believe that
           the narrative is superfluous. However experience shows that such eco-systems often open
           up to new participants over time."/> 
        </extension> 
        <key value="dom-6"/> 
        <severity value="warning"/> 
        <human value="A resource should have narrative for robust management"/> 
        <expression value="text.div.exists()"/> 
        <xpath value="exists(f:text/h:div)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-5"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> 
        <expression value="contained.meta.security.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="obs-7"/> 
        <severity value="error"/> 
        <human value="If Observation.code is the same as an Observation.component.code then the value element
         associated with the code SHALL NOT be present"/> 
        <expression value="value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and
         (coding.system = %resource.code.coding.system)).empty()"/> 
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return
         f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@
        value]))"/> 
        <source value="Observation"/> 
      </constraint> 
      <constraint> 
        <key value="obs-6"/> 
        <severity value="error"/> 
        <human value="Элемент dataAbsentReason должен присутствовать только в том случае, если Observation.value[x]
         отсутствует"/> 
        <expression value="dataAbsentReason.empty() or value.empty()"/> 
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))"/> 
        <source value="Observation"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity. Role, or Act"/> 
      </mapping> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 363787002 |Observable entity|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Observation[classCode=OBS, moodCode=EVN]"/> 
      </mapping> 
    </element> 
    <element id="Observation.id">
      <path value="Observation.id"/> 
      <short value="Logical id of this artifact"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/> 
      <comment value="The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Observation.meta">
      <path value="Observation.meta"/> 
      <short value="Метаданные ресурса"/> 
      <definition value="Метаданные ресурса. Это такая информация, которая поддерживается инфраструктурой. Изменения
       этой информации не всегда можно ассоциировать с версионными изменениями ресурса."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Observation.implicitRules">
      <path value="Observation.implicitRules"/> 
      <short value="Свод правил, в соответствии с которыми создавалось это содержимое"/> 
      <definition value="Ссылка на свод правил, которым следовали при создании этого ресурса и которые необходимо
       понимать при обработке этого содержимого. Often, this is a reference to an implementation
       guide that defines the special rules along with other profiles etc."/> 
      <comment value="Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However, the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element. Often, when used, the URL
       is a reference to an implementation guide that defines these special rules as part of
       it's narrative along with other profiles, value sets, etc."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Observation.language">
      <path value="Observation.language"/> 
      <short value="Язык содержимого ресурса"/> 
      <definition value="Основной язык, на котором написан ресурс."/> 
      <comment value="Язык указывается для поддержки предварительной обработки текстов и доступности для понимания
       (например при преобразовании текста в речь используется языковой тег). HTML-тег language
       в описательной части применяется к этой описательной части. Языковой тег ресурса может
       использоваться для указания языков других представлений, генерируемых из данных ресурса

Не все содержание ресурса должно быть на указанном основном языке. Resource.language нельзя
       автоматически принимать за язык описательной части. Если язык указан, его также следует
       указать в элементе div в HTML (информацию о связи между xml:lang и HTML-атрибутом lang
       см. в правилах HTML5)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="Естественный язык."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> 
      </binding> 
    </element> 
    <element id="Observation.text">
      <path value="Observation.text"/> 
      <short value="Краткое текстовое изложение ресурса для интерпретации человеком"/> 
      <definition value="Человекочитаемая описательная часть, содержащая краткое изложение ресурса, которая может
       использоваться для представления содержимого ресурса человеку. От описательной части не
       требуется кодировать все структурированные данные, но она должна содержать достаточно
       сведений, чтобы простое её прочтение человеком было &quot;клинически безопасным&quot;.
       Определения ресурсов могут описывать, какое содержимое должно быть представлено в описательной
       части для обеспечения клинической безопасной."/> 
      <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative. In some cases, a resource may only have text with little or no additional
       discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary
       for data from legacy systems where information is captured as a &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded information is added
       later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="Observation.contained">
      <path value="Observation.contained"/> 
      <short value="Вложенные, встроенные инлайн ресурсы"/> 
      <definition value="Эти ресурсы не обладают независимым существованием вне ресурса, который их содержит -
       их нельзя идентифицировать независимо, и они не могут иметь своей собственной независимой
       транзакционной области действия."/> 
      <comment value="Этого не следует делать, когда содержимое может быть идентифицировано должным образом,
       поскольку, потеряв идентификацию, будет чрезвычайно сложно (и контекстно-зависимо) снова
       восстановить её. Contained resources may have profiles and tags In their meta elements,
       but SHALL NOT have security labels."/> 
      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Observation.extension">
      <path value="Observation.extension"/> 
      <short value="Дополнительное содержимое, определенное реализаторами"/> 
      <definition value="Может использоваться для представления дополнительной информации, не являющейся частью
       базового определения ресурса. Чтобы сделать использование расширений надежным и управляемым,
       существует строгий набор управления применительно к определению и использованию расширений.
       Хотя каждому реализатору разрешается определять расширения, имеется набор требований,
       которые должны выполняться в рамках определения расширения."/> 
      <comment value="Не должно быть никаких предрассудков по использованию расширений любыми приложениями,
       проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют
       или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять
       простоту для всех."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Observation.modifierExtension">
      <path value="Observation.modifierExtension"/> 
      <short value="Расширения, которые нельзя игнорировать"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource, and that modifies the understanding of the element that contains it.
       Usually modifier elements provide negation or qualification. To make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="Не должно быть никаких предрассудков по использованию расширений любыми приложениями,
       проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют
       или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять
       простоту для всех."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource
       that contains them"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Observation.identifier">
      <path value="Observation.identifier"/> 
      <short value="Business Identifier for observation"/> 
      <definition value="A unique identifier assigned to this observation."/> 
      <requirements value="Позволяет различать наблюдения и ссылаться на них."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Observation.identifier"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX.21  For OBX segments from systems without OBX-21 support a combination of ORC/OBR
         and OBX must be negotiated between trading partners to uniquely identify the OBX segment.
         Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3
         + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC
         + OBX-3 + OBX-4."/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="id"/> 
      </mapping> 
    </element> 
    <element id="Observation.basedOn">
      <path value="Observation.basedOn"/> 
      <short value="Fulfills plan, proposal or order"/> 
      <definition value="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."/> 
      <requirements value="Allows tracing of authorization for the event and tracking whether proposals/recommendations
       were acted upon."/> 
      <alias value="Fulfills"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Observation.basedOn"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceRequest"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.basedOn"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="ORC"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"/> 
      </mapping> 
    </element> 
    <element id="Observation.partOf">
      <path value="Observation.partOf"/> 
      <short value="Part of referenced event"/> 
      <definition value="A larger event of which this particular Observation is a component or step.  For example,
        an observation as part of a procedure."/> 
      <comment value="To link an Observation to an Encounter use `encounter`.  See the  [Notes](observation.html#obsgroupi
      ng) below for guidance on referencing another Observation."/> 
      <alias value="Container"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Observation.partOf"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationDispense"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Immunization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.partOf"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="Varies by domain"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=FLFS].target"/> 
      </mapping> 
    </element> 
    <element id="Observation.status">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">
        <valueString value="default: final"/> 
      </extension> 
      <path value="Observation.status"/> 
      <short value="registered | preliminary | final | amended +"/> 
      <definition value="Статус значения результата."/> 
      <comment value="This element is labeled as a modifier because the status contains codes that mark the
       resource as not currently valid."/> 
      <requirements value="Необходимо отслеживать статус отдельных результатов - некоторые результаты становятся
       окончательными до того, как весь отчет целиком становится окончательным."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.status"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because it is a status element that contains status
       entered-in-error which means that the resource should not be treated as valid"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ObservationStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Codes providing the status of an observation."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/observation-status"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.status"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 445584004 |Report by finality status|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX-11"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Статусы Amended и Final различаются тем, являются ли они субъектами события ControlAct
         с типом &quot;revise&quot;"/> 
      </mapping> 
    </element> 
    <element id="Observation.category">
      <path value="Observation.category"/> 
      <short value="Классификация типов наблюдений"/> 
      <definition value="A code that classifies the general type of observation being made."/> 
      <comment value="In addition to the required category valueset, this element allows various categorization
       schemes based on the owner’s definition of the category and effectively multiple categories
       can be used at once.  The level of granularity is defined by the category concepts in
       the value set."/> 
      <requirements value="Used for filtering what observations are retrieved and displayed."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Observation.category"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ObservationCategory"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="Коды высокоуровневой классификации наблюдений."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/observation-category"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=&quot;COMP].target[classCode=&quot;LIST&quot;, moodCode=&quot;EVN&quo
        t;].code"/> 
      </mapping> 
    </element> 
    <element id="Observation.code">
      <path value="Observation.code"/> 
      <short value="HDL Cholesterol"/> 
      <definition value="HDL Cholesterol."/> 
      <comment value="*All* code-value and, if present, component.code-component.value pairs need to be taken
       into account to correctly understand the meaning of the observation."/> 
      <requirements value="Знание вида проводимого наблюдения очень важно для понимания значения этого наблюдения."/> 
      <alias value="Name"/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.code"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <fixedCodeableConcept> 
        <coding> 
          <system value="http://loinc.org"/> 
          <code value="2085-9"/> 
          <display value="HDL Cholesterol"/> 
        </coding> 
      </fixedCodeableConcept> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ObservationCode"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Коды названий простых наблюдений."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/observation-codes"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.code"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 363787002 |Observable entity| OR &lt; 386053000 |Evaluation procedure|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="code"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-attr"/> 
        <map value="116680003 |Is a|"/> 
      </mapping> 
    </element> 
    <element id="Observation.subject">
      <path value="Observation.subject"/> 
      <short value="Who and/or what the observation is about"/> 
      <definition value="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."/> 
      <comment value="One would expect this element to be a cardinality of 1..1. The only circumstance in which
       the subject can be missing is when the observation is made by a device that does not know
       the patient. In this case, the observation SHALL be matched to a patient through some
       context/channel matching technique, and at this point, the observation should be updated."/> 
      <requirements value="Наблюдения не имеют смысла, если вы не знаете, над кем или чем они проводились."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.subject"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="participation[typeCode=RTGT] "/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="Observation.focus">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use"/> 
      </extension> 
      <path value="Observation.focus"/> 
      <short value="What the observation is about, when it is not about the subject of record"/> 
      <definition value="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."/> 
      <comment value="Typically, an observation is made about the subject - a patient, or group of patients,
       location, or device - and the distinction between the subject and what is directly measured
       for an observation is specified in the observation code itself ( e.g., &quot;Blood Glucose&quot;)
       and does not need to be represented separately using this element.  Use `specimen` if
       a reference to a specimen is required.  If a code is required instead of a resource use
       either  `bodysite` for bodysites or the standard extension [focusCode](extension-observation-focusco
      de.html)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Observation.focus"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="participation[typeCode=SBJ]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="Observation.encounter">
      <path value="Observation.encounter"/> 
      <short value="Событие здравоохранения, во время которого было сделано это наблюдение"/> 
      <definition value="Событие здравоохранения (например взаимодействие пациента и поставщика медицинских услуг),
       во время которого было сделано это наблюдение."/> 
      <comment value="This will typically be the encounter the event occurred within, but some events may be
       initiated prior to or after the official completion of an encounter but still be tied
       to the context of the encounter (e.g. pre-admission laboratory tests)."/> 
      <requirements value="Для некоторых наблюдений может быть важно знать связь между наблюдением и конкретным encounter."/> 
      <alias value="Context"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.encounter"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.context"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PV1"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/> 
      </mapping> 
    </element> 
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]"/> 
      <short value="Клинически значимое время/период времени наблюдения"/> 
      <definition value="Время или период времени, в течение которого наблюдаемое значение утверждалось как действительное.
       Для биологических субъектов - например человеческих пациентов - обычно называется &quot;physiologica
      lly relevant time&quot;. Обычно это либо время выполнения процедуры или сбора образца,
       но очень часто источник этой даты/времени не известен, только сама дата/время."/> 
      <comment value="At least a date should be present unless this observation is a historical report.  For
       recording imprecise or &quot;fuzzy&quot; times (For example, a blood glucose measurement
       taken &quot;after breakfast&quot;) use the [Timing](datatypes.html#timing) datatype which
       allow the measurement to be tied to regular life events."/> 
      <requirements value="Знание о том, когда наблюдение считалось верным, важно для понимания его актуальности,
       а также определения тенденций."/> 
      <alias value="Occurrence"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.effective[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <type> 
        <code value="Timing"/> 
      </type> 
      <type> 
        <code value="instant"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.occurrence[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.done[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX-14, and/or OBX-19 after v2.4  (depends on who observation made)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="effectiveTime"/> 
      </mapping> 
    </element> 
    <element id="Observation.issued">
      <path value="Observation.issued"/> 
      <short value="Date/Time this version was made available"/> 
      <definition value="Дата и время, когда это наблюдение стало доступно поставщикам, обычно после проверки и
       верификации результатов."/> 
      <comment value="For Observations that don’t require review and verification, it may be the same as the
       [`lastUpdated` ](resource-definitions.html#Meta.lastUpdated) time of the resource itself.
        For Observations that do require review and verification for certain updates, it might
       not be the same as the `lastUpdated` time of the resource itself due to a non-clinically
       significant update that doesn’t require the new version to be reviewed and verified again."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.issued"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="instant"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="participation[typeCode=AUT].time"/> 
      </mapping> 
    </element> 
    <element id="Observation.performer">
      <path value="Observation.performer"/> 
      <short value="Кто несет ответственность за это наблюдение"/> 
      <definition value="Who was responsible for asserting the observed value as &quot;true&quot;."/> 
      <requirements value="Может дать степень уверенность в наблюдении и также указать, куда следует направлять последующие
       вопросы."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Observation.performer"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX.15 / (Practitioner)  OBX-16,  PRT-5:PRT-4='RO' /  (Device)  OBX-18 , PRT-10:PRT-4='EQUIP'
         / (Organization)  OBX-23,  PRT-8:PRT-4='PO'"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="participation[typeCode=PRF]"/> 
      </mapping> 
    </element> 
    <element id="Observation.valueQuantity">
      <path value="Observation.valueQuantity"/> 
      <short value="HDL Cholesterol value"/> 
      <definition value="HDL Cholesterol value. If a result is not available, use the comments field."/> 
      <comment value="An observation may have; 1)  a single value here, 2)  both a value and a set of related
       or component values,  or 3)  only a set of related or component values. If a value is
       present, the datatype for this element should be determined by Observation.code.  A CodeableConcept
       with just a text would be used instead of a string if the field was usually coded, or
       if the type associated with the Observation.code defines a coded value.  For additional
       guidance, see the [Notes section](observation.html#notes) below."/> 
      <requirements value="Наблюдение предназначено для передачи некоторого значения, однако оно может его не иметь,
       если было создано по ошибке или представляет собой группу наблюдений."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.value[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Quantity"/> 
      </type> 
      <condition value="obs-7"/> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 441742003 |Evaluation finding|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX.2, OBX.5, OBX.6"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="value"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-attr"/> 
        <map value="363714003 |Interprets|"/> 
      </mapping> 
    </element> 
    <element id="Observation.dataAbsentReason">
      <path value="Observation.dataAbsentReason"/> 
      <short value="Почему результат отсутствует"/> 
      <definition value="Указывает причину, почему ожидаемое значение в элементе Observation.value[x] отсутствует."/> 
      <comment value="Null or exceptional values can be represented two ways in FHIR Observations.  One way
       is to simply include them in the value set and represent the exceptions in the value.
        For example, measurement values for a serology test could be  &quot;detected&quot;, &quot;not
       detected&quot;, &quot;inconclusive&quot;, or  &quot;specimen unsatisfactory&quot;.   

The alternate way is to use the value element for actual observations and use the explicit
       dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason
       code &quot;error&quot; could be used when the measurement was not completed. Note that
       an observation may only be reported if there are values to report. For example differential
       cell counts values may be reported only when &gt; 0.  Because of these options, use-case
       agreements are required to interpret general observations for null or exceptional values."/> 
      <requirements value="Исключительные значения в измерениях необходимо обрабатывать по многим причинам."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.dataAbsentReason"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <condition value="obs-6"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ObservationValueAbsentReason"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Codes specifying why the result (`Observation.value[x]`) is missing."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/data-absent-reason"/> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="value.nullFlavor"/> 
      </mapping> 
    </element> 
    <element id="Observation.interpretation">
      <path value="Observation.interpretation"/> 
      <short value="+ | ++ | +++ | - | -- | ---"/> 
      <definition value="+ | ++ | +++ | - | -- | ---."/> 
      <comment value="Historically used for laboratory results (known as 'abnormal flag' ),  its use extends
       to other use cases where coded interpretations  are relevant.  Often reported as one or
       more simple compact codes this element is often placed adjacent to the result value in
       reports and flow sheets to signal the meaning/normalcy status of the result."/> 
      <requirements value="Для некоторых результатов, особенно числовых, для полного понимания смысла результата
       необходима интерпретация."/> 
      <alias value="Abnormal Flag"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.interpretation"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ObservationInterpretation"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Коды интерпретаций наблюдений."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/observation-interpretation"/> 
      </binding> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 260245000 |Findings values|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX-8"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="interpretationCode"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-attr"/> 
        <map value="363713009 |Has interpretation|"/> 
      </mapping> 
    </element> 
    <element id="Observation.note">
      <path value="Observation.note"/> 
      <short value="Comments about result"/> 
      <definition value="Comments about result."/> 
      <comment value="May include general statements about the observation, or statements about significant,
       unexpected or unreliable results values, or information about its source when relevant
       to its interpretation."/> 
      <requirements value="Нужна возможность указать дополнительную информацию в виде произвольного текста."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Observation.note"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="subjectOf.observationEvent[code=&quot;annotation&quot;].value"/> 
      </mapping> 
    </element> 
    <element id="Observation.bodySite">
      <path value="Observation.bodySite"/> 
      <short value="Наблюдаемая часть тела"/> 
      <definition value="Указывает место на теле субъекта, где проводится наблюдение (т. е. целевое место)."/> 
      <comment value="Only used if not implicit in code found in Observation.code.  In many systems, this may
       be represented as a related observation instead of an inline component.   

If the use case requires BodySite to be handled as a separate resource (e.g. to identify
       and track separately) then use the standard extension[ bodySite](extension-bodysite.html)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.bodySite"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BodySite"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Коды для описания анатомического расположения. Могут включать указание латеральности."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/body-site"/> 
      </binding> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 123037004 |Body structure|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX-20"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="targetSiteCode"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-attr"/> 
        <map value="718497002 |Inherent location|"/> 
      </mapping> 
    </element> 
    <element id="Observation.method">
      <path value="Observation.method"/> 
      <short value="Каким образом проводилось"/> 
      <definition value="Указывает механизм проведения наблюдения."/> 
      <comment value="Используется только в случае, если это не явно из кода в Observation.code."/> 
      <requirements value="В некоторых случаях метод может влиять на результаты и, таким образом, для определения,
       могут ли результаты быть сравнимыми, или определения смысла результатов."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.method"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ObservationMethod"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Методы простых наблюдений."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/observation-methods"/> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX-17"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="methodCode"/> 
      </mapping> 
    </element> 
    <element id="Observation.specimen">
      <path value="Observation.specimen"/> 
      <short value="Образец, используемый для этого наблюдения"/> 
      <definition value="Образец для анализа, над которым проводилось наблюдение."/> 
      <comment value="Should only be used if not implicit in code found in `Observation.code`.  Observations
       are not made on specimens themselves; they are made on a subject, but in many cases by
       the means of a specimen. Note that although specimens are often involved, they are not
       always tracked and reported explicitly. Also note that observation resources may be used
       in contexts that track the specimen explicitly (e.g. Diagnostic Report)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.specimen"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 123038009 |Specimen|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM segment"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="participation[typeCode=SPC].specimen"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-attr"/> 
        <map value="704319004 |Inherent in|"/> 
      </mapping> 
    </element> 
    <element id="Observation.device">
      <path value="Observation.device"/> 
      <short value="(Measurement) Device"/> 
      <definition value="Устройство, используемое для генерации данных наблюдения."/> 
      <comment value="Note that this is not meant to represent a device involved in the transmission of the
       result, e.g., a gateway.  Such devices may be documented using the Provenance resource
       where relevant."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.device"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceMetric"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 49062001 |Device|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX-17 / PRT -10"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="participation[typeCode=DEV]"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-attr"/> 
        <map value="424226004 |Using device|"/> 
      </mapping> 
    </element> 
    <element id="Observation.referenceRange">
      <path value="Observation.referenceRange"/> 
      <short value="Руководство по интерпретации"/> 
      <definition value="Guidance on how to interpret the value by comparison to a normal or recommended range.
        Multiple reference ranges are interpreted as an &quot;OR&quot;.   In other words, to
       represent two distinct target populations, two `referenceRange` elements would be used."/> 
      <comment value="Большинство наблюдений имеют только один общий диапазон нормальных значений. Системы МОГУТ
       ограничиться указанием только актуального диапазона нормальных значений на основе знаний
       о пациенте (например специфичный для пациента возраст, пол, вес и другие факторы), однако
       это может быть невозможно или не допустимо. При предоставлении более одного диапазона
       нормальных значений, различия между ними ДОЛЖНЫ указываться в свойствах reference range
       и/или age."/> 
      <requirements value="Знание того, какие значения считаются &quot;нормальными&quot;, может помочь определить
       значимость конкретного результата. Нужна возможность указывать несколько диапазонов нормальных
       значений для различных контекстов."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.referenceRange"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <constraint> 
        <key value="obs-3"/> 
        <severity value="error"/> 
        <human value="Должен быть указан хотя бы один элемент из low, high или text"/> 
        <expression value="low.exists() or high.exists() or text.exists()"/> 
        <xpath value="(exists(f:low) or exists(f:high)or exists(f:text))"/> 
        <source value="Observation.referenceRange"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX.7"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"/> 
      </mapping> 
    </element> 
    <element id="Observation.referenceRange.id">
      <path value="Observation.referenceRange.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Observation.referenceRange.extension">
      <path value="Observation.referenceRange.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Observation.referenceRange.modifierExtension">
      <path value="Observation.referenceRange.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained.
       Usually modifier elements provide negation or qualification. To make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer can define an extension, there is a set of requirements
       that SHALL be met as part of the definition of the extension. Applications processing
       a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Observation.referenceRange.low">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative"/> 
      </extension> 
      <path value="Observation.referenceRange.low"/> 
      <short value="A fixed quantity (no comparator)"/> 
      <definition value="&gt;1.5 mmol/L."/> 
      <comment value="Контекст использования часто может определить, что это за вид величины и, следовательно,
       какие единицы могут быть использованы. Контекст использования также может ограничивать
       значения компаратора."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.referenceRange.low"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <fixedQuantity> 
        <value value="1.5"/> 
      </fixedQuantity> 
      <condition value="ele-1"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <constraint> 
        <key value="qty-3"/> 
        <severity value="error"/> 
        <human value="If a code for the unit is present, the system SHALL also be present"/> 
        <expression value="code.empty() or system.exists()"/> 
        <xpath value="not(exists(f:code)) or exists(f:system)"/> 
        <source value="Quantity"/> 
      </constraint> 
      <constraint> 
        <key value="sqty-1"/> 
        <severity value="error"/> 
        <human value="The comparator is not used on a SimpleQuantity"/> 
        <expression value="comparator.empty()"/> 
        <xpath value="not(exists(f:comparator))"/> 
        <source value="Quantity"/> 
      </constraint> 
      <isModifier value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SN (see also Range) or CQ"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="PQ, IVL&lt;PQ&gt;, MO, CO, depending on the values"/> 
      </mapping> 
    </element> 
    <element id="Observation.referenceRange.high">
      <path value="Observation.referenceRange.high"/> 
      <short value="Верхняя граница диапазона, если уместно"/> 
      <definition value="Значение верхней границы диапазона нормальных значений. Конечная точка верхней границы
       диапазона нормальных значений используется включительно (например диапазон нормальных
       значений &gt;=5 - &lt;=9). Если верхняя граница опущена, то предполагается, что она не
       имеет смысла (например диапазон нормальных значений &gt;= 2.3)."/> 
      <comment value="Per Australian NHF Recommendations."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="Observation.referenceRange.high"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <condition value="obs-3"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX-7"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="value:IVL_PQ.high"/> 
      </mapping> 
    </element> 
    <element id="Observation.referenceRange.type">
      <path value="Observation.referenceRange.type"/> 
      <short value="Reference range qualifier"/> 
      <definition value="Codes to indicate the what part of the targeted reference population it applies to. For
       example, the normal or therapeutic range."/> 
      <comment value="This SHOULD be populated if there is more than one range.  If this element is not present
       then the normal range is assumed."/> 
      <requirements value="Need to be able to say what kind of reference range this is - normal, recommended, therapeutic,
       etc.,  - for proper interpretation."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="Observation.referenceRange.type"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ObservationRangeMeaning"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="Code for the meaning of a reference range."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/referencerange-meaning"/> 
      </binding> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 260245000 |Findings values| OR  
&lt; 365860008 |General clinical state finding| 
OR 
&lt; 250171008 |Clinical history or observation findings| OR  
&lt; 415229000 |Racial group| OR 
&lt; 365400002 |Finding of puberty stage| OR
&lt; 443938003 |Procedure carried out on subject|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX-10"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="interpretationCode"/> 
      </mapping> 
    </element> 
    <element id="Observation.referenceRange.appliesTo">
      <path value="Observation.referenceRange.appliesTo"/> 
      <short value="Reference range population"/> 
      <definition value="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 &quot;AND&quot; 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."/> 
      <comment value="This SHOULD be populated if there is more than one range.  If this element is not present
       then the normal population is assumed."/> 
      <requirements value="Need to be able to identify the target population for proper interpretation."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="Observation.referenceRange.appliesTo"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ObservationRangeType"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes identifying the population the reference range applies to."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/referencerange-appliesto"/> 
      </binding> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 260245000 |Findings values| OR  
&lt; 365860008 |General clinical state finding| 
OR 
&lt; 250171008 |Clinical history or observation findings| OR  
&lt; 415229000 |Racial group| OR 
&lt; 365400002 |Finding of puberty stage| OR
&lt; 443938003 |Procedure carried out on subject|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX-10"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="interpretationCode"/> 
      </mapping> 
    </element> 
    <element id="Observation.referenceRange.age">
      <path value="Observation.referenceRange.age"/> 
      <short value="Применимый возрастной диапазон, если необходимо"/> 
      <definition value="Возраст, в котором этот диапазон нормальных значений применяется. Это неонатальный возраст
       (например число недель в сроке), если указано такое значение."/> 
      <requirements value="Некоторые вещества, определяемые при анализе, сильно различаются для разного возраста."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="Observation.referenceRange.age"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Range"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=&quot;age&quot;].value"/> 
      </mapping> 
    </element> 
    <element id="Observation.referenceRange.text">
      <path value="Observation.referenceRange.text"/> 
      <short value="Текстовое описание диапазона нормальных значений в наблюдении"/> 
      <definition value="Текстовое описание диапазона нормальных значений в наблюдении, которое может использоваться,
       когда количественный диапазон не подходит для этого наблюдения. Примером будет эталонное
       значение &quot;Negative&quot; или список или таблица 'нормальных' значений."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.referenceRange.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX-7"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="value:ST"/> 
      </mapping> 
    </element> 
    <element id="Observation.hasMember">
      <path value="Observation.hasMember"/> 
      <short value="Related resource that belongs to the Observation group"/> 
      <definition value="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."/> 
      <comment value="When using this element, an observation will typically have either a value or a set of
       related resources, although both may be present in some cases.  For a discussion on the
       ways Observations can assembled in groups together, see [Notes](observation.html#obsgrouping)
       below.  Note that a system may calculate results from [QuestionnaireResponse](questionnaireresponse.
      html)  into a final score and represent the score as an Observation."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="Observation.hasMember"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="Relationships established by OBX-4 usage"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="outBoundRelationship"/> 
      </mapping> 
    </element> 
    <element id="Observation.derivedFrom">
      <path value="Observation.derivedFrom"/> 
      <short value="Related measurements the observation is made from"/> 
      <definition value="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."/> 
      <comment value="All the reference choices that are listed in this element can represent clinical observations
       and other measurements that may be the source for a derived value.  The most common reference
       will be another Observation.  For a discussion on the ways Observations can assembled
       in groups together, see [Notes](observation.html#obsgrouping) below."/> 
      <min value="0"/> 
      <max value="0"/> 
      <base> 
        <path value="Observation.derivedFrom"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Media"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MolecularSequence"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="Relationships established by OBX-4 usage"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".targetObservation"/> 
      </mapping> 
    </element> 
    <element id="Observation.component">
      <path value="Observation.component"/> 
      <short value="Результаты компонента"/> 
      <definition value="Некоторые наблюдения состоят из нескольких составных наблюдений. Эти составные наблюдения
       выражаются отдельными парами &quot;код/значение&quot;, совместно использующими одни и
       те же атрибуты. Примеры включают в себя систолический и диагностический компоненты наблюдения
       для измерения кровяного давления и многократные составные наблюдения для генетических
       наблюдений."/> 
      <comment value="For a discussion on the ways Observations can be assembled in groups together see [Notes](observatio
      n.html#notes) below."/> 
      <requirements value="Составные наблюдения разделяют одинаковые атрибуты в ресурсе Observation в качестве первичного
       наблюдения и всегда обрабатываются как единое наблюдение (они неразделимы). Однако диапазон
       нормальных значений для значения первичного наблюдения не наследуется значениями компонентов
       и требуется, когда это целесообразно, для каждого компонента наблюдения."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Observation.component"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="containment by OBX-4?"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="outBoundRelationship[typeCode=COMP]"/> 
      </mapping> 
    </element> 
    <element id="Observation.component.id">
      <path value="Observation.component.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Observation.component.extension">
      <path value="Observation.component.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Observation.component.modifierExtension">
      <path value="Observation.component.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained.
       Usually modifier elements provide negation or qualification. To make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer can define an extension, there is a set of requirements
       that SHALL be met as part of the definition of the extension. Applications processing
       a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Observation.component.code">
      <path value="Observation.component.code"/> 
      <short value="Тип наблюдения компонента (код/тип)"/> 
      <definition value="Describes what was observed. Sometimes this is called the observation &quot;code&quot;."/> 
      <comment value="*All* code-value and  component.code-component.value pairs need to be taken into account
       to correctly understand the meaning of the observation."/> 
      <requirements value="Знание вида проводимого наблюдения очень важно для понимания значения этого наблюдения."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.component.code"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ObservationCode"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Коды названий простых наблюдений."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/observation-codes"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 363787002 |Observable entity| OR 
&lt; 386053000 |Evaluation procedure|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="code"/> 
      </mapping> 
    </element> 
    <element id="Observation.component.value[x]">
      <path value="Observation.component.value[x]"/> 
      <short value="Фактический результат компонента"/> 
      <definition value="Информация, определенная в результате выполнения этого наблюдения, если эта информация
       имеет простое значение."/> 
      <comment value="Used when observation has a set of component observations. An observation may have both
       a value (e.g. an  Apgar score)  and component observations (the observations from which
       the Apgar score was derived). If a value is present, the datatype for this element should
       be determined by Observation.code. A CodeableConcept with just a text would be used instead
       of a string if the field was usually coded, or if the type associated with the Observation.code
       defines a coded value.  For additional guidance, see the [Notes section](observation.html#notes)
       below."/> 
      <requirements value="Наблюдение предназначено для передачи некоторого значения, однако оно может его не иметь,
       если было создано по ошибке или представляет собой группу наблюдений."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.component.value[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Quantity"/> 
      </type> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <type> 
        <code value="string"/> 
      </type> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <type> 
        <code value="integer"/> 
      </type> 
      <type> 
        <code value="Range"/> 
      </type> 
      <type> 
        <code value="Ratio"/> 
      </type> 
      <type> 
        <code value="SampledData"/> 
      </type> 
      <type> 
        <code value="time"/> 
      </type> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="363714003 |Interprets| &lt; 441742003 |Evaluation finding|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX.2, OBX.5, OBX.6"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="value"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-attr"/> 
        <map value="363714003 |Interprets|"/> 
      </mapping> 
    </element> 
    <element id="Observation.component.dataAbsentReason">
      <path value="Observation.component.dataAbsentReason"/> 
      <short value="Почему результат компонента отсутствует"/> 
      <definition value="Provides a reason why the expected value in the element Observation.component.value[x]
       is missing."/> 
      <comment value="&quot;Null&quot; or exceptional values can be represented two ways in FHIR Observations.
        One way is to simply include them in the value set and represent the exceptions in the
       value.  For example, measurement values for a serology test could be  &quot;detected&quot;,
       &quot;not detected&quot;, &quot;inconclusive&quot;, or  &quot;test not done&quot;. 

The alternate way is to use the value element for actual observations and use the explicit
       dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason
       code &quot;error&quot; could be used when the measurement was not completed.  Because
       of these options, use-case agreements are required to interpret general observations for
       exceptional values."/> 
      <requirements value="Исключительные значения в измерениях необходимо обрабатывать по многим причинам."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Observation.component.dataAbsentReason"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <condition value="obs-6"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ObservationValueAbsentReason"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Codes specifying why the result (`Observation.value[x]`) is missing."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/data-absent-reason"/> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="value.nullFlavor"/> 
      </mapping> 
    </element> 
    <element id="Observation.component.interpretation">
      <path value="Observation.component.interpretation"/> 
      <short value="Высокое, низкое, нормальное и т. п"/> 
      <definition value="A categorical assessment of an observation value.  For example, high, low, normal."/> 
      <comment value="Historically used for laboratory results (known as 'abnormal flag' ),  its use extends
       to other use cases where coded interpretations  are relevant.  Often reported as one or
       more simple compact codes this element is often placed adjacent to the result value in
       reports and flow sheets to signal the meaning/normalcy status of the result."/> 
      <requirements value="Для некоторых результатов, особенно числовых, для полного понимания смысла результата
       необходима интерпретация."/> 
      <alias value="Abnormal Flag"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Observation.component.interpretation"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ObservationInterpretation"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Коды интерпретаций наблюдений."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/observation-interpretation"/> 
      </binding> 
      <mapping> 
        <identity value="sct-concept"/> 
        <map value="&lt; 260245000 |Findings values|"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX-8"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="interpretationCode"/> 
      </mapping> 
      <mapping> 
        <identity value="sct-attr"/> 
        <map value="363713009 |Has interpretation|"/> 
      </mapping> 
    </element> 
    <element id="Observation.component.referenceRange">
      <path value="Observation.component.referenceRange"/> 
      <short value="Руководство по интерпретации результатов компонента"/> 
      <definition value="Руководство о том, как интерпретировать значение по сравнению с нормальным или рекомендованным
       диапазоном."/> 
      <comment value="Большинство наблюдений имеют только один общий диапазон нормальных значений. Системы МОГУТ
       ограничиться указанием только актуального диапазона нормальных значений на основе знаний
       о пациенте (например специфичный для пациента возраст, пол, вес и другие факторы), однако
       это может быть невозможно или не допустимо. При предоставлении более одного диапазона
       нормальных значений, различия между ними ДОЛЖНЫ указываться в свойствах reference range
       и/или age."/> 
      <requirements value="Знание того, какие значения считаются &quot;нормальными&quot;, может помочь определить
       значимость конкретного результата. Нужна возможность указывать несколько диапазонов нормальных
       значений для различных контекстов."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Observation.component.referenceRange"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <contentReference value="#Observation.referenceRange"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX.7"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="Observation">
      <path value="Observation"/> 
      <short value="HDL Cholesterol Result"/> 
      <definition value="Group of elements for HDL Cholesterol result."/> 
      <min value="1"/> 
      <max value="1"/> 
    </element> 
    <element id="Observation.code">
      <path value="Observation.code"/> 
      <short value="HDL Cholesterol"/> 
      <definition value="HDL Cholesterol."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <fixedCodeableConcept> 
        <coding> 
          <system value="http://loinc.org"/> 
          <code value="2085-9"/> 
          <display value="HDL Cholesterol"/> 
        </coding> 
      </fixedCodeableConcept> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Observation.valueQuantity">
      <path value="Observation.valueQuantity"/> 
      <short value="HDL Cholesterol value"/> 
      <definition value="HDL Cholesterol value. If a result is not available, use the comments field."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Quantity"/> 
      </type> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Observation.interpretation">
      <path value="Observation.interpretation"/> 
      <short value="+ | ++ | +++ | - | -- | ---"/> 
      <definition value="+ | ++ | +++ | - | -- | ---."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Observation.note">
      <path value="Observation.note"/> 
      <short value="Comments about result"/> 
      <definition value="Comments about result."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Observation.referenceRange">
      <path value="Observation.referenceRange"/> 
      <min value="1"/> 
      <max value="1"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Observation.referenceRange.low">
      <path value="Observation.referenceRange.low"/> 
      <definition value="&gt;1.5 mmol/L."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <fixedQuantity> 
        <value value="1.5"/> 
      </fixedQuantity> 
    </element> 
    <element id="Observation.referenceRange.high">
      <path value="Observation.referenceRange.high"/> 
      <comment value="Per Australian NHF Recommendations."/> 
      <min value="0"/> 
      <max value="0"/> 
    </element> 
    <element id="Observation.referenceRange.type">
      <path value="Observation.referenceRange.type"/> 
      <min value="0"/> 
      <max value="0"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
    </element> 
    <element id="Observation.referenceRange.appliesTo">
      <path value="Observation.referenceRange.appliesTo"/> 
      <min value="0"/> 
      <max value="0"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
    </element> 
    <element id="Observation.referenceRange.age">
      <path value="Observation.referenceRange.age"/> 
      <min value="0"/> 
      <max value="0"/> 
      <type> 
        <code value="Range"/> 
      </type> 
    </element> 
    <element id="Observation.hasMember">
      <path value="Observation.hasMember"/> 
      <min value="0"/> 
      <max value="0"/> 
    </element> 
    <element id="Observation.derivedFrom">
      <path value="Observation.derivedFrom"/> 
      <min value="0"/> 
      <max value="0"/> 
    </element> 
  </differential> 
</StructureDefinition>