PackagesCanonicalsLogsProblems
    Packages
    hl7.fhir.us.home-lab-report@1.0.0
    http://hl7.org/fhir/us/home-lab-report/ImplementationGuide/hl7.fhir.us.home-lab-report
{
  "description": "|Implementation Guide (IG) Characteristic  |  Value |\\n|------------------------------------------------------|--------------------------------------------|\\n|**FHIR Version:** | FHIR R4 |\\n|**IG Realm:** | US |\\n|**IG Type:** | STU Ballot |\\n|**Exchange Methods:** | RESTfulAPI, Messages, Transactions,  Tasks |\\n|**IG Note:** | This HL7 FHIR Guide utilizes and adopts guidance or profiles developed in the US Core FHIR® Implementation Guide. This FHIR IG has narrative pages describing the HL7 V2 Message for At-Home In-Vitro Test Reporting and provides some example messages. Presently public health departments usually only can handle and store HL7 V2|\\n{:.table-striped}\\n\\n|IG Dependencies |\\n|----------------------------------|\\n| [HL7 FHIR US Core Version 5.0.1](http://hl7.org/fhir/us/core/STU5.0.1/) |\\n{:.table-striped}\\n\\n\\n### Background\\n\\nPoint-of-care (POC) and At-Home In-Vitro Tests offer increased accessibility to needed diagnostic solutions during a pandemic. Test results provide value to both the individual taking the tests and also to public health authorities responsible for coordinating a regional and national response. Digital platforms are being developed that allow individual test results, with permission of the individual, to be captured, organized, and transmitted to public health systems. Test manufacturers, working in partnership with these digital platforms, are seeking guidance on how to send test results. With multiple tests already entering the market, there is a need for a unified strategy on data flow of test results from the apps to downstream systems. A national data exchange standard should be supported that guides data exchange from test results residing on individual users’ digital test applications to public health authorities, at both the federal and regional levels.  \\n\\n### Introduction\\nThis implementation guide (IG) constrains the FHIR [US Core Diagnostic Report for Laboratory Results](http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab) and the  [US Core Laboratory Observation Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab) for use in transmitting At-Home In-Vitro Test results to local, state, territorial and federal health agencies. The IG will be be used in real world testing. It was developed as part of a collaborative project with the NIH/NIBIB, ONC, a vendor manufacturer of diagnostic healthcare products that makes one of the FDA approved At-Home In-Vitro Test kits, and an app developer who is a leading provider of secure interoperability solutions. The intention of this guide is to assist developers in producing and sending standardized FHIR test result data from tests perfomed at home. FHIR eases app development and the FHIR US Core IG is in a rapid adoption curve. This guide points to already existing US Core Guidance and other guidance with respect to FHIR Parameters, FHIR operations, and RESTful and SMART on FHIR information.\\n\\nDue to Public Health Departments' familiarity with V2, a test implementation project related to this implementation guide will initially send COVID-19 At-Home In-Vitro Test Reports as V2 lab messages. Longer term the intent is to leverage FHIR for app creativity, growth, and interoperability. For as long as needed to comply with Public Health Department dependecies on V2, the apps will be designed to transform from FHIR to V2. In addition, as a parallel effort, a V2 <-> FHIR data mapping table has been developed [In-Vitro At-Home Test V2 FHIR Mapping.xlsx].\\n\\n**Please note** : This guide is a framework for future work. It contains \\\"framework\\\" profiles that contain constraints common to all At-Home In-Vitro Test Reporting use cases. These framework profiles can be further constrained to a particular use case such as the COVID-19 At-Home In-Vitro Test Reporting use case. The COVID-19 use case profiles have been created and included in this guide.\\n\\n### Further Information\\n[RADx® MARS - Mobile Application Reporting through Standards](https://www.nibib.nih.gov/covid-19/radx-tech-program/mars)\\n\\n[LOINC In Vitro Diagnostic (LIVD) Test Code Mapping for SARS-CoV-2 Tests](https://www.cdc.gov/csels/dls/sars-cov-2-livd-codes.html)\\n\\n[Test-Specific HL7v2 Field Values Tool](https://app.powerbigov.us/view?r=eyJrIjoiNjQyZjBkOGEtNjE0ZS00NjUyLTg3NjEtZTIxN2JmODE0ZGE1IiwidCI6IjE0Yjc3NTc4LTk3NzMtNDJkNS04NTA3LTI1MWNhMmRjMmIwNiJ9&pageName=ReportSectionhttps://app.powerbigov.us/view?r=eyJrIjoiNjQyZjBkOGEtNjE0ZS00NjUyLTg3NjEtZTIxN2JmODE0ZGE1IiwidCI6IjE0Yjc3NTc4LTk3NzMtNDJkNS04NTA3LTI1MWNhMmRjMmIwNiJ9&pageName=ReportSection3147535a75468ee60d16)\\n\\n### Acknowledgements/Primary Authors\\n* [NIBIB-Interagency Project Team](mailto:krishna.Juluru@pif.gov)\\n* [CareEvolution](https://careevolution.com)\\n* [Association of Public Health Laboratories](https://www.aphl.org/Pages/default.aspx)\\n* [Gay Dolin MSN RN (Namaste Informatics)](mailto:gdolin@NamasteInformatics.com)\\n* [Sarah Gaunt](mailto:sarah.gaunt@lantanaconsulting.com)",
  "_filename": "ImplementationGuide-hl7.fhir.us.home-lab-report.json",
  "package_name": "hl7.fhir.us.home-lab-report",
  "definition": {
    "page": {
      "page": [ {
        "title": "Technical Guidance",
        "nameUrl": "technical_guidance.html",
        "extension": [ {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl": "technical_guidance.html"
        } ],
        "generation": "markdown"
      }, {
        "title": "Implementation Guide",
        "nameUrl": "implementation_guide.html",
        "extension": [ {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl": "implementation_guide.html"
        } ],
        "generation": "markdown"
      }, {
        "title": "Workflow",
        "nameUrl": "workflow.html",
        "extension": [ {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl": "workflow.html"
        } ],
        "generation": "markdown"
      }, {
        "page": [ {
          "page": [ {
            "title": "At-Home In-Vitro Test Over the Counter Purchase V2 Example",
            "nameUrl": "at-home_in-vitro_test_over_the_counter_purchase_v2_example.html",
            "extension": [ {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
              "valueUrl": "at-home_in-vitro_test_over_the_counter_purchase_v2_example.html"
            } ],
            "generation": "markdown"
          }, {
            "title": "At-Home In-Vitro Test with Prescription V2 Example",
            "nameUrl": "at-home_in-vitro_test_with_prescription_v2_example.html",
            "extension": [ {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
              "valueUrl": "at-home_in-vitro_test_with_prescription_v2_example.html"
            } ],
            "generation": "markdown"
          } ],
          "title": "HL7 V2 Fields and Example Messages",
          "nameUrl": "hl7_v2_fields_and_example_messages.html",
          "extension": [ {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl": "hl7_v2_fields_and_example_messages.html"
          } ],
          "generation": "markdown"
        } ],
        "title": "Relationship to HL7 V2",
        "nameUrl": "relationship_to_hl7_v2.html",
        "extension": [ {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl": "relationship_to_hl7_v2.html"
        } ],
        "generation": "markdown"
      }, {
        "title": "Downloads",
        "nameUrl": "downloads.html",
        "extension": [ {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl": "downloads.html"
        } ],
        "generation": "markdown"
      } ],
      "title": "Home Page",
      "nameUrl": "index.html",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
        "valueUrl": "index.html"
      } ],
      "generation": "markdown"
    },
    "grouping": [ {
      "id": "framework-at-home-test-profiles",
      "name": "Profiles: At-Home In-Vitro Test Report Framework",
      "description": "\"Framework\" profiles that describe the minimum requirements for At-Home In-Vitro Test Report profiles. These profiles can be further constrained (e.g. [Profiles: COVID-19 At-Home In-Vitro Test Report](artifacts.html#profiles-covid-19-at-home-in-vitro-test-report)) to describe further condition-specific requirements."
    }, {
      "id": "framework-at-home-test-examples",
      "name": "Examples: At-Home In-Vitro Test Report Framework"
    }, {
      "id": "covid-specifc-at-home-test-profiles",
      "name": "Profiles: COVID-19 At-Home In-Vitro Test Report",
      "description": "Profiles that further constrain the \"framework\" profiles to be specific to COVID-19 At-Home In-Vitro Tests."
    }, {
      "id": "covid-specific-at-home-test-examples",
      "name": "Examples: COVID-19 At-Home In-Vitro Test Report"
    }, {
      "id": "participant-examples",
      "name": "Examples: Participant"
    } ],
    "resource": [ {
      "name": "Bundle - At-Home In-Vitro Test",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Bundle - Home Lab Test",
        "reference": "StructureDefinition/Bundle-at-home-in-vitro-test"
      },
      "groupingId": "framework-at-home-test-profiles",
      "description": "This profile constrains the Bundle resource for At-Home In-Vitro Tests.",
      "exampleBoolean": false
    }, {
      "name": "Bundle - At-Home In-Vitro Test Results - P Noelle",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Bundle"
      } ],
      "reference": {
        "reference": "Bundle/bundle-at-home-in-vitro-test-results-p-noelle"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Bundle - At-Home In-Vitro Test Results - P Noelle example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Bundle-at-home-in-vitro-test"
    }, {
      "name": "Bundle - At-Home In-Vitro Test Results - S Trevor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Bundle"
      } ],
      "reference": {
        "reference": "Bundle/bundle-at-home-in-vitro-test-results-s-trevor"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Bundle - At-Home In-Vitro Test Results - S Trevor example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Bundle-at-home-in-vitro-test"
    }, {
      "name": "CodeSystem - Sex for Clinical Use",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "CodeSystem"
      } ],
      "reference": {
        "display": "CodeSystem - Sex for Clinical Use",
        "reference": "CodeSystem/codesystem-sex-for-clinical-use"
      },
      "description": "This CodeSystem is a copy of the not-yet-published 6.0.0-ballot version US Core Sex for Clinical Use Code System and contains codes that represent the sex characterization appropriate for the associated clinical context.",
      "exampleBoolean": false
    }, {
      "name": "Device - Acme Home Test",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Device"
      } ],
      "reference": {
        "reference": "Device/device-hometest1-s-trevor"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Device - Acme Home Test example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Device-at-home-in-vitro-test"
    }, {
      "name": "Device - At-Home In-Vitro Test",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Device - Home Lab Test",
        "reference": "StructureDefinition/Device-at-home-in-vitro-test"
      },
      "groupingId": "framework-at-home-test-profiles",
      "description": "This profile constrains the Device resource for At-Home In-Vitro Tests.",
      "exampleBoolean": false
    }, {
      "name": "Device - Fast SARS Antigen Test",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Device"
      } ],
      "reference": {
        "reference": "Device/device-fast-sars-antigen-test"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Device - Fast SARS Antigen Test example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Device-at-home-in-vitro-test"
    }, {
      "name": "DiagnosticReport - At-Home In-Vitro Results",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "DiagnosticReport - Home Lab Results",
        "reference": "StructureDefinition/DiagnosticReport-at-home-in-vitro-results"
      },
      "groupingId": "framework-at-home-test-profiles",
      "description": "This profile constrains the US Core Diagnostic Report for Laboratory Results profile to At-Home In-Vitro Tests.",
      "exampleBoolean": false
    }, {
      "name": "DiagnosticReport - At-Home In-Vitro Results - COVID-19",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "DiagnosticReport - Home Lab Results - COVID-19",
        "reference": "StructureDefinition/DiagnosticReport-at-home-in-vitro-results-covid"
      },
      "groupingId": "covid-specifc-at-home-test-profiles",
      "description": "This profile further constrains the DiagnosticReport - At-Home In-Vitro Results profile to COVID-19 At-Home In-Vitro Tests.",
      "exampleBoolean": false
    }, {
      "name": "DiagnosticReport - At-Home In-Vitro Results - COVID-19 - P Noelle",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "DiagnosticReport"
      } ],
      "reference": {
        "display": "diagnosticreport-at-home-in-vitro-results-covid-p-noelle",
        "reference": "DiagnosticReport/diagnosticreport-at-home-in-vitro-results-covid-p-noelle"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "DiagnosticReport - At-Home In-Vitro Results - Covid: P Noelle example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/DiagnosticReport-at-home-in-vitro-results"
    }, {
      "name": "DiagnosticReport - At-Home In-Vitro Results - COVID-19 - S Trevor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "DiagnosticReport"
      } ],
      "reference": {
        "reference": "DiagnosticReport/diagnosticreport-at-home-in-vitro-results-covid-s-trevor"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "DiagnosticReport - At-Home In-Vitro Results - COVID-19 - S Trevor example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/DiagnosticReport-at-home-in-vitro-results-covid"
    }, {
      "name": "expansion-parameters-at-home",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Parameters"
      } ],
      "reference": {
        "reference": "Parameters/expansion-parameters-at-home"
      },
      "description": "SNOMED-CT US Version",
      "exampleBoolean": true
    }, {
      "name": "Extension - At-Home In-Vitro Test Proctored Info",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "display": "Extension - At-Home In-Vitro Test Proctored Information",
        "reference": "StructureDefinition/Extension-at-home-in-vitro-test-proctored-info"
      },
      "groupingId": "framework-at-home-test-profiles",
      "description": "Information about whether or not the test was proctored and who the proctor was.",
      "exampleBoolean": false
    }, {
      "name": "Extension - At-Home In-Vitro Test Source Software Information",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "display": "Extension - At-Home In-Vitro Test Source Software Information",
        "reference": "StructureDefinition/Extension-at-home-in-vitro-test-source-software-info"
      },
      "groupingId": "framework-at-home-test-profiles",
      "description": "Information about the source software. The source software is the message producing app that changes the format of, or produces the data.",
      "exampleBoolean": false
    }, {
      "name": "Extension - At-Home In-Vitro Test Supporting Info",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "display": "Extension - At-Home In-Vitro Test Supporting Info",
        "reference": "StructureDefinition/Extension-at-home-in-vitro-test-supporting-info"
      },
      "groupingId": "framework-at-home-test-profiles",
      "description": "Additional information supporting the diagnostic report. Modeled after the DiagnosticReport.supportingInfo backbone element added to DiagnosticReport in FHIR R5.",
      "exampleBoolean": false
    }, {
      "name": "Extension - Sex For Clinical Use",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      } ],
      "reference": {
        "display": "Extension - Sex For Clinical Use",
        "reference": "StructureDefinition/Extension-sex-for-clinical-use"
      },
      "description": "This extension is a copy of the not-yet-published 6.0.0-ballot version US Core Sex for Clinical Use, which aligns with FHIR R5 [sexForClinicalUse extension](http://hl7.org/fhir/2022Sep/extension-patient-sexforclinicaluse.html) from which the following description is excerpted, \"Sex for Clinical Use is a categorization of sex derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population  It describes the biological sex of an organism, which is most commonly determined based on anatomy and physiology or genetic (chromosome) analysis.  It also optionally communicates the date when the sex was determined.\" See the referenced extension for more information.",
      "exampleBoolean": false
    }, {
      "name": "MessageDefinition - At-Home In-Vitro Test Results",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "MessageDefinition"
      } ],
      "reference": {
        "display": "MessageDefinition - At-Home In-Vitro Test Results",
        "reference": "MessageDefinition/MessageDefinition-at-home-in-vitro-test-results"
      },
      "description": "MessageDefinition - At-Home In-Vitro Test Results",
      "exampleBoolean": true
    }, {
      "name": "MessageHeader - At-Home In-Vitro Results - COVID-19 - P Noelle",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "MessageHeader"
      } ],
      "reference": {
        "reference": "MessageHeader/messageheader-at-home-in-vitro-test-p-noelle"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "MessageHeader - At-Home In-Vitro Results - COVID-19 - P Noelle Example",
      "exampleCanonical": "https://hl7.org/fhir/us/home-lab-report/StructureDefinition/MessageHeader-at-home-in-vitro-test-results"
    }, {
      "name": "MessageHeader - At-Home In-Vitro Test Results",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "MessageHeader - At-Home In-Vitro Test Results",
        "reference": "StructureDefinition/MessageHeader-at-home-in-vitro-test-results"
      },
      "groupingId": "framework-at-home-test-profiles",
      "description": "This MessageHeader represents the At-Home In-Vitro Test Results being sent from an application server to a health authority.",
      "exampleBoolean": false
    }, {
      "name": "MessageHeaderMessageHeader - At-Home In-Vitro Results - COVID-19 - S Trevor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "MessageHeader"
      } ],
      "reference": {
        "reference": "MessageHeader/messageheader-at-home-in-vitro-test-s-trevor"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "MessageHeaderMessageHeader - At-Home In-Vitro Results - COVID-19 - S Trevor example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/MessageHeader-at-home-in-vitro-test-results"
    }, {
      "name": "Observation - At-Home In-Vitro Test Result",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Observation - Home Lab Test Result",
        "reference": "StructureDefinition/Observation-at-home-in-vitro-test-result"
      },
      "groupingId": "framework-at-home-test-profiles",
      "description": "This profile constrains the US Core Laboratory Result Observation to At-Home In-Vitro Sample Tests.",
      "exampleBoolean": false
    }, {
      "name": "Observation - At-Home In-Vitro Test Result - COVID-19",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Observation - Home Lab Test Result - COVID-19",
        "reference": "StructureDefinition/Observation-at-home-in-vitro-test-result-covid"
      },
      "groupingId": "covid-specifc-at-home-test-profiles",
      "description": "This profile constrains the Observation - At-Home In-Vitro Test Result profile to COVID-19 At-Home In-Vitro Tests.",
      "exampleBoolean": false
    }, {
      "name": "Observation - At-Home In-Vitro Test Result COVID-19 - P Noelle: Organization Proctor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-at-home-in-vitro-test-result-covid-p-noelle-2"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Observation - At-Home In-Vitro Test Result - Covid: P Noelle (proctored by an Organization) example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-at-home-in-vitro-test-result-covid"
    }, {
      "name": "Observation - At-Home In-Vitro Test Result COVID-19 - P Noelle: Practitioner Proctor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-at-home-in-vitro-test-result-covid-p-noelle"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Observation - At-Home In-Vitro Test Result - Covid: P Noelle (proctored by a Practitioner) example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-at-home-in-vitro-test-result"
    }, {
      "name": "Observation - At-Home In-Vitro Test Result COVID-19 - S Trevor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-at-home-in-vitro-test-result-covid-s-trevor"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Observation - At-Home In-Vitro Test Result COVID-19 - S Trevor",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-at-home-in-vitro-test-result-covid"
    }, {
      "name": "Observation - Patient Answer - Congregate Living - S Trevor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-patient-answer-congregate-s-trevor"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Observation - Patient Answer - Congregate Living - S Trevor example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-patient-question-answer"
    }, {
      "name": "Observation - Patient Answer - Employed in Healthcare - S Trevor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-patient-answer-employed-healthcare-s-trevor"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Observation - Patient Answer - Employed in Healthcare - S Trevor example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-patient-question-answer"
    }, {
      "name": "Observation - Patient Answer - First Test for Condition - S Trevor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-patient-answer-first-test-s-trevor"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Observation - Patient Answer - First Test for Condition - S Trevor example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-patient-question-answer"
    }, {
      "name": "Observation - Patient Answer - Hospitalized - S Trevor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-patient-answer-hospitalized-s-trevor"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Observation - Patient Answer - Hospitalized - S Trevor example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-patient-question-answer"
    }, {
      "name": "Observation - Patient Answer - Pregnancy - S Trevor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-patient-answer-pregnancy-s-trevor"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Observation - Patient Answer - Pregnancy - S Trevor example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-patient-question-answer"
    }, {
      "name": "Observation - Patient Answer - Symptoms Onset COVID-19 P Noelle",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-patient-answer-symptom-onset-covid-p-noelle"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Observation - Patient Answer - Symptom Onset COVID-19 P Noelle Example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-patient-question-answer"
    }, {
      "name": "Observation - Patient Answer - Symptoms Present - S Trevor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-patient-answer-symptoms-present-covid-s-trevor"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Observation - Patient Answer - Symptoms Present - S Trevor example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-patient-question-answer"
    }, {
      "name": "Observation - Patient Answer - Symptoms Present COVID-19 P Noelle",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      } ],
      "reference": {
        "reference": "Observation/observation-patient-answer-symptoms-present-covid-p-noelle"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Observation - Patient Answer - Symptoms Present COVID-19 P Noelle Example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-patient-question-answer"
    }, {
      "name": "Observation - Patient Question Answer",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Observation - Patient Question Answers",
        "reference": "StructureDefinition/Observation-patient-question-answer"
      },
      "groupingId": "framework-at-home-test-profiles",
      "description": "This profile constrains the FHIR Observation Resource to represent an answer given to a question asked of the patient by the app when recording or uploading their test results.",
      "exampleBoolean": false
    }, {
      "name": "Organization - US Core - Acme Corporation",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Organization"
      } ],
      "reference": {
        "display": "Acme Corporation",
        "reference": "Organization/us-core-organization-acme-corporation"
      },
      "groupingId": "participant-examples",
      "description": "US Core Organization: Acme Corporation example",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
    }, {
      "name": "Organization - US Core - Proctor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Organization"
      } ],
      "reference": {
        "display": "Proctor Organization",
        "reference": "Organization/us-core-organization-proctor"
      },
      "groupingId": "participant-examples",
      "description": "US Core Organization: Proctor example",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
    }, {
      "name": "Organization - US Core - Reliable Informatics",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Organization"
      } ],
      "reference": {
        "display": "Reliable Informatics",
        "reference": "Organization/us-core-organization-reliable-informatics"
      },
      "groupingId": "participant-examples",
      "description": "Organization - US Core - Reliable Informatics example",
      "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
    }, {
      "name": "Patient - At Home In Vitro Test",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Patient - At Home In Vitro Test",
        "reference": "StructureDefinition/Patient-at-home-in-vitro-test"
      },
      "groupingId": "framework-at-home-test-profiles",
      "description": "This Patient profile represents an At-Home In-Vitro Test Patient.",
      "exampleBoolean": false
    }, {
      "name": "Patient - At-Home In-Vitro Test - Patricia Noelle",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Patient"
      } ],
      "reference": {
        "reference": "Patient/patient-at-home-in-vitro-test-patricia-noelle"
      },
      "groupingId": "participant-examples",
      "description": "Patient - At-Home In-Vitro Test - Patricia Noelle Example",
      "exampleBoolean": true
    }, {
      "name": "Patient - At-Home In-Vitro Test - Stacy Trevor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Patient"
      } ],
      "reference": {
        "reference": "Patient/patient-at-home-in-vitro-test-stacy-trevor"
      },
      "groupingId": "participant-examples",
      "description": "Patient - At-Home In-Vitro Test - Stacy Trevor example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Patient-at-home-in-vitro-test"
    }, {
      "name": "Practitioner - US Core - Proctor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Practitioner"
      } ],
      "reference": {
        "reference": "Practitioner/practitioner-us-core-proctor"
      },
      "groupingId": "participant-examples",
      "description": "US Core Practitioner: Test Proctor example",
      "exampleBoolean": true
    }, {
      "name": "Specimen - Anterior Nares Swab - P Noelle",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Specimen"
      } ],
      "reference": {
        "reference": "Specimen/specimen-anterior-nares-swab-p-noelle"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Specimen - Anterior Nares Swab: P Noelle example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Specimen-at-home-in-vitro-test-covid"
    }, {
      "name": "Specimen - At-Home In-Vitro Test",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Specimen - Home Lab Test",
        "reference": "StructureDefinition/Specimen-at-home-in-vitro-test"
      },
      "groupingId": "framework-at-home-test-profiles",
      "description": "This Specimen profile identifies and describes the specimen used in an At-Home In-Vitro Test.",
      "exampleBoolean": false
    }, {
      "name": "Specimen - At-Home In-Vitro Test - COVID-19",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      } ],
      "reference": {
        "display": "Specimen - Home Lab Test - COVID-19",
        "reference": "StructureDefinition/Specimen-at-home-in-vitro-test-covid"
      },
      "groupingId": "covid-specifc-at-home-test-profiles",
      "description": "This Specimen profile identifies and describes the specimen used in a COVID-19 At-Home In-Vitro Test.",
      "exampleBoolean": false
    }, {
      "name": "Specimen - Swab Internal Nose - S Trevor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Specimen"
      } ],
      "reference": {
        "reference": "Specimen/specimen-swab-internal-nose-s-trevor"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Specimen - Swab Internal Nose - S Trevor",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Specimen-at-home-in-vitro-test"
    }, {
      "name": "ValueSet - Sex for Clinical Use Codes",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "display": "ValueSet - Sex for Clinical Use Codes",
        "reference": "ValueSet/valueset-sex-for-clinical-use"
      },
      "description": "This CodeSystem is a copy copy of the not-yet-published 6.0.0-ballot version US Core Sex for Clinical Use value set and contains codes that represent the sex characterization appropriate for the associated clinical context.",
      "exampleBoolean": false
    } ],
    "extension": [ {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-expansion-params"
      }, {
        "url": "value",
        "valueString": "resources/parameters/expansion-parameters-at-home.xml"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "copyrightyear"
      }, {
        "url": "value",
        "valueString": "2020+"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "releaselabel"
      }, {
        "url": "value",
        "valueString": "STU 1"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "autoload-resources"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-liquid"
      }, {
        "url": "value",
        "valueString": "template/liquid"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-liquid"
      }, {
        "url": "value",
        "valueString": "input/liquid"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-qa"
      }, {
        "url": "value",
        "valueString": "temp/qa"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-temp"
      }, {
        "url": "value",
        "valueString": "temp/pages"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-output"
      }, {
        "url": "value",
        "valueString": "output"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-suppressed-warnings"
      }, {
        "url": "value",
        "valueString": "input/ignoreWarnings.txt"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-history"
      }, {
        "url": "value",
        "valueString": "http://hl7.org/fhir/us/home-lab-report/history.html"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "template-html"
      }, {
        "url": "value",
        "valueString": "template-page.html"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "template-md"
      }, {
        "url": "value",
        "valueString": "template-page-md.html"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "apply-contact"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "apply-context"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "apply-copyright"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "apply-jurisdiction"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "apply-license"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "apply-publisher"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "apply-version"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "active-tables"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "fmm-definition"
      }, {
        "url": "value",
        "valueString": "http://hl7.org/fhir/versions.html#maturity"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "propagate-status"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "excludelogbinaryformat"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "tabbed-snapshots"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "path-expansion-params"
      }, {
        "url": "value",
        "valueString": "resources/parameters/expansion-parameters-at-home.xml"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "copyrightyear"
      }, {
        "url": "value",
        "valueString": "2020+"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "releaselabel"
      }, {
        "url": "value",
        "valueString": "STU 1"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "autoload-resources"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "path-liquid"
      }, {
        "url": "value",
        "valueString": "template/liquid"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "path-liquid"
      }, {
        "url": "value",
        "valueString": "input/liquid"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "path-qa"
      }, {
        "url": "value",
        "valueString": "temp/qa"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "path-temp"
      }, {
        "url": "value",
        "valueString": "temp/pages"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "path-output"
      }, {
        "url": "value",
        "valueString": "output"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "path-suppressed-warnings"
      }, {
        "url": "value",
        "valueString": "input/ignoreWarnings.txt"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "path-history"
      }, {
        "url": "value",
        "valueString": "http://hl7.org/fhir/us/home-lab-report/history.html"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "template-html"
      }, {
        "url": "value",
        "valueString": "template-page.html"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "template-md"
      }, {
        "url": "value",
        "valueString": "template-page-md.html"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "apply-contact"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "apply-context"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "apply-copyright"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "apply-jurisdiction"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "apply-license"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "apply-publisher"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "apply-version"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "active-tables"
      }, {
        "url": "value",
        "valueString": "true"
      } ]
    }, {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueCode": "fmm-definition"
      }, {
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