DNPM Patient Record - MII IG Kerndatensatz-Modul Molekulares Tumorboard v2027.0.0-ballot.1

This page is part of the MII Implementation Guide Molecular Tumor Board (v2027.0.0-ballot.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Logical Model: DNPM Patient Record - Detailed Descriptions

Active as of 2026-09-15

Definitions for the dnpm-lm-patient-record logical model

Key Elements Table
Differential Table
Snapshot Table

Guidance on how to interpret the contents of this table can be foundhere

0. dnpm-lm-patient-record
Definition	Logical Model for the DNPM DIP MTB Patient Record JSON structure (all 19 top-level keys) Base definition for all elements in a resource.
Short	DNPM Patient RecordBase for all elements
Control	0..* This element is affected by the following invariants: ele-1
Is Modifier	false
Logical Model	Instances of this logical model are not marked to be the target of a Reference
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. dnpm-lm-patient-record.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
4. dnpm-lm-patient-record.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
6. dnpm-lm-patient-record.patient
Definition	Patient demographics
Short	Patient demographics
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. dnpm-lm-patient-record.patient.id
Definition	Patient UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
10. dnpm-lm-patient-record.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
12. dnpm-lm-patient-record.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. dnpm-lm-patient-record.patient.gender
Definition	Patient gender
Short	Patient gender
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. dnpm-lm-patient-record.patient.gender.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
18. dnpm-lm-patient-record.patient.gender.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.patient.gender.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
20. dnpm-lm-patient-record.patient.gender.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
22. dnpm-lm-patient-record.patient.gender.code
Definition	Gender code (e.g. female)
Short	Gender code (e.g. female)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
24. dnpm-lm-patient-record.patient.gender.display
Definition	Gender display text
Short	Gender display text
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
26. dnpm-lm-patient-record.patient.gender.system
Definition	Gender code system
Short	Gender code system
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
28. dnpm-lm-patient-record.patient.birthDate
Definition	Date of birth (YYYY-MM)
Short	Date of birth (YYYY-MM)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
30. dnpm-lm-patient-record.patient.healthInsurance
Definition	Health insurance information
Short	Health insurance information
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. dnpm-lm-patient-record.patient.healthInsurance.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
34. dnpm-lm-patient-record.patient.healthInsurance.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.patient.healthInsurance.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
36. dnpm-lm-patient-record.patient.healthInsurance.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
38. dnpm-lm-patient-record.patient.healthInsurance.type
Definition	Insurance type coding
Short	Insurance type coding
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. dnpm-lm-patient-record.patient.healthInsurance.type.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
42. dnpm-lm-patient-record.patient.healthInsurance.type.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.patient.healthInsurance.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
44. dnpm-lm-patient-record.patient.healthInsurance.type.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
46. dnpm-lm-patient-record.patient.healthInsurance.type.code
Definition	Insurance type code (e.g. GKV)
Short	Insurance type code (e.g. GKV)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
48. dnpm-lm-patient-record.patient.healthInsurance.type.display
Definition	Insurance type display
Short	Insurance type display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
50. dnpm-lm-patient-record.patient.healthInsurance.type.system
Definition	Insurance type system URI
Short	Insurance type system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
52. dnpm-lm-patient-record.patient.healthInsurance.reference
Definition	Insurance provider reference
Short	Insurance provider reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. dnpm-lm-patient-record.patient.healthInsurance.reference.id
Definition	Insurance provider ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Insurance provider IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
56. dnpm-lm-patient-record.patient.healthInsurance.reference.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.patient.healthInsurance.reference.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
58. dnpm-lm-patient-record.patient.healthInsurance.reference.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
60. dnpm-lm-patient-record.patient.healthInsurance.reference.type
Definition	Reference type (HealthInsurance)
Short	Reference type (HealthInsurance)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
62. dnpm-lm-patient-record.patient.healthInsurance.reference.display
Definition	Insurance provider display name
Short	Insurance provider display name
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
64. dnpm-lm-patient-record.patient.healthInsurance.reference.system
Definition	Insurance provider system URI
Short	Insurance provider system URI
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
66. dnpm-lm-patient-record.patient.address
Definition	Patient address (municipality)
Short	Patient address (municipality)
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. dnpm-lm-patient-record.patient.address.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
70. dnpm-lm-patient-record.patient.address.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.patient.address.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
72. dnpm-lm-patient-record.patient.address.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
74. dnpm-lm-patient-record.patient.address.municipalityCode
Definition	AGS municipality code (5-digit)
Short	AGS municipality code (5-digit)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
76. dnpm-lm-patient-record.patient.age
Definition	Calculated patient age
Short	Calculated patient age
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
78. dnpm-lm-patient-record.patient.age.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
80. dnpm-lm-patient-record.patient.age.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.patient.age.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
82. dnpm-lm-patient-record.patient.age.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
84. dnpm-lm-patient-record.patient.age.value
Definition	Age numeric value
Short	Age numeric value
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
86. dnpm-lm-patient-record.patient.age.unit
Definition	Age unit (e.g. Years)
Short	Age unit (e.g. Years)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
88. dnpm-lm-patient-record.patient.vitalStatus
Definition	Vital status
Short	Vital status
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. dnpm-lm-patient-record.patient.vitalStatus.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
92. dnpm-lm-patient-record.patient.vitalStatus.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.patient.vitalStatus.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
94. dnpm-lm-patient-record.patient.vitalStatus.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
96. dnpm-lm-patient-record.patient.vitalStatus.code
Definition	Vital status code (e.g. alive)
Short	Vital status code (e.g. alive)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
98. dnpm-lm-patient-record.patient.vitalStatus.display
Definition	Vital status display
Short	Vital status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
100. dnpm-lm-patient-record.patient.vitalStatus.system
Definition	Vital status system URI
Short	Vital status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
102. dnpm-lm-patient-record.episodesOfCare
Definition	MTB episodes of care
Short	MTB episodes of care
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. dnpm-lm-patient-record.episodesOfCare.id
Definition	Episode UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Episode UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
106. dnpm-lm-patient-record.episodesOfCare.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.episodesOfCare.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
108. dnpm-lm-patient-record.episodesOfCare.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
110. dnpm-lm-patient-record.episodesOfCare.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. dnpm-lm-patient-record.episodesOfCare.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
114. dnpm-lm-patient-record.episodesOfCare.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.episodesOfCare.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
116. dnpm-lm-patient-record.episodesOfCare.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
118. dnpm-lm-patient-record.episodesOfCare.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
120. dnpm-lm-patient-record.episodesOfCare.period
Definition	Episode period
Short	Episode period
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. dnpm-lm-patient-record.episodesOfCare.period.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
124. dnpm-lm-patient-record.episodesOfCare.period.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.episodesOfCare.period.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
126. dnpm-lm-patient-record.episodesOfCare.period.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
128. dnpm-lm-patient-record.episodesOfCare.period.start
Definition	Start date (YYYY-MM-DD)
Short	Start date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
130. dnpm-lm-patient-record.episodesOfCare.period.end
Definition	End date (YYYY-MM-DD)
Short	End date (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
132. dnpm-lm-patient-record.episodesOfCare.diagnoses
Definition	Diagnosis references within this episode
Short	Diagnosis references within this episode
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. dnpm-lm-patient-record.episodesOfCare.diagnoses.id
Definition	Diagnosis ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Diagnosis IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
136. dnpm-lm-patient-record.episodesOfCare.diagnoses.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.episodesOfCare.diagnoses.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
138. dnpm-lm-patient-record.episodesOfCare.diagnoses.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
140. dnpm-lm-patient-record.episodesOfCare.diagnoses.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
142. dnpm-lm-patient-record.diagnoses
Definition	MTB tumor diagnoses
Short	MTB tumor diagnoses
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. dnpm-lm-patient-record.diagnoses.id
Definition	Diagnosis UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Diagnosis UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
146. dnpm-lm-patient-record.diagnoses.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
148. dnpm-lm-patient-record.diagnoses.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
150. dnpm-lm-patient-record.diagnoses.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
152. dnpm-lm-patient-record.diagnoses.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
154. dnpm-lm-patient-record.diagnoses.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
156. dnpm-lm-patient-record.diagnoses.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
158. dnpm-lm-patient-record.diagnoses.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
160. dnpm-lm-patient-record.diagnoses.recordedOn
Definition	Date diagnosis was recorded (YYYY-MM-DD)
Short	Date diagnosis was recorded (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
162. dnpm-lm-patient-record.diagnoses.type
Definition	Diagnosis type history (main / secondary)
Short	Diagnosis type history (main / secondary)
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
164. dnpm-lm-patient-record.diagnoses.type.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
166. dnpm-lm-patient-record.diagnoses.type.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
168. dnpm-lm-patient-record.diagnoses.type.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
170. dnpm-lm-patient-record.diagnoses.type.history
Definition	History entries for diagnosis type
Short	History entries for diagnosis type
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
172. dnpm-lm-patient-record.diagnoses.type.history.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
174. dnpm-lm-patient-record.diagnoses.type.history.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.type.history.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
176. dnpm-lm-patient-record.diagnoses.type.history.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
178. dnpm-lm-patient-record.diagnoses.type.history.date
Definition	Entry date
Short	Entry date
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
180. dnpm-lm-patient-record.diagnoses.type.history.value
Definition	Diagnosis type value
Short	Diagnosis type value
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. dnpm-lm-patient-record.diagnoses.type.history.value.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
184. dnpm-lm-patient-record.diagnoses.type.history.value.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.type.history.value.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
186. dnpm-lm-patient-record.diagnoses.type.history.value.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
188. dnpm-lm-patient-record.diagnoses.type.history.value.code
Definition	Type code (e.g. main)
Short	Type code (e.g. main)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
190. dnpm-lm-patient-record.diagnoses.type.history.value.display
Definition	Type display
Short	Type display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
192. dnpm-lm-patient-record.diagnoses.type.history.value.system
Definition	Type system URI
Short	Type system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
194. dnpm-lm-patient-record.diagnoses.code
Definition	ICD-10-GM tumor diagnosis code
Short	ICD-10-GM tumor diagnosis code
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
196. dnpm-lm-patient-record.diagnoses.code.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
198. dnpm-lm-patient-record.diagnoses.code.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.code.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
200. dnpm-lm-patient-record.diagnoses.code.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
202. dnpm-lm-patient-record.diagnoses.code.code
Definition	ICD-10-GM code (e.g. C75.8)
Short	ICD-10-GM code (e.g. C75.8)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
204. dnpm-lm-patient-record.diagnoses.code.display
Definition	Diagnosis display text
Short	Diagnosis display text
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
206. dnpm-lm-patient-record.diagnoses.code.system
Definition	ICD-10-GM code system URI
Short	ICD-10-GM code system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
208. dnpm-lm-patient-record.diagnoses.code.version
Definition	ICD-10-GM version year
Short	ICD-10-GM version year
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
210. dnpm-lm-patient-record.diagnoses.topography
Definition	ICD-O-3 topography code
Short	ICD-O-3 topography code
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
212. dnpm-lm-patient-record.diagnoses.topography.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
214. dnpm-lm-patient-record.diagnoses.topography.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.topography.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
216. dnpm-lm-patient-record.diagnoses.topography.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
218. dnpm-lm-patient-record.diagnoses.topography.code
Definition	Topography code
Short	Topography code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
220. dnpm-lm-patient-record.diagnoses.topography.display
Definition	Topography display
Short	Topography display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
222. dnpm-lm-patient-record.diagnoses.topography.system
Definition	Topography system URI (ICD-O-3)
Short	Topography system URI (ICD-O-3)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
224. dnpm-lm-patient-record.diagnoses.topography.version
Definition	ICD-O-3 version
Short	ICD-O-3 version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
226. dnpm-lm-patient-record.diagnoses.grading
Definition	Tumor grading history
Short	Tumor grading history
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
228. dnpm-lm-patient-record.diagnoses.grading.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
230. dnpm-lm-patient-record.diagnoses.grading.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.grading.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
232. dnpm-lm-patient-record.diagnoses.grading.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
234. dnpm-lm-patient-record.diagnoses.grading.history
Definition	Grading history entries
Short	Grading history entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
236. dnpm-lm-patient-record.diagnoses.grading.history.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
238. dnpm-lm-patient-record.diagnoses.grading.history.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.grading.history.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
240. dnpm-lm-patient-record.diagnoses.grading.history.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
242. dnpm-lm-patient-record.diagnoses.grading.history.date
Definition	Grading date
Short	Grading date
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
244. dnpm-lm-patient-record.diagnoses.grading.history.codes
Definition	Grading codes
Short	Grading codes
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
246. dnpm-lm-patient-record.diagnoses.grading.history.codes.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
248. dnpm-lm-patient-record.diagnoses.grading.history.codes.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.grading.history.codes.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
250. dnpm-lm-patient-record.diagnoses.grading.history.codes.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
252. dnpm-lm-patient-record.diagnoses.grading.history.codes.code
Definition	Grade code
Short	Grade code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
254. dnpm-lm-patient-record.diagnoses.grading.history.codes.display
Definition	Grade display
Short	Grade display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
256. dnpm-lm-patient-record.diagnoses.grading.history.codes.system
Definition	Grading system URI
Short	Grading system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
258. dnpm-lm-patient-record.diagnoses.staging
Definition	Tumor staging history
Short	Tumor staging history
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
260. dnpm-lm-patient-record.diagnoses.staging.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
262. dnpm-lm-patient-record.diagnoses.staging.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.staging.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
264. dnpm-lm-patient-record.diagnoses.staging.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
266. dnpm-lm-patient-record.diagnoses.staging.history
Definition	Staging history entries
Short	Staging history entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
268. dnpm-lm-patient-record.diagnoses.staging.history.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
270. dnpm-lm-patient-record.diagnoses.staging.history.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.staging.history.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
272. dnpm-lm-patient-record.diagnoses.staging.history.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
274. dnpm-lm-patient-record.diagnoses.staging.history.date
Definition	Staging date
Short	Staging date
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
276. dnpm-lm-patient-record.diagnoses.staging.history.method
Definition	Staging method
Short	Staging method
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
278. dnpm-lm-patient-record.diagnoses.staging.history.method.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
280. dnpm-lm-patient-record.diagnoses.staging.history.method.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.staging.history.method.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
282. dnpm-lm-patient-record.diagnoses.staging.history.method.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
284. dnpm-lm-patient-record.diagnoses.staging.history.method.code
Definition	Method code (e.g. clinical)
Short	Method code (e.g. clinical)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
286. dnpm-lm-patient-record.diagnoses.staging.history.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
288. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification
Definition	TNM classification
Short	TNM classification
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
290. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
292. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
294. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
296. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor
Definition	T category
Short	T category
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
298. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
300. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
302. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
304. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor.code
Definition	T code (e.g. T0)
Short	T code (e.g. T0)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
306. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor.system
Definition	TNM system (UICC)
Short	TNM system (UICC)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
308. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes
Definition	N category
Short	N category
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
310. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
312. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
314. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
316. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes.code
Definition	N code (e.g. N2)
Short	N code (e.g. N2)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
318. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes.system
Definition	TNM system (UICC)
Short	TNM system (UICC)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
320. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis
Definition	M category
Short	M category
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
322. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
324. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
326. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
328. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis.code
Definition	M code (e.g. M0)
Short	M code (e.g. M0)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
330. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis.system
Definition	TNM system (UICC)
Short	TNM system (UICC)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
332. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications
Definition	Other classification systems
Short	Other classification systems
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
334. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
336. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
338. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
340. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.code
Definition	Classification code
Short	Classification code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
342. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.display
Definition	Classification display
Short	Classification display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
344. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.system
Definition	Classification system URI
Short	Classification system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
346. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus
Definition	Guideline treatment exhaustion status
Short	Guideline treatment exhaustion status
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
348. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
350. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
352. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
354. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.code
Definition	Status code (e.g. non-exhausted)
Short	Status code (e.g. non-exhausted)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
356. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
358. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
360. dnpm-lm-patient-record.diagnoses.histology
Definition	Histology report references
Short	Histology report references
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
362. dnpm-lm-patient-record.diagnoses.histology.id
Definition	Histology report ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Histology report IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
364. dnpm-lm-patient-record.diagnoses.histology.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.histology.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
366. dnpm-lm-patient-record.diagnoses.histology.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
368. dnpm-lm-patient-record.diagnoses.histology.type
Definition	Reference type (HistologyReport)
Short	Reference type (HistologyReport)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
370. dnpm-lm-patient-record.diagnoses.notes
Definition	Free-text clinical notes
Short	Free-text clinical notes
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
372. dnpm-lm-patient-record.familyMemberHistories
Definition	Family member cancer history entries
Short	Family member cancer history entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
374. dnpm-lm-patient-record.familyMemberHistories.id
Definition	Family member history UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Family member history UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
376. dnpm-lm-patient-record.familyMemberHistories.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.familyMemberHistories.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
378. dnpm-lm-patient-record.familyMemberHistories.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
380. dnpm-lm-patient-record.familyMemberHistories.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
382. dnpm-lm-patient-record.familyMemberHistories.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
384. dnpm-lm-patient-record.familyMemberHistories.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.familyMemberHistories.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
386. dnpm-lm-patient-record.familyMemberHistories.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
388. dnpm-lm-patient-record.familyMemberHistories.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
390. dnpm-lm-patient-record.familyMemberHistories.relationship
Definition	Family relationship type
Short	Family relationship type
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
392. dnpm-lm-patient-record.familyMemberHistories.relationship.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
394. dnpm-lm-patient-record.familyMemberHistories.relationship.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.familyMemberHistories.relationship.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
396. dnpm-lm-patient-record.familyMemberHistories.relationship.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
398. dnpm-lm-patient-record.familyMemberHistories.relationship.code
Definition	Relationship code
Short	Relationship code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
400. dnpm-lm-patient-record.familyMemberHistories.relationship.display
Definition	Relationship display
Short	Relationship display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
402. dnpm-lm-patient-record.familyMemberHistories.relationship.system
Definition	Relationship system URI
Short	Relationship system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
404. dnpm-lm-patient-record.guidelineTherapies
Definition	Guideline-based therapy entries
Short	Guideline-based therapy entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
406. dnpm-lm-patient-record.guidelineTherapies.id
Definition	Therapy UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Therapy UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
408. dnpm-lm-patient-record.guidelineTherapies.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineTherapies.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
410. dnpm-lm-patient-record.guidelineTherapies.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
412. dnpm-lm-patient-record.guidelineTherapies.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
414. dnpm-lm-patient-record.guidelineTherapies.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
416. dnpm-lm-patient-record.guidelineTherapies.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineTherapies.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
418. dnpm-lm-patient-record.guidelineTherapies.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
420. dnpm-lm-patient-record.guidelineTherapies.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
422. dnpm-lm-patient-record.guidelineTherapies.indication
Definition	Indication (MTBDiagnosis) reference
Short	Indication (MTBDiagnosis) reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
424. dnpm-lm-patient-record.guidelineTherapies.indication.id
Definition	Diagnosis ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Diagnosis IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
426. dnpm-lm-patient-record.guidelineTherapies.indication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineTherapies.indication.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
428. dnpm-lm-patient-record.guidelineTherapies.indication.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
430. dnpm-lm-patient-record.guidelineTherapies.indication.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
432. dnpm-lm-patient-record.guidelineTherapies.therapyLine
Definition	Therapy line number
Short	Therapy line number
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
434. dnpm-lm-patient-record.guidelineTherapies.status
Definition	Therapy status
Short	Therapy status
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
436. dnpm-lm-patient-record.guidelineTherapies.status.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
438. dnpm-lm-patient-record.guidelineTherapies.status.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineTherapies.status.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
440. dnpm-lm-patient-record.guidelineTherapies.status.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
442. dnpm-lm-patient-record.guidelineTherapies.status.code
Definition	Status code (e.g. stopped)
Short	Status code (e.g. stopped)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
444. dnpm-lm-patient-record.guidelineTherapies.status.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
446. dnpm-lm-patient-record.guidelineTherapies.status.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
448. dnpm-lm-patient-record.guidelineTherapies.statusReason
Definition	Reason for therapy status
Short	Reason for therapy status
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
450. dnpm-lm-patient-record.guidelineTherapies.statusReason.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
452. dnpm-lm-patient-record.guidelineTherapies.statusReason.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineTherapies.statusReason.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
454. dnpm-lm-patient-record.guidelineTherapies.statusReason.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
456. dnpm-lm-patient-record.guidelineTherapies.statusReason.code
Definition	Status reason code (e.g. progression)
Short	Status reason code (e.g. progression)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
458. dnpm-lm-patient-record.guidelineTherapies.statusReason.display
Definition	Status reason display
Short	Status reason display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
460. dnpm-lm-patient-record.guidelineTherapies.statusReason.system
Definition	Status reason system URI
Short	Status reason system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
462. dnpm-lm-patient-record.guidelineTherapies.period
Definition	Therapy period
Short	Therapy period
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
464. dnpm-lm-patient-record.guidelineTherapies.period.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
466. dnpm-lm-patient-record.guidelineTherapies.period.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineTherapies.period.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
468. dnpm-lm-patient-record.guidelineTherapies.period.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
470. dnpm-lm-patient-record.guidelineTherapies.period.start
Definition	Start date (YYYY-MM-DD)
Short	Start date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
472. dnpm-lm-patient-record.guidelineTherapies.period.end
Definition	End date (YYYY-MM-DD)
Short	End date (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
474. dnpm-lm-patient-record.guidelineTherapies.medication
Definition	Medication codes (ATC)
Short	Medication codes (ATC)
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
476. dnpm-lm-patient-record.guidelineTherapies.medication.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
478. dnpm-lm-patient-record.guidelineTherapies.medication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineTherapies.medication.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
480. dnpm-lm-patient-record.guidelineTherapies.medication.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
482. dnpm-lm-patient-record.guidelineTherapies.medication.code
Definition	ATC code
Short	ATC code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
484. dnpm-lm-patient-record.guidelineTherapies.medication.display
Definition	Medication display name
Short	Medication display name
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
486. dnpm-lm-patient-record.guidelineTherapies.medication.system
Definition	ATC code system URI
Short	ATC code system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
488. dnpm-lm-patient-record.guidelineTherapies.medication.version
Definition	ATC version
Short	ATC version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
490. dnpm-lm-patient-record.guidelineTherapies.notes
Definition	Free-text therapy notes
Short	Free-text therapy notes
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
492. dnpm-lm-patient-record.guidelineTherapies.category
Definition	Therapy category
Short	Therapy category
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
494. dnpm-lm-patient-record.guidelineTherapies.category.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
496. dnpm-lm-patient-record.guidelineTherapies.category.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineTherapies.category.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
498. dnpm-lm-patient-record.guidelineTherapies.category.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
500. dnpm-lm-patient-record.guidelineTherapies.category.code
Definition	Category code
Short	Category code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
502. dnpm-lm-patient-record.guidelineTherapies.category.display
Definition	Category display
Short	Category display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
504. dnpm-lm-patient-record.guidelineTherapies.category.system
Definition	Category system URI
Short	Category system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
506. dnpm-lm-patient-record.guidelineProcedures
Definition	Guideline-based non-medication procedures
Short	Guideline-based non-medication procedures
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
508. dnpm-lm-patient-record.guidelineProcedures.id
Definition	Procedure UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Procedure UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
510. dnpm-lm-patient-record.guidelineProcedures.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineProcedures.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
512. dnpm-lm-patient-record.guidelineProcedures.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
514. dnpm-lm-patient-record.guidelineProcedures.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
516. dnpm-lm-patient-record.guidelineProcedures.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
518. dnpm-lm-patient-record.guidelineProcedures.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineProcedures.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
520. dnpm-lm-patient-record.guidelineProcedures.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
522. dnpm-lm-patient-record.guidelineProcedures.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
524. dnpm-lm-patient-record.guidelineProcedures.indication
Definition	Indication (MTBDiagnosis) reference
Short	Indication (MTBDiagnosis) reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
526. dnpm-lm-patient-record.guidelineProcedures.indication.id
Definition	Diagnosis ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Diagnosis IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
528. dnpm-lm-patient-record.guidelineProcedures.indication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineProcedures.indication.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
530. dnpm-lm-patient-record.guidelineProcedures.indication.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
532. dnpm-lm-patient-record.guidelineProcedures.indication.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
534. dnpm-lm-patient-record.guidelineProcedures.code
Definition	Procedure type code
Short	Procedure type code
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
536. dnpm-lm-patient-record.guidelineProcedures.code.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
538. dnpm-lm-patient-record.guidelineProcedures.code.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineProcedures.code.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
540. dnpm-lm-patient-record.guidelineProcedures.code.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
542. dnpm-lm-patient-record.guidelineProcedures.code.code
Definition	Procedure code (e.g. radiotherapy)
Short	Procedure code (e.g. radiotherapy)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
544. dnpm-lm-patient-record.guidelineProcedures.code.display
Definition	Procedure display
Short	Procedure display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
546. dnpm-lm-patient-record.guidelineProcedures.code.system
Definition	Procedure system URI
Short	Procedure system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
548. dnpm-lm-patient-record.guidelineProcedures.status
Definition	Procedure status
Short	Procedure status
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
550. dnpm-lm-patient-record.guidelineProcedures.status.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
552. dnpm-lm-patient-record.guidelineProcedures.status.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineProcedures.status.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
554. dnpm-lm-patient-record.guidelineProcedures.status.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
556. dnpm-lm-patient-record.guidelineProcedures.status.code
Definition	Status code (e.g. ongoing)
Short	Status code (e.g. ongoing)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
558. dnpm-lm-patient-record.guidelineProcedures.status.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
560. dnpm-lm-patient-record.guidelineProcedures.status.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
562. dnpm-lm-patient-record.guidelineProcedures.period
Definition	Procedure period
Short	Procedure period
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
564. dnpm-lm-patient-record.guidelineProcedures.period.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
566. dnpm-lm-patient-record.guidelineProcedures.period.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineProcedures.period.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
568. dnpm-lm-patient-record.guidelineProcedures.period.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
570. dnpm-lm-patient-record.guidelineProcedures.period.start
Definition	Start date (YYYY-MM-DD)
Short	Start date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
572. dnpm-lm-patient-record.guidelineProcedures.period.end
Definition	End date (YYYY-MM-DD)
Short	End date (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
574. dnpm-lm-patient-record.guidelineProcedures.intent
Definition	Therapy intent
Short	Therapy intent
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
576. dnpm-lm-patient-record.guidelineProcedures.intent.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
578. dnpm-lm-patient-record.guidelineProcedures.intent.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineProcedures.intent.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
580. dnpm-lm-patient-record.guidelineProcedures.intent.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
582. dnpm-lm-patient-record.guidelineProcedures.intent.code
Definition	Intent code (e.g. palliative)
Short	Intent code (e.g. palliative)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
584. dnpm-lm-patient-record.guidelineProcedures.intent.display
Definition	Intent display
Short	Intent display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
586. dnpm-lm-patient-record.guidelineProcedures.intent.system
Definition	Intent system URI
Short	Intent system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
588. dnpm-lm-patient-record.guidelineProcedures.notes
Definition	Free-text procedure notes
Short	Free-text procedure notes
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
590. dnpm-lm-patient-record.performanceStatus
Definition	ECOG performance status assessments
Short	ECOG performance status assessments
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
592. dnpm-lm-patient-record.performanceStatus.id
Definition	Performance status UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Performance status UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
594. dnpm-lm-patient-record.performanceStatus.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.performanceStatus.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
596. dnpm-lm-patient-record.performanceStatus.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
598. dnpm-lm-patient-record.performanceStatus.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
600. dnpm-lm-patient-record.performanceStatus.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
602. dnpm-lm-patient-record.performanceStatus.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.performanceStatus.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
604. dnpm-lm-patient-record.performanceStatus.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
606. dnpm-lm-patient-record.performanceStatus.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
608. dnpm-lm-patient-record.performanceStatus.effectiveDate
Definition	Assessment date (YYYY-MM-DD)
Short	Assessment date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
610. dnpm-lm-patient-record.performanceStatus.value
Definition	ECOG score
Short	ECOG score
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
612. dnpm-lm-patient-record.performanceStatus.value.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
614. dnpm-lm-patient-record.performanceStatus.value.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.performanceStatus.value.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
616. dnpm-lm-patient-record.performanceStatus.value.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
618. dnpm-lm-patient-record.performanceStatus.value.code
Definition	ECOG code (e.g. 0–4)
Short	ECOG code (e.g. 0–4)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
620. dnpm-lm-patient-record.performanceStatus.value.display
Definition	ECOG display
Short	ECOG display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
622. dnpm-lm-patient-record.performanceStatus.value.system
Definition	ECOG system URI
Short	ECOG system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
624. dnpm-lm-patient-record.specimens
Definition	Tumor specimen entries
Short	Tumor specimen entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
626. dnpm-lm-patient-record.specimens.id
Definition	Specimen UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Specimen UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
628. dnpm-lm-patient-record.specimens.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.specimens.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
630. dnpm-lm-patient-record.specimens.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
632. dnpm-lm-patient-record.specimens.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
634. dnpm-lm-patient-record.specimens.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
636. dnpm-lm-patient-record.specimens.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.specimens.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
638. dnpm-lm-patient-record.specimens.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
640. dnpm-lm-patient-record.specimens.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
642. dnpm-lm-patient-record.specimens.diagnosis
Definition	Associated diagnosis reference
Short	Associated diagnosis reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
644. dnpm-lm-patient-record.specimens.diagnosis.id
Definition	Diagnosis ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Diagnosis IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
646. dnpm-lm-patient-record.specimens.diagnosis.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.specimens.diagnosis.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
648. dnpm-lm-patient-record.specimens.diagnosis.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
650. dnpm-lm-patient-record.specimens.diagnosis.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
652. dnpm-lm-patient-record.specimens.type
Definition	Specimen type
Short	Specimen type
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
654. dnpm-lm-patient-record.specimens.type.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
656. dnpm-lm-patient-record.specimens.type.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.specimens.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
658. dnpm-lm-patient-record.specimens.type.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
660. dnpm-lm-patient-record.specimens.type.code
Definition	Specimen type code (e.g. fresh-tissue)
Short	Specimen type code (e.g. fresh-tissue)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
662. dnpm-lm-patient-record.specimens.type.display
Definition	Specimen type display
Short	Specimen type display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
664. dnpm-lm-patient-record.specimens.type.system
Definition	Specimen type system URI
Short	Specimen type system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
666. dnpm-lm-patient-record.specimens.collection
Definition	Specimen collection details
Short	Specimen collection details
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
668. dnpm-lm-patient-record.specimens.collection.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
670. dnpm-lm-patient-record.specimens.collection.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.specimens.collection.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
672. dnpm-lm-patient-record.specimens.collection.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
674. dnpm-lm-patient-record.specimens.collection.date
Definition	Collection date (YYYY-MM-DD)
Short	Collection date (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
676. dnpm-lm-patient-record.specimens.collection.site
Definition	Collection site (ICD-O-3 topography)
Short	Collection site (ICD-O-3 topography)
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
678. dnpm-lm-patient-record.specimens.collection.site.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
680. dnpm-lm-patient-record.specimens.collection.site.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.specimens.collection.site.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
682. dnpm-lm-patient-record.specimens.collection.site.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
684. dnpm-lm-patient-record.specimens.collection.site.code
Definition	Site code
Short	Site code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
686. dnpm-lm-patient-record.specimens.collection.site.display
Definition	Site display
Short	Site display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
688. dnpm-lm-patient-record.specimens.collection.site.system
Definition	Site system URI
Short	Site system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
690. dnpm-lm-patient-record.specimens.collection.site.version
Definition	ICD-O-3 version
Short	ICD-O-3 version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
692. dnpm-lm-patient-record.specimens.collection.method
Definition	Collection method
Short	Collection method
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
694. dnpm-lm-patient-record.specimens.collection.method.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
696. dnpm-lm-patient-record.specimens.collection.method.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.specimens.collection.method.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
698. dnpm-lm-patient-record.specimens.collection.method.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
700. dnpm-lm-patient-record.specimens.collection.method.code
Definition	Method code (e.g. biopsy)
Short	Method code (e.g. biopsy)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
702. dnpm-lm-patient-record.specimens.collection.method.display
Definition	Method display
Short	Method display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
704. dnpm-lm-patient-record.specimens.collection.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
706. dnpm-lm-patient-record.priorDiagnosticReports
Definition	Prior diagnostic reports (free-text)
Short	Prior diagnostic reports (free-text)
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
708. dnpm-lm-patient-record.priorDiagnosticReports.id
Definition	Report UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Report UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
710. dnpm-lm-patient-record.priorDiagnosticReports.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.priorDiagnosticReports.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
712. dnpm-lm-patient-record.priorDiagnosticReports.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
714. dnpm-lm-patient-record.priorDiagnosticReports.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
716. dnpm-lm-patient-record.priorDiagnosticReports.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
718. dnpm-lm-patient-record.priorDiagnosticReports.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.priorDiagnosticReports.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
720. dnpm-lm-patient-record.priorDiagnosticReports.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
722. dnpm-lm-patient-record.priorDiagnosticReports.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
724. dnpm-lm-patient-record.priorDiagnosticReports.issuedOn
Definition	Report issue date (YYYY-MM-DD)
Short	Report issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
726. dnpm-lm-patient-record.priorDiagnosticReports.results
Definition	Free-text diagnostic result strings
Short	Free-text diagnostic result strings
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
728. dnpm-lm-patient-record.histologyReports
Definition	Histology report entries
Short	Histology report entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
730. dnpm-lm-patient-record.histologyReports.id
Definition	Histology report UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Histology report UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
732. dnpm-lm-patient-record.histologyReports.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
734. dnpm-lm-patient-record.histologyReports.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
736. dnpm-lm-patient-record.histologyReports.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
738. dnpm-lm-patient-record.histologyReports.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
740. dnpm-lm-patient-record.histologyReports.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
742. dnpm-lm-patient-record.histologyReports.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
744. dnpm-lm-patient-record.histologyReports.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
746. dnpm-lm-patient-record.histologyReports.specimen
Definition	Tumor specimen reference
Short	Tumor specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
748. dnpm-lm-patient-record.histologyReports.specimen.id
Definition	Specimen ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Specimen IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
750. dnpm-lm-patient-record.histologyReports.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
752. dnpm-lm-patient-record.histologyReports.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
754. dnpm-lm-patient-record.histologyReports.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
756. dnpm-lm-patient-record.histologyReports.issuedOn
Definition	Report issue date (YYYY-MM-DD)
Short	Report issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
758. dnpm-lm-patient-record.histologyReports.results
Definition	Histology results
Short	Histology results
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
760. dnpm-lm-patient-record.histologyReports.results.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
762. dnpm-lm-patient-record.histologyReports.results.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
764. dnpm-lm-patient-record.histologyReports.results.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
766. dnpm-lm-patient-record.histologyReports.results.tumorCellContent
Definition	Histologic tumor cell content
Short	Histologic tumor cell content
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
768. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.id
Definition	Result UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Result UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
770. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.tumorCellContent.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
772. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
774. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
776. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
778. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.tumorCellContent.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
780. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
782. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
784. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
786. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.specimen.id
Definition	Specimen ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Specimen IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
788. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.tumorCellContent.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
790. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
792. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
794. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method
Definition	Determination method
Short	Determination method
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
796. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
798. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
800. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
802. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.code
Definition	Method code (e.g. histologic)
Short	Method code (e.g. histologic)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
804. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.display
Definition	Method display
Short	Method display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
806. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
808. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.value
Definition	Tumor cell content fraction (0.0 – 1.0)
Short	Tumor cell content fraction (0.0 – 1.0)
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
810. dnpm-lm-patient-record.histologyReports.results.tumorMorphology
Definition	Tumor morphology
Short	Tumor morphology
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
812. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.id
Definition	Morphology result UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Morphology result UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
814. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.tumorMorphology.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
816. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
818. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
820. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
822. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.tumorMorphology.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
824. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
826. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
828. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
830. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.specimen.id
Definition	Specimen ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Specimen IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
832. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.tumorMorphology.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
834. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
836. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
838. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology
Definition	ICD-O-3 morphology codes
Short	ICD-O-3 morphology codes
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
840. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
842. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
844. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
846. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.code
Definition	Morphology code
Short	Morphology code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
848. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.display
Definition	Morphology display
Short	Morphology display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
850. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.system
Definition	Morphology system URI (ICD-O-3)
Short	Morphology system URI (ICD-O-3)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
852. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.version
Definition	ICD-O-3 version
Short	ICD-O-3 version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
854. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.notes
Definition	Free-text morphology notes
Short	Free-text morphology notes
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
856. dnpm-lm-patient-record.ihcReports
Definition	Immunohistochemistry (IHC) reports
Short	Immunohistochemistry (IHC) reports
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
858. dnpm-lm-patient-record.ihcReports.id
Definition	IHC report UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	IHC report UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
860. dnpm-lm-patient-record.ihcReports.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
862. dnpm-lm-patient-record.ihcReports.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
864. dnpm-lm-patient-record.ihcReports.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
866. dnpm-lm-patient-record.ihcReports.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
868. dnpm-lm-patient-record.ihcReports.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
870. dnpm-lm-patient-record.ihcReports.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
872. dnpm-lm-patient-record.ihcReports.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
874. dnpm-lm-patient-record.ihcReports.specimen
Definition	Tumor specimen reference
Short	Tumor specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
876. dnpm-lm-patient-record.ihcReports.specimen.id
Definition	Specimen ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Specimen IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
878. dnpm-lm-patient-record.ihcReports.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
880. dnpm-lm-patient-record.ihcReports.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
882. dnpm-lm-patient-record.ihcReports.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
884. dnpm-lm-patient-record.ihcReports.issuedOn
Definition	Report issue date (YYYY-MM-DD)
Short	Report issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
886. dnpm-lm-patient-record.ihcReports.results
Definition	IHC results
Short	IHC results
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
888. dnpm-lm-patient-record.ihcReports.results.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
890. dnpm-lm-patient-record.ihcReports.results.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
892. dnpm-lm-patient-record.ihcReports.results.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
894. dnpm-lm-patient-record.ihcReports.results.proteinExpression
Definition	Protein expression results
Short	Protein expression results
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
896. dnpm-lm-patient-record.ihcReports.results.proteinExpression.id
Definition	Result UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Result UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
898. dnpm-lm-patient-record.ihcReports.results.proteinExpression.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.proteinExpression.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
900. dnpm-lm-patient-record.ihcReports.results.proteinExpression.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
902. dnpm-lm-patient-record.ihcReports.results.proteinExpression.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
904. dnpm-lm-patient-record.ihcReports.results.proteinExpression.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
906. dnpm-lm-patient-record.ihcReports.results.proteinExpression.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.proteinExpression.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
908. dnpm-lm-patient-record.ihcReports.results.proteinExpression.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
910. dnpm-lm-patient-record.ihcReports.results.proteinExpression.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
912. dnpm-lm-patient-record.ihcReports.results.proteinExpression.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
914. dnpm-lm-patient-record.ihcReports.results.proteinExpression.specimen.id
Definition	Specimen ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Specimen IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
916. dnpm-lm-patient-record.ihcReports.results.proteinExpression.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.proteinExpression.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
918. dnpm-lm-patient-record.ihcReports.results.proteinExpression.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
920. dnpm-lm-patient-record.ihcReports.results.proteinExpression.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
922. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein
Definition	Protein tested
Short	Protein tested
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
924. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
926. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
928. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
930. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.code
Definition	Protein code (e.g. BRAFP1)
Short	Protein code (e.g. BRAFP1)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
932. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.display
Definition	Protein display
Short	Protein display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
934. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.system
Definition	Protein system URI
Short	Protein system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
936. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value
Definition	IHC expression value
Short	IHC expression value
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
938. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
940. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
942. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
944. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.code
Definition	Score code (e.g. 1+)
Short	Score code (e.g. 1+)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
946. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.display
Definition	Score display
Short	Score display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
948. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.system
Definition	Score system URI
Short	Score system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
950. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tpsScore
Definition	Tumor proportion score (TPS)
Short	Tumor proportion score (TPS)
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
952. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore
Definition	Immune-cell score
Short	Immune-cell score
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
954. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
956. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
958. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
960. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.code
Definition	IC score code
Short	IC score code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
962. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.display
Definition	IC score display
Short	IC score display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
964. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.system
Definition	IC score system URI
Short	IC score system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
966. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore
Definition	Tumor-cell score
Short	Tumor-cell score
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
968. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
970. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
972. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
974. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.code
Definition	TC score code
Short	TC score code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
976. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.display
Definition	TC score display
Short	TC score display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
978. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.system
Definition	TC score system URI
Short	TC score system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
980. dnpm-lm-patient-record.ihcReports.results.msiMmr
Definition	MSI / MMR protein expression results
Short	MSI / MMR protein expression results
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
982. dnpm-lm-patient-record.ihcReports.results.msiMmr.id
Definition	Result UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Result UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
984. dnpm-lm-patient-record.ihcReports.results.msiMmr.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.msiMmr.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
986. dnpm-lm-patient-record.ihcReports.results.msiMmr.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
988. dnpm-lm-patient-record.ihcReports.results.msiMmr.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
990. dnpm-lm-patient-record.ihcReports.results.msiMmr.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
992. dnpm-lm-patient-record.ihcReports.results.msiMmr.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.msiMmr.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
994. dnpm-lm-patient-record.ihcReports.results.msiMmr.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
996. dnpm-lm-patient-record.ihcReports.results.msiMmr.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
998. dnpm-lm-patient-record.ihcReports.results.msiMmr.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1000. dnpm-lm-patient-record.ihcReports.results.msiMmr.specimen.id
Definition	Specimen ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Specimen IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1002. dnpm-lm-patient-record.ihcReports.results.msiMmr.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.msiMmr.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1004. dnpm-lm-patient-record.ihcReports.results.msiMmr.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1006. dnpm-lm-patient-record.ihcReports.results.msiMmr.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1008. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein
Definition	MMR protein tested (e.g. MLH1)
Short	MMR protein tested (e.g. MLH1)
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1010. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1012. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1014. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1016. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.code
Definition	Protein code
Short	Protein code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1018. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.display
Definition	Protein display
Short	Protein display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1020. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.system
Definition	Protein system URI
Short	Protein system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1022. dnpm-lm-patient-record.ihcReports.results.msiMmr.value
Definition	Expression result
Short	Expression result
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1024. dnpm-lm-patient-record.ihcReports.results.msiMmr.value.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1026. dnpm-lm-patient-record.ihcReports.results.msiMmr.value.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.msiMmr.value.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1028. dnpm-lm-patient-record.ihcReports.results.msiMmr.value.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1030. dnpm-lm-patient-record.ihcReports.results.msiMmr.value.code
Definition	Result code (e.g. exp_present)
Short	Result code (e.g. exp_present)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1032. dnpm-lm-patient-record.ihcReports.results.msiMmr.value.display
Definition	Result display
Short	Result display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1034. dnpm-lm-patient-record.ihcReports.results.msiMmr.value.system
Definition	Result system URI
Short	Result system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1036. dnpm-lm-patient-record.msiFindings
Definition	Microsatellite instability (MSI) findings
Short	Microsatellite instability (MSI) findings
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1038. dnpm-lm-patient-record.msiFindings.id
Definition	MSI finding UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	MSI finding UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1040. dnpm-lm-patient-record.msiFindings.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.msiFindings.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1042. dnpm-lm-patient-record.msiFindings.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1044. dnpm-lm-patient-record.msiFindings.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1046. dnpm-lm-patient-record.msiFindings.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1048. dnpm-lm-patient-record.msiFindings.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.msiFindings.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1050. dnpm-lm-patient-record.msiFindings.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1052. dnpm-lm-patient-record.msiFindings.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1054. dnpm-lm-patient-record.msiFindings.specimen
Definition	Tumor specimen reference
Short	Tumor specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1056. dnpm-lm-patient-record.msiFindings.specimen.id
Definition	Specimen ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Specimen IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1058. dnpm-lm-patient-record.msiFindings.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.msiFindings.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1060. dnpm-lm-patient-record.msiFindings.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1062. dnpm-lm-patient-record.msiFindings.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1064. dnpm-lm-patient-record.msiFindings.ngsReport
Definition	Associated NGS report reference
Short	Associated NGS report reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1066. dnpm-lm-patient-record.msiFindings.ngsReport.id
Definition	NGS report ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	NGS report IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1068. dnpm-lm-patient-record.msiFindings.ngsReport.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.msiFindings.ngsReport.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1070. dnpm-lm-patient-record.msiFindings.ngsReport.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1072. dnpm-lm-patient-record.msiFindings.ngsReport.type
Definition	Reference type (NGSReport)
Short	Reference type (NGSReport)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1074. dnpm-lm-patient-record.msiFindings.issuedOn
Definition	Finding date (YYYY-MM-DD)
Short	Finding date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1076. dnpm-lm-patient-record.msiFindings.value
Definition	MSI result value
Short	MSI result value
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1078. dnpm-lm-patient-record.msiFindings.value.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1080. dnpm-lm-patient-record.msiFindings.value.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.msiFindings.value.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1082. dnpm-lm-patient-record.msiFindings.value.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1084. dnpm-lm-patient-record.msiFindings.value.code
Definition	MSI code (e.g. MSI-H)
Short	MSI code (e.g. MSI-H)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1086. dnpm-lm-patient-record.msiFindings.value.display
Definition	MSI display
Short	MSI display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1088. dnpm-lm-patient-record.msiFindings.value.system
Definition	MSI system URI
Short	MSI system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1090. dnpm-lm-patient-record.msiFindings.method
Definition	MSI determination method
Short	MSI determination method
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1092. dnpm-lm-patient-record.msiFindings.method.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1094. dnpm-lm-patient-record.msiFindings.method.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.msiFindings.method.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1096. dnpm-lm-patient-record.msiFindings.method.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1098. dnpm-lm-patient-record.msiFindings.method.code
Definition	Method code (e.g. bioinformatics)
Short	Method code (e.g. bioinformatics)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1100. dnpm-lm-patient-record.msiFindings.method.display
Definition	Method display
Short	Method display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1102. dnpm-lm-patient-record.msiFindings.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1104. dnpm-lm-patient-record.ngsReports
Definition	NGS sequencing reports
Short	NGS sequencing reports
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1106. dnpm-lm-patient-record.ngsReports.id
Definition	NGS Report UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	NGS Report UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1108. dnpm-lm-patient-record.ngsReports.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1110. dnpm-lm-patient-record.ngsReports.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1112. dnpm-lm-patient-record.ngsReports.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1114. dnpm-lm-patient-record.ngsReports.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1116. dnpm-lm-patient-record.ngsReports.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1118. dnpm-lm-patient-record.ngsReports.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1120. dnpm-lm-patient-record.ngsReports.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1122. dnpm-lm-patient-record.ngsReports.specimen
Definition	Tumor specimen reference
Short	Tumor specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1124. dnpm-lm-patient-record.ngsReports.specimen.id
Definition	Specimen ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Specimen IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1126. dnpm-lm-patient-record.ngsReports.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1128. dnpm-lm-patient-record.ngsReports.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1130. dnpm-lm-patient-record.ngsReports.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1132. dnpm-lm-patient-record.ngsReports.issuedOn
Definition	Report issue date (YYYY-MM-DD)
Short	Report issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1134. dnpm-lm-patient-record.ngsReports.type
Definition	NGS analysis type
Short	NGS analysis type
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1136. dnpm-lm-patient-record.ngsReports.type.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1138. dnpm-lm-patient-record.ngsReports.type.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1140. dnpm-lm-patient-record.ngsReports.type.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1142. dnpm-lm-patient-record.ngsReports.type.code
Definition	Type code (e.g. exome)
Short	Type code (e.g. exome)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1144. dnpm-lm-patient-record.ngsReports.type.display
Definition	Type display
Short	Type display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1146. dnpm-lm-patient-record.ngsReports.type.system
Definition	Type system URI
Short	Type system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1148. dnpm-lm-patient-record.ngsReports.metadata
Definition	NGS run metadata
Short	NGS run metadata
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1150. dnpm-lm-patient-record.ngsReports.metadata.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1152. dnpm-lm-patient-record.ngsReports.metadata.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.metadata.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1154. dnpm-lm-patient-record.ngsReports.metadata.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1156. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome
Definition	Reference genome
Short	Reference genome
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1158. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1160. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1162. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1164. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.code
Definition	Genome build (e.g. GRCh38)
Short	Genome build (e.g. GRCh38)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1166. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.display
Definition	Genome build display
Short	Genome build display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1168. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.system
Definition	Genome build system URI
Short	Genome build system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1170. dnpm-lm-patient-record.ngsReports.metadata.sequencer
Definition	Sequencer instrument
Short	Sequencer instrument
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1172. dnpm-lm-patient-record.ngsReports.metadata.sequencer.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1174. dnpm-lm-patient-record.ngsReports.metadata.sequencer.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.metadata.sequencer.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1176. dnpm-lm-patient-record.ngsReports.metadata.sequencer.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1178. dnpm-lm-patient-record.ngsReports.metadata.sequencer.code
Definition	Sequencer code
Short	Sequencer code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1180. dnpm-lm-patient-record.ngsReports.metadata.sequencer.display
Definition	Sequencer display
Short	Sequencer display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1182. dnpm-lm-patient-record.ngsReports.metadata.sequencer.system
Definition	Sequencer system URI
Short	Sequencer system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1184. dnpm-lm-patient-record.ngsReports.metadata.kitManufacturer
Definition	Kit manufacturer
Short	Kit manufacturer
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1186. dnpm-lm-patient-record.ngsReports.metadata.kitType
Definition	Kit type
Short	Kit type
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1188. dnpm-lm-patient-record.ngsReports.metadata.pipeline
Definition	Bioinformatics pipeline
Short	Bioinformatics pipeline
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1190. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent
Definition	Pre-sequencing tumor cell content estimate
Short	Pre-sequencing tumor cell content estimate
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1192. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1194. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1196. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1198. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method
Definition	Estimation method
Short	Estimation method
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1200. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1202. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1204. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1206. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.code
Definition	Method code
Short	Method code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1208. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.display
Definition	Method display
Short	Method display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1210. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1212. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.value
Definition	Fraction (0.0 – 1.0)
Short	Fraction (0.0 – 1.0)
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1214. dnpm-lm-patient-record.ngsReports.results
Definition	NGS analysis results
Short	NGS analysis results
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1216. dnpm-lm-patient-record.ngsReports.results.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1218. dnpm-lm-patient-record.ngsReports.results.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1220. dnpm-lm-patient-record.ngsReports.results.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1222. dnpm-lm-patient-record.ngsReports.results.tumorCellContent
Definition	Bioinformatic tumor cell content
Short	Bioinformatic tumor cell content
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1224. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.id
Definition	Result UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Result UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1226. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tumorCellContent.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1228. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1230. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1232. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1234. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tumorCellContent.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1236. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1238. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1240. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1242. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.specimen.id
Definition	Specimen ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Specimen IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1244. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tumorCellContent.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1246. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1248. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.specimen.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1250. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method
Definition	Determination method
Short	Determination method
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1252. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1254. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1256. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1258. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.code
Definition	Method code (e.g. bioinformatic)
Short	Method code (e.g. bioinformatic)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1260. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.display
Definition	Method display
Short	Method display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1262. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1264. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.value
Definition	Fraction (0.0 – 1.0)
Short	Fraction (0.0 – 1.0)
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1266. dnpm-lm-patient-record.ngsReports.results.tmb
Definition	Tumor Mutational Burden
Short	Tumor Mutational Burden
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1268. dnpm-lm-patient-record.ngsReports.results.tmb.id
Definition	TMB result UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	TMB result UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1270. dnpm-lm-patient-record.ngsReports.results.tmb.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tmb.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1272. dnpm-lm-patient-record.ngsReports.results.tmb.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1274. dnpm-lm-patient-record.ngsReports.results.tmb.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1276. dnpm-lm-patient-record.ngsReports.results.tmb.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1278. dnpm-lm-patient-record.ngsReports.results.tmb.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tmb.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1280. dnpm-lm-patient-record.ngsReports.results.tmb.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1282. dnpm-lm-patient-record.ngsReports.results.tmb.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1284. dnpm-lm-patient-record.ngsReports.results.tmb.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1286. dnpm-lm-patient-record.ngsReports.results.tmb.specimen.id
Definition	Specimen ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Specimen IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1288. dnpm-lm-patient-record.ngsReports.results.tmb.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tmb.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1290. dnpm-lm-patient-record.ngsReports.results.tmb.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1292. dnpm-lm-patient-record.ngsReports.results.tmb.specimen.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1294. dnpm-lm-patient-record.ngsReports.results.tmb.value
Definition	TMB quantity
Short	TMB quantity
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1296. dnpm-lm-patient-record.ngsReports.results.tmb.value.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1298. dnpm-lm-patient-record.ngsReports.results.tmb.value.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tmb.value.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1300. dnpm-lm-patient-record.ngsReports.results.tmb.value.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1302. dnpm-lm-patient-record.ngsReports.results.tmb.value.value
Definition	Numeric value
Short	Numeric value
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1304. dnpm-lm-patient-record.ngsReports.results.tmb.value.unit
Definition	Unit
Short	Unit
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1306. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation
Definition	TMB interpretation
Short	TMB interpretation
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1308. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1310. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1312. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1314. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.code
Definition	Code (e.g. high)
Short	Code (e.g. high)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1316. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.display
Definition	Display
Short	Display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1318. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.system
Definition	System URI
Short	System URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1320. dnpm-lm-patient-record.ngsReports.results.brcaness
Definition	BRCAness score
Short	BRCAness score
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1322. dnpm-lm-patient-record.ngsReports.results.brcaness.id
Definition	BRCAness result UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	BRCAness result UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1324. dnpm-lm-patient-record.ngsReports.results.brcaness.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.brcaness.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1326. dnpm-lm-patient-record.ngsReports.results.brcaness.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1328. dnpm-lm-patient-record.ngsReports.results.brcaness.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1330. dnpm-lm-patient-record.ngsReports.results.brcaness.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1332. dnpm-lm-patient-record.ngsReports.results.brcaness.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.brcaness.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1334. dnpm-lm-patient-record.ngsReports.results.brcaness.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1336. dnpm-lm-patient-record.ngsReports.results.brcaness.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1338. dnpm-lm-patient-record.ngsReports.results.brcaness.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1340. dnpm-lm-patient-record.ngsReports.results.brcaness.specimen.id
Definition	Specimen ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Specimen IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1342. dnpm-lm-patient-record.ngsReports.results.brcaness.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.brcaness.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1344. dnpm-lm-patient-record.ngsReports.results.brcaness.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1346. dnpm-lm-patient-record.ngsReports.results.brcaness.specimen.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1348. dnpm-lm-patient-record.ngsReports.results.brcaness.value
Definition	BRCAness score (0.0 – 1.0)
Short	BRCAness score (0.0 – 1.0)
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1350. dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange
Definition	Confidence range
Short	Confidence range
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1352. dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1354. dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1356. dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1358. dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange.min
Definition	Minimum
Short	Minimum
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1360. dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange.max
Definition	Maximum
Short	Maximum
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1362. dnpm-lm-patient-record.ngsReports.results.hrdScore
Definition	HRD Score
Short	HRD Score
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1364. dnpm-lm-patient-record.ngsReports.results.hrdScore.id
Definition	HRD result UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	HRD result UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1366. dnpm-lm-patient-record.ngsReports.results.hrdScore.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.hrdScore.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1368. dnpm-lm-patient-record.ngsReports.results.hrdScore.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1370. dnpm-lm-patient-record.ngsReports.results.hrdScore.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1372. dnpm-lm-patient-record.ngsReports.results.hrdScore.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1374. dnpm-lm-patient-record.ngsReports.results.hrdScore.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.hrdScore.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1376. dnpm-lm-patient-record.ngsReports.results.hrdScore.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1378. dnpm-lm-patient-record.ngsReports.results.hrdScore.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1380. dnpm-lm-patient-record.ngsReports.results.hrdScore.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1382. dnpm-lm-patient-record.ngsReports.results.hrdScore.specimen.id
Definition	Specimen ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Specimen IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1384. dnpm-lm-patient-record.ngsReports.results.hrdScore.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.hrdScore.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1386. dnpm-lm-patient-record.ngsReports.results.hrdScore.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1388. dnpm-lm-patient-record.ngsReports.results.hrdScore.specimen.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1390. dnpm-lm-patient-record.ngsReports.results.hrdScore.value
Definition	HRD composite score
Short	HRD composite score
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1392. dnpm-lm-patient-record.ngsReports.results.hrdScore.components
Definition	HRD component scores
Short	HRD component scores
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1394. dnpm-lm-patient-record.ngsReports.results.hrdScore.components.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1396. dnpm-lm-patient-record.ngsReports.results.hrdScore.components.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.hrdScore.components.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1398. dnpm-lm-patient-record.ngsReports.results.hrdScore.components.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1400. dnpm-lm-patient-record.ngsReports.results.hrdScore.components.lst
Definition	LST score
Short	LST score
Control	0..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1402. dnpm-lm-patient-record.ngsReports.results.hrdScore.components.loh
Definition	LOH score
Short	LOH score
Control	0..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1404. dnpm-lm-patient-record.ngsReports.results.hrdScore.components.tai
Definition	TAI score
Short	TAI score
Control	0..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1406. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation
Definition	HRD interpretation
Short	HRD interpretation
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1408. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1410. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1412. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1414. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.code
Definition	Code (e.g. low)
Short	Code (e.g. low)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1416. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.display
Definition	Display
Short	Display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1418. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.system
Definition	System URI
Short	System URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1420. dnpm-lm-patient-record.ngsReports.results.simpleVariants
Definition	Simple variants (SNV / small indels)
Short	Simple variants (SNV / small indels)
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1422. dnpm-lm-patient-record.ngsReports.results.simpleVariants.id
Definition	Variant UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Variant UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1424. dnpm-lm-patient-record.ngsReports.results.simpleVariants.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.simpleVariants.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1426. dnpm-lm-patient-record.ngsReports.results.simpleVariants.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1428. dnpm-lm-patient-record.ngsReports.results.simpleVariants.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1430. dnpm-lm-patient-record.ngsReports.results.simpleVariants.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1432. dnpm-lm-patient-record.ngsReports.results.simpleVariants.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.simpleVariants.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1434. dnpm-lm-patient-record.ngsReports.results.simpleVariants.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1436. dnpm-lm-patient-record.ngsReports.results.simpleVariants.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1438. dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds
Definition	External identifiers (e.g. dbSNP)
Short	External identifiers (e.g. dbSNP)
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1440. dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1442. dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1444. dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1446. dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds.value
Definition	Identifier value
Short	Identifier value
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1448. dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds.system
Definition	Identifier system URI
Short	Identifier system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1450. dnpm-lm-patient-record.ngsReports.results.simpleVariants.chromosome
Definition	Chromosome (e.g. chr4)
Short	Chromosome (e.g. chr4)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1452. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene
Definition	Affected gene
Short	Affected gene
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1454. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1456. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1458. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1460. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1462. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1464. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1466. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization
Definition	Variant localization in gene
Short	Variant localization in gene
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1468. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1470. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1472. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1474. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.code
Definition	Localization code
Short	Localization code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1476. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.display
Definition	Localization display
Short	Localization display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1478. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.system
Definition	Localization system URI
Short	Localization system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1480. dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId
Definition	Transcript identifier
Short	Transcript identifier
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1482. dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1484. dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1486. dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1488. dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId.value
Definition	Transcript ID (e.g. ENST...)
Short	Transcript ID (e.g. ENST...)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1490. dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId.system
Definition	Transcript system URI
Short	Transcript system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1492. dnpm-lm-patient-record.ngsReports.results.simpleVariants.exonId
Definition	Exon identifier
Short	Exon identifier
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1494. dnpm-lm-patient-record.ngsReports.results.simpleVariants.position
Definition	Genomic position
Short	Genomic position
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1496. dnpm-lm-patient-record.ngsReports.results.simpleVariants.position.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1498. dnpm-lm-patient-record.ngsReports.results.simpleVariants.position.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.simpleVariants.position.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1500. dnpm-lm-patient-record.ngsReports.results.simpleVariants.position.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1502. dnpm-lm-patient-record.ngsReports.results.simpleVariants.position.start
Definition	Start position
Short	Start position
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1504. dnpm-lm-patient-record.ngsReports.results.simpleVariants.position.end
Definition	End position
Short	End position
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1506. dnpm-lm-patient-record.ngsReports.results.simpleVariants.altAllele
Definition	Alternate allele
Short	Alternate allele
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1508. dnpm-lm-patient-record.ngsReports.results.simpleVariants.refAllele
Definition	Reference allele
Short	Reference allele
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1510. dnpm-lm-patient-record.ngsReports.results.simpleVariants.dnaChange
Definition	cDNA change (HGVS)
Short	cDNA change (HGVS)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1512. dnpm-lm-patient-record.ngsReports.results.simpleVariants.proteinChange
Definition	Protein change (HGVS)
Short	Protein change (HGVS)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1514. dnpm-lm-patient-record.ngsReports.results.simpleVariants.readDepth
Definition	Read depth
Short	Read depth
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1516. dnpm-lm-patient-record.ngsReports.results.simpleVariants.allelicFrequency
Definition	Allelic frequency
Short	Allelic frequency
Control	0..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1518. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation
Definition	ClinVar interpretation
Short	ClinVar interpretation
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1520. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1522. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1524. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1526. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.code
Definition	Interpretation code
Short	Interpretation code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1528. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.display
Definition	Interpretation display
Short	Interpretation display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1530. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.system
Definition	Interpretation system URI
Short	Interpretation system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1532. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants
Definition	Copy number variants
Short	Copy number variants
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1534. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.id
Definition	CNV UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	CNV UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1536. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1538. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1540. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1542. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1544. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1546. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1548. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1550. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.chromosome
Definition	Chromosome (e.g. chr7)
Short	Chromosome (e.g. chr7)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1552. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization
Definition	CNV localization
Short	CNV localization
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1554. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1556. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1558. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1560. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.code
Definition	Localization code
Short	Localization code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1562. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.display
Definition	Localization display
Short	Localization display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1564. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.system
Definition	Localization system URI
Short	Localization system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1566. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange
Definition	Start position range
Short	Start position range
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1568. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1570. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1572. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1574. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange.start
Definition	Range start
Short	Range start
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1576. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange.end
Definition	Range end
Short	Range end
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1578. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange
Definition	End position range
Short	End position range
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1580. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1582. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1584. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1586. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange.start
Definition	Range start
Short	Range start
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1588. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange.end
Definition	Range end
Short	Range end
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1590. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.totalCopyNumber
Definition	Total copy number
Short	Total copy number
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1592. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.relativeCopyNumber
Definition	Relative copy number
Short	Relative copy number
Control	0..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1594. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.cnA
Definition	Copy number allele A
Short	Copy number allele A
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1596. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.cnB
Definition	Copy number allele B
Short	Copy number allele B
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1598. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes
Definition	Affected genes
Short	Affected genes
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1600. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1602. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1604. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1606. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1608. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1610. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1612. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality
Definition	CNV focality
Short	CNV focality
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1614. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1616. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1618. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1620. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.code
Definition	Focality code (e.g. focal)
Short	Focality code (e.g. focal)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1622. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.display
Definition	Focality display
Short	Focality display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1624. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.system
Definition	Focality system URI
Short	Focality system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1626. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type
Definition	CNV type
Short	CNV type
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1628. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1630. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1632. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1634. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.code
Definition	CNV type code (e.g. gain)
Short	CNV type code (e.g. gain)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1636. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.display
Definition	CNV type display
Short	CNV type display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1638. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.system
Definition	CNV type system URI
Short	CNV type system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1640. dnpm-lm-patient-record.ngsReports.results.dnaFusions
Definition	DNA-level gene fusions
Short	DNA-level gene fusions
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1642. dnpm-lm-patient-record.ngsReports.results.dnaFusions.id
Definition	DNA fusion UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	DNA fusion UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1644. dnpm-lm-patient-record.ngsReports.results.dnaFusions.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.dnaFusions.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1646. dnpm-lm-patient-record.ngsReports.results.dnaFusions.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1648. dnpm-lm-patient-record.ngsReports.results.dnaFusions.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1650. dnpm-lm-patient-record.ngsReports.results.dnaFusions.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1652. dnpm-lm-patient-record.ngsReports.results.dnaFusions.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.dnaFusions.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1654. dnpm-lm-patient-record.ngsReports.results.dnaFusions.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1656. dnpm-lm-patient-record.ngsReports.results.dnaFusions.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1658. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization
Definition	Fusion localization
Short	Fusion localization
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1660. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1662. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1664. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1666. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.code
Definition	Localization code
Short	Localization code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1668. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.display
Definition	Localization display
Short	Localization display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1670. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.system
Definition	Localization system URI
Short	Localization system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1672. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime
Definition	5-prime fusion partner
Short	5-prime fusion partner
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1674. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1676. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1678. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1680. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene
Definition	5-prime partner gene
Short	5-prime partner gene
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1682. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1684. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1686. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1688. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1690. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1692. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1694. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.position
Definition	Breakpoint position
Short	Breakpoint position
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1696. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime
Definition	3-prime fusion partner
Short	3-prime fusion partner
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1698. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1700. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1702. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1704. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene
Definition	3-prime partner gene
Short	3-prime partner gene
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1706. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1708. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1710. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1712. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1714. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1716. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1718. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.position
Definition	Breakpoint position
Short	Breakpoint position
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1720. dnpm-lm-patient-record.ngsReports.results.dnaFusions.reportedNumReads
Definition	Supporting read count
Short	Supporting read count
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1722. dnpm-lm-patient-record.ngsReports.results.rnaFusions
Definition	RNA-level gene fusions
Short	RNA-level gene fusions
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1724. dnpm-lm-patient-record.ngsReports.results.rnaFusions.id
Definition	RNA fusion UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	RNA fusion UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1726. dnpm-lm-patient-record.ngsReports.results.rnaFusions.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1728. dnpm-lm-patient-record.ngsReports.results.rnaFusions.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1730. dnpm-lm-patient-record.ngsReports.results.rnaFusions.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1732. dnpm-lm-patient-record.ngsReports.results.rnaFusions.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1734. dnpm-lm-patient-record.ngsReports.results.rnaFusions.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1736. dnpm-lm-patient-record.ngsReports.results.rnaFusions.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1738. dnpm-lm-patient-record.ngsReports.results.rnaFusions.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1740. dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds
Definition	External identifiers (e.g. COSMIC)
Short	External identifiers (e.g. COSMIC)
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1742. dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1744. dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1746. dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1748. dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds.value
Definition	Identifier value
Short	Identifier value
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1750. dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds.system
Definition	Identifier system URI
Short	Identifier system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1752. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization
Definition	Fusion localization
Short	Fusion localization
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1754. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1756. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1758. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1760. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.code
Definition	Localization code
Short	Localization code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1762. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.display
Definition	Localization display
Short	Localization display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1764. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.system
Definition	Localization system URI
Short	Localization system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1766. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime
Definition	5-prime fusion partner
Short	5-prime fusion partner
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1768. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1770. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1772. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1774. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene
Definition	5-prime partner gene
Short	5-prime partner gene
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1776. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1778. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1780. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1782. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1784. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1786. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1788. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript
Definition	5-prime transcript
Short	5-prime transcript
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1790. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1792. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1794. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1796. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript.value
Definition	Transcript ID (e.g. ENST...)
Short	Transcript ID (e.g. ENST...)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1798. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript.system
Definition	Transcript system URI
Short	Transcript system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1800. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.exon
Definition	Exon identifier
Short	Exon identifier
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1802. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.position
Definition	Breakpoint position
Short	Breakpoint position
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1804. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.strand
Definition	Strand (+ or -)
Short	Strand (+ or -)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1806. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime
Definition	3-prime fusion partner
Short	3-prime fusion partner
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1808. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1810. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1812. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1814. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene
Definition	3-prime partner gene
Short	3-prime partner gene
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1816. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1818. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1820. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1822. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1824. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1826. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1828. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript
Definition	3-prime transcript
Short	3-prime transcript
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1830. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1832. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1834. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1836. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript.value
Definition	Transcript ID (e.g. ENST...)
Short	Transcript ID (e.g. ENST...)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1838. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript.system
Definition	Transcript system URI
Short	Transcript system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1840. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.exon
Definition	Exon identifier
Short	Exon identifier
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1842. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.position
Definition	Breakpoint position
Short	Breakpoint position
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1844. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.strand
Definition	Strand (+ or -)
Short	Strand (+ or -)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1846. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect
Definition	RNA fusion effect
Short	RNA fusion effect
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1848. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1850. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1852. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1854. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.code
Definition	Effect code (e.g. in-frame)
Short	Effect code (e.g. in-frame)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1856. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.display
Definition	Effect display
Short	Effect display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1858. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.system
Definition	Effect system URI
Short	Effect system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1860. dnpm-lm-patient-record.ngsReports.results.rnaFusions.reportedNumReads
Definition	Supporting read count
Short	Supporting read count
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1862. dnpm-lm-patient-record.carePlans
Definition	MTB care plans
Short	MTB care plans
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1864. dnpm-lm-patient-record.carePlans.id
Definition	Care plan UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Care plan UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1866. dnpm-lm-patient-record.carePlans.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1868. dnpm-lm-patient-record.carePlans.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1870. dnpm-lm-patient-record.carePlans.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1872. dnpm-lm-patient-record.carePlans.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1874. dnpm-lm-patient-record.carePlans.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1876. dnpm-lm-patient-record.carePlans.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1878. dnpm-lm-patient-record.carePlans.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1880. dnpm-lm-patient-record.carePlans.issuedOn
Definition	Issue date (YYYY-MM-DD)
Short	Issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1882. dnpm-lm-patient-record.carePlans.reason
Definition	Indication (MTBDiagnosis) reference
Short	Indication (MTBDiagnosis) reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1884. dnpm-lm-patient-record.carePlans.reason.id
Definition	Diagnosis ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Diagnosis IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1886. dnpm-lm-patient-record.carePlans.reason.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.reason.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1888. dnpm-lm-patient-record.carePlans.reason.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1890. dnpm-lm-patient-record.carePlans.reason.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1892. dnpm-lm-patient-record.carePlans.noTargetFinding
Definition	True when no actionable target was found
Short	True when no actionable target was found
Control	0..1
Type	boolean
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1894. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation
Definition	Genetic counselling recommendation
Short	Genetic counselling recommendation
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1896. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.id
Definition	Recommendation UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Recommendation UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1898. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1900. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1902. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1904. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1906. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1908. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1910. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1912. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.issuedOn
Definition	Recommendation date (YYYY-MM-DD)
Short	Recommendation date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1914. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason
Definition	Counselling reason
Short	Counselling reason
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1916. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1918. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1920. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1922. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.code
Definition	Reason code
Short	Reason code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1924. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.display
Definition	Reason display
Short	Reason display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1926. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.system
Definition	Reason system URI
Short	Reason system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1928. dnpm-lm-patient-record.carePlans.medicationRecommendations
Definition	Medication therapy recommendations
Short	Medication therapy recommendations
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1930. dnpm-lm-patient-record.carePlans.medicationRecommendations.id
Definition	Recommendation UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Recommendation UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1932. dnpm-lm-patient-record.carePlans.medicationRecommendations.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1934. dnpm-lm-patient-record.carePlans.medicationRecommendations.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1936. dnpm-lm-patient-record.carePlans.medicationRecommendations.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1938. dnpm-lm-patient-record.carePlans.medicationRecommendations.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1940. dnpm-lm-patient-record.carePlans.medicationRecommendations.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1942. dnpm-lm-patient-record.carePlans.medicationRecommendations.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1944. dnpm-lm-patient-record.carePlans.medicationRecommendations.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1946. dnpm-lm-patient-record.carePlans.medicationRecommendations.issuedOn
Definition	Recommendation date (YYYY-MM-DD)
Short	Recommendation date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1948. dnpm-lm-patient-record.carePlans.medicationRecommendations.indication
Definition	Indication reference
Short	Indication reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1950. dnpm-lm-patient-record.carePlans.medicationRecommendations.indication.id
Definition	Diagnosis ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Diagnosis IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1952. dnpm-lm-patient-record.carePlans.medicationRecommendations.indication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.indication.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1954. dnpm-lm-patient-record.carePlans.medicationRecommendations.indication.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1956. dnpm-lm-patient-record.carePlans.medicationRecommendations.indication.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1958. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority
Definition	Recommendation priority
Short	Recommendation priority
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1960. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1962. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1964. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1966. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.code
Definition	Priority code (e.g. 1)
Short	Priority code (e.g. 1)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1968. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.display
Definition	Priority display
Short	Priority display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1970. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.system
Definition	Priority system URI
Short	Priority system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1972. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication
Definition	Recommended medications (ATC)
Short	Recommended medications (ATC)
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1974. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1976. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1978. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1980. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.code
Definition	ATC code
Short	ATC code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1982. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.display
Definition	Medication display
Short	Medication display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1984. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.system
Definition	ATC system URI
Short	ATC system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1986. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.version
Definition	ATC version
Short	ATC version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1988. dnpm-lm-patient-record.carePlans.medicationRecommendations.supportingVariants
Definition	Supporting variants
Short	Supporting variants
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1990. dnpm-lm-patient-record.carePlans.medicationRecommendations.supportingVariants.id
Definition	Variant ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Variant IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1992. dnpm-lm-patient-record.carePlans.medicationRecommendations.supportingVariants.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.supportingVariants.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1994. dnpm-lm-patient-record.carePlans.medicationRecommendations.supportingVariants.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
1996. dnpm-lm-patient-record.carePlans.medicationRecommendations.supportingVariants.type
Definition	Variant type (SNV \| CNV \| DNAFusion \| RNAFusion)
Short	Variant type (SNV \| CNV \| DNAFusion \| RNAFusion)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1998. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence
Definition	Level of evidence
Short	Level of evidence
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2000. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2002. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2004. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2006. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading
Definition	Evidence grading
Short	Evidence grading
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2008. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2010. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2012. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2014. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.code
Definition	Grade code (e.g. m1A)
Short	Grade code (e.g. m1A)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2016. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.display
Definition	Grade display
Short	Grade display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2018. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.system
Definition	Grade system URI
Short	Grade system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2020. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums
Definition	Evidence addendums
Short	Evidence addendums
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2022. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2024. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2026. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2028. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.code
Definition	Addendum code
Short	Addendum code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2030. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.display
Definition	Addendum display
Short	Addendum display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2032. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.system
Definition	Addendum system URI
Short	Addendum system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2034. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications
Definition	Supporting publications
Short	Supporting publications
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2036. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2038. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2040. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2042. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications.pmid
Definition	PubMed ID
Short	PubMed ID
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2044. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications.doi
Definition	Digital Object Identifier
Short	Digital Object Identifier
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2046. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations
Definition	Study enrollment recommendations
Short	Study enrollment recommendations
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2048. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.id
Definition	Recommendation UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Recommendation UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2050. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2052. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2054. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2056. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2058. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2060. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2062. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2064. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.issuedOn
Definition	Recommendation date (YYYY-MM-DD)
Short	Recommendation date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2066. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.indication
Definition	Indication reference
Short	Indication reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2068. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.indication.id
Definition	Diagnosis ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Diagnosis IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2070. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.indication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.indication.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2072. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.indication.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2074. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.indication.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2076. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.supportingVariants
Definition	Supporting variants
Short	Supporting variants
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2078. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.supportingVariants.id
Definition	Variant ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Variant IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2080. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.supportingVariants.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.supportingVariants.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2082. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.supportingVariants.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2084. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.supportingVariants.type
Definition	Variant type
Short	Variant type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2086. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.studies
Definition	Recommended studies
Short	Recommended studies
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2088. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.studies.id
Definition	Study ID (e.g. NCT number) Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Study ID (e.g. NCT number)Unique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2090. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.studies.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.studies.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2092. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.studies.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2094. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.studies.system
Definition	Study registry system URI
Short	Study registry system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2096. dnpm-lm-patient-record.followUps
Definition	Follow-up visit entries
Short	Follow-up visit entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2098. dnpm-lm-patient-record.followUps.id
Definition	Follow-up UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Follow-up UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2100. dnpm-lm-patient-record.followUps.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.followUps.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2102. dnpm-lm-patient-record.followUps.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2104. dnpm-lm-patient-record.followUps.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2106. dnpm-lm-patient-record.followUps.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2108. dnpm-lm-patient-record.followUps.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.followUps.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2110. dnpm-lm-patient-record.followUps.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2112. dnpm-lm-patient-record.followUps.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2114. dnpm-lm-patient-record.followUps.date
Definition	Follow-up date (YYYY-MM-DD)
Short	Follow-up date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2116. dnpm-lm-patient-record.followUps.lastContactDate
Definition	Date of last patient contact (YYYY-MM-DD)
Short	Date of last patient contact (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2118. dnpm-lm-patient-record.followUps.patientStatus
Definition	Patient status at follow-up
Short	Patient status at follow-up
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2120. dnpm-lm-patient-record.followUps.patientStatus.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2122. dnpm-lm-patient-record.followUps.patientStatus.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.followUps.patientStatus.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2124. dnpm-lm-patient-record.followUps.patientStatus.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2126. dnpm-lm-patient-record.followUps.patientStatus.code
Definition	Status code (e.g. alive)
Short	Status code (e.g. alive)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2128. dnpm-lm-patient-record.followUps.patientStatus.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2130. dnpm-lm-patient-record.followUps.patientStatus.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2132. dnpm-lm-patient-record.followUps.claims
Definition	Claim references at follow-up
Short	Claim references at follow-up
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2134. dnpm-lm-patient-record.followUps.claims.id
Definition	Claim ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Claim IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2136. dnpm-lm-patient-record.followUps.claims.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.followUps.claims.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2138. dnpm-lm-patient-record.followUps.claims.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2140. dnpm-lm-patient-record.followUps.claims.type
Definition	Reference type (Claim)
Short	Reference type (Claim)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2142. dnpm-lm-patient-record.followUps.therapyChanged
Definition	Whether therapy was changed at this follow-up
Short	Whether therapy was changed at this follow-up
Control	0..1
Type	boolean
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2144. dnpm-lm-patient-record.claims
Definition	Insurance / cost coverage claim entries
Short	Insurance / cost coverage claim entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2146. dnpm-lm-patient-record.claims.id
Definition	Claim UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Claim UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2148. dnpm-lm-patient-record.claims.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.claims.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2150. dnpm-lm-patient-record.claims.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2152. dnpm-lm-patient-record.claims.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2154. dnpm-lm-patient-record.claims.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2156. dnpm-lm-patient-record.claims.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.claims.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2158. dnpm-lm-patient-record.claims.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2160. dnpm-lm-patient-record.claims.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2162. dnpm-lm-patient-record.claims.recommendation
Definition	Associated medication recommendation reference
Short	Associated medication recommendation reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2164. dnpm-lm-patient-record.claims.recommendation.id
Definition	Recommendation ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Recommendation IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2166. dnpm-lm-patient-record.claims.recommendation.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.claims.recommendation.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2168. dnpm-lm-patient-record.claims.recommendation.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2170. dnpm-lm-patient-record.claims.recommendation.type
Definition	Reference type (MTBMedicationRecommendation)
Short	Reference type (MTBMedicationRecommendation)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2172. dnpm-lm-patient-record.claims.issuedOn
Definition	Claim issue date (YYYY-MM-DD)
Short	Claim issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2174. dnpm-lm-patient-record.claimResponses
Definition	Insurance / cost coverage claim response entries
Short	Insurance / cost coverage claim response entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2176. dnpm-lm-patient-record.claimResponses.id
Definition	Claim response UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Claim response UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2178. dnpm-lm-patient-record.claimResponses.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.claimResponses.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2180. dnpm-lm-patient-record.claimResponses.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2182. dnpm-lm-patient-record.claimResponses.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2184. dnpm-lm-patient-record.claimResponses.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2186. dnpm-lm-patient-record.claimResponses.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.claimResponses.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2188. dnpm-lm-patient-record.claimResponses.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2190. dnpm-lm-patient-record.claimResponses.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2192. dnpm-lm-patient-record.claimResponses.claim
Definition	Associated claim reference
Short	Associated claim reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2194. dnpm-lm-patient-record.claimResponses.claim.id
Definition	Claim ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Claim IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2196. dnpm-lm-patient-record.claimResponses.claim.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.claimResponses.claim.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2198. dnpm-lm-patient-record.claimResponses.claim.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2200. dnpm-lm-patient-record.claimResponses.claim.type
Definition	Reference type (Claim)
Short	Reference type (Claim)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2202. dnpm-lm-patient-record.claimResponses.issuedOn
Definition	Response date (YYYY-MM-DD)
Short	Response date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2204. dnpm-lm-patient-record.claimResponses.status
Definition	Response status
Short	Response status
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2206. dnpm-lm-patient-record.claimResponses.status.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2208. dnpm-lm-patient-record.claimResponses.status.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.claimResponses.status.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2210. dnpm-lm-patient-record.claimResponses.status.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2212. dnpm-lm-patient-record.claimResponses.status.code
Definition	Status code (e.g. rejected)
Short	Status code (e.g. rejected)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2214. dnpm-lm-patient-record.claimResponses.status.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2216. dnpm-lm-patient-record.claimResponses.status.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2218. dnpm-lm-patient-record.claimResponses.statusReason
Definition	Reason for response status
Short	Reason for response status
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2220. dnpm-lm-patient-record.claimResponses.statusReason.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2222. dnpm-lm-patient-record.claimResponses.statusReason.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.claimResponses.statusReason.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2224. dnpm-lm-patient-record.claimResponses.statusReason.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2226. dnpm-lm-patient-record.claimResponses.statusReason.code
Definition	Reason code
Short	Reason code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2228. dnpm-lm-patient-record.claimResponses.statusReason.display
Definition	Reason display
Short	Reason display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2230. dnpm-lm-patient-record.claimResponses.statusReason.system
Definition	Reason system URI
Short	Reason system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2232. dnpm-lm-patient-record.systemicTherapies
Definition	Systemic (molecular) therapy entries (each wraps a history)
Short	Systemic (molecular) therapy entries (each wraps a history)
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2234. dnpm-lm-patient-record.systemicTherapies.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2236. dnpm-lm-patient-record.systemicTherapies.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2238. dnpm-lm-patient-record.systemicTherapies.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2240. dnpm-lm-patient-record.systemicTherapies.history
Definition	Therapy version history entries
Short	Therapy version history entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2242. dnpm-lm-patient-record.systemicTherapies.history.id
Definition	Therapy entry UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Therapy entry UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2244. dnpm-lm-patient-record.systemicTherapies.history.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.history.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2246. dnpm-lm-patient-record.systemicTherapies.history.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2248. dnpm-lm-patient-record.systemicTherapies.history.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2250. dnpm-lm-patient-record.systemicTherapies.history.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2252. dnpm-lm-patient-record.systemicTherapies.history.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.history.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2254. dnpm-lm-patient-record.systemicTherapies.history.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2256. dnpm-lm-patient-record.systemicTherapies.history.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2258. dnpm-lm-patient-record.systemicTherapies.history.indication
Definition	Indication reference
Short	Indication reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2260. dnpm-lm-patient-record.systemicTherapies.history.indication.id
Definition	Diagnosis ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Diagnosis IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2262. dnpm-lm-patient-record.systemicTherapies.history.indication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.history.indication.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2264. dnpm-lm-patient-record.systemicTherapies.history.indication.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2266. dnpm-lm-patient-record.systemicTherapies.history.indication.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2268. dnpm-lm-patient-record.systemicTherapies.history.basedOn
Definition	Medication recommendation reference
Short	Medication recommendation reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2270. dnpm-lm-patient-record.systemicTherapies.history.basedOn.id
Definition	Recommendation ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Recommendation IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2272. dnpm-lm-patient-record.systemicTherapies.history.basedOn.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.history.basedOn.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2274. dnpm-lm-patient-record.systemicTherapies.history.basedOn.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2276. dnpm-lm-patient-record.systemicTherapies.history.basedOn.type
Definition	Reference type (MTBMedicationRecommendation)
Short	Reference type (MTBMedicationRecommendation)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2278. dnpm-lm-patient-record.systemicTherapies.history.therapyLine
Definition	Therapy line number
Short	Therapy line number
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2280. dnpm-lm-patient-record.systemicTherapies.history.status
Definition	Therapy status
Short	Therapy status
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2282. dnpm-lm-patient-record.systemicTherapies.history.status.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2284. dnpm-lm-patient-record.systemicTherapies.history.status.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.history.status.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2286. dnpm-lm-patient-record.systemicTherapies.history.status.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2288. dnpm-lm-patient-record.systemicTherapies.history.status.code
Definition	Status code (e.g. completed)
Short	Status code (e.g. completed)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2290. dnpm-lm-patient-record.systemicTherapies.history.status.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2292. dnpm-lm-patient-record.systemicTherapies.history.status.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2294. dnpm-lm-patient-record.systemicTherapies.history.statusReason
Definition	Reason for therapy status
Short	Reason for therapy status
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2296. dnpm-lm-patient-record.systemicTherapies.history.statusReason.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2298. dnpm-lm-patient-record.systemicTherapies.history.statusReason.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.history.statusReason.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2300. dnpm-lm-patient-record.systemicTherapies.history.statusReason.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2302. dnpm-lm-patient-record.systemicTherapies.history.statusReason.code
Definition	Status reason code
Short	Status reason code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2304. dnpm-lm-patient-record.systemicTherapies.history.statusReason.display
Definition	Status reason display
Short	Status reason display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2306. dnpm-lm-patient-record.systemicTherapies.history.statusReason.system
Definition	Status reason system URI
Short	Status reason system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2308. dnpm-lm-patient-record.systemicTherapies.history.period
Definition	Therapy period
Short	Therapy period
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2310. dnpm-lm-patient-record.systemicTherapies.history.period.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2312. dnpm-lm-patient-record.systemicTherapies.history.period.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.history.period.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2314. dnpm-lm-patient-record.systemicTherapies.history.period.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2316. dnpm-lm-patient-record.systemicTherapies.history.period.start
Definition	Start date (YYYY-MM-DD)
Short	Start date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2318. dnpm-lm-patient-record.systemicTherapies.history.period.end
Definition	End date (YYYY-MM-DD)
Short	End date (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2320. dnpm-lm-patient-record.systemicTherapies.history.medication
Definition	Medication codes (ATC)
Short	Medication codes (ATC)
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2322. dnpm-lm-patient-record.systemicTherapies.history.medication.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2324. dnpm-lm-patient-record.systemicTherapies.history.medication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.history.medication.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2326. dnpm-lm-patient-record.systemicTherapies.history.medication.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2328. dnpm-lm-patient-record.systemicTherapies.history.medication.code
Definition	ATC code
Short	ATC code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2330. dnpm-lm-patient-record.systemicTherapies.history.medication.display
Definition	Medication display
Short	Medication display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2332. dnpm-lm-patient-record.systemicTherapies.history.medication.system
Definition	ATC system URI
Short	ATC system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2334. dnpm-lm-patient-record.systemicTherapies.history.medication.version
Definition	ATC version
Short	ATC version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2336. dnpm-lm-patient-record.systemicTherapies.history.notes
Definition	Free-text therapy notes
Short	Free-text therapy notes
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2338. dnpm-lm-patient-record.responses
Definition	Therapy response assessments
Short	Therapy response assessments
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2340. dnpm-lm-patient-record.responses.id
Definition	Response UUID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Response UUIDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2342. dnpm-lm-patient-record.responses.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.responses.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2344. dnpm-lm-patient-record.responses.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2346. dnpm-lm-patient-record.responses.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2348. dnpm-lm-patient-record.responses.patient.id
Definition	Patient ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Patient IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2350. dnpm-lm-patient-record.responses.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.responses.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2352. dnpm-lm-patient-record.responses.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2354. dnpm-lm-patient-record.responses.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2356. dnpm-lm-patient-record.responses.therapy
Definition	Associated systemic therapy reference
Short	Associated systemic therapy reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2358. dnpm-lm-patient-record.responses.therapy.id
Definition	Therapy ID Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Therapy IDUnique id for inter-element referencing
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2360. dnpm-lm-patient-record.responses.therapy.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.responses.therapy.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2362. dnpm-lm-patient-record.responses.therapy.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2364. dnpm-lm-patient-record.responses.therapy.type
Definition	Reference type (MTBSystemicTherapy)
Short	Reference type (MTBSystemicTherapy)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2366. dnpm-lm-patient-record.responses.effectiveDate
Definition	Response assessment date (YYYY-MM-DD)
Short	Response assessment date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2368. dnpm-lm-patient-record.responses.value
Definition	RECIST response category
Short	RECIST response category
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2370. dnpm-lm-patient-record.responses.value.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2372. dnpm-lm-patient-record.responses.value.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.responses.value.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2374. dnpm-lm-patient-record.responses.value.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2376. dnpm-lm-patient-record.responses.value.code
Definition	RECIST code (e.g. SD, PR, CR, PD)
Short	RECIST code (e.g. SD, PR, CR, PD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2378. dnpm-lm-patient-record.responses.value.display
Definition	RECIST display (e.g. Stable Disease)
Short	RECIST display (e.g. Stable Disease)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2380. dnpm-lm-patient-record.responses.value.system
Definition	RECIST system (e.g. RECIST)
Short	RECIST system (e.g. RECIST)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be foundhere

0. dnpm-lm-patient-record
Definition	Logical Model for the DNPM DIP MTB Patient Record JSON structure (all 19 top-level keys)
Short	DNPM Patient Record
Logical Model	Instances of this logical model are not marked to be the target of a Reference
2. dnpm-lm-patient-record.patient
Definition	Patient demographics
Short	Patient demographics
Control	1..1
Type	BackboneElement
4. dnpm-lm-patient-record.patient.id
Definition	Patient UUID
Short	Patient UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
6. dnpm-lm-patient-record.patient.gender
Definition	Patient gender
Short	Patient gender
Control	1..1
Type	BackboneElement
8. dnpm-lm-patient-record.patient.gender.code
Definition	Gender code (e.g. female)
Short	Gender code (e.g. female)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
10. dnpm-lm-patient-record.patient.gender.display
Definition	Gender display text
Short	Gender display text
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
12. dnpm-lm-patient-record.patient.gender.system
Definition	Gender code system
Short	Gender code system
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
14. dnpm-lm-patient-record.patient.birthDate
Definition	Date of birth (YYYY-MM)
Short	Date of birth (YYYY-MM)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
16. dnpm-lm-patient-record.patient.healthInsurance
Definition	Health insurance information
Short	Health insurance information
Control	0..1
Type	BackboneElement
18. dnpm-lm-patient-record.patient.healthInsurance.type
Definition	Insurance type coding
Short	Insurance type coding
Control	1..1
Type	BackboneElement
20. dnpm-lm-patient-record.patient.healthInsurance.type.code
Definition	Insurance type code (e.g. GKV)
Short	Insurance type code (e.g. GKV)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
22. dnpm-lm-patient-record.patient.healthInsurance.type.display
Definition	Insurance type display
Short	Insurance type display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
24. dnpm-lm-patient-record.patient.healthInsurance.type.system
Definition	Insurance type system URI
Short	Insurance type system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
26. dnpm-lm-patient-record.patient.healthInsurance.reference
Definition	Insurance provider reference
Short	Insurance provider reference
Control	0..1
Type	BackboneElement
28. dnpm-lm-patient-record.patient.healthInsurance.reference.id
Definition	Insurance provider ID
Short	Insurance provider ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
30. dnpm-lm-patient-record.patient.healthInsurance.reference.type
Definition	Reference type (HealthInsurance)
Short	Reference type (HealthInsurance)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
32. dnpm-lm-patient-record.patient.healthInsurance.reference.display
Definition	Insurance provider display name
Short	Insurance provider display name
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
34. dnpm-lm-patient-record.patient.healthInsurance.reference.system
Definition	Insurance provider system URI
Short	Insurance provider system URI
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
36. dnpm-lm-patient-record.patient.address
Definition	Patient address (municipality)
Short	Patient address (municipality)
Control	0..1
Type	BackboneElement
38. dnpm-lm-patient-record.patient.address.municipalityCode
Definition	AGS municipality code (5-digit)
Short	AGS municipality code (5-digit)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
40. dnpm-lm-patient-record.patient.age
Definition	Calculated patient age
Short	Calculated patient age
Control	0..1
Type	BackboneElement
42. dnpm-lm-patient-record.patient.age.value
Definition	Age numeric value
Short	Age numeric value
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
44. dnpm-lm-patient-record.patient.age.unit
Definition	Age unit (e.g. Years)
Short	Age unit (e.g. Years)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
46. dnpm-lm-patient-record.patient.vitalStatus
Definition	Vital status
Short	Vital status
Control	1..1
Type	BackboneElement
48. dnpm-lm-patient-record.patient.vitalStatus.code
Definition	Vital status code (e.g. alive)
Short	Vital status code (e.g. alive)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
50. dnpm-lm-patient-record.patient.vitalStatus.display
Definition	Vital status display
Short	Vital status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
52. dnpm-lm-patient-record.patient.vitalStatus.system
Definition	Vital status system URI
Short	Vital status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
54. dnpm-lm-patient-record.episodesOfCare
Definition	MTB episodes of care
Short	MTB episodes of care
Control	0..*
Type	BackboneElement
56. dnpm-lm-patient-record.episodesOfCare.id
Definition	Episode UUID
Short	Episode UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
58. dnpm-lm-patient-record.episodesOfCare.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
60. dnpm-lm-patient-record.episodesOfCare.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
62. dnpm-lm-patient-record.episodesOfCare.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
64. dnpm-lm-patient-record.episodesOfCare.period
Definition	Episode period
Short	Episode period
Control	0..1
Type	BackboneElement
66. dnpm-lm-patient-record.episodesOfCare.period.start
Definition	Start date (YYYY-MM-DD)
Short	Start date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
68. dnpm-lm-patient-record.episodesOfCare.period.end
Definition	End date (YYYY-MM-DD)
Short	End date (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
70. dnpm-lm-patient-record.episodesOfCare.diagnoses
Definition	Diagnosis references within this episode
Short	Diagnosis references within this episode
Control	0..*
Type	BackboneElement
72. dnpm-lm-patient-record.episodesOfCare.diagnoses.id
Definition	Diagnosis ID
Short	Diagnosis ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
74. dnpm-lm-patient-record.episodesOfCare.diagnoses.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
76. dnpm-lm-patient-record.diagnoses
Definition	MTB tumor diagnoses
Short	MTB tumor diagnoses
Control	0..*
Type	BackboneElement
78. dnpm-lm-patient-record.diagnoses.id
Definition	Diagnosis UUID
Short	Diagnosis UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
80. dnpm-lm-patient-record.diagnoses.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
82. dnpm-lm-patient-record.diagnoses.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
84. dnpm-lm-patient-record.diagnoses.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
86. dnpm-lm-patient-record.diagnoses.recordedOn
Definition	Date diagnosis was recorded (YYYY-MM-DD)
Short	Date diagnosis was recorded (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
88. dnpm-lm-patient-record.diagnoses.type
Definition	Diagnosis type history (main / secondary)
Short	Diagnosis type history (main / secondary)
Control	0..1
Type	BackboneElement
90. dnpm-lm-patient-record.diagnoses.type.history
Definition	History entries for diagnosis type
Short	History entries for diagnosis type
Control	0..*
Type	BackboneElement
92. dnpm-lm-patient-record.diagnoses.type.history.date
Definition	Entry date
Short	Entry date
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
94. dnpm-lm-patient-record.diagnoses.type.history.value
Definition	Diagnosis type value
Short	Diagnosis type value
Control	0..1
Type	BackboneElement
96. dnpm-lm-patient-record.diagnoses.type.history.value.code
Definition	Type code (e.g. main)
Short	Type code (e.g. main)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
98. dnpm-lm-patient-record.diagnoses.type.history.value.display
Definition	Type display
Short	Type display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
100. dnpm-lm-patient-record.diagnoses.type.history.value.system
Definition	Type system URI
Short	Type system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
102. dnpm-lm-patient-record.diagnoses.code
Definition	ICD-10-GM tumor diagnosis code
Short	ICD-10-GM tumor diagnosis code
Control	1..1
Type	BackboneElement
104. dnpm-lm-patient-record.diagnoses.code.code
Definition	ICD-10-GM code (e.g. C75.8)
Short	ICD-10-GM code (e.g. C75.8)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
106. dnpm-lm-patient-record.diagnoses.code.display
Definition	Diagnosis display text
Short	Diagnosis display text
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
108. dnpm-lm-patient-record.diagnoses.code.system
Definition	ICD-10-GM code system URI
Short	ICD-10-GM code system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
110. dnpm-lm-patient-record.diagnoses.code.version
Definition	ICD-10-GM version year
Short	ICD-10-GM version year
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
112. dnpm-lm-patient-record.diagnoses.topography
Definition	ICD-O-3 topography code
Short	ICD-O-3 topography code
Control	0..1
Type	BackboneElement
114. dnpm-lm-patient-record.diagnoses.topography.code
Definition	Topography code
Short	Topography code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
116. dnpm-lm-patient-record.diagnoses.topography.display
Definition	Topography display
Short	Topography display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
118. dnpm-lm-patient-record.diagnoses.topography.system
Definition	Topography system URI (ICD-O-3)
Short	Topography system URI (ICD-O-3)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
120. dnpm-lm-patient-record.diagnoses.topography.version
Definition	ICD-O-3 version
Short	ICD-O-3 version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
122. dnpm-lm-patient-record.diagnoses.grading
Definition	Tumor grading history
Short	Tumor grading history
Control	0..1
Type	BackboneElement
124. dnpm-lm-patient-record.diagnoses.grading.history
Definition	Grading history entries
Short	Grading history entries
Control	0..*
Type	BackboneElement
126. dnpm-lm-patient-record.diagnoses.grading.history.date
Definition	Grading date
Short	Grading date
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
128. dnpm-lm-patient-record.diagnoses.grading.history.codes
Definition	Grading codes
Short	Grading codes
Control	0..*
Type	BackboneElement
130. dnpm-lm-patient-record.diagnoses.grading.history.codes.code
Definition	Grade code
Short	Grade code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
132. dnpm-lm-patient-record.diagnoses.grading.history.codes.display
Definition	Grade display
Short	Grade display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
134. dnpm-lm-patient-record.diagnoses.grading.history.codes.system
Definition	Grading system URI
Short	Grading system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
136. dnpm-lm-patient-record.diagnoses.staging
Definition	Tumor staging history
Short	Tumor staging history
Control	0..1
Type	BackboneElement
138. dnpm-lm-patient-record.diagnoses.staging.history
Definition	Staging history entries
Short	Staging history entries
Control	0..*
Type	BackboneElement
140. dnpm-lm-patient-record.diagnoses.staging.history.date
Definition	Staging date
Short	Staging date
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
142. dnpm-lm-patient-record.diagnoses.staging.history.method
Definition	Staging method
Short	Staging method
Control	0..1
Type	BackboneElement
144. dnpm-lm-patient-record.diagnoses.staging.history.method.code
Definition	Method code (e.g. clinical)
Short	Method code (e.g. clinical)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
146. dnpm-lm-patient-record.diagnoses.staging.history.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
148. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification
Definition	TNM classification
Short	TNM classification
Control	0..1
Type	BackboneElement
150. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor
Definition	T category
Short	T category
Control	0..1
Type	BackboneElement
152. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor.code
Definition	T code (e.g. T0)
Short	T code (e.g. T0)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
154. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor.system
Definition	TNM system (UICC)
Short	TNM system (UICC)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
156. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes
Definition	N category
Short	N category
Control	0..1
Type	BackboneElement
158. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes.code
Definition	N code (e.g. N2)
Short	N code (e.g. N2)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
160. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes.system
Definition	TNM system (UICC)
Short	TNM system (UICC)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
162. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis
Definition	M category
Short	M category
Control	0..1
Type	BackboneElement
164. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis.code
Definition	M code (e.g. M0)
Short	M code (e.g. M0)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
166. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis.system
Definition	TNM system (UICC)
Short	TNM system (UICC)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
168. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications
Definition	Other classification systems
Short	Other classification systems
Control	0..*
Type	BackboneElement
170. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.code
Definition	Classification code
Short	Classification code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
172. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.display
Definition	Classification display
Short	Classification display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
174. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.system
Definition	Classification system URI
Short	Classification system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
176. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus
Definition	Guideline treatment exhaustion status
Short	Guideline treatment exhaustion status
Control	0..1
Type	BackboneElement
178. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.code
Definition	Status code (e.g. non-exhausted)
Short	Status code (e.g. non-exhausted)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
180. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
182. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
184. dnpm-lm-patient-record.diagnoses.histology
Definition	Histology report references
Short	Histology report references
Control	0..*
Type	BackboneElement
186. dnpm-lm-patient-record.diagnoses.histology.id
Definition	Histology report ID
Short	Histology report ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
188. dnpm-lm-patient-record.diagnoses.histology.type
Definition	Reference type (HistologyReport)
Short	Reference type (HistologyReport)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
190. dnpm-lm-patient-record.diagnoses.notes
Definition	Free-text clinical notes
Short	Free-text clinical notes
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
192. dnpm-lm-patient-record.familyMemberHistories
Definition	Family member cancer history entries
Short	Family member cancer history entries
Control	0..*
Type	BackboneElement
194. dnpm-lm-patient-record.familyMemberHistories.id
Definition	Family member history UUID
Short	Family member history UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
196. dnpm-lm-patient-record.familyMemberHistories.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
198. dnpm-lm-patient-record.familyMemberHistories.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
200. dnpm-lm-patient-record.familyMemberHistories.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
202. dnpm-lm-patient-record.familyMemberHistories.relationship
Definition	Family relationship type
Short	Family relationship type
Control	1..1
Type	BackboneElement
204. dnpm-lm-patient-record.familyMemberHistories.relationship.code
Definition	Relationship code
Short	Relationship code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
206. dnpm-lm-patient-record.familyMemberHistories.relationship.display
Definition	Relationship display
Short	Relationship display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
208. dnpm-lm-patient-record.familyMemberHistories.relationship.system
Definition	Relationship system URI
Short	Relationship system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
210. dnpm-lm-patient-record.guidelineTherapies
Definition	Guideline-based therapy entries
Short	Guideline-based therapy entries
Control	0..*
Type	BackboneElement
212. dnpm-lm-patient-record.guidelineTherapies.id
Definition	Therapy UUID
Short	Therapy UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
214. dnpm-lm-patient-record.guidelineTherapies.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
216. dnpm-lm-patient-record.guidelineTherapies.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
218. dnpm-lm-patient-record.guidelineTherapies.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
220. dnpm-lm-patient-record.guidelineTherapies.indication
Definition	Indication (MTBDiagnosis) reference
Short	Indication (MTBDiagnosis) reference
Control	0..1
Type	BackboneElement
222. dnpm-lm-patient-record.guidelineTherapies.indication.id
Definition	Diagnosis ID
Short	Diagnosis ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
224. dnpm-lm-patient-record.guidelineTherapies.indication.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
226. dnpm-lm-patient-record.guidelineTherapies.therapyLine
Definition	Therapy line number
Short	Therapy line number
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
228. dnpm-lm-patient-record.guidelineTherapies.status
Definition	Therapy status
Short	Therapy status
Control	0..1
Type	BackboneElement
230. dnpm-lm-patient-record.guidelineTherapies.status.code
Definition	Status code (e.g. stopped)
Short	Status code (e.g. stopped)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
232. dnpm-lm-patient-record.guidelineTherapies.status.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
234. dnpm-lm-patient-record.guidelineTherapies.status.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
236. dnpm-lm-patient-record.guidelineTherapies.statusReason
Definition	Reason for therapy status
Short	Reason for therapy status
Control	0..1
Type	BackboneElement
238. dnpm-lm-patient-record.guidelineTherapies.statusReason.code
Definition	Status reason code (e.g. progression)
Short	Status reason code (e.g. progression)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
240. dnpm-lm-patient-record.guidelineTherapies.statusReason.display
Definition	Status reason display
Short	Status reason display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
242. dnpm-lm-patient-record.guidelineTherapies.statusReason.system
Definition	Status reason system URI
Short	Status reason system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
244. dnpm-lm-patient-record.guidelineTherapies.period
Definition	Therapy period
Short	Therapy period
Control	0..1
Type	BackboneElement
246. dnpm-lm-patient-record.guidelineTherapies.period.start
Definition	Start date (YYYY-MM-DD)
Short	Start date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
248. dnpm-lm-patient-record.guidelineTherapies.period.end
Definition	End date (YYYY-MM-DD)
Short	End date (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
250. dnpm-lm-patient-record.guidelineTherapies.medication
Definition	Medication codes (ATC)
Short	Medication codes (ATC)
Control	0..*
Type	BackboneElement
252. dnpm-lm-patient-record.guidelineTherapies.medication.code
Definition	ATC code
Short	ATC code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
254. dnpm-lm-patient-record.guidelineTherapies.medication.display
Definition	Medication display name
Short	Medication display name
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
256. dnpm-lm-patient-record.guidelineTherapies.medication.system
Definition	ATC code system URI
Short	ATC code system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
258. dnpm-lm-patient-record.guidelineTherapies.medication.version
Definition	ATC version
Short	ATC version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
260. dnpm-lm-patient-record.guidelineTherapies.notes
Definition	Free-text therapy notes
Short	Free-text therapy notes
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
262. dnpm-lm-patient-record.guidelineTherapies.category
Definition	Therapy category
Short	Therapy category
Control	0..1
Type	BackboneElement
264. dnpm-lm-patient-record.guidelineTherapies.category.code
Definition	Category code
Short	Category code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
266. dnpm-lm-patient-record.guidelineTherapies.category.display
Definition	Category display
Short	Category display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
268. dnpm-lm-patient-record.guidelineTherapies.category.system
Definition	Category system URI
Short	Category system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
270. dnpm-lm-patient-record.guidelineProcedures
Definition	Guideline-based non-medication procedures
Short	Guideline-based non-medication procedures
Control	0..*
Type	BackboneElement
272. dnpm-lm-patient-record.guidelineProcedures.id
Definition	Procedure UUID
Short	Procedure UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
274. dnpm-lm-patient-record.guidelineProcedures.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
276. dnpm-lm-patient-record.guidelineProcedures.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
278. dnpm-lm-patient-record.guidelineProcedures.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
280. dnpm-lm-patient-record.guidelineProcedures.indication
Definition	Indication (MTBDiagnosis) reference
Short	Indication (MTBDiagnosis) reference
Control	0..1
Type	BackboneElement
282. dnpm-lm-patient-record.guidelineProcedures.indication.id
Definition	Diagnosis ID
Short	Diagnosis ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
284. dnpm-lm-patient-record.guidelineProcedures.indication.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
286. dnpm-lm-patient-record.guidelineProcedures.code
Definition	Procedure type code
Short	Procedure type code
Control	1..1
Type	BackboneElement
288. dnpm-lm-patient-record.guidelineProcedures.code.code
Definition	Procedure code (e.g. radiotherapy)
Short	Procedure code (e.g. radiotherapy)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
290. dnpm-lm-patient-record.guidelineProcedures.code.display
Definition	Procedure display
Short	Procedure display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
292. dnpm-lm-patient-record.guidelineProcedures.code.system
Definition	Procedure system URI
Short	Procedure system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
294. dnpm-lm-patient-record.guidelineProcedures.status
Definition	Procedure status
Short	Procedure status
Control	0..1
Type	BackboneElement
296. dnpm-lm-patient-record.guidelineProcedures.status.code
Definition	Status code (e.g. ongoing)
Short	Status code (e.g. ongoing)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
298. dnpm-lm-patient-record.guidelineProcedures.status.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
300. dnpm-lm-patient-record.guidelineProcedures.status.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
302. dnpm-lm-patient-record.guidelineProcedures.period
Definition	Procedure period
Short	Procedure period
Control	0..1
Type	BackboneElement
304. dnpm-lm-patient-record.guidelineProcedures.period.start
Definition	Start date (YYYY-MM-DD)
Short	Start date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
306. dnpm-lm-patient-record.guidelineProcedures.period.end
Definition	End date (YYYY-MM-DD)
Short	End date (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
308. dnpm-lm-patient-record.guidelineProcedures.intent
Definition	Therapy intent
Short	Therapy intent
Control	0..1
Type	BackboneElement
310. dnpm-lm-patient-record.guidelineProcedures.intent.code
Definition	Intent code (e.g. palliative)
Short	Intent code (e.g. palliative)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
312. dnpm-lm-patient-record.guidelineProcedures.intent.display
Definition	Intent display
Short	Intent display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
314. dnpm-lm-patient-record.guidelineProcedures.intent.system
Definition	Intent system URI
Short	Intent system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
316. dnpm-lm-patient-record.guidelineProcedures.notes
Definition	Free-text procedure notes
Short	Free-text procedure notes
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
318. dnpm-lm-patient-record.performanceStatus
Definition	ECOG performance status assessments
Short	ECOG performance status assessments
Control	0..*
Type	BackboneElement
320. dnpm-lm-patient-record.performanceStatus.id
Definition	Performance status UUID
Short	Performance status UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
322. dnpm-lm-patient-record.performanceStatus.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
324. dnpm-lm-patient-record.performanceStatus.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
326. dnpm-lm-patient-record.performanceStatus.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
328. dnpm-lm-patient-record.performanceStatus.effectiveDate
Definition	Assessment date (YYYY-MM-DD)
Short	Assessment date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
330. dnpm-lm-patient-record.performanceStatus.value
Definition	ECOG score
Short	ECOG score
Control	1..1
Type	BackboneElement
332. dnpm-lm-patient-record.performanceStatus.value.code
Definition	ECOG code (e.g. 0–4)
Short	ECOG code (e.g. 0–4)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
334. dnpm-lm-patient-record.performanceStatus.value.display
Definition	ECOG display
Short	ECOG display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
336. dnpm-lm-patient-record.performanceStatus.value.system
Definition	ECOG system URI
Short	ECOG system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
338. dnpm-lm-patient-record.specimens
Definition	Tumor specimen entries
Short	Tumor specimen entries
Control	0..*
Type	BackboneElement
340. dnpm-lm-patient-record.specimens.id
Definition	Specimen UUID
Short	Specimen UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
342. dnpm-lm-patient-record.specimens.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
344. dnpm-lm-patient-record.specimens.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
346. dnpm-lm-patient-record.specimens.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
348. dnpm-lm-patient-record.specimens.diagnosis
Definition	Associated diagnosis reference
Short	Associated diagnosis reference
Control	0..1
Type	BackboneElement
350. dnpm-lm-patient-record.specimens.diagnosis.id
Definition	Diagnosis ID
Short	Diagnosis ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
352. dnpm-lm-patient-record.specimens.diagnosis.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
354. dnpm-lm-patient-record.specimens.type
Definition	Specimen type
Short	Specimen type
Control	0..1
Type	BackboneElement
356. dnpm-lm-patient-record.specimens.type.code
Definition	Specimen type code (e.g. fresh-tissue)
Short	Specimen type code (e.g. fresh-tissue)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
358. dnpm-lm-patient-record.specimens.type.display
Definition	Specimen type display
Short	Specimen type display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
360. dnpm-lm-patient-record.specimens.type.system
Definition	Specimen type system URI
Short	Specimen type system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
362. dnpm-lm-patient-record.specimens.collection
Definition	Specimen collection details
Short	Specimen collection details
Control	0..1
Type	BackboneElement
364. dnpm-lm-patient-record.specimens.collection.date
Definition	Collection date (YYYY-MM-DD)
Short	Collection date (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
366. dnpm-lm-patient-record.specimens.collection.site
Definition	Collection site (ICD-O-3 topography)
Short	Collection site (ICD-O-3 topography)
Control	0..1
Type	BackboneElement
368. dnpm-lm-patient-record.specimens.collection.site.code
Definition	Site code
Short	Site code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
370. dnpm-lm-patient-record.specimens.collection.site.display
Definition	Site display
Short	Site display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
372. dnpm-lm-patient-record.specimens.collection.site.system
Definition	Site system URI
Short	Site system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
374. dnpm-lm-patient-record.specimens.collection.site.version
Definition	ICD-O-3 version
Short	ICD-O-3 version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
376. dnpm-lm-patient-record.specimens.collection.method
Definition	Collection method
Short	Collection method
Control	0..1
Type	BackboneElement
378. dnpm-lm-patient-record.specimens.collection.method.code
Definition	Method code (e.g. biopsy)
Short	Method code (e.g. biopsy)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
380. dnpm-lm-patient-record.specimens.collection.method.display
Definition	Method display
Short	Method display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
382. dnpm-lm-patient-record.specimens.collection.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
384. dnpm-lm-patient-record.priorDiagnosticReports
Definition	Prior diagnostic reports (free-text)
Short	Prior diagnostic reports (free-text)
Control	0..*
Type	BackboneElement
386. dnpm-lm-patient-record.priorDiagnosticReports.id
Definition	Report UUID
Short	Report UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
388. dnpm-lm-patient-record.priorDiagnosticReports.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
390. dnpm-lm-patient-record.priorDiagnosticReports.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
392. dnpm-lm-patient-record.priorDiagnosticReports.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
394. dnpm-lm-patient-record.priorDiagnosticReports.issuedOn
Definition	Report issue date (YYYY-MM-DD)
Short	Report issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
396. dnpm-lm-patient-record.priorDiagnosticReports.results
Definition	Free-text diagnostic result strings
Short	Free-text diagnostic result strings
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
398. dnpm-lm-patient-record.histologyReports
Definition	Histology report entries
Short	Histology report entries
Control	0..*
Type	BackboneElement
400. dnpm-lm-patient-record.histologyReports.id
Definition	Histology report UUID
Short	Histology report UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
402. dnpm-lm-patient-record.histologyReports.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
404. dnpm-lm-patient-record.histologyReports.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
406. dnpm-lm-patient-record.histologyReports.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
408. dnpm-lm-patient-record.histologyReports.specimen
Definition	Tumor specimen reference
Short	Tumor specimen reference
Control	1..1
Type	BackboneElement
410. dnpm-lm-patient-record.histologyReports.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
412. dnpm-lm-patient-record.histologyReports.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
414. dnpm-lm-patient-record.histologyReports.issuedOn
Definition	Report issue date (YYYY-MM-DD)
Short	Report issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
416. dnpm-lm-patient-record.histologyReports.results
Definition	Histology results
Short	Histology results
Control	0..1
Type	BackboneElement
418. dnpm-lm-patient-record.histologyReports.results.tumorCellContent
Definition	Histologic tumor cell content
Short	Histologic tumor cell content
Control	0..1
Type	BackboneElement
420. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.id
Definition	Result UUID
Short	Result UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
422. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
424. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
426. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
428. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
430. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
432. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
434. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method
Definition	Determination method
Short	Determination method
Control	0..1
Type	BackboneElement
436. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.code
Definition	Method code (e.g. histologic)
Short	Method code (e.g. histologic)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
438. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.display
Definition	Method display
Short	Method display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
440. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
442. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.value
Definition	Tumor cell content fraction (0.0 – 1.0)
Short	Tumor cell content fraction (0.0 – 1.0)
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
444. dnpm-lm-patient-record.histologyReports.results.tumorMorphology
Definition	Tumor morphology
Short	Tumor morphology
Control	0..1
Type	BackboneElement
446. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.id
Definition	Morphology result UUID
Short	Morphology result UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
448. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
450. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
452. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
454. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
456. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
458. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
460. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology
Definition	ICD-O-3 morphology codes
Short	ICD-O-3 morphology codes
Control	0..*
Type	BackboneElement
462. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.code
Definition	Morphology code
Short	Morphology code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
464. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.display
Definition	Morphology display
Short	Morphology display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
466. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.system
Definition	Morphology system URI (ICD-O-3)
Short	Morphology system URI (ICD-O-3)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
468. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.version
Definition	ICD-O-3 version
Short	ICD-O-3 version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
470. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.notes
Definition	Free-text morphology notes
Short	Free-text morphology notes
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
472. dnpm-lm-patient-record.ihcReports
Definition	Immunohistochemistry (IHC) reports
Short	Immunohistochemistry (IHC) reports
Control	0..*
Type	BackboneElement
474. dnpm-lm-patient-record.ihcReports.id
Definition	IHC report UUID
Short	IHC report UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
476. dnpm-lm-patient-record.ihcReports.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
478. dnpm-lm-patient-record.ihcReports.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
480. dnpm-lm-patient-record.ihcReports.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
482. dnpm-lm-patient-record.ihcReports.specimen
Definition	Tumor specimen reference
Short	Tumor specimen reference
Control	1..1
Type	BackboneElement
484. dnpm-lm-patient-record.ihcReports.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
486. dnpm-lm-patient-record.ihcReports.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
488. dnpm-lm-patient-record.ihcReports.issuedOn
Definition	Report issue date (YYYY-MM-DD)
Short	Report issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
490. dnpm-lm-patient-record.ihcReports.results
Definition	IHC results
Short	IHC results
Control	0..1
Type	BackboneElement
492. dnpm-lm-patient-record.ihcReports.results.proteinExpression
Definition	Protein expression results
Short	Protein expression results
Control	0..*
Type	BackboneElement
494. dnpm-lm-patient-record.ihcReports.results.proteinExpression.id
Definition	Result UUID
Short	Result UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
496. dnpm-lm-patient-record.ihcReports.results.proteinExpression.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
498. dnpm-lm-patient-record.ihcReports.results.proteinExpression.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
500. dnpm-lm-patient-record.ihcReports.results.proteinExpression.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
502. dnpm-lm-patient-record.ihcReports.results.proteinExpression.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
504. dnpm-lm-patient-record.ihcReports.results.proteinExpression.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
506. dnpm-lm-patient-record.ihcReports.results.proteinExpression.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
508. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein
Definition	Protein tested
Short	Protein tested
Control	1..1
Type	BackboneElement
510. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.code
Definition	Protein code (e.g. BRAFP1)
Short	Protein code (e.g. BRAFP1)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
512. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.display
Definition	Protein display
Short	Protein display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
514. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.system
Definition	Protein system URI
Short	Protein system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
516. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value
Definition	IHC expression value
Short	IHC expression value
Control	0..1
Type	BackboneElement
518. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.code
Definition	Score code (e.g. 1+)
Short	Score code (e.g. 1+)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
520. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.display
Definition	Score display
Short	Score display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
522. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.system
Definition	Score system URI
Short	Score system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
524. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tpsScore
Definition	Tumor proportion score (TPS)
Short	Tumor proportion score (TPS)
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
526. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore
Definition	Immune-cell score
Short	Immune-cell score
Control	0..1
Type	BackboneElement
528. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.code
Definition	IC score code
Short	IC score code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
530. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.display
Definition	IC score display
Short	IC score display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
532. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.system
Definition	IC score system URI
Short	IC score system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
534. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore
Definition	Tumor-cell score
Short	Tumor-cell score
Control	0..1
Type	BackboneElement
536. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.code
Definition	TC score code
Short	TC score code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
538. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.display
Definition	TC score display
Short	TC score display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
540. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.system
Definition	TC score system URI
Short	TC score system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
542. dnpm-lm-patient-record.ihcReports.results.msiMmr
Definition	MSI / MMR protein expression results
Short	MSI / MMR protein expression results
Control	0..*
Type	BackboneElement
544. dnpm-lm-patient-record.ihcReports.results.msiMmr.id
Definition	Result UUID
Short	Result UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
546. dnpm-lm-patient-record.ihcReports.results.msiMmr.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
548. dnpm-lm-patient-record.ihcReports.results.msiMmr.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
550. dnpm-lm-patient-record.ihcReports.results.msiMmr.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
552. dnpm-lm-patient-record.ihcReports.results.msiMmr.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
554. dnpm-lm-patient-record.ihcReports.results.msiMmr.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
556. dnpm-lm-patient-record.ihcReports.results.msiMmr.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
558. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein
Definition	MMR protein tested (e.g. MLH1)
Short	MMR protein tested (e.g. MLH1)
Control	1..1
Type	BackboneElement
560. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.code
Definition	Protein code
Short	Protein code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
562. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.display
Definition	Protein display
Short	Protein display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
564. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.system
Definition	Protein system URI
Short	Protein system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
566. dnpm-lm-patient-record.ihcReports.results.msiMmr.value
Definition	Expression result
Short	Expression result
Control	0..1
Type	BackboneElement
568. dnpm-lm-patient-record.ihcReports.results.msiMmr.value.code
Definition	Result code (e.g. exp_present)
Short	Result code (e.g. exp_present)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
570. dnpm-lm-patient-record.ihcReports.results.msiMmr.value.display
Definition	Result display
Short	Result display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
572. dnpm-lm-patient-record.ihcReports.results.msiMmr.value.system
Definition	Result system URI
Short	Result system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
574. dnpm-lm-patient-record.msiFindings
Definition	Microsatellite instability (MSI) findings
Short	Microsatellite instability (MSI) findings
Control	0..*
Type	BackboneElement
576. dnpm-lm-patient-record.msiFindings.id
Definition	MSI finding UUID
Short	MSI finding UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
578. dnpm-lm-patient-record.msiFindings.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
580. dnpm-lm-patient-record.msiFindings.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
582. dnpm-lm-patient-record.msiFindings.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
584. dnpm-lm-patient-record.msiFindings.specimen
Definition	Tumor specimen reference
Short	Tumor specimen reference
Control	1..1
Type	BackboneElement
586. dnpm-lm-patient-record.msiFindings.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
588. dnpm-lm-patient-record.msiFindings.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
590. dnpm-lm-patient-record.msiFindings.ngsReport
Definition	Associated NGS report reference
Short	Associated NGS report reference
Control	0..1
Type	BackboneElement
592. dnpm-lm-patient-record.msiFindings.ngsReport.id
Definition	NGS report ID
Short	NGS report ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
594. dnpm-lm-patient-record.msiFindings.ngsReport.type
Definition	Reference type (NGSReport)
Short	Reference type (NGSReport)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
596. dnpm-lm-patient-record.msiFindings.issuedOn
Definition	Finding date (YYYY-MM-DD)
Short	Finding date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
598. dnpm-lm-patient-record.msiFindings.value
Definition	MSI result value
Short	MSI result value
Control	1..1
Type	BackboneElement
600. dnpm-lm-patient-record.msiFindings.value.code
Definition	MSI code (e.g. MSI-H)
Short	MSI code (e.g. MSI-H)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
602. dnpm-lm-patient-record.msiFindings.value.display
Definition	MSI display
Short	MSI display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
604. dnpm-lm-patient-record.msiFindings.value.system
Definition	MSI system URI
Short	MSI system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
606. dnpm-lm-patient-record.msiFindings.method
Definition	MSI determination method
Short	MSI determination method
Control	0..1
Type	BackboneElement
608. dnpm-lm-patient-record.msiFindings.method.code
Definition	Method code (e.g. bioinformatics)
Short	Method code (e.g. bioinformatics)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
610. dnpm-lm-patient-record.msiFindings.method.display
Definition	Method display
Short	Method display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
612. dnpm-lm-patient-record.msiFindings.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
614. dnpm-lm-patient-record.ngsReports
Definition	NGS sequencing reports
Short	NGS sequencing reports
Control	0..*
Type	BackboneElement
616. dnpm-lm-patient-record.ngsReports.id
Definition	NGS Report UUID
Short	NGS Report UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
618. dnpm-lm-patient-record.ngsReports.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
620. dnpm-lm-patient-record.ngsReports.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
622. dnpm-lm-patient-record.ngsReports.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
624. dnpm-lm-patient-record.ngsReports.specimen
Definition	Tumor specimen reference
Short	Tumor specimen reference
Control	1..1
Type	BackboneElement
626. dnpm-lm-patient-record.ngsReports.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
628. dnpm-lm-patient-record.ngsReports.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
630. dnpm-lm-patient-record.ngsReports.issuedOn
Definition	Report issue date (YYYY-MM-DD)
Short	Report issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
632. dnpm-lm-patient-record.ngsReports.type
Definition	NGS analysis type
Short	NGS analysis type
Control	1..1
Type	BackboneElement
634. dnpm-lm-patient-record.ngsReports.type.code
Definition	Type code (e.g. exome)
Short	Type code (e.g. exome)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
636. dnpm-lm-patient-record.ngsReports.type.display
Definition	Type display
Short	Type display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
638. dnpm-lm-patient-record.ngsReports.type.system
Definition	Type system URI
Short	Type system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
640. dnpm-lm-patient-record.ngsReports.metadata
Definition	NGS run metadata
Short	NGS run metadata
Control	0..1
Type	BackboneElement
642. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome
Definition	Reference genome
Short	Reference genome
Control	0..1
Type	BackboneElement
644. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.code
Definition	Genome build (e.g. GRCh38)
Short	Genome build (e.g. GRCh38)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
646. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.display
Definition	Genome build display
Short	Genome build display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
648. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.system
Definition	Genome build system URI
Short	Genome build system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
650. dnpm-lm-patient-record.ngsReports.metadata.sequencer
Definition	Sequencer instrument
Short	Sequencer instrument
Control	0..1
Type	BackboneElement
652. dnpm-lm-patient-record.ngsReports.metadata.sequencer.code
Definition	Sequencer code
Short	Sequencer code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
654. dnpm-lm-patient-record.ngsReports.metadata.sequencer.display
Definition	Sequencer display
Short	Sequencer display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
656. dnpm-lm-patient-record.ngsReports.metadata.sequencer.system
Definition	Sequencer system URI
Short	Sequencer system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
658. dnpm-lm-patient-record.ngsReports.metadata.kitManufacturer
Definition	Kit manufacturer
Short	Kit manufacturer
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
660. dnpm-lm-patient-record.ngsReports.metadata.kitType
Definition	Kit type
Short	Kit type
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
662. dnpm-lm-patient-record.ngsReports.metadata.pipeline
Definition	Bioinformatics pipeline
Short	Bioinformatics pipeline
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
664. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent
Definition	Pre-sequencing tumor cell content estimate
Short	Pre-sequencing tumor cell content estimate
Control	0..1
Type	BackboneElement
666. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method
Definition	Estimation method
Short	Estimation method
Control	0..1
Type	BackboneElement
668. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.code
Definition	Method code
Short	Method code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
670. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.display
Definition	Method display
Short	Method display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
672. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
674. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.value
Definition	Fraction (0.0 – 1.0)
Short	Fraction (0.0 – 1.0)
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
676. dnpm-lm-patient-record.ngsReports.results
Definition	NGS analysis results
Short	NGS analysis results
Control	1..1
Type	BackboneElement
678. dnpm-lm-patient-record.ngsReports.results.tumorCellContent
Definition	Bioinformatic tumor cell content
Short	Bioinformatic tumor cell content
Control	0..1
Type	BackboneElement
680. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.id
Definition	Result UUID
Short	Result UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
682. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
684. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
686. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
688. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
690. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
692. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.specimen.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
694. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method
Definition	Determination method
Short	Determination method
Control	1..1
Type	BackboneElement
696. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.code
Definition	Method code (e.g. bioinformatic)
Short	Method code (e.g. bioinformatic)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
698. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.display
Definition	Method display
Short	Method display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
700. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
702. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.value
Definition	Fraction (0.0 – 1.0)
Short	Fraction (0.0 – 1.0)
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
704. dnpm-lm-patient-record.ngsReports.results.tmb
Definition	Tumor Mutational Burden
Short	Tumor Mutational Burden
Control	0..1
Type	BackboneElement
706. dnpm-lm-patient-record.ngsReports.results.tmb.id
Definition	TMB result UUID
Short	TMB result UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
708. dnpm-lm-patient-record.ngsReports.results.tmb.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
710. dnpm-lm-patient-record.ngsReports.results.tmb.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
712. dnpm-lm-patient-record.ngsReports.results.tmb.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
714. dnpm-lm-patient-record.ngsReports.results.tmb.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
716. dnpm-lm-patient-record.ngsReports.results.tmb.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
718. dnpm-lm-patient-record.ngsReports.results.tmb.specimen.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
720. dnpm-lm-patient-record.ngsReports.results.tmb.value
Definition	TMB quantity
Short	TMB quantity
Control	1..1
Type	BackboneElement
722. dnpm-lm-patient-record.ngsReports.results.tmb.value.value
Definition	Numeric value
Short	Numeric value
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
724. dnpm-lm-patient-record.ngsReports.results.tmb.value.unit
Definition	Unit
Short	Unit
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
726. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation
Definition	TMB interpretation
Short	TMB interpretation
Control	0..1
Type	BackboneElement
728. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.code
Definition	Code (e.g. high)
Short	Code (e.g. high)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
730. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.display
Definition	Display
Short	Display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
732. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.system
Definition	System URI
Short	System URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
734. dnpm-lm-patient-record.ngsReports.results.brcaness
Definition	BRCAness score
Short	BRCAness score
Control	0..1
Type	BackboneElement
736. dnpm-lm-patient-record.ngsReports.results.brcaness.id
Definition	BRCAness result UUID
Short	BRCAness result UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
738. dnpm-lm-patient-record.ngsReports.results.brcaness.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
740. dnpm-lm-patient-record.ngsReports.results.brcaness.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
742. dnpm-lm-patient-record.ngsReports.results.brcaness.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
744. dnpm-lm-patient-record.ngsReports.results.brcaness.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
746. dnpm-lm-patient-record.ngsReports.results.brcaness.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
748. dnpm-lm-patient-record.ngsReports.results.brcaness.specimen.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
750. dnpm-lm-patient-record.ngsReports.results.brcaness.value
Definition	BRCAness score (0.0 – 1.0)
Short	BRCAness score (0.0 – 1.0)
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
752. dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange
Definition	Confidence range
Short	Confidence range
Control	0..1
Type	BackboneElement
754. dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange.min
Definition	Minimum
Short	Minimum
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
756. dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange.max
Definition	Maximum
Short	Maximum
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
758. dnpm-lm-patient-record.ngsReports.results.hrdScore
Definition	HRD Score
Short	HRD Score
Control	0..1
Type	BackboneElement
760. dnpm-lm-patient-record.ngsReports.results.hrdScore.id
Definition	HRD result UUID
Short	HRD result UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
762. dnpm-lm-patient-record.ngsReports.results.hrdScore.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
764. dnpm-lm-patient-record.ngsReports.results.hrdScore.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
766. dnpm-lm-patient-record.ngsReports.results.hrdScore.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
768. dnpm-lm-patient-record.ngsReports.results.hrdScore.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
770. dnpm-lm-patient-record.ngsReports.results.hrdScore.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
772. dnpm-lm-patient-record.ngsReports.results.hrdScore.specimen.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
774. dnpm-lm-patient-record.ngsReports.results.hrdScore.value
Definition	HRD composite score
Short	HRD composite score
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
776. dnpm-lm-patient-record.ngsReports.results.hrdScore.components
Definition	HRD component scores
Short	HRD component scores
Control	0..1
Type	BackboneElement
778. dnpm-lm-patient-record.ngsReports.results.hrdScore.components.lst
Definition	LST score
Short	LST score
Control	0..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
780. dnpm-lm-patient-record.ngsReports.results.hrdScore.components.loh
Definition	LOH score
Short	LOH score
Control	0..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
782. dnpm-lm-patient-record.ngsReports.results.hrdScore.components.tai
Definition	TAI score
Short	TAI score
Control	0..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
784. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation
Definition	HRD interpretation
Short	HRD interpretation
Control	0..1
Type	BackboneElement
786. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.code
Definition	Code (e.g. low)
Short	Code (e.g. low)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
788. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.display
Definition	Display
Short	Display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
790. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.system
Definition	System URI
Short	System URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
792. dnpm-lm-patient-record.ngsReports.results.simpleVariants
Definition	Simple variants (SNV / small indels)
Short	Simple variants (SNV / small indels)
Control	0..*
Type	BackboneElement
794. dnpm-lm-patient-record.ngsReports.results.simpleVariants.id
Definition	Variant UUID
Short	Variant UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
796. dnpm-lm-patient-record.ngsReports.results.simpleVariants.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
798. dnpm-lm-patient-record.ngsReports.results.simpleVariants.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
800. dnpm-lm-patient-record.ngsReports.results.simpleVariants.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
802. dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds
Definition	External identifiers (e.g. dbSNP)
Short	External identifiers (e.g. dbSNP)
Control	0..*
Type	BackboneElement
804. dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds.value
Definition	Identifier value
Short	Identifier value
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
806. dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds.system
Definition	Identifier system URI
Short	Identifier system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
808. dnpm-lm-patient-record.ngsReports.results.simpleVariants.chromosome
Definition	Chromosome (e.g. chr4)
Short	Chromosome (e.g. chr4)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
810. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene
Definition	Affected gene
Short	Affected gene
Control	1..1
Type	BackboneElement
812. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
814. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
816. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
818. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization
Definition	Variant localization in gene
Short	Variant localization in gene
Control	0..*
Type	BackboneElement
820. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.code
Definition	Localization code
Short	Localization code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
822. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.display
Definition	Localization display
Short	Localization display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
824. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.system
Definition	Localization system URI
Short	Localization system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
826. dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId
Definition	Transcript identifier
Short	Transcript identifier
Control	0..1
Type	BackboneElement
828. dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId.value
Definition	Transcript ID (e.g. ENST...)
Short	Transcript ID (e.g. ENST...)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
830. dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId.system
Definition	Transcript system URI
Short	Transcript system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
832. dnpm-lm-patient-record.ngsReports.results.simpleVariants.exonId
Definition	Exon identifier
Short	Exon identifier
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
834. dnpm-lm-patient-record.ngsReports.results.simpleVariants.position
Definition	Genomic position
Short	Genomic position
Control	0..1
Type	BackboneElement
836. dnpm-lm-patient-record.ngsReports.results.simpleVariants.position.start
Definition	Start position
Short	Start position
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
838. dnpm-lm-patient-record.ngsReports.results.simpleVariants.position.end
Definition	End position
Short	End position
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
840. dnpm-lm-patient-record.ngsReports.results.simpleVariants.altAllele
Definition	Alternate allele
Short	Alternate allele
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
842. dnpm-lm-patient-record.ngsReports.results.simpleVariants.refAllele
Definition	Reference allele
Short	Reference allele
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
844. dnpm-lm-patient-record.ngsReports.results.simpleVariants.dnaChange
Definition	cDNA change (HGVS)
Short	cDNA change (HGVS)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
846. dnpm-lm-patient-record.ngsReports.results.simpleVariants.proteinChange
Definition	Protein change (HGVS)
Short	Protein change (HGVS)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
848. dnpm-lm-patient-record.ngsReports.results.simpleVariants.readDepth
Definition	Read depth
Short	Read depth
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
850. dnpm-lm-patient-record.ngsReports.results.simpleVariants.allelicFrequency
Definition	Allelic frequency
Short	Allelic frequency
Control	0..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
852. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation
Definition	ClinVar interpretation
Short	ClinVar interpretation
Control	0..1
Type	BackboneElement
854. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.code
Definition	Interpretation code
Short	Interpretation code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
856. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.display
Definition	Interpretation display
Short	Interpretation display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
858. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.system
Definition	Interpretation system URI
Short	Interpretation system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
860. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants
Definition	Copy number variants
Short	Copy number variants
Control	0..*
Type	BackboneElement
862. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.id
Definition	CNV UUID
Short	CNV UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
864. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
866. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
868. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
870. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.chromosome
Definition	Chromosome (e.g. chr7)
Short	Chromosome (e.g. chr7)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
872. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization
Definition	CNV localization
Short	CNV localization
Control	0..*
Type	BackboneElement
874. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.code
Definition	Localization code
Short	Localization code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
876. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.display
Definition	Localization display
Short	Localization display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
878. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.system
Definition	Localization system URI
Short	Localization system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
880. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange
Definition	Start position range
Short	Start position range
Control	0..1
Type	BackboneElement
882. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange.start
Definition	Range start
Short	Range start
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
884. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange.end
Definition	Range end
Short	Range end
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
886. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange
Definition	End position range
Short	End position range
Control	0..1
Type	BackboneElement
888. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange.start
Definition	Range start
Short	Range start
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
890. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange.end
Definition	Range end
Short	Range end
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
892. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.totalCopyNumber
Definition	Total copy number
Short	Total copy number
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
894. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.relativeCopyNumber
Definition	Relative copy number
Short	Relative copy number
Control	0..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
896. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.cnA
Definition	Copy number allele A
Short	Copy number allele A
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
898. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.cnB
Definition	Copy number allele B
Short	Copy number allele B
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
900. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes
Definition	Affected genes
Short	Affected genes
Control	0..*
Type	BackboneElement
902. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
904. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
906. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
908. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality
Definition	CNV focality
Short	CNV focality
Control	0..1
Type	BackboneElement
910. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.code
Definition	Focality code (e.g. focal)
Short	Focality code (e.g. focal)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
912. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.display
Definition	Focality display
Short	Focality display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
914. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.system
Definition	Focality system URI
Short	Focality system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
916. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type
Definition	CNV type
Short	CNV type
Control	1..1
Type	BackboneElement
918. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.code
Definition	CNV type code (e.g. gain)
Short	CNV type code (e.g. gain)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
920. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.display
Definition	CNV type display
Short	CNV type display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
922. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.system
Definition	CNV type system URI
Short	CNV type system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
924. dnpm-lm-patient-record.ngsReports.results.dnaFusions
Definition	DNA-level gene fusions
Short	DNA-level gene fusions
Control	0..*
Type	BackboneElement
926. dnpm-lm-patient-record.ngsReports.results.dnaFusions.id
Definition	DNA fusion UUID
Short	DNA fusion UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
928. dnpm-lm-patient-record.ngsReports.results.dnaFusions.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
930. dnpm-lm-patient-record.ngsReports.results.dnaFusions.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
932. dnpm-lm-patient-record.ngsReports.results.dnaFusions.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
934. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization
Definition	Fusion localization
Short	Fusion localization
Control	0..*
Type	BackboneElement
936. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.code
Definition	Localization code
Short	Localization code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
938. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.display
Definition	Localization display
Short	Localization display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
940. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.system
Definition	Localization system URI
Short	Localization system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
942. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime
Definition	5-prime fusion partner
Short	5-prime fusion partner
Control	0..1
Type	BackboneElement
944. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene
Definition	5-prime partner gene
Short	5-prime partner gene
Control	1..1
Type	BackboneElement
946. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
948. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
950. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
952. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.position
Definition	Breakpoint position
Short	Breakpoint position
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
954. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime
Definition	3-prime fusion partner
Short	3-prime fusion partner
Control	0..1
Type	BackboneElement
956. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene
Definition	3-prime partner gene
Short	3-prime partner gene
Control	1..1
Type	BackboneElement
958. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
960. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
962. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
964. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.position
Definition	Breakpoint position
Short	Breakpoint position
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
966. dnpm-lm-patient-record.ngsReports.results.dnaFusions.reportedNumReads
Definition	Supporting read count
Short	Supporting read count
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
968. dnpm-lm-patient-record.ngsReports.results.rnaFusions
Definition	RNA-level gene fusions
Short	RNA-level gene fusions
Control	0..*
Type	BackboneElement
970. dnpm-lm-patient-record.ngsReports.results.rnaFusions.id
Definition	RNA fusion UUID
Short	RNA fusion UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
972. dnpm-lm-patient-record.ngsReports.results.rnaFusions.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
974. dnpm-lm-patient-record.ngsReports.results.rnaFusions.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
976. dnpm-lm-patient-record.ngsReports.results.rnaFusions.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
978. dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds
Definition	External identifiers (e.g. COSMIC)
Short	External identifiers (e.g. COSMIC)
Control	0..*
Type	BackboneElement
980. dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds.value
Definition	Identifier value
Short	Identifier value
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
982. dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds.system
Definition	Identifier system URI
Short	Identifier system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
984. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization
Definition	Fusion localization
Short	Fusion localization
Control	0..*
Type	BackboneElement
986. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.code
Definition	Localization code
Short	Localization code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
988. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.display
Definition	Localization display
Short	Localization display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
990. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.system
Definition	Localization system URI
Short	Localization system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
992. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime
Definition	5-prime fusion partner
Short	5-prime fusion partner
Control	0..1
Type	BackboneElement
994. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene
Definition	5-prime partner gene
Short	5-prime partner gene
Control	1..1
Type	BackboneElement
996. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
998. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1000. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1002. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript
Definition	5-prime transcript
Short	5-prime transcript
Control	0..1
Type	BackboneElement
1004. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript.value
Definition	Transcript ID (e.g. ENST...)
Short	Transcript ID (e.g. ENST...)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1006. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript.system
Definition	Transcript system URI
Short	Transcript system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1008. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.exon
Definition	Exon identifier
Short	Exon identifier
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1010. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.position
Definition	Breakpoint position
Short	Breakpoint position
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1012. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.strand
Definition	Strand (+ or -)
Short	Strand (+ or -)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1014. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime
Definition	3-prime fusion partner
Short	3-prime fusion partner
Control	0..1
Type	BackboneElement
1016. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene
Definition	3-prime partner gene
Short	3-prime partner gene
Control	1..1
Type	BackboneElement
1018. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1020. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1022. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1024. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript
Definition	3-prime transcript
Short	3-prime transcript
Control	0..1
Type	BackboneElement
1026. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript.value
Definition	Transcript ID (e.g. ENST...)
Short	Transcript ID (e.g. ENST...)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1028. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript.system
Definition	Transcript system URI
Short	Transcript system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1030. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.exon
Definition	Exon identifier
Short	Exon identifier
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1032. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.position
Definition	Breakpoint position
Short	Breakpoint position
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1034. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.strand
Definition	Strand (+ or -)
Short	Strand (+ or -)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1036. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect
Definition	RNA fusion effect
Short	RNA fusion effect
Control	0..1
Type	BackboneElement
1038. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.code
Definition	Effect code (e.g. in-frame)
Short	Effect code (e.g. in-frame)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1040. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.display
Definition	Effect display
Short	Effect display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1042. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.system
Definition	Effect system URI
Short	Effect system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1044. dnpm-lm-patient-record.ngsReports.results.rnaFusions.reportedNumReads
Definition	Supporting read count
Short	Supporting read count
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1046. dnpm-lm-patient-record.carePlans
Definition	MTB care plans
Short	MTB care plans
Control	0..*
Type	BackboneElement
1048. dnpm-lm-patient-record.carePlans.id
Definition	Care plan UUID
Short	Care plan UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1050. dnpm-lm-patient-record.carePlans.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
1052. dnpm-lm-patient-record.carePlans.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1054. dnpm-lm-patient-record.carePlans.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1056. dnpm-lm-patient-record.carePlans.issuedOn
Definition	Issue date (YYYY-MM-DD)
Short	Issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1058. dnpm-lm-patient-record.carePlans.reason
Definition	Indication (MTBDiagnosis) reference
Short	Indication (MTBDiagnosis) reference
Control	0..1
Type	BackboneElement
1060. dnpm-lm-patient-record.carePlans.reason.id
Definition	Diagnosis ID
Short	Diagnosis ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1062. dnpm-lm-patient-record.carePlans.reason.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1064. dnpm-lm-patient-record.carePlans.noTargetFinding
Definition	True when no actionable target was found
Short	True when no actionable target was found
Control	0..1
Type	boolean
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1066. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation
Definition	Genetic counselling recommendation
Short	Genetic counselling recommendation
Control	0..1
Type	BackboneElement
1068. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.id
Definition	Recommendation UUID
Short	Recommendation UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1070. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
1072. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1074. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1076. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.issuedOn
Definition	Recommendation date (YYYY-MM-DD)
Short	Recommendation date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1078. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason
Definition	Counselling reason
Short	Counselling reason
Control	0..1
Type	BackboneElement
1080. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.code
Definition	Reason code
Short	Reason code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1082. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.display
Definition	Reason display
Short	Reason display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1084. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.system
Definition	Reason system URI
Short	Reason system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1086. dnpm-lm-patient-record.carePlans.medicationRecommendations
Definition	Medication therapy recommendations
Short	Medication therapy recommendations
Control	0..*
Type	BackboneElement
1088. dnpm-lm-patient-record.carePlans.medicationRecommendations.id
Definition	Recommendation UUID
Short	Recommendation UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1090. dnpm-lm-patient-record.carePlans.medicationRecommendations.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
1092. dnpm-lm-patient-record.carePlans.medicationRecommendations.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1094. dnpm-lm-patient-record.carePlans.medicationRecommendations.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1096. dnpm-lm-patient-record.carePlans.medicationRecommendations.issuedOn
Definition	Recommendation date (YYYY-MM-DD)
Short	Recommendation date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1098. dnpm-lm-patient-record.carePlans.medicationRecommendations.indication
Definition	Indication reference
Short	Indication reference
Control	0..1
Type	BackboneElement
1100. dnpm-lm-patient-record.carePlans.medicationRecommendations.indication.id
Definition	Diagnosis ID
Short	Diagnosis ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1102. dnpm-lm-patient-record.carePlans.medicationRecommendations.indication.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1104. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority
Definition	Recommendation priority
Short	Recommendation priority
Control	0..1
Type	BackboneElement
1106. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.code
Definition	Priority code (e.g. 1)
Short	Priority code (e.g. 1)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1108. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.display
Definition	Priority display
Short	Priority display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1110. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.system
Definition	Priority system URI
Short	Priority system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1112. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication
Definition	Recommended medications (ATC)
Short	Recommended medications (ATC)
Control	0..*
Type	BackboneElement
1114. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.code
Definition	ATC code
Short	ATC code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1116. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.display
Definition	Medication display
Short	Medication display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1118. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.system
Definition	ATC system URI
Short	ATC system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1120. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.version
Definition	ATC version
Short	ATC version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1122. dnpm-lm-patient-record.carePlans.medicationRecommendations.supportingVariants
Definition	Supporting variants
Short	Supporting variants
Control	0..*
Type	BackboneElement
1124. dnpm-lm-patient-record.carePlans.medicationRecommendations.supportingVariants.id
Definition	Variant ID
Short	Variant ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1126. dnpm-lm-patient-record.carePlans.medicationRecommendations.supportingVariants.type
Definition	Variant type (SNV \| CNV \| DNAFusion \| RNAFusion)
Short	Variant type (SNV \| CNV \| DNAFusion \| RNAFusion)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1128. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence
Definition	Level of evidence
Short	Level of evidence
Control	0..1
Type	BackboneElement
1130. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading
Definition	Evidence grading
Short	Evidence grading
Control	0..1
Type	BackboneElement
1132. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.code
Definition	Grade code (e.g. m1A)
Short	Grade code (e.g. m1A)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1134. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.display
Definition	Grade display
Short	Grade display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1136. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.system
Definition	Grade system URI
Short	Grade system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1138. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums
Definition	Evidence addendums
Short	Evidence addendums
Control	0..*
Type	BackboneElement
1140. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.code
Definition	Addendum code
Short	Addendum code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1142. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.display
Definition	Addendum display
Short	Addendum display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1144. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.system
Definition	Addendum system URI
Short	Addendum system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1146. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications
Definition	Supporting publications
Short	Supporting publications
Control	0..*
Type	BackboneElement
1148. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications.pmid
Definition	PubMed ID
Short	PubMed ID
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1150. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications.doi
Definition	Digital Object Identifier
Short	Digital Object Identifier
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1152. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations
Definition	Study enrollment recommendations
Short	Study enrollment recommendations
Control	0..*
Type	BackboneElement
1154. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.id
Definition	Recommendation UUID
Short	Recommendation UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1156. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
1158. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1160. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1162. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.issuedOn
Definition	Recommendation date (YYYY-MM-DD)
Short	Recommendation date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1164. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.indication
Definition	Indication reference
Short	Indication reference
Control	0..1
Type	BackboneElement
1166. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.indication.id
Definition	Diagnosis ID
Short	Diagnosis ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1168. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.indication.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1170. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.supportingVariants
Definition	Supporting variants
Short	Supporting variants
Control	0..*
Type	BackboneElement
1172. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.supportingVariants.id
Definition	Variant ID
Short	Variant ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1174. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.supportingVariants.type
Definition	Variant type
Short	Variant type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1176. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.studies
Definition	Recommended studies
Short	Recommended studies
Control	0..*
Type	BackboneElement
1178. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.studies.id
Definition	Study ID (e.g. NCT number)
Short	Study ID (e.g. NCT number)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1180. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.studies.system
Definition	Study registry system URI
Short	Study registry system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1182. dnpm-lm-patient-record.followUps
Definition	Follow-up visit entries
Short	Follow-up visit entries
Control	0..*
Type	BackboneElement
1184. dnpm-lm-patient-record.followUps.id
Definition	Follow-up UUID
Short	Follow-up UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1186. dnpm-lm-patient-record.followUps.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
1188. dnpm-lm-patient-record.followUps.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1190. dnpm-lm-patient-record.followUps.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1192. dnpm-lm-patient-record.followUps.date
Definition	Follow-up date (YYYY-MM-DD)
Short	Follow-up date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1194. dnpm-lm-patient-record.followUps.lastContactDate
Definition	Date of last patient contact (YYYY-MM-DD)
Short	Date of last patient contact (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1196. dnpm-lm-patient-record.followUps.patientStatus
Definition	Patient status at follow-up
Short	Patient status at follow-up
Control	0..1
Type	BackboneElement
1198. dnpm-lm-patient-record.followUps.patientStatus.code
Definition	Status code (e.g. alive)
Short	Status code (e.g. alive)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1200. dnpm-lm-patient-record.followUps.patientStatus.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1202. dnpm-lm-patient-record.followUps.patientStatus.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1204. dnpm-lm-patient-record.followUps.claims
Definition	Claim references at follow-up
Short	Claim references at follow-up
Control	0..*
Type	BackboneElement
1206. dnpm-lm-patient-record.followUps.claims.id
Definition	Claim ID
Short	Claim ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1208. dnpm-lm-patient-record.followUps.claims.type
Definition	Reference type (Claim)
Short	Reference type (Claim)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1210. dnpm-lm-patient-record.followUps.therapyChanged
Definition	Whether therapy was changed at this follow-up
Short	Whether therapy was changed at this follow-up
Control	0..1
Type	boolean
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1212. dnpm-lm-patient-record.claims
Definition	Insurance / cost coverage claim entries
Short	Insurance / cost coverage claim entries
Control	0..*
Type	BackboneElement
1214. dnpm-lm-patient-record.claims.id
Definition	Claim UUID
Short	Claim UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1216. dnpm-lm-patient-record.claims.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
1218. dnpm-lm-patient-record.claims.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1220. dnpm-lm-patient-record.claims.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1222. dnpm-lm-patient-record.claims.recommendation
Definition	Associated medication recommendation reference
Short	Associated medication recommendation reference
Control	1..1
Type	BackboneElement
1224. dnpm-lm-patient-record.claims.recommendation.id
Definition	Recommendation ID
Short	Recommendation ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1226. dnpm-lm-patient-record.claims.recommendation.type
Definition	Reference type (MTBMedicationRecommendation)
Short	Reference type (MTBMedicationRecommendation)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1228. dnpm-lm-patient-record.claims.issuedOn
Definition	Claim issue date (YYYY-MM-DD)
Short	Claim issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1230. dnpm-lm-patient-record.claimResponses
Definition	Insurance / cost coverage claim response entries
Short	Insurance / cost coverage claim response entries
Control	0..*
Type	BackboneElement
1232. dnpm-lm-patient-record.claimResponses.id
Definition	Claim response UUID
Short	Claim response UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1234. dnpm-lm-patient-record.claimResponses.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
1236. dnpm-lm-patient-record.claimResponses.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1238. dnpm-lm-patient-record.claimResponses.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1240. dnpm-lm-patient-record.claimResponses.claim
Definition	Associated claim reference
Short	Associated claim reference
Control	1..1
Type	BackboneElement
1242. dnpm-lm-patient-record.claimResponses.claim.id
Definition	Claim ID
Short	Claim ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1244. dnpm-lm-patient-record.claimResponses.claim.type
Definition	Reference type (Claim)
Short	Reference type (Claim)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1246. dnpm-lm-patient-record.claimResponses.issuedOn
Definition	Response date (YYYY-MM-DD)
Short	Response date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1248. dnpm-lm-patient-record.claimResponses.status
Definition	Response status
Short	Response status
Control	1..1
Type	BackboneElement
1250. dnpm-lm-patient-record.claimResponses.status.code
Definition	Status code (e.g. rejected)
Short	Status code (e.g. rejected)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1252. dnpm-lm-patient-record.claimResponses.status.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1254. dnpm-lm-patient-record.claimResponses.status.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1256. dnpm-lm-patient-record.claimResponses.statusReason
Definition	Reason for response status
Short	Reason for response status
Control	0..1
Type	BackboneElement
1258. dnpm-lm-patient-record.claimResponses.statusReason.code
Definition	Reason code
Short	Reason code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1260. dnpm-lm-patient-record.claimResponses.statusReason.display
Definition	Reason display
Short	Reason display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1262. dnpm-lm-patient-record.claimResponses.statusReason.system
Definition	Reason system URI
Short	Reason system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1264. dnpm-lm-patient-record.systemicTherapies
Definition	Systemic (molecular) therapy entries (each wraps a history)
Short	Systemic (molecular) therapy entries (each wraps a history)
Control	0..*
Type	BackboneElement
1266. dnpm-lm-patient-record.systemicTherapies.history
Definition	Therapy version history entries
Short	Therapy version history entries
Control	0..*
Type	BackboneElement
1268. dnpm-lm-patient-record.systemicTherapies.history.id
Definition	Therapy entry UUID
Short	Therapy entry UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1270. dnpm-lm-patient-record.systemicTherapies.history.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
1272. dnpm-lm-patient-record.systemicTherapies.history.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1274. dnpm-lm-patient-record.systemicTherapies.history.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1276. dnpm-lm-patient-record.systemicTherapies.history.indication
Definition	Indication reference
Short	Indication reference
Control	0..1
Type	BackboneElement
1278. dnpm-lm-patient-record.systemicTherapies.history.indication.id
Definition	Diagnosis ID
Short	Diagnosis ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1280. dnpm-lm-patient-record.systemicTherapies.history.indication.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1282. dnpm-lm-patient-record.systemicTherapies.history.basedOn
Definition	Medication recommendation reference
Short	Medication recommendation reference
Control	0..1
Type	BackboneElement
1284. dnpm-lm-patient-record.systemicTherapies.history.basedOn.id
Definition	Recommendation ID
Short	Recommendation ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1286. dnpm-lm-patient-record.systemicTherapies.history.basedOn.type
Definition	Reference type (MTBMedicationRecommendation)
Short	Reference type (MTBMedicationRecommendation)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1288. dnpm-lm-patient-record.systemicTherapies.history.therapyLine
Definition	Therapy line number
Short	Therapy line number
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1290. dnpm-lm-patient-record.systemicTherapies.history.status
Definition	Therapy status
Short	Therapy status
Control	0..1
Type	BackboneElement
1292. dnpm-lm-patient-record.systemicTherapies.history.status.code
Definition	Status code (e.g. completed)
Short	Status code (e.g. completed)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1294. dnpm-lm-patient-record.systemicTherapies.history.status.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1296. dnpm-lm-patient-record.systemicTherapies.history.status.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1298. dnpm-lm-patient-record.systemicTherapies.history.statusReason
Definition	Reason for therapy status
Short	Reason for therapy status
Control	0..1
Type	BackboneElement
1300. dnpm-lm-patient-record.systemicTherapies.history.statusReason.code
Definition	Status reason code
Short	Status reason code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1302. dnpm-lm-patient-record.systemicTherapies.history.statusReason.display
Definition	Status reason display
Short	Status reason display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1304. dnpm-lm-patient-record.systemicTherapies.history.statusReason.system
Definition	Status reason system URI
Short	Status reason system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1306. dnpm-lm-patient-record.systemicTherapies.history.period
Definition	Therapy period
Short	Therapy period
Control	0..1
Type	BackboneElement
1308. dnpm-lm-patient-record.systemicTherapies.history.period.start
Definition	Start date (YYYY-MM-DD)
Short	Start date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1310. dnpm-lm-patient-record.systemicTherapies.history.period.end
Definition	End date (YYYY-MM-DD)
Short	End date (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1312. dnpm-lm-patient-record.systemicTherapies.history.medication
Definition	Medication codes (ATC)
Short	Medication codes (ATC)
Control	0..*
Type	BackboneElement
1314. dnpm-lm-patient-record.systemicTherapies.history.medication.code
Definition	ATC code
Short	ATC code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1316. dnpm-lm-patient-record.systemicTherapies.history.medication.display
Definition	Medication display
Short	Medication display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1318. dnpm-lm-patient-record.systemicTherapies.history.medication.system
Definition	ATC system URI
Short	ATC system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1320. dnpm-lm-patient-record.systemicTherapies.history.medication.version
Definition	ATC version
Short	ATC version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1322. dnpm-lm-patient-record.systemicTherapies.history.notes
Definition	Free-text therapy notes
Short	Free-text therapy notes
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1324. dnpm-lm-patient-record.responses
Definition	Therapy response assessments
Short	Therapy response assessments
Control	0..*
Type	BackboneElement
1326. dnpm-lm-patient-record.responses.id
Definition	Response UUID
Short	Response UUID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1328. dnpm-lm-patient-record.responses.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
1330. dnpm-lm-patient-record.responses.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1332. dnpm-lm-patient-record.responses.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1334. dnpm-lm-patient-record.responses.therapy
Definition	Associated systemic therapy reference
Short	Associated systemic therapy reference
Control	1..1
Type	BackboneElement
1336. dnpm-lm-patient-record.responses.therapy.id
Definition	Therapy ID
Short	Therapy ID
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1338. dnpm-lm-patient-record.responses.therapy.type
Definition	Reference type (MTBSystemicTherapy)
Short	Reference type (MTBSystemicTherapy)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1340. dnpm-lm-patient-record.responses.effectiveDate
Definition	Response assessment date (YYYY-MM-DD)
Short	Response assessment date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1342. dnpm-lm-patient-record.responses.value
Definition	RECIST response category
Short	RECIST response category
Control	1..1
Type	BackboneElement
1344. dnpm-lm-patient-record.responses.value.code
Definition	RECIST code (e.g. SD, PR, CR, PD)
Short	RECIST code (e.g. SD, PR, CR, PD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1346. dnpm-lm-patient-record.responses.value.display
Definition	RECIST display (e.g. Stable Disease)
Short	RECIST display (e.g. Stable Disease)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1348. dnpm-lm-patient-record.responses.value.system
Definition	RECIST system (e.g. RECIST)
Short	RECIST system (e.g. RECIST)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be foundhere

0. dnpm-lm-patient-record
Definition	Logical Model for the DNPM DIP MTB Patient Record JSON structure (all 19 top-level keys)
Short	DNPM Patient Record
Control	0..* This element is affected by the following invariants: ele-1
Is Modifier	false
Logical Model	Instances of this logical model are not marked to be the target of a Reference
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2. dnpm-lm-patient-record.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
4. dnpm-lm-patient-record.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
6. dnpm-lm-patient-record.patient
Definition	Patient demographics
Short	Patient demographics
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. dnpm-lm-patient-record.patient.id
Definition	Patient UUID
Short	Patient UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
10. dnpm-lm-patient-record.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
12. dnpm-lm-patient-record.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
14. dnpm-lm-patient-record.patient.gender
Definition	Patient gender
Short	Patient gender
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. dnpm-lm-patient-record.patient.gender.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
18. dnpm-lm-patient-record.patient.gender.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.patient.gender.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
20. dnpm-lm-patient-record.patient.gender.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
22. dnpm-lm-patient-record.patient.gender.code
Definition	Gender code (e.g. female)
Short	Gender code (e.g. female)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
24. dnpm-lm-patient-record.patient.gender.display
Definition	Gender display text
Short	Gender display text
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
26. dnpm-lm-patient-record.patient.gender.system
Definition	Gender code system
Short	Gender code system
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
28. dnpm-lm-patient-record.patient.birthDate
Definition	Date of birth (YYYY-MM)
Short	Date of birth (YYYY-MM)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
30. dnpm-lm-patient-record.patient.healthInsurance
Definition	Health insurance information
Short	Health insurance information
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. dnpm-lm-patient-record.patient.healthInsurance.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
34. dnpm-lm-patient-record.patient.healthInsurance.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.patient.healthInsurance.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
36. dnpm-lm-patient-record.patient.healthInsurance.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
38. dnpm-lm-patient-record.patient.healthInsurance.type
Definition	Insurance type coding
Short	Insurance type coding
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. dnpm-lm-patient-record.patient.healthInsurance.type.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
42. dnpm-lm-patient-record.patient.healthInsurance.type.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.patient.healthInsurance.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
44. dnpm-lm-patient-record.patient.healthInsurance.type.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
46. dnpm-lm-patient-record.patient.healthInsurance.type.code
Definition	Insurance type code (e.g. GKV)
Short	Insurance type code (e.g. GKV)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
48. dnpm-lm-patient-record.patient.healthInsurance.type.display
Definition	Insurance type display
Short	Insurance type display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
50. dnpm-lm-patient-record.patient.healthInsurance.type.system
Definition	Insurance type system URI
Short	Insurance type system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
52. dnpm-lm-patient-record.patient.healthInsurance.reference
Definition	Insurance provider reference
Short	Insurance provider reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. dnpm-lm-patient-record.patient.healthInsurance.reference.id
Definition	Insurance provider ID
Short	Insurance provider ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
56. dnpm-lm-patient-record.patient.healthInsurance.reference.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.patient.healthInsurance.reference.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
58. dnpm-lm-patient-record.patient.healthInsurance.reference.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
60. dnpm-lm-patient-record.patient.healthInsurance.reference.type
Definition	Reference type (HealthInsurance)
Short	Reference type (HealthInsurance)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
62. dnpm-lm-patient-record.patient.healthInsurance.reference.display
Definition	Insurance provider display name
Short	Insurance provider display name
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
64. dnpm-lm-patient-record.patient.healthInsurance.reference.system
Definition	Insurance provider system URI
Short	Insurance provider system URI
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
66. dnpm-lm-patient-record.patient.address
Definition	Patient address (municipality)
Short	Patient address (municipality)
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. dnpm-lm-patient-record.patient.address.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
70. dnpm-lm-patient-record.patient.address.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.patient.address.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
72. dnpm-lm-patient-record.patient.address.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
74. dnpm-lm-patient-record.patient.address.municipalityCode
Definition	AGS municipality code (5-digit)
Short	AGS municipality code (5-digit)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
76. dnpm-lm-patient-record.patient.age
Definition	Calculated patient age
Short	Calculated patient age
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
78. dnpm-lm-patient-record.patient.age.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
80. dnpm-lm-patient-record.patient.age.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.patient.age.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
82. dnpm-lm-patient-record.patient.age.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
84. dnpm-lm-patient-record.patient.age.value
Definition	Age numeric value
Short	Age numeric value
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
86. dnpm-lm-patient-record.patient.age.unit
Definition	Age unit (e.g. Years)
Short	Age unit (e.g. Years)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
88. dnpm-lm-patient-record.patient.vitalStatus
Definition	Vital status
Short	Vital status
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. dnpm-lm-patient-record.patient.vitalStatus.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
92. dnpm-lm-patient-record.patient.vitalStatus.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.patient.vitalStatus.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
94. dnpm-lm-patient-record.patient.vitalStatus.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
96. dnpm-lm-patient-record.patient.vitalStatus.code
Definition	Vital status code (e.g. alive)
Short	Vital status code (e.g. alive)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
98. dnpm-lm-patient-record.patient.vitalStatus.display
Definition	Vital status display
Short	Vital status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
100. dnpm-lm-patient-record.patient.vitalStatus.system
Definition	Vital status system URI
Short	Vital status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
102. dnpm-lm-patient-record.episodesOfCare
Definition	MTB episodes of care
Short	MTB episodes of care
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. dnpm-lm-patient-record.episodesOfCare.id
Definition	Episode UUID
Short	Episode UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
106. dnpm-lm-patient-record.episodesOfCare.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.episodesOfCare.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
108. dnpm-lm-patient-record.episodesOfCare.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
110. dnpm-lm-patient-record.episodesOfCare.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. dnpm-lm-patient-record.episodesOfCare.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
114. dnpm-lm-patient-record.episodesOfCare.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.episodesOfCare.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
116. dnpm-lm-patient-record.episodesOfCare.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
118. dnpm-lm-patient-record.episodesOfCare.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
120. dnpm-lm-patient-record.episodesOfCare.period
Definition	Episode period
Short	Episode period
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. dnpm-lm-patient-record.episodesOfCare.period.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
124. dnpm-lm-patient-record.episodesOfCare.period.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.episodesOfCare.period.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
126. dnpm-lm-patient-record.episodesOfCare.period.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
128. dnpm-lm-patient-record.episodesOfCare.period.start
Definition	Start date (YYYY-MM-DD)
Short	Start date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
130. dnpm-lm-patient-record.episodesOfCare.period.end
Definition	End date (YYYY-MM-DD)
Short	End date (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
132. dnpm-lm-patient-record.episodesOfCare.diagnoses
Definition	Diagnosis references within this episode
Short	Diagnosis references within this episode
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. dnpm-lm-patient-record.episodesOfCare.diagnoses.id
Definition	Diagnosis ID
Short	Diagnosis ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
136. dnpm-lm-patient-record.episodesOfCare.diagnoses.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.episodesOfCare.diagnoses.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
138. dnpm-lm-patient-record.episodesOfCare.diagnoses.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
140. dnpm-lm-patient-record.episodesOfCare.diagnoses.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
142. dnpm-lm-patient-record.diagnoses
Definition	MTB tumor diagnoses
Short	MTB tumor diagnoses
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. dnpm-lm-patient-record.diagnoses.id
Definition	Diagnosis UUID
Short	Diagnosis UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
146. dnpm-lm-patient-record.diagnoses.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
148. dnpm-lm-patient-record.diagnoses.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
150. dnpm-lm-patient-record.diagnoses.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
152. dnpm-lm-patient-record.diagnoses.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
154. dnpm-lm-patient-record.diagnoses.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
156. dnpm-lm-patient-record.diagnoses.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
158. dnpm-lm-patient-record.diagnoses.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
160. dnpm-lm-patient-record.diagnoses.recordedOn
Definition	Date diagnosis was recorded (YYYY-MM-DD)
Short	Date diagnosis was recorded (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
162. dnpm-lm-patient-record.diagnoses.type
Definition	Diagnosis type history (main / secondary)
Short	Diagnosis type history (main / secondary)
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
164. dnpm-lm-patient-record.diagnoses.type.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
166. dnpm-lm-patient-record.diagnoses.type.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
168. dnpm-lm-patient-record.diagnoses.type.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
170. dnpm-lm-patient-record.diagnoses.type.history
Definition	History entries for diagnosis type
Short	History entries for diagnosis type
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
172. dnpm-lm-patient-record.diagnoses.type.history.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
174. dnpm-lm-patient-record.diagnoses.type.history.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.type.history.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
176. dnpm-lm-patient-record.diagnoses.type.history.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
178. dnpm-lm-patient-record.diagnoses.type.history.date
Definition	Entry date
Short	Entry date
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
180. dnpm-lm-patient-record.diagnoses.type.history.value
Definition	Diagnosis type value
Short	Diagnosis type value
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. dnpm-lm-patient-record.diagnoses.type.history.value.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
184. dnpm-lm-patient-record.diagnoses.type.history.value.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.type.history.value.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
186. dnpm-lm-patient-record.diagnoses.type.history.value.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
188. dnpm-lm-patient-record.diagnoses.type.history.value.code
Definition	Type code (e.g. main)
Short	Type code (e.g. main)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
190. dnpm-lm-patient-record.diagnoses.type.history.value.display
Definition	Type display
Short	Type display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
192. dnpm-lm-patient-record.diagnoses.type.history.value.system
Definition	Type system URI
Short	Type system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
194. dnpm-lm-patient-record.diagnoses.code
Definition	ICD-10-GM tumor diagnosis code
Short	ICD-10-GM tumor diagnosis code
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
196. dnpm-lm-patient-record.diagnoses.code.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
198. dnpm-lm-patient-record.diagnoses.code.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.code.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
200. dnpm-lm-patient-record.diagnoses.code.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
202. dnpm-lm-patient-record.diagnoses.code.code
Definition	ICD-10-GM code (e.g. C75.8)
Short	ICD-10-GM code (e.g. C75.8)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
204. dnpm-lm-patient-record.diagnoses.code.display
Definition	Diagnosis display text
Short	Diagnosis display text
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
206. dnpm-lm-patient-record.diagnoses.code.system
Definition	ICD-10-GM code system URI
Short	ICD-10-GM code system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
208. dnpm-lm-patient-record.diagnoses.code.version
Definition	ICD-10-GM version year
Short	ICD-10-GM version year
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
210. dnpm-lm-patient-record.diagnoses.topography
Definition	ICD-O-3 topography code
Short	ICD-O-3 topography code
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
212. dnpm-lm-patient-record.diagnoses.topography.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
214. dnpm-lm-patient-record.diagnoses.topography.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.topography.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
216. dnpm-lm-patient-record.diagnoses.topography.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
218. dnpm-lm-patient-record.diagnoses.topography.code
Definition	Topography code
Short	Topography code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
220. dnpm-lm-patient-record.diagnoses.topography.display
Definition	Topography display
Short	Topography display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
222. dnpm-lm-patient-record.diagnoses.topography.system
Definition	Topography system URI (ICD-O-3)
Short	Topography system URI (ICD-O-3)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
224. dnpm-lm-patient-record.diagnoses.topography.version
Definition	ICD-O-3 version
Short	ICD-O-3 version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
226. dnpm-lm-patient-record.diagnoses.grading
Definition	Tumor grading history
Short	Tumor grading history
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
228. dnpm-lm-patient-record.diagnoses.grading.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
230. dnpm-lm-patient-record.diagnoses.grading.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.grading.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
232. dnpm-lm-patient-record.diagnoses.grading.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
234. dnpm-lm-patient-record.diagnoses.grading.history
Definition	Grading history entries
Short	Grading history entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
236. dnpm-lm-patient-record.diagnoses.grading.history.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
238. dnpm-lm-patient-record.diagnoses.grading.history.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.grading.history.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
240. dnpm-lm-patient-record.diagnoses.grading.history.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
242. dnpm-lm-patient-record.diagnoses.grading.history.date
Definition	Grading date
Short	Grading date
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
244. dnpm-lm-patient-record.diagnoses.grading.history.codes
Definition	Grading codes
Short	Grading codes
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
246. dnpm-lm-patient-record.diagnoses.grading.history.codes.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
248. dnpm-lm-patient-record.diagnoses.grading.history.codes.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.grading.history.codes.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
250. dnpm-lm-patient-record.diagnoses.grading.history.codes.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
252. dnpm-lm-patient-record.diagnoses.grading.history.codes.code
Definition	Grade code
Short	Grade code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
254. dnpm-lm-patient-record.diagnoses.grading.history.codes.display
Definition	Grade display
Short	Grade display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
256. dnpm-lm-patient-record.diagnoses.grading.history.codes.system
Definition	Grading system URI
Short	Grading system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
258. dnpm-lm-patient-record.diagnoses.staging
Definition	Tumor staging history
Short	Tumor staging history
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
260. dnpm-lm-patient-record.diagnoses.staging.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
262. dnpm-lm-patient-record.diagnoses.staging.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.staging.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
264. dnpm-lm-patient-record.diagnoses.staging.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
266. dnpm-lm-patient-record.diagnoses.staging.history
Definition	Staging history entries
Short	Staging history entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
268. dnpm-lm-patient-record.diagnoses.staging.history.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
270. dnpm-lm-patient-record.diagnoses.staging.history.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.staging.history.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
272. dnpm-lm-patient-record.diagnoses.staging.history.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
274. dnpm-lm-patient-record.diagnoses.staging.history.date
Definition	Staging date
Short	Staging date
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
276. dnpm-lm-patient-record.diagnoses.staging.history.method
Definition	Staging method
Short	Staging method
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
278. dnpm-lm-patient-record.diagnoses.staging.history.method.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
280. dnpm-lm-patient-record.diagnoses.staging.history.method.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.staging.history.method.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
282. dnpm-lm-patient-record.diagnoses.staging.history.method.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
284. dnpm-lm-patient-record.diagnoses.staging.history.method.code
Definition	Method code (e.g. clinical)
Short	Method code (e.g. clinical)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
286. dnpm-lm-patient-record.diagnoses.staging.history.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
288. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification
Definition	TNM classification
Short	TNM classification
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
290. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
292. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
294. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
296. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor
Definition	T category
Short	T category
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
298. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
300. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
302. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
304. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor.code
Definition	T code (e.g. T0)
Short	T code (e.g. T0)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
306. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.tumor.system
Definition	TNM system (UICC)
Short	TNM system (UICC)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
308. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes
Definition	N category
Short	N category
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
310. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
312. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
314. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
316. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes.code
Definition	N code (e.g. N2)
Short	N code (e.g. N2)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
318. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.nodes.system
Definition	TNM system (UICC)
Short	TNM system (UICC)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
320. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis
Definition	M category
Short	M category
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
322. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
324. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
326. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
328. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis.code
Definition	M code (e.g. M0)
Short	M code (e.g. M0)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
330. dnpm-lm-patient-record.diagnoses.staging.history.tnmClassification.metastasis.system
Definition	TNM system (UICC)
Short	TNM system (UICC)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
332. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications
Definition	Other classification systems
Short	Other classification systems
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
334. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
336. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
338. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
340. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.code
Definition	Classification code
Short	Classification code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
342. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.display
Definition	Classification display
Short	Classification display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
344. dnpm-lm-patient-record.diagnoses.staging.history.otherClassifications.system
Definition	Classification system URI
Short	Classification system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
346. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus
Definition	Guideline treatment exhaustion status
Short	Guideline treatment exhaustion status
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
348. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
350. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
352. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
354. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.code
Definition	Status code (e.g. non-exhausted)
Short	Status code (e.g. non-exhausted)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
356. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
358. dnpm-lm-patient-record.diagnoses.guidelineTreatmentStatus.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
360. dnpm-lm-patient-record.diagnoses.histology
Definition	Histology report references
Short	Histology report references
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
362. dnpm-lm-patient-record.diagnoses.histology.id
Definition	Histology report ID
Short	Histology report ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
364. dnpm-lm-patient-record.diagnoses.histology.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.diagnoses.histology.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
366. dnpm-lm-patient-record.diagnoses.histology.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
368. dnpm-lm-patient-record.diagnoses.histology.type
Definition	Reference type (HistologyReport)
Short	Reference type (HistologyReport)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
370. dnpm-lm-patient-record.diagnoses.notes
Definition	Free-text clinical notes
Short	Free-text clinical notes
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
372. dnpm-lm-patient-record.familyMemberHistories
Definition	Family member cancer history entries
Short	Family member cancer history entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
374. dnpm-lm-patient-record.familyMemberHistories.id
Definition	Family member history UUID
Short	Family member history UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
376. dnpm-lm-patient-record.familyMemberHistories.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.familyMemberHistories.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
378. dnpm-lm-patient-record.familyMemberHistories.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
380. dnpm-lm-patient-record.familyMemberHistories.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
382. dnpm-lm-patient-record.familyMemberHistories.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
384. dnpm-lm-patient-record.familyMemberHistories.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.familyMemberHistories.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
386. dnpm-lm-patient-record.familyMemberHistories.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
388. dnpm-lm-patient-record.familyMemberHistories.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
390. dnpm-lm-patient-record.familyMemberHistories.relationship
Definition	Family relationship type
Short	Family relationship type
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
392. dnpm-lm-patient-record.familyMemberHistories.relationship.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
394. dnpm-lm-patient-record.familyMemberHistories.relationship.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.familyMemberHistories.relationship.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
396. dnpm-lm-patient-record.familyMemberHistories.relationship.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
398. dnpm-lm-patient-record.familyMemberHistories.relationship.code
Definition	Relationship code
Short	Relationship code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
400. dnpm-lm-patient-record.familyMemberHistories.relationship.display
Definition	Relationship display
Short	Relationship display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
402. dnpm-lm-patient-record.familyMemberHistories.relationship.system
Definition	Relationship system URI
Short	Relationship system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
404. dnpm-lm-patient-record.guidelineTherapies
Definition	Guideline-based therapy entries
Short	Guideline-based therapy entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
406. dnpm-lm-patient-record.guidelineTherapies.id
Definition	Therapy UUID
Short	Therapy UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
408. dnpm-lm-patient-record.guidelineTherapies.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineTherapies.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
410. dnpm-lm-patient-record.guidelineTherapies.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
412. dnpm-lm-patient-record.guidelineTherapies.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
414. dnpm-lm-patient-record.guidelineTherapies.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
416. dnpm-lm-patient-record.guidelineTherapies.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineTherapies.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
418. dnpm-lm-patient-record.guidelineTherapies.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
420. dnpm-lm-patient-record.guidelineTherapies.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
422. dnpm-lm-patient-record.guidelineTherapies.indication
Definition	Indication (MTBDiagnosis) reference
Short	Indication (MTBDiagnosis) reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
424. dnpm-lm-patient-record.guidelineTherapies.indication.id
Definition	Diagnosis ID
Short	Diagnosis ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
426. dnpm-lm-patient-record.guidelineTherapies.indication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineTherapies.indication.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
428. dnpm-lm-patient-record.guidelineTherapies.indication.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
430. dnpm-lm-patient-record.guidelineTherapies.indication.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
432. dnpm-lm-patient-record.guidelineTherapies.therapyLine
Definition	Therapy line number
Short	Therapy line number
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
434. dnpm-lm-patient-record.guidelineTherapies.status
Definition	Therapy status
Short	Therapy status
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
436. dnpm-lm-patient-record.guidelineTherapies.status.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
438. dnpm-lm-patient-record.guidelineTherapies.status.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineTherapies.status.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
440. dnpm-lm-patient-record.guidelineTherapies.status.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
442. dnpm-lm-patient-record.guidelineTherapies.status.code
Definition	Status code (e.g. stopped)
Short	Status code (e.g. stopped)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
444. dnpm-lm-patient-record.guidelineTherapies.status.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
446. dnpm-lm-patient-record.guidelineTherapies.status.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
448. dnpm-lm-patient-record.guidelineTherapies.statusReason
Definition	Reason for therapy status
Short	Reason for therapy status
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
450. dnpm-lm-patient-record.guidelineTherapies.statusReason.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
452. dnpm-lm-patient-record.guidelineTherapies.statusReason.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineTherapies.statusReason.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
454. dnpm-lm-patient-record.guidelineTherapies.statusReason.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
456. dnpm-lm-patient-record.guidelineTherapies.statusReason.code
Definition	Status reason code (e.g. progression)
Short	Status reason code (e.g. progression)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
458. dnpm-lm-patient-record.guidelineTherapies.statusReason.display
Definition	Status reason display
Short	Status reason display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
460. dnpm-lm-patient-record.guidelineTherapies.statusReason.system
Definition	Status reason system URI
Short	Status reason system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
462. dnpm-lm-patient-record.guidelineTherapies.period
Definition	Therapy period
Short	Therapy period
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
464. dnpm-lm-patient-record.guidelineTherapies.period.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
466. dnpm-lm-patient-record.guidelineTherapies.period.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineTherapies.period.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
468. dnpm-lm-patient-record.guidelineTherapies.period.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
470. dnpm-lm-patient-record.guidelineTherapies.period.start
Definition	Start date (YYYY-MM-DD)
Short	Start date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
472. dnpm-lm-patient-record.guidelineTherapies.period.end
Definition	End date (YYYY-MM-DD)
Short	End date (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
474. dnpm-lm-patient-record.guidelineTherapies.medication
Definition	Medication codes (ATC)
Short	Medication codes (ATC)
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
476. dnpm-lm-patient-record.guidelineTherapies.medication.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
478. dnpm-lm-patient-record.guidelineTherapies.medication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineTherapies.medication.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
480. dnpm-lm-patient-record.guidelineTherapies.medication.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
482. dnpm-lm-patient-record.guidelineTherapies.medication.code
Definition	ATC code
Short	ATC code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
484. dnpm-lm-patient-record.guidelineTherapies.medication.display
Definition	Medication display name
Short	Medication display name
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
486. dnpm-lm-patient-record.guidelineTherapies.medication.system
Definition	ATC code system URI
Short	ATC code system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
488. dnpm-lm-patient-record.guidelineTherapies.medication.version
Definition	ATC version
Short	ATC version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
490. dnpm-lm-patient-record.guidelineTherapies.notes
Definition	Free-text therapy notes
Short	Free-text therapy notes
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
492. dnpm-lm-patient-record.guidelineTherapies.category
Definition	Therapy category
Short	Therapy category
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
494. dnpm-lm-patient-record.guidelineTherapies.category.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
496. dnpm-lm-patient-record.guidelineTherapies.category.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineTherapies.category.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
498. dnpm-lm-patient-record.guidelineTherapies.category.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
500. dnpm-lm-patient-record.guidelineTherapies.category.code
Definition	Category code
Short	Category code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
502. dnpm-lm-patient-record.guidelineTherapies.category.display
Definition	Category display
Short	Category display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
504. dnpm-lm-patient-record.guidelineTherapies.category.system
Definition	Category system URI
Short	Category system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
506. dnpm-lm-patient-record.guidelineProcedures
Definition	Guideline-based non-medication procedures
Short	Guideline-based non-medication procedures
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
508. dnpm-lm-patient-record.guidelineProcedures.id
Definition	Procedure UUID
Short	Procedure UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
510. dnpm-lm-patient-record.guidelineProcedures.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineProcedures.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
512. dnpm-lm-patient-record.guidelineProcedures.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
514. dnpm-lm-patient-record.guidelineProcedures.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
516. dnpm-lm-patient-record.guidelineProcedures.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
518. dnpm-lm-patient-record.guidelineProcedures.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineProcedures.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
520. dnpm-lm-patient-record.guidelineProcedures.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
522. dnpm-lm-patient-record.guidelineProcedures.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
524. dnpm-lm-patient-record.guidelineProcedures.indication
Definition	Indication (MTBDiagnosis) reference
Short	Indication (MTBDiagnosis) reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
526. dnpm-lm-patient-record.guidelineProcedures.indication.id
Definition	Diagnosis ID
Short	Diagnosis ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
528. dnpm-lm-patient-record.guidelineProcedures.indication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineProcedures.indication.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
530. dnpm-lm-patient-record.guidelineProcedures.indication.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
532. dnpm-lm-patient-record.guidelineProcedures.indication.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
534. dnpm-lm-patient-record.guidelineProcedures.code
Definition	Procedure type code
Short	Procedure type code
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
536. dnpm-lm-patient-record.guidelineProcedures.code.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
538. dnpm-lm-patient-record.guidelineProcedures.code.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineProcedures.code.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
540. dnpm-lm-patient-record.guidelineProcedures.code.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
542. dnpm-lm-patient-record.guidelineProcedures.code.code
Definition	Procedure code (e.g. radiotherapy)
Short	Procedure code (e.g. radiotherapy)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
544. dnpm-lm-patient-record.guidelineProcedures.code.display
Definition	Procedure display
Short	Procedure display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
546. dnpm-lm-patient-record.guidelineProcedures.code.system
Definition	Procedure system URI
Short	Procedure system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
548. dnpm-lm-patient-record.guidelineProcedures.status
Definition	Procedure status
Short	Procedure status
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
550. dnpm-lm-patient-record.guidelineProcedures.status.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
552. dnpm-lm-patient-record.guidelineProcedures.status.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineProcedures.status.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
554. dnpm-lm-patient-record.guidelineProcedures.status.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
556. dnpm-lm-patient-record.guidelineProcedures.status.code
Definition	Status code (e.g. ongoing)
Short	Status code (e.g. ongoing)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
558. dnpm-lm-patient-record.guidelineProcedures.status.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
560. dnpm-lm-patient-record.guidelineProcedures.status.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
562. dnpm-lm-patient-record.guidelineProcedures.period
Definition	Procedure period
Short	Procedure period
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
564. dnpm-lm-patient-record.guidelineProcedures.period.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
566. dnpm-lm-patient-record.guidelineProcedures.period.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineProcedures.period.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
568. dnpm-lm-patient-record.guidelineProcedures.period.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
570. dnpm-lm-patient-record.guidelineProcedures.period.start
Definition	Start date (YYYY-MM-DD)
Short	Start date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
572. dnpm-lm-patient-record.guidelineProcedures.period.end
Definition	End date (YYYY-MM-DD)
Short	End date (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
574. dnpm-lm-patient-record.guidelineProcedures.intent
Definition	Therapy intent
Short	Therapy intent
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
576. dnpm-lm-patient-record.guidelineProcedures.intent.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
578. dnpm-lm-patient-record.guidelineProcedures.intent.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.guidelineProcedures.intent.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
580. dnpm-lm-patient-record.guidelineProcedures.intent.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
582. dnpm-lm-patient-record.guidelineProcedures.intent.code
Definition	Intent code (e.g. palliative)
Short	Intent code (e.g. palliative)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
584. dnpm-lm-patient-record.guidelineProcedures.intent.display
Definition	Intent display
Short	Intent display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
586. dnpm-lm-patient-record.guidelineProcedures.intent.system
Definition	Intent system URI
Short	Intent system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
588. dnpm-lm-patient-record.guidelineProcedures.notes
Definition	Free-text procedure notes
Short	Free-text procedure notes
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
590. dnpm-lm-patient-record.performanceStatus
Definition	ECOG performance status assessments
Short	ECOG performance status assessments
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
592. dnpm-lm-patient-record.performanceStatus.id
Definition	Performance status UUID
Short	Performance status UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
594. dnpm-lm-patient-record.performanceStatus.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.performanceStatus.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
596. dnpm-lm-patient-record.performanceStatus.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
598. dnpm-lm-patient-record.performanceStatus.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
600. dnpm-lm-patient-record.performanceStatus.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
602. dnpm-lm-patient-record.performanceStatus.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.performanceStatus.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
604. dnpm-lm-patient-record.performanceStatus.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
606. dnpm-lm-patient-record.performanceStatus.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
608. dnpm-lm-patient-record.performanceStatus.effectiveDate
Definition	Assessment date (YYYY-MM-DD)
Short	Assessment date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
610. dnpm-lm-patient-record.performanceStatus.value
Definition	ECOG score
Short	ECOG score
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
612. dnpm-lm-patient-record.performanceStatus.value.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
614. dnpm-lm-patient-record.performanceStatus.value.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.performanceStatus.value.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
616. dnpm-lm-patient-record.performanceStatus.value.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
618. dnpm-lm-patient-record.performanceStatus.value.code
Definition	ECOG code (e.g. 0–4)
Short	ECOG code (e.g. 0–4)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
620. dnpm-lm-patient-record.performanceStatus.value.display
Definition	ECOG display
Short	ECOG display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
622. dnpm-lm-patient-record.performanceStatus.value.system
Definition	ECOG system URI
Short	ECOG system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
624. dnpm-lm-patient-record.specimens
Definition	Tumor specimen entries
Short	Tumor specimen entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
626. dnpm-lm-patient-record.specimens.id
Definition	Specimen UUID
Short	Specimen UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
628. dnpm-lm-patient-record.specimens.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.specimens.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
630. dnpm-lm-patient-record.specimens.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
632. dnpm-lm-patient-record.specimens.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
634. dnpm-lm-patient-record.specimens.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
636. dnpm-lm-patient-record.specimens.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.specimens.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
638. dnpm-lm-patient-record.specimens.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
640. dnpm-lm-patient-record.specimens.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
642. dnpm-lm-patient-record.specimens.diagnosis
Definition	Associated diagnosis reference
Short	Associated diagnosis reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
644. dnpm-lm-patient-record.specimens.diagnosis.id
Definition	Diagnosis ID
Short	Diagnosis ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
646. dnpm-lm-patient-record.specimens.diagnosis.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.specimens.diagnosis.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
648. dnpm-lm-patient-record.specimens.diagnosis.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
650. dnpm-lm-patient-record.specimens.diagnosis.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
652. dnpm-lm-patient-record.specimens.type
Definition	Specimen type
Short	Specimen type
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
654. dnpm-lm-patient-record.specimens.type.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
656. dnpm-lm-patient-record.specimens.type.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.specimens.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
658. dnpm-lm-patient-record.specimens.type.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
660. dnpm-lm-patient-record.specimens.type.code
Definition	Specimen type code (e.g. fresh-tissue)
Short	Specimen type code (e.g. fresh-tissue)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
662. dnpm-lm-patient-record.specimens.type.display
Definition	Specimen type display
Short	Specimen type display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
664. dnpm-lm-patient-record.specimens.type.system
Definition	Specimen type system URI
Short	Specimen type system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
666. dnpm-lm-patient-record.specimens.collection
Definition	Specimen collection details
Short	Specimen collection details
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
668. dnpm-lm-patient-record.specimens.collection.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
670. dnpm-lm-patient-record.specimens.collection.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.specimens.collection.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
672. dnpm-lm-patient-record.specimens.collection.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
674. dnpm-lm-patient-record.specimens.collection.date
Definition	Collection date (YYYY-MM-DD)
Short	Collection date (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
676. dnpm-lm-patient-record.specimens.collection.site
Definition	Collection site (ICD-O-3 topography)
Short	Collection site (ICD-O-3 topography)
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
678. dnpm-lm-patient-record.specimens.collection.site.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
680. dnpm-lm-patient-record.specimens.collection.site.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.specimens.collection.site.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
682. dnpm-lm-patient-record.specimens.collection.site.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
684. dnpm-lm-patient-record.specimens.collection.site.code
Definition	Site code
Short	Site code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
686. dnpm-lm-patient-record.specimens.collection.site.display
Definition	Site display
Short	Site display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
688. dnpm-lm-patient-record.specimens.collection.site.system
Definition	Site system URI
Short	Site system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
690. dnpm-lm-patient-record.specimens.collection.site.version
Definition	ICD-O-3 version
Short	ICD-O-3 version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
692. dnpm-lm-patient-record.specimens.collection.method
Definition	Collection method
Short	Collection method
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
694. dnpm-lm-patient-record.specimens.collection.method.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
696. dnpm-lm-patient-record.specimens.collection.method.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.specimens.collection.method.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
698. dnpm-lm-patient-record.specimens.collection.method.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
700. dnpm-lm-patient-record.specimens.collection.method.code
Definition	Method code (e.g. biopsy)
Short	Method code (e.g. biopsy)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
702. dnpm-lm-patient-record.specimens.collection.method.display
Definition	Method display
Short	Method display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
704. dnpm-lm-patient-record.specimens.collection.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
706. dnpm-lm-patient-record.priorDiagnosticReports
Definition	Prior diagnostic reports (free-text)
Short	Prior diagnostic reports (free-text)
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
708. dnpm-lm-patient-record.priorDiagnosticReports.id
Definition	Report UUID
Short	Report UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
710. dnpm-lm-patient-record.priorDiagnosticReports.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.priorDiagnosticReports.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
712. dnpm-lm-patient-record.priorDiagnosticReports.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
714. dnpm-lm-patient-record.priorDiagnosticReports.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
716. dnpm-lm-patient-record.priorDiagnosticReports.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
718. dnpm-lm-patient-record.priorDiagnosticReports.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.priorDiagnosticReports.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
720. dnpm-lm-patient-record.priorDiagnosticReports.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
722. dnpm-lm-patient-record.priorDiagnosticReports.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
724. dnpm-lm-patient-record.priorDiagnosticReports.issuedOn
Definition	Report issue date (YYYY-MM-DD)
Short	Report issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
726. dnpm-lm-patient-record.priorDiagnosticReports.results
Definition	Free-text diagnostic result strings
Short	Free-text diagnostic result strings
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
728. dnpm-lm-patient-record.histologyReports
Definition	Histology report entries
Short	Histology report entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
730. dnpm-lm-patient-record.histologyReports.id
Definition	Histology report UUID
Short	Histology report UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
732. dnpm-lm-patient-record.histologyReports.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
734. dnpm-lm-patient-record.histologyReports.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
736. dnpm-lm-patient-record.histologyReports.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
738. dnpm-lm-patient-record.histologyReports.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
740. dnpm-lm-patient-record.histologyReports.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
742. dnpm-lm-patient-record.histologyReports.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
744. dnpm-lm-patient-record.histologyReports.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
746. dnpm-lm-patient-record.histologyReports.specimen
Definition	Tumor specimen reference
Short	Tumor specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
748. dnpm-lm-patient-record.histologyReports.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
750. dnpm-lm-patient-record.histologyReports.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
752. dnpm-lm-patient-record.histologyReports.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
754. dnpm-lm-patient-record.histologyReports.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
756. dnpm-lm-patient-record.histologyReports.issuedOn
Definition	Report issue date (YYYY-MM-DD)
Short	Report issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
758. dnpm-lm-patient-record.histologyReports.results
Definition	Histology results
Short	Histology results
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
760. dnpm-lm-patient-record.histologyReports.results.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
762. dnpm-lm-patient-record.histologyReports.results.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
764. dnpm-lm-patient-record.histologyReports.results.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
766. dnpm-lm-patient-record.histologyReports.results.tumorCellContent
Definition	Histologic tumor cell content
Short	Histologic tumor cell content
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
768. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.id
Definition	Result UUID
Short	Result UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
770. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.tumorCellContent.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
772. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
774. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
776. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
778. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.tumorCellContent.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
780. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
782. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
784. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
786. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
788. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.tumorCellContent.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
790. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
792. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
794. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method
Definition	Determination method
Short	Determination method
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
796. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
798. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
800. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
802. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.code
Definition	Method code (e.g. histologic)
Short	Method code (e.g. histologic)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
804. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.display
Definition	Method display
Short	Method display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
806. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
808. dnpm-lm-patient-record.histologyReports.results.tumorCellContent.value
Definition	Tumor cell content fraction (0.0 – 1.0)
Short	Tumor cell content fraction (0.0 – 1.0)
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
810. dnpm-lm-patient-record.histologyReports.results.tumorMorphology
Definition	Tumor morphology
Short	Tumor morphology
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
812. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.id
Definition	Morphology result UUID
Short	Morphology result UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
814. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.tumorMorphology.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
816. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
818. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
820. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
822. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.tumorMorphology.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
824. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
826. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
828. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
830. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
832. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.tumorMorphology.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
834. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
836. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
838. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology
Definition	ICD-O-3 morphology codes
Short	ICD-O-3 morphology codes
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
840. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
842. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
844. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
846. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.code
Definition	Morphology code
Short	Morphology code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
848. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.display
Definition	Morphology display
Short	Morphology display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
850. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.system
Definition	Morphology system URI (ICD-O-3)
Short	Morphology system URI (ICD-O-3)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
852. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.morphology.version
Definition	ICD-O-3 version
Short	ICD-O-3 version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
854. dnpm-lm-patient-record.histologyReports.results.tumorMorphology.notes
Definition	Free-text morphology notes
Short	Free-text morphology notes
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
856. dnpm-lm-patient-record.ihcReports
Definition	Immunohistochemistry (IHC) reports
Short	Immunohistochemistry (IHC) reports
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
858. dnpm-lm-patient-record.ihcReports.id
Definition	IHC report UUID
Short	IHC report UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
860. dnpm-lm-patient-record.ihcReports.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
862. dnpm-lm-patient-record.ihcReports.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
864. dnpm-lm-patient-record.ihcReports.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
866. dnpm-lm-patient-record.ihcReports.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
868. dnpm-lm-patient-record.ihcReports.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
870. dnpm-lm-patient-record.ihcReports.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
872. dnpm-lm-patient-record.ihcReports.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
874. dnpm-lm-patient-record.ihcReports.specimen
Definition	Tumor specimen reference
Short	Tumor specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
876. dnpm-lm-patient-record.ihcReports.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
878. dnpm-lm-patient-record.ihcReports.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
880. dnpm-lm-patient-record.ihcReports.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
882. dnpm-lm-patient-record.ihcReports.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
884. dnpm-lm-patient-record.ihcReports.issuedOn
Definition	Report issue date (YYYY-MM-DD)
Short	Report issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
886. dnpm-lm-patient-record.ihcReports.results
Definition	IHC results
Short	IHC results
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
888. dnpm-lm-patient-record.ihcReports.results.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
890. dnpm-lm-patient-record.ihcReports.results.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
892. dnpm-lm-patient-record.ihcReports.results.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
894. dnpm-lm-patient-record.ihcReports.results.proteinExpression
Definition	Protein expression results
Short	Protein expression results
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
896. dnpm-lm-patient-record.ihcReports.results.proteinExpression.id
Definition	Result UUID
Short	Result UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
898. dnpm-lm-patient-record.ihcReports.results.proteinExpression.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.proteinExpression.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
900. dnpm-lm-patient-record.ihcReports.results.proteinExpression.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
902. dnpm-lm-patient-record.ihcReports.results.proteinExpression.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
904. dnpm-lm-patient-record.ihcReports.results.proteinExpression.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
906. dnpm-lm-patient-record.ihcReports.results.proteinExpression.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.proteinExpression.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
908. dnpm-lm-patient-record.ihcReports.results.proteinExpression.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
910. dnpm-lm-patient-record.ihcReports.results.proteinExpression.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
912. dnpm-lm-patient-record.ihcReports.results.proteinExpression.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
914. dnpm-lm-patient-record.ihcReports.results.proteinExpression.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
916. dnpm-lm-patient-record.ihcReports.results.proteinExpression.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.proteinExpression.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
918. dnpm-lm-patient-record.ihcReports.results.proteinExpression.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
920. dnpm-lm-patient-record.ihcReports.results.proteinExpression.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
922. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein
Definition	Protein tested
Short	Protein tested
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
924. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
926. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
928. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
930. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.code
Definition	Protein code (e.g. BRAFP1)
Short	Protein code (e.g. BRAFP1)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
932. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.display
Definition	Protein display
Short	Protein display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
934. dnpm-lm-patient-record.ihcReports.results.proteinExpression.protein.system
Definition	Protein system URI
Short	Protein system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
936. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value
Definition	IHC expression value
Short	IHC expression value
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
938. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
940. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
942. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
944. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.code
Definition	Score code (e.g. 1+)
Short	Score code (e.g. 1+)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
946. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.display
Definition	Score display
Short	Score display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
948. dnpm-lm-patient-record.ihcReports.results.proteinExpression.value.system
Definition	Score system URI
Short	Score system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
950. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tpsScore
Definition	Tumor proportion score (TPS)
Short	Tumor proportion score (TPS)
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
952. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore
Definition	Immune-cell score
Short	Immune-cell score
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
954. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
956. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
958. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
960. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.code
Definition	IC score code
Short	IC score code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
962. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.display
Definition	IC score display
Short	IC score display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
964. dnpm-lm-patient-record.ihcReports.results.proteinExpression.icScore.system
Definition	IC score system URI
Short	IC score system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
966. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore
Definition	Tumor-cell score
Short	Tumor-cell score
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
968. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
970. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
972. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
974. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.code
Definition	TC score code
Short	TC score code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
976. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.display
Definition	TC score display
Short	TC score display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
978. dnpm-lm-patient-record.ihcReports.results.proteinExpression.tcScore.system
Definition	TC score system URI
Short	TC score system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
980. dnpm-lm-patient-record.ihcReports.results.msiMmr
Definition	MSI / MMR protein expression results
Short	MSI / MMR protein expression results
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
982. dnpm-lm-patient-record.ihcReports.results.msiMmr.id
Definition	Result UUID
Short	Result UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
984. dnpm-lm-patient-record.ihcReports.results.msiMmr.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.msiMmr.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
986. dnpm-lm-patient-record.ihcReports.results.msiMmr.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
988. dnpm-lm-patient-record.ihcReports.results.msiMmr.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
990. dnpm-lm-patient-record.ihcReports.results.msiMmr.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
992. dnpm-lm-patient-record.ihcReports.results.msiMmr.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.msiMmr.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
994. dnpm-lm-patient-record.ihcReports.results.msiMmr.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
996. dnpm-lm-patient-record.ihcReports.results.msiMmr.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
998. dnpm-lm-patient-record.ihcReports.results.msiMmr.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1000. dnpm-lm-patient-record.ihcReports.results.msiMmr.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1002. dnpm-lm-patient-record.ihcReports.results.msiMmr.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.msiMmr.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1004. dnpm-lm-patient-record.ihcReports.results.msiMmr.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1006. dnpm-lm-patient-record.ihcReports.results.msiMmr.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1008. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein
Definition	MMR protein tested (e.g. MLH1)
Short	MMR protein tested (e.g. MLH1)
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1010. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1012. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1014. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1016. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.code
Definition	Protein code
Short	Protein code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1018. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.display
Definition	Protein display
Short	Protein display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1020. dnpm-lm-patient-record.ihcReports.results.msiMmr.protein.system
Definition	Protein system URI
Short	Protein system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1022. dnpm-lm-patient-record.ihcReports.results.msiMmr.value
Definition	Expression result
Short	Expression result
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1024. dnpm-lm-patient-record.ihcReports.results.msiMmr.value.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1026. dnpm-lm-patient-record.ihcReports.results.msiMmr.value.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ihcReports.results.msiMmr.value.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1028. dnpm-lm-patient-record.ihcReports.results.msiMmr.value.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1030. dnpm-lm-patient-record.ihcReports.results.msiMmr.value.code
Definition	Result code (e.g. exp_present)
Short	Result code (e.g. exp_present)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1032. dnpm-lm-patient-record.ihcReports.results.msiMmr.value.display
Definition	Result display
Short	Result display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1034. dnpm-lm-patient-record.ihcReports.results.msiMmr.value.system
Definition	Result system URI
Short	Result system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1036. dnpm-lm-patient-record.msiFindings
Definition	Microsatellite instability (MSI) findings
Short	Microsatellite instability (MSI) findings
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1038. dnpm-lm-patient-record.msiFindings.id
Definition	MSI finding UUID
Short	MSI finding UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1040. dnpm-lm-patient-record.msiFindings.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.msiFindings.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1042. dnpm-lm-patient-record.msiFindings.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1044. dnpm-lm-patient-record.msiFindings.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1046. dnpm-lm-patient-record.msiFindings.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1048. dnpm-lm-patient-record.msiFindings.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.msiFindings.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1050. dnpm-lm-patient-record.msiFindings.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1052. dnpm-lm-patient-record.msiFindings.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1054. dnpm-lm-patient-record.msiFindings.specimen
Definition	Tumor specimen reference
Short	Tumor specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1056. dnpm-lm-patient-record.msiFindings.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1058. dnpm-lm-patient-record.msiFindings.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.msiFindings.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1060. dnpm-lm-patient-record.msiFindings.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1062. dnpm-lm-patient-record.msiFindings.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1064. dnpm-lm-patient-record.msiFindings.ngsReport
Definition	Associated NGS report reference
Short	Associated NGS report reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1066. dnpm-lm-patient-record.msiFindings.ngsReport.id
Definition	NGS report ID
Short	NGS report ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1068. dnpm-lm-patient-record.msiFindings.ngsReport.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.msiFindings.ngsReport.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1070. dnpm-lm-patient-record.msiFindings.ngsReport.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1072. dnpm-lm-patient-record.msiFindings.ngsReport.type
Definition	Reference type (NGSReport)
Short	Reference type (NGSReport)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1074. dnpm-lm-patient-record.msiFindings.issuedOn
Definition	Finding date (YYYY-MM-DD)
Short	Finding date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1076. dnpm-lm-patient-record.msiFindings.value
Definition	MSI result value
Short	MSI result value
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1078. dnpm-lm-patient-record.msiFindings.value.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1080. dnpm-lm-patient-record.msiFindings.value.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.msiFindings.value.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1082. dnpm-lm-patient-record.msiFindings.value.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1084. dnpm-lm-patient-record.msiFindings.value.code
Definition	MSI code (e.g. MSI-H)
Short	MSI code (e.g. MSI-H)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1086. dnpm-lm-patient-record.msiFindings.value.display
Definition	MSI display
Short	MSI display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1088. dnpm-lm-patient-record.msiFindings.value.system
Definition	MSI system URI
Short	MSI system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1090. dnpm-lm-patient-record.msiFindings.method
Definition	MSI determination method
Short	MSI determination method
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1092. dnpm-lm-patient-record.msiFindings.method.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1094. dnpm-lm-patient-record.msiFindings.method.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.msiFindings.method.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1096. dnpm-lm-patient-record.msiFindings.method.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1098. dnpm-lm-patient-record.msiFindings.method.code
Definition	Method code (e.g. bioinformatics)
Short	Method code (e.g. bioinformatics)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1100. dnpm-lm-patient-record.msiFindings.method.display
Definition	Method display
Short	Method display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1102. dnpm-lm-patient-record.msiFindings.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1104. dnpm-lm-patient-record.ngsReports
Definition	NGS sequencing reports
Short	NGS sequencing reports
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1106. dnpm-lm-patient-record.ngsReports.id
Definition	NGS Report UUID
Short	NGS Report UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1108. dnpm-lm-patient-record.ngsReports.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1110. dnpm-lm-patient-record.ngsReports.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1112. dnpm-lm-patient-record.ngsReports.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1114. dnpm-lm-patient-record.ngsReports.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1116. dnpm-lm-patient-record.ngsReports.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1118. dnpm-lm-patient-record.ngsReports.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1120. dnpm-lm-patient-record.ngsReports.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1122. dnpm-lm-patient-record.ngsReports.specimen
Definition	Tumor specimen reference
Short	Tumor specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1124. dnpm-lm-patient-record.ngsReports.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1126. dnpm-lm-patient-record.ngsReports.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1128. dnpm-lm-patient-record.ngsReports.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1130. dnpm-lm-patient-record.ngsReports.specimen.type
Definition	Reference type (TumorSpecimen)
Short	Reference type (TumorSpecimen)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1132. dnpm-lm-patient-record.ngsReports.issuedOn
Definition	Report issue date (YYYY-MM-DD)
Short	Report issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1134. dnpm-lm-patient-record.ngsReports.type
Definition	NGS analysis type
Short	NGS analysis type
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1136. dnpm-lm-patient-record.ngsReports.type.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1138. dnpm-lm-patient-record.ngsReports.type.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1140. dnpm-lm-patient-record.ngsReports.type.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1142. dnpm-lm-patient-record.ngsReports.type.code
Definition	Type code (e.g. exome)
Short	Type code (e.g. exome)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1144. dnpm-lm-patient-record.ngsReports.type.display
Definition	Type display
Short	Type display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1146. dnpm-lm-patient-record.ngsReports.type.system
Definition	Type system URI
Short	Type system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1148. dnpm-lm-patient-record.ngsReports.metadata
Definition	NGS run metadata
Short	NGS run metadata
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1150. dnpm-lm-patient-record.ngsReports.metadata.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1152. dnpm-lm-patient-record.ngsReports.metadata.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.metadata.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1154. dnpm-lm-patient-record.ngsReports.metadata.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1156. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome
Definition	Reference genome
Short	Reference genome
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1158. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1160. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1162. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1164. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.code
Definition	Genome build (e.g. GRCh38)
Short	Genome build (e.g. GRCh38)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1166. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.display
Definition	Genome build display
Short	Genome build display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1168. dnpm-lm-patient-record.ngsReports.metadata.referenceGenome.system
Definition	Genome build system URI
Short	Genome build system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1170. dnpm-lm-patient-record.ngsReports.metadata.sequencer
Definition	Sequencer instrument
Short	Sequencer instrument
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1172. dnpm-lm-patient-record.ngsReports.metadata.sequencer.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1174. dnpm-lm-patient-record.ngsReports.metadata.sequencer.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.metadata.sequencer.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1176. dnpm-lm-patient-record.ngsReports.metadata.sequencer.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1178. dnpm-lm-patient-record.ngsReports.metadata.sequencer.code
Definition	Sequencer code
Short	Sequencer code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1180. dnpm-lm-patient-record.ngsReports.metadata.sequencer.display
Definition	Sequencer display
Short	Sequencer display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1182. dnpm-lm-patient-record.ngsReports.metadata.sequencer.system
Definition	Sequencer system URI
Short	Sequencer system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1184. dnpm-lm-patient-record.ngsReports.metadata.kitManufacturer
Definition	Kit manufacturer
Short	Kit manufacturer
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1186. dnpm-lm-patient-record.ngsReports.metadata.kitType
Definition	Kit type
Short	Kit type
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1188. dnpm-lm-patient-record.ngsReports.metadata.pipeline
Definition	Bioinformatics pipeline
Short	Bioinformatics pipeline
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1190. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent
Definition	Pre-sequencing tumor cell content estimate
Short	Pre-sequencing tumor cell content estimate
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1192. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1194. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1196. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1198. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method
Definition	Estimation method
Short	Estimation method
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1200. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1202. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1204. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1206. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.code
Definition	Method code
Short	Method code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1208. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.display
Definition	Method display
Short	Method display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1210. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1212. dnpm-lm-patient-record.ngsReports.metadata.tumorCellContent.value
Definition	Fraction (0.0 – 1.0)
Short	Fraction (0.0 – 1.0)
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1214. dnpm-lm-patient-record.ngsReports.results
Definition	NGS analysis results
Short	NGS analysis results
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1216. dnpm-lm-patient-record.ngsReports.results.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1218. dnpm-lm-patient-record.ngsReports.results.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1220. dnpm-lm-patient-record.ngsReports.results.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1222. dnpm-lm-patient-record.ngsReports.results.tumorCellContent
Definition	Bioinformatic tumor cell content
Short	Bioinformatic tumor cell content
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1224. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.id
Definition	Result UUID
Short	Result UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1226. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tumorCellContent.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1228. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1230. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1232. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1234. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tumorCellContent.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1236. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1238. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1240. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1242. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1244. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tumorCellContent.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1246. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1248. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.specimen.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1250. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method
Definition	Determination method
Short	Determination method
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1252. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1254. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1256. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1258. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.code
Definition	Method code (e.g. bioinformatic)
Short	Method code (e.g. bioinformatic)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1260. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.display
Definition	Method display
Short	Method display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1262. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.method.system
Definition	Method system URI
Short	Method system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1264. dnpm-lm-patient-record.ngsReports.results.tumorCellContent.value
Definition	Fraction (0.0 – 1.0)
Short	Fraction (0.0 – 1.0)
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1266. dnpm-lm-patient-record.ngsReports.results.tmb
Definition	Tumor Mutational Burden
Short	Tumor Mutational Burden
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1268. dnpm-lm-patient-record.ngsReports.results.tmb.id
Definition	TMB result UUID
Short	TMB result UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1270. dnpm-lm-patient-record.ngsReports.results.tmb.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tmb.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1272. dnpm-lm-patient-record.ngsReports.results.tmb.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1274. dnpm-lm-patient-record.ngsReports.results.tmb.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1276. dnpm-lm-patient-record.ngsReports.results.tmb.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1278. dnpm-lm-patient-record.ngsReports.results.tmb.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tmb.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1280. dnpm-lm-patient-record.ngsReports.results.tmb.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1282. dnpm-lm-patient-record.ngsReports.results.tmb.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1284. dnpm-lm-patient-record.ngsReports.results.tmb.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1286. dnpm-lm-patient-record.ngsReports.results.tmb.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1288. dnpm-lm-patient-record.ngsReports.results.tmb.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tmb.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1290. dnpm-lm-patient-record.ngsReports.results.tmb.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1292. dnpm-lm-patient-record.ngsReports.results.tmb.specimen.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1294. dnpm-lm-patient-record.ngsReports.results.tmb.value
Definition	TMB quantity
Short	TMB quantity
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1296. dnpm-lm-patient-record.ngsReports.results.tmb.value.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1298. dnpm-lm-patient-record.ngsReports.results.tmb.value.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tmb.value.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1300. dnpm-lm-patient-record.ngsReports.results.tmb.value.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1302. dnpm-lm-patient-record.ngsReports.results.tmb.value.value
Definition	Numeric value
Short	Numeric value
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1304. dnpm-lm-patient-record.ngsReports.results.tmb.value.unit
Definition	Unit
Short	Unit
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1306. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation
Definition	TMB interpretation
Short	TMB interpretation
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1308. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1310. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1312. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1314. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.code
Definition	Code (e.g. high)
Short	Code (e.g. high)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1316. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.display
Definition	Display
Short	Display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1318. dnpm-lm-patient-record.ngsReports.results.tmb.interpretation.system
Definition	System URI
Short	System URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1320. dnpm-lm-patient-record.ngsReports.results.brcaness
Definition	BRCAness score
Short	BRCAness score
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1322. dnpm-lm-patient-record.ngsReports.results.brcaness.id
Definition	BRCAness result UUID
Short	BRCAness result UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1324. dnpm-lm-patient-record.ngsReports.results.brcaness.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.brcaness.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1326. dnpm-lm-patient-record.ngsReports.results.brcaness.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1328. dnpm-lm-patient-record.ngsReports.results.brcaness.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1330. dnpm-lm-patient-record.ngsReports.results.brcaness.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1332. dnpm-lm-patient-record.ngsReports.results.brcaness.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.brcaness.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1334. dnpm-lm-patient-record.ngsReports.results.brcaness.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1336. dnpm-lm-patient-record.ngsReports.results.brcaness.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1338. dnpm-lm-patient-record.ngsReports.results.brcaness.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1340. dnpm-lm-patient-record.ngsReports.results.brcaness.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1342. dnpm-lm-patient-record.ngsReports.results.brcaness.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.brcaness.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1344. dnpm-lm-patient-record.ngsReports.results.brcaness.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1346. dnpm-lm-patient-record.ngsReports.results.brcaness.specimen.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1348. dnpm-lm-patient-record.ngsReports.results.brcaness.value
Definition	BRCAness score (0.0 – 1.0)
Short	BRCAness score (0.0 – 1.0)
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1350. dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange
Definition	Confidence range
Short	Confidence range
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1352. dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1354. dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1356. dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1358. dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange.min
Definition	Minimum
Short	Minimum
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1360. dnpm-lm-patient-record.ngsReports.results.brcaness.confidenceRange.max
Definition	Maximum
Short	Maximum
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1362. dnpm-lm-patient-record.ngsReports.results.hrdScore
Definition	HRD Score
Short	HRD Score
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1364. dnpm-lm-patient-record.ngsReports.results.hrdScore.id
Definition	HRD result UUID
Short	HRD result UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1366. dnpm-lm-patient-record.ngsReports.results.hrdScore.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.hrdScore.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1368. dnpm-lm-patient-record.ngsReports.results.hrdScore.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1370. dnpm-lm-patient-record.ngsReports.results.hrdScore.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1372. dnpm-lm-patient-record.ngsReports.results.hrdScore.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1374. dnpm-lm-patient-record.ngsReports.results.hrdScore.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.hrdScore.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1376. dnpm-lm-patient-record.ngsReports.results.hrdScore.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1378. dnpm-lm-patient-record.ngsReports.results.hrdScore.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1380. dnpm-lm-patient-record.ngsReports.results.hrdScore.specimen
Definition	Specimen reference
Short	Specimen reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1382. dnpm-lm-patient-record.ngsReports.results.hrdScore.specimen.id
Definition	Specimen ID
Short	Specimen ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1384. dnpm-lm-patient-record.ngsReports.results.hrdScore.specimen.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.hrdScore.specimen.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1386. dnpm-lm-patient-record.ngsReports.results.hrdScore.specimen.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1388. dnpm-lm-patient-record.ngsReports.results.hrdScore.specimen.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1390. dnpm-lm-patient-record.ngsReports.results.hrdScore.value
Definition	HRD composite score
Short	HRD composite score
Control	1..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1392. dnpm-lm-patient-record.ngsReports.results.hrdScore.components
Definition	HRD component scores
Short	HRD component scores
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1394. dnpm-lm-patient-record.ngsReports.results.hrdScore.components.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1396. dnpm-lm-patient-record.ngsReports.results.hrdScore.components.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.hrdScore.components.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1398. dnpm-lm-patient-record.ngsReports.results.hrdScore.components.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1400. dnpm-lm-patient-record.ngsReports.results.hrdScore.components.lst
Definition	LST score
Short	LST score
Control	0..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1402. dnpm-lm-patient-record.ngsReports.results.hrdScore.components.loh
Definition	LOH score
Short	LOH score
Control	0..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1404. dnpm-lm-patient-record.ngsReports.results.hrdScore.components.tai
Definition	TAI score
Short	TAI score
Control	0..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1406. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation
Definition	HRD interpretation
Short	HRD interpretation
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1408. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1410. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1412. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1414. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.code
Definition	Code (e.g. low)
Short	Code (e.g. low)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1416. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.display
Definition	Display
Short	Display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1418. dnpm-lm-patient-record.ngsReports.results.hrdScore.interpretation.system
Definition	System URI
Short	System URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1420. dnpm-lm-patient-record.ngsReports.results.simpleVariants
Definition	Simple variants (SNV / small indels)
Short	Simple variants (SNV / small indels)
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1422. dnpm-lm-patient-record.ngsReports.results.simpleVariants.id
Definition	Variant UUID
Short	Variant UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1424. dnpm-lm-patient-record.ngsReports.results.simpleVariants.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.simpleVariants.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1426. dnpm-lm-patient-record.ngsReports.results.simpleVariants.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1428. dnpm-lm-patient-record.ngsReports.results.simpleVariants.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1430. dnpm-lm-patient-record.ngsReports.results.simpleVariants.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1432. dnpm-lm-patient-record.ngsReports.results.simpleVariants.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.simpleVariants.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1434. dnpm-lm-patient-record.ngsReports.results.simpleVariants.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1436. dnpm-lm-patient-record.ngsReports.results.simpleVariants.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1438. dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds
Definition	External identifiers (e.g. dbSNP)
Short	External identifiers (e.g. dbSNP)
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1440. dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1442. dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1444. dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1446. dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds.value
Definition	Identifier value
Short	Identifier value
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1448. dnpm-lm-patient-record.ngsReports.results.simpleVariants.externalIds.system
Definition	Identifier system URI
Short	Identifier system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1450. dnpm-lm-patient-record.ngsReports.results.simpleVariants.chromosome
Definition	Chromosome (e.g. chr4)
Short	Chromosome (e.g. chr4)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1452. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene
Definition	Affected gene
Short	Affected gene
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1454. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1456. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1458. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1460. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1462. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1464. dnpm-lm-patient-record.ngsReports.results.simpleVariants.gene.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1466. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization
Definition	Variant localization in gene
Short	Variant localization in gene
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1468. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1470. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1472. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1474. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.code
Definition	Localization code
Short	Localization code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1476. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.display
Definition	Localization display
Short	Localization display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1478. dnpm-lm-patient-record.ngsReports.results.simpleVariants.localization.system
Definition	Localization system URI
Short	Localization system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1480. dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId
Definition	Transcript identifier
Short	Transcript identifier
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1482. dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1484. dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1486. dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1488. dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId.value
Definition	Transcript ID (e.g. ENST...)
Short	Transcript ID (e.g. ENST...)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1490. dnpm-lm-patient-record.ngsReports.results.simpleVariants.transcriptId.system
Definition	Transcript system URI
Short	Transcript system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1492. dnpm-lm-patient-record.ngsReports.results.simpleVariants.exonId
Definition	Exon identifier
Short	Exon identifier
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1494. dnpm-lm-patient-record.ngsReports.results.simpleVariants.position
Definition	Genomic position
Short	Genomic position
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1496. dnpm-lm-patient-record.ngsReports.results.simpleVariants.position.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1498. dnpm-lm-patient-record.ngsReports.results.simpleVariants.position.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.simpleVariants.position.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1500. dnpm-lm-patient-record.ngsReports.results.simpleVariants.position.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1502. dnpm-lm-patient-record.ngsReports.results.simpleVariants.position.start
Definition	Start position
Short	Start position
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1504. dnpm-lm-patient-record.ngsReports.results.simpleVariants.position.end
Definition	End position
Short	End position
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1506. dnpm-lm-patient-record.ngsReports.results.simpleVariants.altAllele
Definition	Alternate allele
Short	Alternate allele
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1508. dnpm-lm-patient-record.ngsReports.results.simpleVariants.refAllele
Definition	Reference allele
Short	Reference allele
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1510. dnpm-lm-patient-record.ngsReports.results.simpleVariants.dnaChange
Definition	cDNA change (HGVS)
Short	cDNA change (HGVS)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1512. dnpm-lm-patient-record.ngsReports.results.simpleVariants.proteinChange
Definition	Protein change (HGVS)
Short	Protein change (HGVS)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1514. dnpm-lm-patient-record.ngsReports.results.simpleVariants.readDepth
Definition	Read depth
Short	Read depth
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1516. dnpm-lm-patient-record.ngsReports.results.simpleVariants.allelicFrequency
Definition	Allelic frequency
Short	Allelic frequency
Control	0..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1518. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation
Definition	ClinVar interpretation
Short	ClinVar interpretation
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1520. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1522. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1524. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1526. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.code
Definition	Interpretation code
Short	Interpretation code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1528. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.display
Definition	Interpretation display
Short	Interpretation display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1530. dnpm-lm-patient-record.ngsReports.results.simpleVariants.interpretation.system
Definition	Interpretation system URI
Short	Interpretation system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1532. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants
Definition	Copy number variants
Short	Copy number variants
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1534. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.id
Definition	CNV UUID
Short	CNV UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1536. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1538. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1540. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1542. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1544. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1546. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1548. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1550. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.chromosome
Definition	Chromosome (e.g. chr7)
Short	Chromosome (e.g. chr7)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1552. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization
Definition	CNV localization
Short	CNV localization
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1554. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1556. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1558. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1560. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.code
Definition	Localization code
Short	Localization code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1562. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.display
Definition	Localization display
Short	Localization display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1564. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.localization.system
Definition	Localization system URI
Short	Localization system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1566. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange
Definition	Start position range
Short	Start position range
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1568. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1570. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1572. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1574. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange.start
Definition	Range start
Short	Range start
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1576. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.startRange.end
Definition	Range end
Short	Range end
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1578. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange
Definition	End position range
Short	End position range
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1580. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1582. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1584. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1586. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange.start
Definition	Range start
Short	Range start
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1588. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.endRange.end
Definition	Range end
Short	Range end
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1590. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.totalCopyNumber
Definition	Total copy number
Short	Total copy number
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1592. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.relativeCopyNumber
Definition	Relative copy number
Short	Relative copy number
Control	0..1
Type	decimal
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1594. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.cnA
Definition	Copy number allele A
Short	Copy number allele A
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1596. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.cnB
Definition	Copy number allele B
Short	Copy number allele B
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1598. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes
Definition	Affected genes
Short	Affected genes
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1600. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1602. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1604. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1606. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1608. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1610. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.reportedAffectedGenes.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1612. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality
Definition	CNV focality
Short	CNV focality
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1614. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1616. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1618. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1620. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.code
Definition	Focality code (e.g. focal)
Short	Focality code (e.g. focal)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1622. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.display
Definition	Focality display
Short	Focality display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1624. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.focality.system
Definition	Focality system URI
Short	Focality system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1626. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type
Definition	CNV type
Short	CNV type
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1628. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1630. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1632. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1634. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.code
Definition	CNV type code (e.g. gain)
Short	CNV type code (e.g. gain)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1636. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.display
Definition	CNV type display
Short	CNV type display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1638. dnpm-lm-patient-record.ngsReports.results.copyNumberVariants.type.system
Definition	CNV type system URI
Short	CNV type system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1640. dnpm-lm-patient-record.ngsReports.results.dnaFusions
Definition	DNA-level gene fusions
Short	DNA-level gene fusions
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1642. dnpm-lm-patient-record.ngsReports.results.dnaFusions.id
Definition	DNA fusion UUID
Short	DNA fusion UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1644. dnpm-lm-patient-record.ngsReports.results.dnaFusions.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.dnaFusions.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1646. dnpm-lm-patient-record.ngsReports.results.dnaFusions.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1648. dnpm-lm-patient-record.ngsReports.results.dnaFusions.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1650. dnpm-lm-patient-record.ngsReports.results.dnaFusions.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1652. dnpm-lm-patient-record.ngsReports.results.dnaFusions.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.dnaFusions.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1654. dnpm-lm-patient-record.ngsReports.results.dnaFusions.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1656. dnpm-lm-patient-record.ngsReports.results.dnaFusions.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1658. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization
Definition	Fusion localization
Short	Fusion localization
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1660. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1662. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1664. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1666. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.code
Definition	Localization code
Short	Localization code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1668. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.display
Definition	Localization display
Short	Localization display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1670. dnpm-lm-patient-record.ngsReports.results.dnaFusions.localization.system
Definition	Localization system URI
Short	Localization system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1672. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime
Definition	5-prime fusion partner
Short	5-prime fusion partner
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1674. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1676. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1678. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1680. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene
Definition	5-prime partner gene
Short	5-prime partner gene
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1682. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1684. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1686. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1688. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1690. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1692. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.gene.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1694. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner5prime.position
Definition	Breakpoint position
Short	Breakpoint position
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1696. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime
Definition	3-prime fusion partner
Short	3-prime fusion partner
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1698. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1700. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1702. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1704. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene
Definition	3-prime partner gene
Short	3-prime partner gene
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1706. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1708. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1710. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1712. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1714. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1716. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.gene.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1718. dnpm-lm-patient-record.ngsReports.results.dnaFusions.fusionPartner3prime.position
Definition	Breakpoint position
Short	Breakpoint position
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1720. dnpm-lm-patient-record.ngsReports.results.dnaFusions.reportedNumReads
Definition	Supporting read count
Short	Supporting read count
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1722. dnpm-lm-patient-record.ngsReports.results.rnaFusions
Definition	RNA-level gene fusions
Short	RNA-level gene fusions
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1724. dnpm-lm-patient-record.ngsReports.results.rnaFusions.id
Definition	RNA fusion UUID
Short	RNA fusion UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1726. dnpm-lm-patient-record.ngsReports.results.rnaFusions.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1728. dnpm-lm-patient-record.ngsReports.results.rnaFusions.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1730. dnpm-lm-patient-record.ngsReports.results.rnaFusions.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1732. dnpm-lm-patient-record.ngsReports.results.rnaFusions.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1734. dnpm-lm-patient-record.ngsReports.results.rnaFusions.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1736. dnpm-lm-patient-record.ngsReports.results.rnaFusions.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1738. dnpm-lm-patient-record.ngsReports.results.rnaFusions.patient.type
Definition	Reference type
Short	Reference type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1740. dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds
Definition	External identifiers (e.g. COSMIC)
Short	External identifiers (e.g. COSMIC)
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1742. dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1744. dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1746. dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1748. dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds.value
Definition	Identifier value
Short	Identifier value
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1750. dnpm-lm-patient-record.ngsReports.results.rnaFusions.externalIds.system
Definition	Identifier system URI
Short	Identifier system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1752. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization
Definition	Fusion localization
Short	Fusion localization
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1754. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1756. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1758. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1760. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.code
Definition	Localization code
Short	Localization code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1762. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.display
Definition	Localization display
Short	Localization display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1764. dnpm-lm-patient-record.ngsReports.results.rnaFusions.localization.system
Definition	Localization system URI
Short	Localization system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1766. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime
Definition	5-prime fusion partner
Short	5-prime fusion partner
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1768. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1770. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1772. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1774. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene
Definition	5-prime partner gene
Short	5-prime partner gene
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1776. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1778. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1780. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1782. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1784. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1786. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.gene.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1788. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript
Definition	5-prime transcript
Short	5-prime transcript
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1790. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1792. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1794. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1796. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript.value
Definition	Transcript ID (e.g. ENST...)
Short	Transcript ID (e.g. ENST...)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1798. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.transcript.system
Definition	Transcript system URI
Short	Transcript system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1800. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.exon
Definition	Exon identifier
Short	Exon identifier
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1802. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.position
Definition	Breakpoint position
Short	Breakpoint position
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1804. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner5prime.strand
Definition	Strand (+ or -)
Short	Strand (+ or -)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1806. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime
Definition	3-prime fusion partner
Short	3-prime fusion partner
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1808. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1810. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1812. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1814. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene
Definition	3-prime partner gene
Short	3-prime partner gene
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1816. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1818. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1820. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1822. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.code
Definition	HGNC gene code
Short	HGNC gene code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1824. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.display
Definition	Gene symbol
Short	Gene symbol
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1826. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.gene.system
Definition	Gene nomenclature system URI
Short	Gene nomenclature system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1828. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript
Definition	3-prime transcript
Short	3-prime transcript
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1830. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1832. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1834. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1836. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript.value
Definition	Transcript ID (e.g. ENST...)
Short	Transcript ID (e.g. ENST...)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1838. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.transcript.system
Definition	Transcript system URI
Short	Transcript system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1840. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.exon
Definition	Exon identifier
Short	Exon identifier
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1842. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.position
Definition	Breakpoint position
Short	Breakpoint position
Control	1..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1844. dnpm-lm-patient-record.ngsReports.results.rnaFusions.fusionPartner3prime.strand
Definition	Strand (+ or -)
Short	Strand (+ or -)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1846. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect
Definition	RNA fusion effect
Short	RNA fusion effect
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1848. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1850. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1852. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1854. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.code
Definition	Effect code (e.g. in-frame)
Short	Effect code (e.g. in-frame)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1856. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.display
Definition	Effect display
Short	Effect display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1858. dnpm-lm-patient-record.ngsReports.results.rnaFusions.effect.system
Definition	Effect system URI
Short	Effect system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1860. dnpm-lm-patient-record.ngsReports.results.rnaFusions.reportedNumReads
Definition	Supporting read count
Short	Supporting read count
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1862. dnpm-lm-patient-record.carePlans
Definition	MTB care plans
Short	MTB care plans
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1864. dnpm-lm-patient-record.carePlans.id
Definition	Care plan UUID
Short	Care plan UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1866. dnpm-lm-patient-record.carePlans.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1868. dnpm-lm-patient-record.carePlans.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1870. dnpm-lm-patient-record.carePlans.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1872. dnpm-lm-patient-record.carePlans.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1874. dnpm-lm-patient-record.carePlans.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1876. dnpm-lm-patient-record.carePlans.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1878. dnpm-lm-patient-record.carePlans.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1880. dnpm-lm-patient-record.carePlans.issuedOn
Definition	Issue date (YYYY-MM-DD)
Short	Issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1882. dnpm-lm-patient-record.carePlans.reason
Definition	Indication (MTBDiagnosis) reference
Short	Indication (MTBDiagnosis) reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1884. dnpm-lm-patient-record.carePlans.reason.id
Definition	Diagnosis ID
Short	Diagnosis ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1886. dnpm-lm-patient-record.carePlans.reason.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.reason.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1888. dnpm-lm-patient-record.carePlans.reason.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1890. dnpm-lm-patient-record.carePlans.reason.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1892. dnpm-lm-patient-record.carePlans.noTargetFinding
Definition	True when no actionable target was found
Short	True when no actionable target was found
Control	0..1
Type	boolean
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1894. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation
Definition	Genetic counselling recommendation
Short	Genetic counselling recommendation
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1896. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.id
Definition	Recommendation UUID
Short	Recommendation UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1898. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1900. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1902. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1904. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1906. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1908. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1910. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1912. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.issuedOn
Definition	Recommendation date (YYYY-MM-DD)
Short	Recommendation date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1914. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason
Definition	Counselling reason
Short	Counselling reason
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1916. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1918. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1920. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1922. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.code
Definition	Reason code
Short	Reason code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1924. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.display
Definition	Reason display
Short	Reason display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1926. dnpm-lm-patient-record.carePlans.geneticCounselingRecommendation.reason.system
Definition	Reason system URI
Short	Reason system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1928. dnpm-lm-patient-record.carePlans.medicationRecommendations
Definition	Medication therapy recommendations
Short	Medication therapy recommendations
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1930. dnpm-lm-patient-record.carePlans.medicationRecommendations.id
Definition	Recommendation UUID
Short	Recommendation UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1932. dnpm-lm-patient-record.carePlans.medicationRecommendations.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1934. dnpm-lm-patient-record.carePlans.medicationRecommendations.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1936. dnpm-lm-patient-record.carePlans.medicationRecommendations.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1938. dnpm-lm-patient-record.carePlans.medicationRecommendations.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1940. dnpm-lm-patient-record.carePlans.medicationRecommendations.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1942. dnpm-lm-patient-record.carePlans.medicationRecommendations.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1944. dnpm-lm-patient-record.carePlans.medicationRecommendations.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1946. dnpm-lm-patient-record.carePlans.medicationRecommendations.issuedOn
Definition	Recommendation date (YYYY-MM-DD)
Short	Recommendation date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1948. dnpm-lm-patient-record.carePlans.medicationRecommendations.indication
Definition	Indication reference
Short	Indication reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1950. dnpm-lm-patient-record.carePlans.medicationRecommendations.indication.id
Definition	Diagnosis ID
Short	Diagnosis ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1952. dnpm-lm-patient-record.carePlans.medicationRecommendations.indication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.indication.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1954. dnpm-lm-patient-record.carePlans.medicationRecommendations.indication.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1956. dnpm-lm-patient-record.carePlans.medicationRecommendations.indication.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1958. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority
Definition	Recommendation priority
Short	Recommendation priority
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1960. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1962. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1964. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1966. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.code
Definition	Priority code (e.g. 1)
Short	Priority code (e.g. 1)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1968. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.display
Definition	Priority display
Short	Priority display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1970. dnpm-lm-patient-record.carePlans.medicationRecommendations.priority.system
Definition	Priority system URI
Short	Priority system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1972. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication
Definition	Recommended medications (ATC)
Short	Recommended medications (ATC)
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1974. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1976. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1978. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1980. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.code
Definition	ATC code
Short	ATC code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1982. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.display
Definition	Medication display
Short	Medication display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1984. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.system
Definition	ATC system URI
Short	ATC system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1986. dnpm-lm-patient-record.carePlans.medicationRecommendations.medication.version
Definition	ATC version
Short	ATC version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1988. dnpm-lm-patient-record.carePlans.medicationRecommendations.supportingVariants
Definition	Supporting variants
Short	Supporting variants
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
1990. dnpm-lm-patient-record.carePlans.medicationRecommendations.supportingVariants.id
Definition	Variant ID
Short	Variant ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
1992. dnpm-lm-patient-record.carePlans.medicationRecommendations.supportingVariants.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.supportingVariants.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
1994. dnpm-lm-patient-record.carePlans.medicationRecommendations.supportingVariants.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
1996. dnpm-lm-patient-record.carePlans.medicationRecommendations.supportingVariants.type
Definition	Variant type (SNV \| CNV \| DNAFusion \| RNAFusion)
Short	Variant type (SNV \| CNV \| DNAFusion \| RNAFusion)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
1998. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence
Definition	Level of evidence
Short	Level of evidence
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2000. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2002. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2004. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2006. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading
Definition	Evidence grading
Short	Evidence grading
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2008. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2010. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2012. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2014. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.code
Definition	Grade code (e.g. m1A)
Short	Grade code (e.g. m1A)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2016. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.display
Definition	Grade display
Short	Grade display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2018. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.grading.system
Definition	Grade system URI
Short	Grade system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2020. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums
Definition	Evidence addendums
Short	Evidence addendums
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2022. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2024. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2026. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2028. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.code
Definition	Addendum code
Short	Addendum code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2030. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.display
Definition	Addendum display
Short	Addendum display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2032. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.addendums.system
Definition	Addendum system URI
Short	Addendum system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2034. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications
Definition	Supporting publications
Short	Supporting publications
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2036. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2038. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2040. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2042. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications.pmid
Definition	PubMed ID
Short	PubMed ID
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2044. dnpm-lm-patient-record.carePlans.medicationRecommendations.levelOfEvidence.publications.doi
Definition	Digital Object Identifier
Short	Digital Object Identifier
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2046. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations
Definition	Study enrollment recommendations
Short	Study enrollment recommendations
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2048. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.id
Definition	Recommendation UUID
Short	Recommendation UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2050. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2052. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2054. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2056. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2058. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2060. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2062. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2064. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.issuedOn
Definition	Recommendation date (YYYY-MM-DD)
Short	Recommendation date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2066. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.indication
Definition	Indication reference
Short	Indication reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2068. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.indication.id
Definition	Diagnosis ID
Short	Diagnosis ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2070. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.indication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.indication.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2072. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.indication.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2074. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.indication.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2076. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.supportingVariants
Definition	Supporting variants
Short	Supporting variants
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2078. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.supportingVariants.id
Definition	Variant ID
Short	Variant ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2080. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.supportingVariants.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.supportingVariants.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2082. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.supportingVariants.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2084. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.supportingVariants.type
Definition	Variant type
Short	Variant type
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2086. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.studies
Definition	Recommended studies
Short	Recommended studies
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2088. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.studies.id
Definition	Study ID (e.g. NCT number)
Short	Study ID (e.g. NCT number)
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2090. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.studies.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.studies.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2092. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.studies.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2094. dnpm-lm-patient-record.carePlans.studyEnrollmentRecommendations.studies.system
Definition	Study registry system URI
Short	Study registry system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2096. dnpm-lm-patient-record.followUps
Definition	Follow-up visit entries
Short	Follow-up visit entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2098. dnpm-lm-patient-record.followUps.id
Definition	Follow-up UUID
Short	Follow-up UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2100. dnpm-lm-patient-record.followUps.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.followUps.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2102. dnpm-lm-patient-record.followUps.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2104. dnpm-lm-patient-record.followUps.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2106. dnpm-lm-patient-record.followUps.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2108. dnpm-lm-patient-record.followUps.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.followUps.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2110. dnpm-lm-patient-record.followUps.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2112. dnpm-lm-patient-record.followUps.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2114. dnpm-lm-patient-record.followUps.date
Definition	Follow-up date (YYYY-MM-DD)
Short	Follow-up date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2116. dnpm-lm-patient-record.followUps.lastContactDate
Definition	Date of last patient contact (YYYY-MM-DD)
Short	Date of last patient contact (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2118. dnpm-lm-patient-record.followUps.patientStatus
Definition	Patient status at follow-up
Short	Patient status at follow-up
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2120. dnpm-lm-patient-record.followUps.patientStatus.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2122. dnpm-lm-patient-record.followUps.patientStatus.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.followUps.patientStatus.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2124. dnpm-lm-patient-record.followUps.patientStatus.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2126. dnpm-lm-patient-record.followUps.patientStatus.code
Definition	Status code (e.g. alive)
Short	Status code (e.g. alive)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2128. dnpm-lm-patient-record.followUps.patientStatus.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2130. dnpm-lm-patient-record.followUps.patientStatus.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2132. dnpm-lm-patient-record.followUps.claims
Definition	Claim references at follow-up
Short	Claim references at follow-up
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2134. dnpm-lm-patient-record.followUps.claims.id
Definition	Claim ID
Short	Claim ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2136. dnpm-lm-patient-record.followUps.claims.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.followUps.claims.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2138. dnpm-lm-patient-record.followUps.claims.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2140. dnpm-lm-patient-record.followUps.claims.type
Definition	Reference type (Claim)
Short	Reference type (Claim)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2142. dnpm-lm-patient-record.followUps.therapyChanged
Definition	Whether therapy was changed at this follow-up
Short	Whether therapy was changed at this follow-up
Control	0..1
Type	boolean
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2144. dnpm-lm-patient-record.claims
Definition	Insurance / cost coverage claim entries
Short	Insurance / cost coverage claim entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2146. dnpm-lm-patient-record.claims.id
Definition	Claim UUID
Short	Claim UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2148. dnpm-lm-patient-record.claims.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.claims.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2150. dnpm-lm-patient-record.claims.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2152. dnpm-lm-patient-record.claims.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2154. dnpm-lm-patient-record.claims.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2156. dnpm-lm-patient-record.claims.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.claims.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2158. dnpm-lm-patient-record.claims.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2160. dnpm-lm-patient-record.claims.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2162. dnpm-lm-patient-record.claims.recommendation
Definition	Associated medication recommendation reference
Short	Associated medication recommendation reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2164. dnpm-lm-patient-record.claims.recommendation.id
Definition	Recommendation ID
Short	Recommendation ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2166. dnpm-lm-patient-record.claims.recommendation.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.claims.recommendation.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2168. dnpm-lm-patient-record.claims.recommendation.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2170. dnpm-lm-patient-record.claims.recommendation.type
Definition	Reference type (MTBMedicationRecommendation)
Short	Reference type (MTBMedicationRecommendation)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2172. dnpm-lm-patient-record.claims.issuedOn
Definition	Claim issue date (YYYY-MM-DD)
Short	Claim issue date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2174. dnpm-lm-patient-record.claimResponses
Definition	Insurance / cost coverage claim response entries
Short	Insurance / cost coverage claim response entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2176. dnpm-lm-patient-record.claimResponses.id
Definition	Claim response UUID
Short	Claim response UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2178. dnpm-lm-patient-record.claimResponses.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.claimResponses.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2180. dnpm-lm-patient-record.claimResponses.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2182. dnpm-lm-patient-record.claimResponses.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2184. dnpm-lm-patient-record.claimResponses.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2186. dnpm-lm-patient-record.claimResponses.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.claimResponses.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2188. dnpm-lm-patient-record.claimResponses.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2190. dnpm-lm-patient-record.claimResponses.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2192. dnpm-lm-patient-record.claimResponses.claim
Definition	Associated claim reference
Short	Associated claim reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2194. dnpm-lm-patient-record.claimResponses.claim.id
Definition	Claim ID
Short	Claim ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2196. dnpm-lm-patient-record.claimResponses.claim.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.claimResponses.claim.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2198. dnpm-lm-patient-record.claimResponses.claim.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2200. dnpm-lm-patient-record.claimResponses.claim.type
Definition	Reference type (Claim)
Short	Reference type (Claim)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2202. dnpm-lm-patient-record.claimResponses.issuedOn
Definition	Response date (YYYY-MM-DD)
Short	Response date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2204. dnpm-lm-patient-record.claimResponses.status
Definition	Response status
Short	Response status
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2206. dnpm-lm-patient-record.claimResponses.status.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2208. dnpm-lm-patient-record.claimResponses.status.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.claimResponses.status.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2210. dnpm-lm-patient-record.claimResponses.status.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2212. dnpm-lm-patient-record.claimResponses.status.code
Definition	Status code (e.g. rejected)
Short	Status code (e.g. rejected)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2214. dnpm-lm-patient-record.claimResponses.status.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2216. dnpm-lm-patient-record.claimResponses.status.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2218. dnpm-lm-patient-record.claimResponses.statusReason
Definition	Reason for response status
Short	Reason for response status
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2220. dnpm-lm-patient-record.claimResponses.statusReason.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2222. dnpm-lm-patient-record.claimResponses.statusReason.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.claimResponses.statusReason.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2224. dnpm-lm-patient-record.claimResponses.statusReason.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2226. dnpm-lm-patient-record.claimResponses.statusReason.code
Definition	Reason code
Short	Reason code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2228. dnpm-lm-patient-record.claimResponses.statusReason.display
Definition	Reason display
Short	Reason display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2230. dnpm-lm-patient-record.claimResponses.statusReason.system
Definition	Reason system URI
Short	Reason system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2232. dnpm-lm-patient-record.systemicTherapies
Definition	Systemic (molecular) therapy entries (each wraps a history)
Short	Systemic (molecular) therapy entries (each wraps a history)
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2234. dnpm-lm-patient-record.systemicTherapies.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2236. dnpm-lm-patient-record.systemicTherapies.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2238. dnpm-lm-patient-record.systemicTherapies.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2240. dnpm-lm-patient-record.systemicTherapies.history
Definition	Therapy version history entries
Short	Therapy version history entries
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2242. dnpm-lm-patient-record.systemicTherapies.history.id
Definition	Therapy entry UUID
Short	Therapy entry UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2244. dnpm-lm-patient-record.systemicTherapies.history.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.history.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2246. dnpm-lm-patient-record.systemicTherapies.history.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2248. dnpm-lm-patient-record.systemicTherapies.history.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2250. dnpm-lm-patient-record.systemicTherapies.history.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2252. dnpm-lm-patient-record.systemicTherapies.history.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.history.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2254. dnpm-lm-patient-record.systemicTherapies.history.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2256. dnpm-lm-patient-record.systemicTherapies.history.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2258. dnpm-lm-patient-record.systemicTherapies.history.indication
Definition	Indication reference
Short	Indication reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2260. dnpm-lm-patient-record.systemicTherapies.history.indication.id
Definition	Diagnosis ID
Short	Diagnosis ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2262. dnpm-lm-patient-record.systemicTherapies.history.indication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.history.indication.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2264. dnpm-lm-patient-record.systemicTherapies.history.indication.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2266. dnpm-lm-patient-record.systemicTherapies.history.indication.type
Definition	Reference type (MTBDiagnosis)
Short	Reference type (MTBDiagnosis)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2268. dnpm-lm-patient-record.systemicTherapies.history.basedOn
Definition	Medication recommendation reference
Short	Medication recommendation reference
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2270. dnpm-lm-patient-record.systemicTherapies.history.basedOn.id
Definition	Recommendation ID
Short	Recommendation ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2272. dnpm-lm-patient-record.systemicTherapies.history.basedOn.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.history.basedOn.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2274. dnpm-lm-patient-record.systemicTherapies.history.basedOn.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2276. dnpm-lm-patient-record.systemicTherapies.history.basedOn.type
Definition	Reference type (MTBMedicationRecommendation)
Short	Reference type (MTBMedicationRecommendation)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2278. dnpm-lm-patient-record.systemicTherapies.history.therapyLine
Definition	Therapy line number
Short	Therapy line number
Control	0..1
Type	integer
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2280. dnpm-lm-patient-record.systemicTherapies.history.status
Definition	Therapy status
Short	Therapy status
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2282. dnpm-lm-patient-record.systemicTherapies.history.status.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2284. dnpm-lm-patient-record.systemicTherapies.history.status.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.history.status.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2286. dnpm-lm-patient-record.systemicTherapies.history.status.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2288. dnpm-lm-patient-record.systemicTherapies.history.status.code
Definition	Status code (e.g. completed)
Short	Status code (e.g. completed)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2290. dnpm-lm-patient-record.systemicTherapies.history.status.display
Definition	Status display
Short	Status display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2292. dnpm-lm-patient-record.systemicTherapies.history.status.system
Definition	Status system URI
Short	Status system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2294. dnpm-lm-patient-record.systemicTherapies.history.statusReason
Definition	Reason for therapy status
Short	Reason for therapy status
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2296. dnpm-lm-patient-record.systemicTherapies.history.statusReason.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2298. dnpm-lm-patient-record.systemicTherapies.history.statusReason.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.history.statusReason.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2300. dnpm-lm-patient-record.systemicTherapies.history.statusReason.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2302. dnpm-lm-patient-record.systemicTherapies.history.statusReason.code
Definition	Status reason code
Short	Status reason code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2304. dnpm-lm-patient-record.systemicTherapies.history.statusReason.display
Definition	Status reason display
Short	Status reason display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2306. dnpm-lm-patient-record.systemicTherapies.history.statusReason.system
Definition	Status reason system URI
Short	Status reason system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2308. dnpm-lm-patient-record.systemicTherapies.history.period
Definition	Therapy period
Short	Therapy period
Control	0..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2310. dnpm-lm-patient-record.systemicTherapies.history.period.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2312. dnpm-lm-patient-record.systemicTherapies.history.period.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.history.period.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2314. dnpm-lm-patient-record.systemicTherapies.history.period.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2316. dnpm-lm-patient-record.systemicTherapies.history.period.start
Definition	Start date (YYYY-MM-DD)
Short	Start date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2318. dnpm-lm-patient-record.systemicTherapies.history.period.end
Definition	End date (YYYY-MM-DD)
Short	End date (YYYY-MM-DD)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2320. dnpm-lm-patient-record.systemicTherapies.history.medication
Definition	Medication codes (ATC)
Short	Medication codes (ATC)
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2322. dnpm-lm-patient-record.systemicTherapies.history.medication.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2324. dnpm-lm-patient-record.systemicTherapies.history.medication.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.systemicTherapies.history.medication.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2326. dnpm-lm-patient-record.systemicTherapies.history.medication.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2328. dnpm-lm-patient-record.systemicTherapies.history.medication.code
Definition	ATC code
Short	ATC code
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2330. dnpm-lm-patient-record.systemicTherapies.history.medication.display
Definition	Medication display
Short	Medication display
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2332. dnpm-lm-patient-record.systemicTherapies.history.medication.system
Definition	ATC system URI
Short	ATC system URI
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2334. dnpm-lm-patient-record.systemicTherapies.history.medication.version
Definition	ATC version
Short	ATC version
Note	This is a business version Id, not a resource version Id (see discussion)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2336. dnpm-lm-patient-record.systemicTherapies.history.notes
Definition	Free-text therapy notes
Short	Free-text therapy notes
Control	0..*
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2338. dnpm-lm-patient-record.responses
Definition	Therapy response assessments
Short	Therapy response assessments
Control	0..*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2340. dnpm-lm-patient-record.responses.id
Definition	Response UUID
Short	Response UUID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2342. dnpm-lm-patient-record.responses.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.responses.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2344. dnpm-lm-patient-record.responses.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2346. dnpm-lm-patient-record.responses.patient
Definition	Patient reference
Short	Patient reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2348. dnpm-lm-patient-record.responses.patient.id
Definition	Patient ID
Short	Patient ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2350. dnpm-lm-patient-record.responses.patient.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.responses.patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2352. dnpm-lm-patient-record.responses.patient.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2354. dnpm-lm-patient-record.responses.patient.type
Definition	Reference type (Patient)
Short	Reference type (Patient)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2356. dnpm-lm-patient-record.responses.therapy
Definition	Associated systemic therapy reference
Short	Associated systemic therapy reference
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2358. dnpm-lm-patient-record.responses.therapy.id
Definition	Therapy ID
Short	Therapy ID
Control	1..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2360. dnpm-lm-patient-record.responses.therapy.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.responses.therapy.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2362. dnpm-lm-patient-record.responses.therapy.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2364. dnpm-lm-patient-record.responses.therapy.type
Definition	Reference type (MTBSystemicTherapy)
Short	Reference type (MTBSystemicTherapy)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2366. dnpm-lm-patient-record.responses.effectiveDate
Definition	Response assessment date (YYYY-MM-DD)
Short	Response assessment date (YYYY-MM-DD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2368. dnpm-lm-patient-record.responses.value
Definition	RECIST response category
Short	RECIST response category
Control	1..1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2370. dnpm-lm-patient-record.responses.value.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short	Unique id for inter-element referencing
Control	0..1
Type	string
Is Modifier	false
XML Format	In the XML format, this property is represented as an attribute.
Summary	false
2372. dnpm-lm-patient-record.responses.value.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Additional content defined by implementations
Comments	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.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing	This element introduces a set of slices on `dnpm-lm-patient-record.responses.value.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
2374. dnpm-lm-patient-record.responses.value.modifierExtension
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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	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.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
2376. dnpm-lm-patient-record.responses.value.code
Definition	RECIST code (e.g. SD, PR, CR, PD)
Short	RECIST code (e.g. SD, PR, CR, PD)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2378. dnpm-lm-patient-record.responses.value.display
Definition	RECIST display (e.g. Stable Disease)
Short	RECIST display (e.g. Stable Disease)
Control	0..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
2380. dnpm-lm-patient-record.responses.value.system
Definition	RECIST system (e.g. RECIST)
Short	RECIST system (e.g. RECIST)
Control	1..1
Type	string
Primitive Value	This primitive element may be present, or absent, or replaced by an extension