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Resource StructureDefinition/FHIR Server from package hl7.fhir.us.breastcancer#0.2.0 (312 ms)

Package hl7.fhir.us.breastcancer
Type StructureDefinition
Id Id
FHIR Version R3
Source http://hl7.org/fhir/us/breastcancer/http://hl7.org/fhir/us/breastcancer/2018Sep/StructureDefinition-oncology-OncotypeDxInvasiveRecurrenceScore.html
Url http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-OncotypeDxInvasiveRecurrenceScore
Version 0.2.0
Status draft
Date 2018-08-17T00:00:00+10:00
Name OncotypeDxInvasiveRecurrenceScoreProfile
Title BC OncotypeDxInvasiveRecurrenceScore Profile
Experimental False
Realm us
Authority hl7
Description The Oncotype DX test for invasive breast cancer examines the activity of 21 genes in a patient’s breast tumor tissue to provide personalized information for tailoring treatment based on the biology of their individual disease. The value from 0 to 100 indicates the estimated risk of recurrence, with the highest risk indicated by a score greater than 31. No LOINC code currently exists for this test. We are seeking feedback on the value of separating OncotypeDx scores for DCIS and invasive breast carcinomas. Does it make more sense to report the OncotypeDx as a single score, regardless of the type of cancer?
Type Observation
Kind resource

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
cimi-statement-Observation BC Observation Profile
oncology-BreastSpecimen BC BreastSpecimen Profile
shr-core-Ratio BC Ratio Profile
http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-element-AnatomicalLocationVS BC AnatomicalLocationVS ValueSet
http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-RecurrenceRiskScoreInterpretationVS BC RecurrenceRiskScoreInterpretationVS ValueSet


Narrative

Note: links and images are rebased to the (stated) source

BC OncotypeDxInvasiveRecurrenceScore Profile

The Oncotype DX test for invasive breast cancer examines the activity of 21 genes in a patient’s breast tumor tissue to provide personalized information for tailoring treatment based on the biology of their individual disease. The value from 0 to 100 indicates the estimated risk of recurrence, with the highest risk indicated by a score greater than 31. No LOINC code currently exists for this test. We are seeking feedback on the value of separating OncotypeDx scores for DCIS and invasive breast carcinomas. Does it make more sense to report the OncotypeDx as a single score, regardless of the type of cancer?

BC Mapping Summary

oncology.OncotypeDxInvasiveRecurrenceScore maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults:
  PersonOfRecord maps to subject
  LaboratoryObservationTopic.TopicCode maps to code
  LaboratoryObservationTopic.FindingMethod maps to method
  LaboratoryObservationTopic.Details maps to comment
  LaboratoryObservationTopic.Category maps to category
  LaboratoryObservationTopic.AnatomicalLocation maps to bodySite
  LaboratoryObservationTopic.Device maps to device
  LaboratoryObservationTopic.Specimen maps to specimen
  LaboratoryObservationTopic.ReferenceRange maps to referenceRange
  LaboratoryObservationTopic.ReferenceRange.Range.LowerBound maps to referenceRange.low
  LaboratoryObservationTopic.ReferenceRange.Range.UpperBound maps to referenceRange.high
  LaboratoryObservationTopic.ReferenceRange.Type maps to referenceRange.type
  LaboratoryObservationTopic.ReferenceRange.ApplicableSubpopulation maps to referenceRange.appliesTo
  LaboratoryObservationTopic.ReferenceRange.ApplicableAgeRange maps to referenceRange.age
  LaboratoryObservationTopic.EvaluationComponent maps to component (slice on = coding.code; slice strategy = includes)
  LaboratoryObservationTopic.EvaluationComponent._Concept maps to component.code
  LaboratoryObservationTopic.EvaluationComponent.Quantity maps to component.value[x]
  LaboratoryObservationTopic.EvaluationComponent.CodeableConcept maps to component.value[x]
  LaboratoryObservationTopic.EvaluationComponent.string maps to component.value[x]
  LaboratoryObservationTopic.EvaluationComponent.Range maps to component.value[x]
  LaboratoryObservationTopic.EvaluationComponent.Ratio maps to component.value[x]
  LaboratoryObservationTopic.EvaluationComponent.Media maps to component.value[x]
  LaboratoryObservationTopic.EvaluationComponent.time maps to component.value[x]
  LaboratoryObservationTopic.EvaluationComponent.dateTime maps to component.value[x]
  LaboratoryObservationTopic.EvaluationComponent.TimePeriod maps to component.value[x]
  LaboratoryObservationTopic.EvaluationComponent.IntegerQuantity maps to component.value[x]
  LaboratoryObservationTopic.EvaluationComponent.ExceptionValue maps to component.dataAbsentReason
  LaboratoryObservationTopic.EvaluationComponent.Interpretation maps to component.interpretation
  LaboratoryObservationTopic.EvaluationComponent.ReferenceRange maps to component.referenceRange
  fix related.type to #has-member
  LaboratoryObservationTopic.PanelMembers maps to related
  LaboratoryObservationTopic.PanelMembers.Observation maps to related.target (slice at = related; slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)
  ObservationContext.ResultValue maps to value[x]
  ObservationContext.ExceptionValue maps to dataAbsentReason
  ObservationContext.Interpretation maps to interpretation
  ObservationContext.Issued maps to issued
  ObservationContext.FindingStatus maps to status
  ObservationContext.RelevantTime maps to effective[x]
  ObservationContext.DeltaFlag maps to http://hl7.org/fhir/StructureDefinition/observation-delta


Source

{
  "resourceType" : "StructureDefinition",
  "id" : "oncology-OncotypeDxInvasiveRecurrenceScore",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p><b>BC OncotypeDxInvasiveRecurrenceScore Profile</b></p>\n <p>The Oncotype DX test for invasive breast cancer examines the activity of 21 genes in a patient’s breast tumor tissue to provide personalized information for tailoring treatment based on the biology of their individual disease. The value from 0 to 100 indicates the estimated risk of recurrence, with the highest risk indicated by a score greater than 31.\nNo LOINC code currently exists for this test. We are seeking feedback on the value of separating OncotypeDx scores for DCIS and invasive breast carcinomas. Does it make more sense to report the OncotypeDx as a single score, regardless of the type of cancer?</p>\n <p><b>BC Mapping Summary</b></p>\n <p><pre>oncology.OncotypeDxInvasiveRecurrenceScore maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults:\n PersonOfRecord maps to subject\n LaboratoryObservationTopic.TopicCode maps to code\n LaboratoryObservationTopic.FindingMethod maps to method\n LaboratoryObservationTopic.Details maps to comment\n LaboratoryObservationTopic.Category maps to category\n LaboratoryObservationTopic.AnatomicalLocation maps to bodySite\n LaboratoryObservationTopic.Device maps to device\n LaboratoryObservationTopic.Specimen maps to specimen\n LaboratoryObservationTopic.ReferenceRange maps to referenceRange\n LaboratoryObservationTopic.ReferenceRange.Range.LowerBound maps to referenceRange.low\n LaboratoryObservationTopic.ReferenceRange.Range.UpperBound maps to referenceRange.high\n LaboratoryObservationTopic.ReferenceRange.Type maps to referenceRange.type\n LaboratoryObservationTopic.ReferenceRange.ApplicableSubpopulation maps to referenceRange.appliesTo\n LaboratoryObservationTopic.ReferenceRange.ApplicableAgeRange maps to referenceRange.age\n LaboratoryObservationTopic.EvaluationComponent maps to component (slice on = coding.code; slice strategy = includes)\n LaboratoryObservationTopic.EvaluationComponent._Concept maps to component.code\n LaboratoryObservationTopic.EvaluationComponent.Quantity maps to component.value[x]\n LaboratoryObservationTopic.EvaluationComponent.CodeableConcept maps to component.value[x]\n LaboratoryObservationTopic.EvaluationComponent.string maps to component.value[x]\n LaboratoryObservationTopic.EvaluationComponent.Range maps to component.value[x]\n LaboratoryObservationTopic.EvaluationComponent.Ratio maps to component.value[x]\n LaboratoryObservationTopic.EvaluationComponent.Media maps to component.value[x]\n LaboratoryObservationTopic.EvaluationComponent.time maps to component.value[x]\n LaboratoryObservationTopic.EvaluationComponent.dateTime maps to component.value[x]\n LaboratoryObservationTopic.EvaluationComponent.TimePeriod maps to component.value[x]\n LaboratoryObservationTopic.EvaluationComponent.IntegerQuantity maps to component.value[x]\n LaboratoryObservationTopic.EvaluationComponent.ExceptionValue maps to component.dataAbsentReason\n LaboratoryObservationTopic.EvaluationComponent.Interpretation maps to component.interpretation\n LaboratoryObservationTopic.EvaluationComponent.ReferenceRange maps to component.referenceRange\n fix related.type to #has-member\n LaboratoryObservationTopic.PanelMembers maps to related\n LaboratoryObservationTopic.PanelMembers.Observation maps to related.target (slice at = related; slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)\n ObservationContext.ResultValue maps to value[x]\n ObservationContext.ExceptionValue maps to dataAbsentReason\n ObservationContext.Interpretation maps to interpretation\n ObservationContext.Issued maps to issued\n ObservationContext.FindingStatus maps to status\n ObservationContext.RelevantTime maps to effective[x]\n ObservationContext.DeltaFlag maps to http://hl7.org/fhir/StructureDefinition/observation-delta\n</pre></p>\n</div>"
  },
  "url" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-OncotypeDxInvasiveRecurrenceScore",
  "identifier" : [
    {
      "system" : "http://hl7.org/fhir/us/breastcancer",
      "value" : "oncology.OncotypeDxInvasiveRecurrenceScore"
    }
  ],
  "version" : "0.2.0",
  "name" : "OncotypeDxInvasiveRecurrenceScoreProfile",
  "title" : "BC OncotypeDxInvasiveRecurrenceScore Profile",
  "status" : "draft",
  "date" : "2018-08-17T00:00:00+10:00",
  "publisher" : "The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cic/index.cfm"
        }
      ]
    }
  ],
  "description" : "The Oncotype DX test for invasive breast cancer examines the activity of 21 genes in a patient’s breast tumor tissue to provide personalized information for tailoring treatment based on the biology of their individual disease. The value from 0 to 100 indicates the estimated risk of recurrence, with the highest risk indicated by a score greater than 31.\nNo LOINC code currently exists for this test. We are seeking feedback on the value of separating OncotypeDx scores for DCIS and invasive breast carcinomas. Does it make more sense to report the OncotypeDx as a single score, regardless of the type of cancer?",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "fhirVersion" : "3.0.1",
  "mapping" : [
    {
      "identity" : "argonaut-dq-dstu2",
      "uri" : "http://unknown.org/Argonaut%20DQ%20DSTU2",
      "name" : "Argonaut DQ DSTU2"
    },
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Mapping"
    },
    {
      "identity" : "sct-concept",
      "uri" : "http://snomed.info/conceptdomain",
      "name" : "SNOMED CT Concept Domain Binding"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/w5",
      "name" : "W5 Mapping"
    },
    {
      "identity" : "sct-attr",
      "uri" : "http://snomed.info/sct",
      "name" : "SNOMED CT Attribute Binding"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults",
  "derivation" : "constraint",
  "snapshot" : {
    "element" : [
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore",
        "path" : "Observation",
        "short" : "BC OncotypeDxInvasiveRecurrenceScore Profile",
        "definition" : "The Oncotype DX test for invasive breast cancer examines the activity of 21 genes in a patient’s breast tumor tissue to provide personalized information for tailoring treatment based on the biology of their individual disease. The value from 0 to 100 indicates the estimated risk of recurrence, with the highest risk indicated by a score greater than 31.\nNo LOINC code currently exists for this test. We are seeking feedback on the value of separating OncotypeDx scores for DCIS and invasive breast carcinomas. Does it make more sense to report the OncotypeDx as a single score, regardless of the type of cancer?",
        "comment" : "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as lab reports, etc.",
        "alias" : [
          "Vital Signs",
          "Measurement",
          "Results",
          "Tests",
          "Obs"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation",
          "min" : 0,
          "max" : "*"
        },
        "constraint" : [
          {
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-1",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain any narrative",
            "expression" : "contained.text.empty()",
            "xpath" : "not(parent::f:contained and f:text)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
            "expression" : "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
            "xpath" : "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
            "source" : "DomainResource"
          },
          {
            "key" : "obs-7",
            "severity" : "error",
            "human" : "If code is the same as a component code then the value element associated with the code SHALL NOT be present",
            "expression" : "value.empty() or code!=component.code",
            "xpath" : "not(exists(f:*[starts-with(local-name(.), 'value')])) or not(count(for $coding in f:code/f:coding return parent::*/f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value and f:system/@value=$coding/f:system/@value])=0)",
            "source" : "Observation"
          },
          {
            "key" : "obs-6",
            "severity" : "error",
            "human" : "dataAbsentReason SHALL only be present if Observation.value[x] is not present",
            "expression" : "dataAbsentReason.empty() or value.empty()",
            "xpath" : "not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))",
            "source" : "Observation"
          },
          {
            "key" : "us-core-2",
            "severity" : "error",
            "human" : "If there is no component or related element then either a value[x] or a data absent reason must be present",
            "expression" : "(component.empty() and related.empty()) implies (dataAbsentReason or value)",
            "xpath" : "exists(f:component) or exists(f:related) or exists(f:*[starts-with(local-name(.), 'value)]) or exists(f:dataAbsentReason)"
          }
        ],
        "mustSupport" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "sct-concept",
            "map" : "< 363787002 |Observable entity|"
          },
          {
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=EVN]"
          },
          {
            "identity" : "w5",
            "map" : "clinical.diagnostics"
          },
          {
            "identity" : "argonaut-dq-dstu2",
            "map" : "Observation"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.id",
        "path" : "Observation.id",
        "short" : "Logical id of this artifact",
        "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment" : "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" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "id"
          }
        ],
        "isSummary" : true
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.meta",
        "path" : "Observation.meta",
        "short" : "Metadata about the resource",
        "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.meta",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Meta"
          }
        ],
        "isSummary" : true
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.implicitRules",
        "path" : "Observation.implicitRules",
        "short" : "A set of rules under which this content was created",
        "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
        "comment" : "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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.implicitRules",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "isModifier" : true,
        "isSummary" : true
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.language",
        "path" : "Observation.language",
        "short" : "Language of the resource content",
        "definition" : "The base language in which the resource is written.",
        "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.language",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueReference" : {
                "reference" : "http://hl7.org/fhir/ValueSet/all-languages"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }
          ],
          "strength" : "extensible",
          "description" : "A human language.",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/ValueSet/languages"
          }
        }
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.text",
        "path" : "Observation.text",
        "short" : "Text summary of the resource, for human interpretation",
        "definition" : "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
        "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
        "alias" : [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "DomainResource.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "condition" : [
          "dom-1"
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Act.text?"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.contained",
        "path" : "Observation.contained",
        "short" : "Contained, inline Resources",
        "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
        "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
        "alias" : [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.contained",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Resource"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.extension",
        "path" : "Observation.extension",
        "slicing" : {
          "id" : "4",
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "short" : "Additional Content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.extension:deltaflag",
        "path" : "Observation.extension",
        "sliceName" : "deltaflag",
        "definition" : "Indicator of significant change (delta) from the last or previous measurement.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : "http://hl7.org/fhir/StructureDefinition/observation-delta"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.modifierExtension",
        "path" : "Observation.modifierExtension",
        "short" : "Extensions that cannot be ignored",
        "definition" : "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. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
        "comment" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.identifier",
        "path" : "Observation.identifier",
        "short" : "Business Identifier for observation",
        "definition" : "A unique identifier assigned to this observation.",
        "requirements" : "Allows observations to be distinguished and referenced.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.identifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Identifier"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "v2",
            "map" : "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."
          },
          {
            "identity" : "rim",
            "map" : "id"
          },
          {
            "identity" : "w5",
            "map" : "id"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.basedOn",
        "path" : "Observation.basedOn",
        "short" : "Fulfills plan, proposal or order",
        "definition" : "A plan, proposal or order that is fulfilled in whole or in part by this event.",
        "requirements" : "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
        "alias" : [
          "Fulfills"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.basedOn",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/CarePlan"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/DeviceRequest"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/NutritionOrder"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/ProcedureRequest"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/ReferralRequest"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.status",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "default: final"
          }
        ],
        "path" : "Observation.status",
        "short" : "registered | preliminary | final | amended +",
        "definition" : "The status of the result value.",
        "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
        "requirements" : "Need to track the status of individual results. Some results are finalized before the whole report is finalized.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.status",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "mustSupport" : true,
        "isModifier" : true,
        "isSummary" : true,
        "binding" : {
          "strength" : "required",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/ValueSet/observation-status"
          }
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "sct-concept",
            "map" : "< 445584004 |Report by finality status|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-11"
          },
          {
            "identity" : "rim",
            "map" : "status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""
          },
          {
            "identity" : "w5",
            "map" : "status"
          },
          {
            "identity" : "argonaut-dq-dstu2",
            "map" : "Observation.status"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category",
        "path" : "Observation.category",
        "short" : "Classification of type of observation",
        "definition" : "A code that classifies the general type of observation being made.",
        "comment" : "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" : "Used for filtering what observations are retrieved and displayed.",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "Observation.category",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "constraint" : [
          {
            "key" : "us-core-5",
            "severity" : "error",
            "human" : "Must have a category of 'laboratory' and a code system 'http://hl7.org/fhir/observation-category'",
            "expression" : "where(coding.system='http://hl7.org/fhir/observation-category' and coding.code='laboratory').exists()",
            "xpath" : "exists(f:coding/code[@value='laboratory']) and exists(f:coding/system[@value='http://hl7.org/fhir/observation-category'])"
          }
        ],
        "mustSupport" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationCategory"
            }
          ],
          "strength" : "preferred",
          "description" : "Codes for high level observation categories.",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/ValueSet/observation-category"
          }
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
          },
          {
            "identity" : "w5",
            "map" : "class"
          },
          {
            "identity" : "argonaut-dq-dstu2",
            "map" : "Observation.category"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category.id",
        "path" : "Observation.category.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "xml:id (or equivalent in JSON)",
        "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category.extension",
        "path" : "Observation.category.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional Content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category.coding",
        "path" : "Observation.category.coding",
        "slicing" : {
          "id" : "1",
          "discriminator" : [
            {
              "type" : "value",
              "path" : "code"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "short" : "Code defined by a terminology system",
        "definition" : "A reference to a code defined by a terminology system.",
        "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
        "requirements" : "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
        "min" : 1,
        "max" : "*",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.1-8, C*E.10-22"
          },
          {
            "identity" : "rim",
            "map" : "union(., ./translation)"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category.coding:Fixed_laboratory",
        "path" : "Observation.category.coding",
        "sliceName" : "Fixed_laboratory",
        "definition" : "A reference to a code defined by a terminology system.",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "isSummary" : true
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category.coding:Fixed_laboratory.id",
        "path" : "Observation.category.coding.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "xml:id (or equivalent in JSON)",
        "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category.coding:Fixed_laboratory.extension",
        "path" : "Observation.category.coding.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional Content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category.coding:Fixed_laboratory.system",
        "path" : "Observation.category.coding.system",
        "short" : "Identity of the terminology system",
        "definition" : "The identification of the code system that defines the meaning of the symbol in the code.",
        "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
        "requirements" : "Need to be unambiguous about the source of the definition of the symbol.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "fixedUri" : "http://hl7.org/fhir/observation-category",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.3"
          },
          {
            "identity" : "rim",
            "map" : "./codeSystem"
          },
          {
            "identity" : "orim",
            "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category.coding:Fixed_laboratory.version",
        "path" : "Observation.category.coding.version",
        "short" : "Version of the system - if relevant",
        "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
        "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.7"
          },
          {
            "identity" : "rim",
            "map" : "./codeSystemVersion"
          },
          {
            "identity" : "orim",
            "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category.coding:Fixed_laboratory.code",
        "path" : "Observation.category.coding.code",
        "short" : "Symbol in syntax defined by the system",
        "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
        "requirements" : "Need to refer to a particular code in the system.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
          }
        ],
        "fixedCode" : "laboratory",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.1"
          },
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "orim",
            "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category.coding:Fixed_laboratory.display",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean" : true
          }
        ],
        "path" : "Observation.category.coding.display",
        "short" : "Representation defined by the system",
        "definition" : "A representation of the meaning of the code in the system, following the rules of the system.",
        "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.2 - but note this is not well followed"
          },
          {
            "identity" : "rim",
            "map" : "CV.displayName"
          },
          {
            "identity" : "orim",
            "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category.coding:Fixed_laboratory.userSelected",
        "path" : "Observation.category.coding.userSelected",
        "short" : "If this coding was chosen directly by the user",
        "definition" : "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
        "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
        "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "Sometimes implied by being first"
          },
          {
            "identity" : "rim",
            "map" : "CD.codingRationale"
          },
          {
            "identity" : "orim",
            "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category.text",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean" : true
          }
        ],
        "path" : "Observation.category.text",
        "short" : "Plain text representation of the concept",
        "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
        "comment" : "Very often the text is the same as a displayName of one of the codings.",
        "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.9. But note many systems use C*E.2 for this"
          },
          {
            "identity" : "rim",
            "map" : "./originalText[mediaType/code=\"text/plain\"]/data"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code",
        "path" : "Observation.code",
        "short" : "Laboratory Test Name",
        "definition" : "The test that was performed. A LOINC **SHALL** be used if the concept is present in LOINC.",
        "comment" : "The typical patterns for codes are: 1) a LOINC code either as a translation from a \"local\" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists. When using LOINC , Use either the SHORTNAME or LONG_COMMON_NAME field for the display.",
        "requirements" : "Knowing what kind of observation is being made is essential to understanding the observation.",
        "alias" : [
          "Name",
          "Test Name",
          "Observation Identifer"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.code",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "mustSupport" : true,
        "isSummary" : true,
        "binding" : {
          "strength" : "extensible",
          "description" : "LOINC codes",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/ValueSet/observation-codes"
          }
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "sct-concept",
            "map" : "< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-3"
          },
          {
            "identity" : "rim",
            "map" : "code"
          },
          {
            "identity" : "sct-attr",
            "map" : "116680003 |Is a|"
          },
          {
            "identity" : "w5",
            "map" : "what"
          },
          {
            "identity" : "argonaut-dq-dstu2",
            "map" : "Observation.code"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code.id",
        "path" : "Observation.code.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "xml:id (or equivalent in JSON)",
        "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code.extension",
        "path" : "Observation.code.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional Content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code.coding",
        "path" : "Observation.code.coding",
        "slicing" : {
          "id" : "2",
          "discriminator" : [
            {
              "type" : "value",
              "path" : "code"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "short" : "Code defined by a terminology system",
        "definition" : "A reference to a code defined by a terminology system.",
        "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
        "requirements" : "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
        "min" : 1,
        "max" : "*",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.1-8, C*E.10-22"
          },
          {
            "identity" : "rim",
            "map" : "union(., ./translation)"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code.coding:Fixed_C1709318",
        "path" : "Observation.code.coding",
        "sliceName" : "Fixed_C1709318",
        "short" : "Oncotype DX Breast Cancer Assay",
        "definition" : "Oncotype DX Breast Cancer Assay",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "isSummary" : true
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code.coding:Fixed_C1709318.id",
        "path" : "Observation.code.coding.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "xml:id (or equivalent in JSON)",
        "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code.coding:Fixed_C1709318.extension",
        "path" : "Observation.code.coding.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional Content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code.coding:Fixed_C1709318.system",
        "path" : "Observation.code.coding.system",
        "short" : "Identity of the terminology system",
        "definition" : "The identification of the code system that defines the meaning of the symbol in the code.",
        "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
        "requirements" : "Need to be unambiguous about the source of the definition of the symbol.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "fixedUri" : "http://ncimeta.nci.nih.gov",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.3"
          },
          {
            "identity" : "rim",
            "map" : "./codeSystem"
          },
          {
            "identity" : "orim",
            "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code.coding:Fixed_C1709318.version",
        "path" : "Observation.code.coding.version",
        "short" : "Version of the system - if relevant",
        "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
        "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.7"
          },
          {
            "identity" : "rim",
            "map" : "./codeSystemVersion"
          },
          {
            "identity" : "orim",
            "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code.coding:Fixed_C1709318.code",
        "path" : "Observation.code.coding.code",
        "short" : "Symbol in syntax defined by the system",
        "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
        "requirements" : "Need to refer to a particular code in the system.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
          }
        ],
        "fixedCode" : "C1709318",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.1"
          },
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "orim",
            "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code.coding:Fixed_C1709318.display",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean" : true
          }
        ],
        "path" : "Observation.code.coding.display",
        "short" : "Representation defined by the system",
        "definition" : "A representation of the meaning of the code in the system, following the rules of the system.",
        "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.2 - but note this is not well followed"
          },
          {
            "identity" : "rim",
            "map" : "CV.displayName"
          },
          {
            "identity" : "orim",
            "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code.coding:Fixed_C1709318.userSelected",
        "path" : "Observation.code.coding.userSelected",
        "short" : "If this coding was chosen directly by the user",
        "definition" : "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
        "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
        "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "boolean"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "Sometimes implied by being first"
          },
          {
            "identity" : "rim",
            "map" : "CD.codingRationale"
          },
          {
            "identity" : "orim",
            "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code.text",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean" : true
          }
        ],
        "path" : "Observation.code.text",
        "short" : "Plain text representation of the concept",
        "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
        "comment" : "Very often the text is the same as a displayName of one of the codings.",
        "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.9. But note many systems use C*E.2 for this"
          },
          {
            "identity" : "rim",
            "map" : "./originalText[mediaType/code=\"text/plain\"]/data"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.subject",
        "path" : "Observation.subject",
        "short" : "Who and/or what this is about",
        "definition" : "The patient, or group of patients, location, or device whose characteristics (direct or indirect) are described by the observation and into whose record the observation is placed. Comments: Indirect characteristics may be those of a specimen, fetus, donor, other observer (for example a relative or EMT), or any observation made about the subject.",
        "comment" : "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.\r\rIf the target of the observation is different than the subject, the general extension [observation-focal-subject](extension-observation-focal-subject.html). may be used. However, the distinction between the patient's own value for an observation versus that of the fetus, or the donor or blood product unit, etc., are often specified in the observation code.",
        "requirements" : "Observations have no value if you don't know who or what they're about.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.subject",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
          }
        ],
        "mustSupport" : true,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=SBJ]"
          },
          {
            "identity" : "w5",
            "map" : "who.focus"
          },
          {
            "identity" : "argonaut-dq-dstu2",
            "map" : "Observation.subject"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.context",
        "path" : "Observation.context",
        "short" : "Healthcare event during which this observation is made",
        "definition" : "The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.",
        "comment" : "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 or episode but still be tied to the context of the encounter or episode (e.g. pre-admission lab tests).",
        "requirements" : "For some observations it may be important to know the link between an observation and a particular encounter.",
        "alias" : [
          "Encounter"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.context",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Encounter"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
          }
        ],
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          },
          {
            "identity" : "w5",
            "map" : "context"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.effective[x]",
        "path" : "Observation.effective[x]",
        "short" : "Clinically relevant time/time-period for observation",
        "definition" : "For lab tests this is the specimen collection date. For Ask at Order Entry Questions (AOE)'s this is the date the question was asked.",
        "comment" : "At least a date should be present unless this observation is a historical report.",
        "requirements" : "Knowing when an observation was deemed true is important to its relevance as well as determining trends.",
        "alias" : [
          "Occurrence"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.effective[x]",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }
        ],
        "constraint" : [
          {
            "key" : "us-core-1",
            "severity" : "error",
            "human" : "Datetime must be at least to day.",
            "expression" : "($this as dateTime).toString().length() >= 8",
            "xpath" : "f:matches(effectiveDateTime,/\\d{4}-[01]\\d-[0-3]\\dT[0-2]\\d:[0-5]\\d([+-][0-2]\\d:[0-5]\\d|Z)/)"
          }
        ],
        "mustSupport" : true,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"
          },
          {
            "identity" : "rim",
            "map" : "effectiveTime"
          },
          {
            "identity" : "w5",
            "map" : "when.done"
          },
          {
            "identity" : "argonaut-dq-dstu2",
            "map" : "Observation.effective[x]"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.issued",
        "path" : "Observation.issued",
        "short" : "Date/Time this was made available",
        "definition" : "The date and time this observation was made available to providers, typically after the results have been reviewed and verified.",
        "comment" : "Updated when the result is updated.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.issued",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "instant"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=AUT].time"
          },
          {
            "identity" : "w5",
            "map" : "when.recorded"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.performer",
        "path" : "Observation.performer",
        "short" : "Who is responsible for the observation",
        "definition" : "Who was responsible for asserting the observed value as \"true\".",
        "requirements" : "May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Observation.performer",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Practitioner"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Organization"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/Patient"
          },
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "v2",
            "map" : "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'"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=PRF]"
          },
          {
            "identity" : "w5",
            "map" : "who.actor"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.valueQuantity",
        "path" : "Observation.valueQuantity",
        "short" : "Result Value",
        "definition" : "The Laboratory result value. If a coded value, the valueCodeableConcept.code **SHOULD** be selected from [SNOMED CT](http://hl7.org/fhir/ValueSet/uslab-obs-codedresults). If a numeric value, valueQuantity.code **SHALL** be selected from [UCUM](http://unitsofmeasure.org). A FHIR [UCUM Codes value set](http://hl7.org/fhir/STU3/valueset-ucum-units.html) that defines all UCUM codes is in the FHIR specification.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.value[x]",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Quantity"
          }
        ],
        "isSummary" : true
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.valueQuantity.id",
        "path" : "Observation.valueQuantity.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "xml:id (or equivalent in JSON)",
        "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.valueQuantity.extension",
        "path" : "Observation.valueQuantity.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional Content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.valueQuantity.value",
        "path" : "Observation.valueQuantity.value",
        "short" : "Numerical value (with implicit precision)",
        "definition" : "The value of the measured amount. The value includes an implicit precision in the presentation of the value.",
        "comment" : "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).",
        "requirements" : "Precision is handled implicitly in almost all cases of measurement.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "decimal"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "SN.2 / CQ - N/A"
          },
          {
            "identity" : "rim",
            "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.valueQuantity.comparator",
        "path" : "Observation.valueQuantity.comparator",
        "short" : "< | <= | >= | > - how to understand the value",
        "definition" : "How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value.",
        "comment" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value.",
        "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
          }
        ],
        "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value",
        "isModifier" : true,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuantityComparator"
            }
          ],
          "strength" : "required",
          "description" : "How the Quantity should be understood and represented.",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/ValueSet/quantity-comparator"
          }
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "SN.1 / CQ.1"
          },
          {
            "identity" : "rim",
            "map" : "IVL properties"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.valueQuantity.unit",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean" : true
          }
        ],
        "path" : "Observation.valueQuantity.unit",
        "short" : "Unit representation",
        "definition" : "A human-readable form of the unit.",
        "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "(see OBX.6 etc.) / CQ.2"
          },
          {
            "identity" : "rim",
            "map" : "PQ.unit"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.valueQuantity.system",
        "path" : "Observation.valueQuantity.system",
        "short" : "System that defines coded unit form",
        "definition" : "The identification of the system that provides the coded form of the unit.",
        "requirements" : "Need to know the system that defines the coded form of the unit.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "fixedUri" : "http://unitsofmeasure.org",
        "condition" : [
          "qty-3"
        ],
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "(see OBX.6 etc.) / CQ.2"
          },
          {
            "identity" : "rim",
            "map" : "CO.codeSystem, PQ.translation.codeSystem"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.valueQuantity.code",
        "path" : "Observation.valueQuantity.code",
        "short" : "Coded form of the unit",
        "definition" : "A computer processable form of the unit in some unit representation system.",
        "comment" : "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.",
        "requirements" : "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
          }
        ],
        "fixedCode" : "1",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "(see OBX.6 etc.) / CQ.2"
          },
          {
            "identity" : "rim",
            "map" : "PQ.code, MO.currency, PQ.translation.code"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.dataAbsentReason",
        "path" : "Observation.dataAbsentReason",
        "short" : "Why the result is missing",
        "definition" : "Provides a reason why the expected value in the element Observation.value[x] is missing.",
        "comment" : "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 \"detected\", \"not detected\", \"inconclusive\", or \"specimen unsatisfactory\". 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 \"error\" 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 > 0. Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.",
        "requirements" : "For many results it is necessary to handle exceptional values in measurements.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.dataAbsentReason",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "condition" : [
          "obs-6"
        ],
        "mustSupport" : true,
        "binding" : {
          "strength" : "extensible",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/ValueSet/data-absent-reason"
          }
        },
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.notDone, Event.notDoneReason (maps to valeu[x] or dataAbsentReason)"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "value.nullFlavor"
          },
          {
            "identity" : "argonaut-dq-dstu2",
            "map" : "Observation.dataAbsentReason"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.interpretation",
        "path" : "Observation.interpretation",
        "short" : "High, low, normal, etc.",
        "definition" : "The assessment made based on the result of the observation. Intended as a simple compact code often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result. Otherwise known as abnormal flag.",
        "requirements" : "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.",
        "alias" : [
          "Abnormal Flag"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.interpretation",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-RecurrenceRiskScoreInterpretationVS"
          }
        },
        "mapping" : [
          {
            "identity" : "sct-concept",
            "map" : "< 260245000 |Findings values|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-8"
          },
          {
            "identity" : "rim",
            "map" : "interpretationCode"
          },
          {
            "identity" : "sct-attr",
            "map" : "363713009 |Has interpretation|"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.comment",
        "path" : "Observation.comment",
        "short" : "Comments about result",
        "definition" : "May include statements about significant, unexpected or unreliable values, or information about the source of the value where this may be relevant to the interpretation of the result.",
        "requirements" : "Need to be able to provide free text additional information.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.comment",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"
          },
          {
            "identity" : "rim",
            "map" : "subjectOf.observationEvent[code=\"annotation\"].value"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.bodySite",
        "path" : "Observation.bodySite",
        "short" : "Observed body part",
        "definition" : "Indicates the site on the subject's body where the observation was made (i.e. the target site).",
        "comment" : "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[ body-site-instance](extension-body-site-instance.html).",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "Observation.bodySite",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-element-AnatomicalLocationVS"
          }
        },
        "mapping" : [
          {
            "identity" : "sct-concept",
            "map" : "< 123037004 |Body structure|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-20"
          },
          {
            "identity" : "rim",
            "map" : "targetSiteCode"
          },
          {
            "identity" : "sct-attr",
            "map" : "718497002 |Inherent location|"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.method",
        "path" : "Observation.method",
        "short" : "How it was done",
        "definition" : "Indicates the mechanism used to perform the observation.",
        "comment" : "Only used if not implicit in code for Observation.code.",
        "requirements" : "In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Observation.method",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "binding" : {
          "strength" : "preferred",
          "valueSetReference" : {
            "reference" : "http://loinc.org/vs"
          }
        },
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "OBX-17"
          },
          {
            "identity" : "rim",
            "map" : "methodCode"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.specimen",
        "path" : "Observation.specimen",
        "short" : "Specimen used for this observation",
        "definition" : "The specimen that was used when this observation was made.",
        "comment" : "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" : 1,
        "max" : "1",
        "base" : {
          "path" : "Observation.specimen",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSpecimen"
          }
        ],
        "mapping" : [
          {
            "identity" : "sct-concept",
            "map" : "< 123038009 |Specimen|"
          },
          {
            "identity" : "v2",
            "map" : "SPM segment"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=SPC].specimen"
          },
          {
            "identity" : "sct-attr",
            "map" : "704319004 |Inherent in|"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.device",
        "path" : "Observation.device",
        "short" : "(Measurement) Device",
        "definition" : "The device used to generate the observation data.",
        "comment" : "An extension should be used if further typing of the device is needed. Devices used to support obtaining an observation can be represented using either an extension or through the Observation.related element.",
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "Observation.device",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-device"
          }
        ],
        "mapping" : [
          {
            "identity" : "sct-concept",
      &nb"definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "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" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.component.referenceRange.modifierExtension",
        "path" : "Observation.component.referenceRange.modifierExtension",
        "short" : "Extensions that cannot be ignored",
        "definition" : "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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
        "comment" : "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" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "isModifier" : true,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.component.referenceRange.low",
        "path" : "Observation.component.referenceRange.low",
        "short" : "Low Range, if relevant",
        "definition" : "The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Quantity",
            "profile" : "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
          }
        ],
        "condition" : [
          "obs-3"
        ],
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "OBX-7"
          },
          {
            "identity" : "rim",
            "map" : "value:IVL_PQ.low"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.component.referenceRange.high",
        "path" : "Observation.component.referenceRange.high",
        "short" : "High Range, if relevant",
        "definition" : "The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Quantity",
            "profile" : "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
          }
        ],
        "condition" : [
          "obs-3"
        ],
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "OBX-7"
          },
          {
            "identity" : "rim",
            "map" : "value:IVL_PQ.high"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.component.referenceRange.type",
        "path" : "Observation.component.referenceRange.type",
        "short" : "Reference range qualifier",
        "definition" : "Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.",
        "comment" : "This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed.",
        "requirements" : "Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc, - for proper interpretation.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationRangeMeaning"
            }
          ],
          "strength" : "extensible",
          "description" : "Code for the meaning of a reference range.",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/ValueSet/referencerange-meaning"
          }
        },
        "mapping" : [
          {
            "identity" : "sct-concept",
            "map" : "< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-10"
          },
          {
            "identity" : "rim",
            "map" : "interpretationCode"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.component.referenceRange.appliesTo",
        "path" : "Observation.component.referenceRange.appliesTo",
        "short" : "Reference range population",
        "definition" : "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.",
        "comment" : "This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed.",
        "requirements" : "Need to be able to identify the target population for proper interpretation.",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationRangeType"
            }
          ],
          "strength" : "example",
          "description" : "Codes identifying the population the reference range applies to.",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/ValueSet/referencerange-appliesto"
          }
        },
        "mapping" : [
          {
            "identity" : "sct-concept",
            "map" : "< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-10"
          },
          {
            "identity" : "rim",
            "map" : "interpretationCode"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.component.referenceRange.age",
        "path" : "Observation.component.referenceRange.age",
        "short" : "Applicable age range, if relevant",
        "definition" : "The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.",
        "requirements" : "Some analytes vary greatly over age.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Range"
          }
        ],
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.component.referenceRange.text",
        "path" : "Observation.component.referenceRange.text",
        "short" : "Text based reference range in an observation",
        "definition" : "Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation. An example would be a reference value of \"Negative\" or a list or table of 'normals'.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "OBX-7"
          },
          {
            "identity" : "rim",
            "map" : "value:ST"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore",
        "path" : "Observation",
        "short" : "BC OncotypeDxInvasiveRecurrenceScore Profile",
        "definition" : "The Oncotype DX test for invasive breast cancer examines the activity of 21 genes in a patient’s breast tumor tissue to provide personalized information for tailoring treatment based on the biology of their individual disease. The value from 0 to 100 indicates the estimated risk of recurrence, with the highest risk indicated by a score greater than 31.\nNo LOINC code currently exists for this test. We are seeking feedback on the value of separating OncotypeDx scores for DCIS and invasive breast carcinomas. Does it make more sense to report the OncotypeDx as a single score, regardless of the type of cancer?",
        "mustSupport" : false
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.extension:deltaflag",
        "path" : "Observation.extension",
        "sliceName" : "deltaflag",
        "definition" : "Indicator of significant change (delta) from the last or previous measurement.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : "http://hl7.org/fhir/StructureDefinition/observation-delta"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category",
        "path" : "Observation.category"
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category.coding",
        "path" : "Observation.category.coding",
        "slicing" : {
          "id" : "1",
          "discriminator" : [
            {
              "type" : "value",
              "path" : "code"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "min" : 1,
        "max" : "*"
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category.coding:Fixed_laboratory",
        "path" : "Observation.category.coding",
        "sliceName" : "Fixed_laboratory",
        "definition" : "A reference to a code defined by a terminology system.",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "isSummary" : true
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category.coding:Fixed_laboratory.system",
        "path" : "Observation.category.coding.system",
        "fixedUri" : "http://hl7.org/fhir/observation-category"
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.category.coding:Fixed_laboratory.code",
        "path" : "Observation.category.coding.code",
        "fixedCode" : "laboratory"
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code",
        "path" : "Observation.code"
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code.coding",
        "path" : "Observation.code.coding",
        "slicing" : {
          "id" : "2",
          "discriminator" : [
            {
              "type" : "value",
              "path" : "code"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "min" : 1,
        "max" : "*"
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code.coding:Fixed_C1709318",
        "path" : "Observation.code.coding",
        "sliceName" : "Fixed_C1709318",
        "short" : "Oncotype DX Breast Cancer Assay",
        "definition" : "Oncotype DX Breast Cancer Assay",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "isSummary" : true
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code.coding:Fixed_C1709318.system",
        "path" : "Observation.code.coding.system",
        "fixedUri" : "http://ncimeta.nci.nih.gov"
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.code.coding:Fixed_C1709318.code",
        "path" : "Observation.code.coding.code",
        "fixedCode" : "C1709318"
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.valueQuantity",
        "path" : "Observation.valueQuantity",
        "type" : [
          {
            "code" : "Quantity"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.valueQuantity.system",
        "path" : "Observation.valueQuantity.system",
        "fixedUri" : "http://unitsofmeasure.org"
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.valueQuantity.code",
        "path" : "Observation.valueQuantity.code",
        "fixedCode" : "1"
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.dataAbsentReason",
        "path" : "Observation.dataAbsentReason",
        "binding" : {
          "strength" : "extensible",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/ValueSet/data-absent-reason"
          }
        }
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.interpretation",
        "path" : "Observation.interpretation",
        "binding" : {
          "strength" : "required",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-RecurrenceRiskScoreInterpretationVS"
          }
        }
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.bodySite",
        "path" : "Observation.bodySite",
        "min" : 0,
        "max" : "0",
        "binding" : {
          "strength" : "required",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/us/breastcancer/ValueSet/cimi-element-AnatomicalLocationVS"
          }
        }
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.method",
        "path" : "Observation.method",
        "binding" : {
          "strength" : "preferred",
          "valueSetReference" : {
            "reference" : "http://loinc.org/vs"
          }
        }
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.specimen",
        "path" : "Observation.specimen",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSpecimen"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.device",
        "path" : "Observation.device",
        "min" : 0,
        "max" : "0",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-device"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.referenceRange",
        "path" : "Observation.referenceRange"
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.referenceRange.appliesTo",
        "path" : "Observation.referenceRange.appliesTo",
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationRangeType"
            }
          ],
          "strength" : "extensible",
          "description" : "Codes identifying the population the reference range applies to.",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/ValueSet/referencerange-appliesto"
          }
        }
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.related",
        "path" : "Observation.related",
        "min" : 0,
        "max" : "0"
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.related.type",
        "path" : "Observation.related.type",
        "fixedCode" : "has-member"
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.related.target",
        "path" : "Observation.related.target",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-Observation"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.component",
        "path" : "Observation.component",
        "min" : 0,
        "max" : "0"
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.component.value[x]",
        "path" : "Observation.component.value[x]",
        "type" : [
          {
            "code" : "Quantity"
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Ratio",
            "profile" : "http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-Ratio"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "time"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }
        ]
      },
      {
        "id" : "Observation:oncology-OncotypeDxInvasiveRecurrenceScore.component.dataAbsentReason",
        "path" : "Observation.component.dataAbsentReason",
        "binding" : {
          "strength" : "extensible",
          "valueSetReference" : {
            "reference" : "http://hl7.org/fhir/ValueSet/data-absent-reason"
          }
        }
      }
    ]
  }
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.