{
"description": "Communicate Continuous Glucose Monitoring (CGM) data using FHIR",
"_filename": "ImplementationGuide-hl7.fhir.uv.cgm.json",
"package_name": "hl7.fhir.uv.cgm",
"definition": {
"page": {
"page": [ {
"title": "Home",
"nameUrl": "index.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "index.html"
} ],
"generation": "markdown"
} ],
"title": "Table of Contents",
"nameUrl": "toc.html",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl": "toc.html"
} ],
"generation": "html"
},
"resource": [ {
"name": "CGM Data Receiver Capability Statement",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CapabilityStatement"
} ],
"reference": {
"reference": "CapabilityStatement/cgm-data-receiver"
},
"description": "This capability statement describes the requirements for systems receiving CGM data via the `$submit-cgm-bundle` operation.\n\nAny CGM Data Receiver SHALL populate its `/metadata` response to ensure that `CapabilityStatement.instantiates` includes `\"http://hl7.org/fhir/uv/cgm/CapabilityStatement/cgm-data-receiver\"`.",
"exampleBoolean": false
}, {
"name": "CGM Data Submission Bundle",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cgm-data-submission-bundle"
},
"description": "Once a Data Submitter is connected to the EHR, it can POST CGM data as a [`transaction` Bundle](https://hl7.org/fhir/R4/http.html#transaction) to `[base]/$submit-cgm-bundle`.\n\nThe Bundle `entry` array includes any combination of \n\n* CGM Summary PDF Reports ([Profile](StructureDefinition-cgm-summary-pdf.html#profile), [Example](DiagnosticReport-cgmSummaryPDFExample.json.html#root))\n* CGM Summary Observation ([Profile](StructureDefinition-cgm-summary.html#profile), [Example](Observation-cgmSummaryExample.json.html#root))\n * Mean Glucose (Mass per Volume) ([Profile](StructureDefinition-cgm-summary-mean-glucose-mass-per-volume.html#profile), [Example](Observation-cgmSummaryMeanGlucoseMassPerVolumeExample.json.html#root))\n * Mean Glucose (Moles per Volume) ([Profile](StructureDefinition-cgm-summary-mean-glucose-moles-per-volume.html#profile), [Example](Observation-cgmSummaryMeanGlucoseMolesPerVolumeExample.json.html#root))\n * Times in Ranges ([Profile](StructureDefinition-cgm-summary-times-in-ranges.html#profile), [Example](Observation-cgmSummaryTimesInRangesExample.json.html#root))\n * Glucose Management Index ([Profile](StructureDefinition-cgm-summary-gmi.html#profile), [Example](Observation-cgmSummaryGMIExample.json.html#root))\n * Coefficient of Variation ([Profile](StructureDefinition-cgm-summary-coefficient-of-variation.html#profile), [Example](Observation-cgmSummaryCoefficientOfVariationExample.json.html#root))\n * Sensor Days of Wear ([Profile](StructureDefinition-cgm-summary-days-of-wear.html#profile), [Example](Observation-cgmSummaryDaysOfWearExample.json.html#root))\n * Sensor Active Percentage ([Profile](StructureDefinition-cgm-summary-sensor-active-percentage.html#profile), [Example](Observation-cgmSummarySensorActivePercentageExample.json.html#root))\n* CGM Devices ([Profile](StructureDefinition-cgm-device.html#profile), [Example](Device-cgmDeviceExample.json.html#root))\n* CGM Sensor Readings (Mass per Volume) ([Profile](StructureDefinition-cgm-sensor-reading-mass-per-volume.html#profile), [Example](Observation-cgmSensorReadingMassPerVolumeExample.json.html#root))\n* CGM Sensor Readings (Moles per Volume) ([Profile](StructureDefinition-cgm-sensor-reading-moles-per-volume.html#profile), [Example](Observation-cgmSensorReadingMolesPerVolumeExample.json.html#root))",
"exampleBoolean": false
}, {
"name": "CGM Data Submission Bundle Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Bundle"
} ],
"reference": {
"reference": "Bundle/cgmDataSubmissionBundle"
},
"description": "This example is an instance of the CGM Data Submission Bundle profile. It represents a transaction bundle submitted on May 2, 2024, at 2:30 PM UTC, containing multiple resources related to Continuous Glucose Monitoring (CGM) data. The bundle includes a CGM summary PDF report, summary observations (e.g., mean glucose, times in ranges, GMI, coefficient of variation, days of wear, sensor active percentage), and individual sensor readings.",
"exampleCanonical": "http://hl7.org/fhir/uv/cgm/StructureDefinition/cgm-data-submission-bundle"
}, {
"name": "CGM Data Submission Standing Order",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cgm-data-submission-standing-order"
},
"description": "The Data Receiver can expose a standing order indicating:\n\n* What data a Data Submitter should include in each CGM Data Submission Bundle\n* How often a Data Submitter should submit CGM data\n* What lookback period should each submission cover\n\n**Guiding Data Submission**\n\nThis standing order is modeled as a FHIR [`ServiceRequest`](https://hl7.org/fhir/R4/servicerequest.html) resource, which \nData Submitters can query to guide their future submissions. The standing order specifies the patient, the type of data to be submitted, and the frequency of submission.\n\n**DataSubmissionSchedule**\n\nThe [`DataSubmissionSchedule`](StructureDefinition-data-submission-schedule.html) extension contains:\n\n- `submissionPeriod`: Quantity with unit `d` for days, `wk` for weeks, `mo` for months, or `a` for years. This indicates how often the data should be submitted.\n- `submissionDataProfile` (1..*): `canonical` reference to FHIR profiles that represent the types of data to be submitted according to the specified schedule.\n- `lookbackPeriod` (optional): Quantity with unit `d` for days, `wk` for weeks, `mo` for months, or `a` for years. This indicates the period of time the data submission should cover.\n\nMultiple `DataSubmissionSchedule` extensions can be included in a single `DataSubmissionRequest` resource if the Data Recipient prefers a different schedule for different data types.\n\nIt's important to note that a patient or provider can also **manually trigger** a submission within an app. For example, if there is an upcoming appointment, the provider can click a button to fetch the most up-to-date results. Out-of-band communication between the app developer and the clinical provider system can also be used to establish preferred submission schedules.",
"exampleBoolean": false
}, {
"name": "CGM Device",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cgm-device"
},
"description": "A continuous glucose monitoring (CGM) sensor device. This corresponds to the CGM sensor, not a reader or app used to capture or transmit the data.",
"exampleBoolean": false
}, {
"name": "CGM Device Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Device"
} ],
"reference": {
"reference": "Device/cgmDeviceExample"
},
"description": "This example is an instance of the CGM Device profile. It represents a Continuous Glucose Monitoring (CGM) device named *Acme CGM System*.",
"exampleCanonical": "http://hl7.org/fhir/uv/cgm/StructureDefinition/cgm-device"
}, {
"name": "CGM Sensor Reading (Mass)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cgm-sensor-reading-mass-per-volume"
},
"description": "A continuous glucose monitoring (CGM) sensor reading represented in mass units.",
"exampleBoolean": false
}, {
"name": "CGM Sensor Reading (Mass) Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/cgmSensorReadingMassPerVolumeExample"
},
"description": "This example is an instance of the CGM Sensor Reading (Mass) profile. It represents a Continuous Glucose Monitoring (CGM) sensor reading for a patient, recording a final observation of a glucose level of 120 mg/dL (mass per volume).",
"exampleCanonical": "http://hl7.org/fhir/uv/cgm/StructureDefinition/cgm-sensor-reading-mass-per-volume"
}, {
"name": "CGM Sensor Reading (Molar)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cgm-sensor-reading-moles-per-volume"
},
"description": "A continuous glucose monitoring (CGM) sensor reading represented in molar units.",
"exampleBoolean": false
}, {
"name": "CGM Sensor Reading (Molar) Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/cgmSensorReadingMolesPerVolumeExample"
},
"description": "This example is an instance of the CGM Sensor Reading (Molar) profile. It represents a Continuous Glucose Monitoring (CGM) sensor reading for a patient, recording a final observation of a glucose level of 6.7 mmol/L (moles per volume) for the patient.",
"exampleCanonical": "http://hl7.org/fhir/uv/cgm/StructureDefinition/cgm-sensor-reading-moles-per-volume"
}, {
"name": "CGM Summary Code System",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"reference": "CodeSystem/cgm-summary-codes-temporary"
},
"description": "Temporary code system for CGM summary observations.",
"exampleBoolean": false
}, {
"name": "CGM Summary Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/cgmSummaryExample"
},
"description": "This example is an instance of the CGM Summary profile. It provides a consolidated summary of a patient's CGM data over a one-month period, linking to more detailed observations for specific metrics.",
"exampleCanonical": "http://hl7.org/fhir/uv/cgm/StructureDefinition/cgm-summary"
}, {
"name": "CGM Summary Observation",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cgm-summary"
},
"description": "An observation representing a summary of continuous glucose monitoring (CGM) data.",
"exampleBoolean": false
}, {
"name": "CGM Summary PDF Report",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cgm-summary-pdf"
},
"description": "A PDF report containing a summary of continuous glucose monitoring (CGM) data.",
"exampleBoolean": false
}, {
"name": "CGM Summary PDF Report Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "DiagnosticReport"
} ],
"reference": {
"reference": "DiagnosticReport/cgmSummaryPDFExample"
},
"description": "This example is an instance of the CGM Summary PDF Report profile. It represents a PDF report summarizing Continuous Glucose Monitoring (CGM) data for the patient referenced as patientExample, covering the period from May 1, 2024, to May 14, 2024. The report was issued on May 15, 2024, at 2:30 PM UTC, and includes a (base64-encoded) PDF attachment.",
"exampleCanonical": "http://hl7.org/fhir/uv/cgm/StructureDefinition/cgm-summary-pdf"
}, {
"name": "CGM Summary Times in Ranges",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cgm-summary-times-in-ranges"
},
"description": "An observation representing the times in various ranges from a continuous glucose monitoring (CGM) summary. Value: Percent of time, with at least two decimal places of precision.",
"exampleBoolean": false
}, {
"name": "CGM Summary Times in Ranges Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/cgmSummaryTimesInRangesExample"
},
"description": "This example is an instance of the CGM Summary Times in Ranges profile. It represents a summary observation of the time a patient spent in different glucose ranges over the period from May 1, 2024, to May 31, 2024. The recorded values are 3% in very low range, 8% in low range, 65% in target range, 20% in high range, and 4% in very high range.",
"exampleCanonical": "http://hl7.org/fhir/uv/cgm/StructureDefinition/cgm-summary-times-in-ranges"
}, {
"name": "Codes for CGM",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
} ],
"reference": {
"reference": "CodeSystem/cgm"
},
"description": "Codes to identify content associated with this IG",
"exampleBoolean": false
}, {
"name": "Coefficient of Variation (CV)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cgm-summary-coefficient-of-variation"
},
"description": "The Coefficient of Variation (CV) value from a continuous glucose monitoring (CGM) summary.",
"exampleBoolean": false
}, {
"name": "Coefficient of Variation Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/cgmSummaryCoefficientOfVariationExample"
},
"description": "This example is an instance of the Coefficient of Variation (CV) profile. It represents a summary observation of the glucose variability for a patient over the period from May 1, 2024, to May 31, 2024, with a final recorded coefficient of variation value of 34%.",
"exampleCanonical": "http://hl7.org/fhir/uv/cgm/StructureDefinition/cgm-summary-coefficient-of-variation"
}, {
"name": "Data Submission Schedule",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:extension"
} ],
"reference": {
"reference": "StructureDefinition/data-submission-schedule"
},
"description": "Schedule and type of data to be submitted",
"exampleBoolean": false
}, {
"name": "Data Submission Standing Order",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/data-submission-standing-order"
},
"description": "A base profile for standing orders that indicate data submission requirements. This profile can be used as-is for general data submissions or inherited by more specific data submission profiles.\n\nKey aspects of this profile:\n* Specifies what data should be included in each submission\n* Defines how often data should be submitted\n* Indicates the lookback period each submission should cover\n\nThis profile uses the DataSubmissionSchedule extension to capture detailed submission requirements.",
"exampleBoolean": false
}, {
"name": "Days of Wear",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cgm-summary-days-of-wear"
},
"description": "The number of days the continuous glucose monitoring (CGM) device was worn during the reporting period.",
"exampleBoolean": false
}, {
"name": "Days of Wear Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/cgmSummaryDaysOfWearExample"
},
"description": "This example is an instance of the Days of Wear profile. It represents a summary observation of the number of days a Continuous Glucose Monitoring (CGM) device was worn by the patient over the period from May 1, 2024, to May 31, 2024, with a final recorded value of 28 days.",
"exampleCanonical": "http://hl7.org/fhir/uv/cgm/StructureDefinition/cgm-summary-days-of-wear"
}, {
"name": "Example CGM Data Submission Standing Order",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ServiceRequest"
} ],
"reference": {
"reference": "ServiceRequest/cgmDataSubmissionStandingOrderExample"
},
"description": "This example represents a standing order for continuous glucose monitoring (CGM) data submission.\nIt specifies an order to submit data about Patient 123 once every two weeks, with each data submission including\na summary of the CGM data and a PDF report of the CGM summary. This ensures the patient's CGM data is routinely\navailable for clinical review.",
"exampleCanonical": "http://hl7.org/fhir/uv/cgm/StructureDefinition/cgm-data-submission-standing-order"
}, {
"name": "Example Patient",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
} ],
"reference": {
"reference": "Patient/patientExample"
},
"description": "This example represents a female patient named Amy Peters, born on June 20, 1964.",
"exampleBoolean": true
}, {
"name": "Glucose Management Indicator (GMI)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cgm-summary-gmi"
},
"description": "The Glucose Management Indicator (GMI) value from a continuous glucose monitoring (CGM) summary.",
"exampleBoolean": false
}, {
"name": "GMI Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/cgmSummaryGMIExample"
},
"description": "This example is an instance of the Glucose Management Indicator (GMI) profile. It represents a summary observation of the estimated A1C-like value (GMI) for a patient over the period from May 1, 2024, to May 31, 2024, with a final recorded value of 6.8%.",
"exampleCanonical": "http://hl7.org/fhir/uv/cgm/StructureDefinition/cgm-summary-gmi"
}, {
"name": "Mapping from CGM Temporary Codes to LOINC",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ConceptMap"
} ],
"reference": {
"reference": "ConceptMap/CGMSummaryToLoinc"
},
"description": "Mapping concepts from the CGM Summary code system to LOINC codes.",
"exampleBoolean": false
}, {
"name": "Mean Glucose (Mass)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cgm-summary-mean-glucose-mass-per-volume"
},
"description": "The mean glucose value from a continuous glucose monitoring (CGM) summary, represented in mass units.",
"exampleBoolean": false
}, {
"name": "Mean Glucose (Mass) Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/cgmSummaryMeanGlucoseMassPerVolumeExample"
},
"description": "This example is an instance of the Mean Glucose (Mass) profile. It represents a summary observation of the mean glucose level for a patient over the period from May 1, 2024, to May 31, 2024, with a final recorded value of 145 mg/dL (mass per volume).",
"exampleCanonical": "http://hl7.org/fhir/uv/cgm/StructureDefinition/cgm-summary-mean-glucose-mass-per-volume"
}, {
"name": "Mean Glucose (Molar)",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cgm-summary-mean-glucose-moles-per-volume"
},
"description": "The mean glucose value from a continuous glucose monitoring (CGM) summary, represented in molar units.",
"exampleBoolean": false
}, {
"name": "Mean Glucose (Molar) Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/cgmSummaryMeanGlucoseMolesPerVolumeExample"
},
"description": "This example is an instance of the Mean Glucose (Molar) profile. It represents a summary observation of the mean glucose level for a patient over the period from May 1, 2024, to May 31, 2024, with a final recorded value of 8.1 mmol/L (moles per volume).",
"exampleCanonical": "http://hl7.org/fhir/uv/cgm/StructureDefinition/cgm-summary-mean-glucose-moles-per-volume"
}, {
"name": "Sensor Active Percentage",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
} ],
"reference": {
"reference": "StructureDefinition/cgm-summary-sensor-active-percentage"
},
"description": "The percentage of time the continuous glucose monitoring (CGM) sensor was active during the reporting period.",
"exampleBoolean": false
}, {
"name": "Sensor Active Percentage Example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
} ],
"reference": {
"reference": "Observation/cgmSummarySensorActivePercentageExample"
},
"description": "This example is an instance of the Sensor Active Percentage profile. It represents a summary observation of the percentage of time a Continuous Glucose Monitoring (CGM) sensor was active for the patient over the period from May 1, 2024, to May 31, 2024, with a final recorded value of 95%.",
"exampleCanonical": "http://hl7.org/fhir/uv/cgm/StructureDefinition/cgm-summary-sensor-active-percentage"
}, {
"name": "Submit CGM Bundle Operation",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "OperationDefinition"
} ],
"reference": {
"reference": "OperationDefinition/submit-cgm-bundle"
},
"description": "This operation is used to submit CGM data. The input is a Bundle of type 'transaction' containing CGM data (summary reports, sensor readings, etc.) \nand the output is a Bundle of type 'transaction-response' containing processing results for each submitted resource, or an OperationOutcome resource for overall failures.\n\nThe response Bundle will:\n- Maintain the same order as the submission Bundle\n- Include status and location information for each successfully processed entry\n- Include error details for any entries that could not be processed\n\nServers SHOULD support conditional create requests and persist client-supplied identifiers. Servers SHALL document in their developer documentation:\n- Which search parameters can be used in conditional create requests \n- How client-supplied identifiers are handled\n- Any deduplication strategies employed",
"exampleBoolean": false
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "copyrightyear"
}, {
"url": "value",
"valueString": "2025+"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "releaselabel"
}, {
"url": "value",
"valueString": "STU 1 Ballot"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "no-narrative"
}, {
"url": "value",
"valueString": "Bundle/*"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "no-narrative"
}, {
"url": "value",
"valueString": "Observation/*"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "no-narrative"
}, {
"url": "value",
"valueString": "DiagnosticReport/*"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "no-narrative"
}, {
"url": "value",
"valueString": "Device/*"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "no-narrative"
}, {
"url": "value",
"valueString": "Patient/*"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "no-narrative"
}, {
"url": "value",
"valueString": "ServiceRequest/*"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "path-data"
}, {
"url": "value",
"valueString": "input/_data"
} ]
}, {
"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-jurisdiction"
}, {
"url": "value",
"valueString": "true"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
"extension": [ {
"url": "code",
"valueString": "apply-publisher"
}, {
"url": "value",
"valueString": "true"
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