{
  "description": "|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\\n\\nThis implementation guide constrains the [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 for transmitting At-Home In-Vitro Test results to local, state, territorial and federal health agencies. It is an STU IG to be used in real world testing. It was developed in 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 perfomed at home. FHIRs eases app development and US Core 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\\nIt is also understood that, in general, public health agencies are at present primarily prepared to only receive V2 messages. The App developer is poised to transform this to V2 messages. In addition, as a parallel effort, a V2 <-> FHIR data mapping table has been developed [In-Vitro At-Home Test V2 FHIR Mapping.xlsx](https://docs.google.com/spreadsheets/d/1Vx7WesZzihNiAsHCVPQtSiEJLBQZr8Iy/edit?usp=sharing&ouid=112434457756659409284&rtpof=true&sd=true).\\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)",
  "_filename": "ImplementationGuide-hl7.fhir.us.home-lab-report.json",
  "package_name": "hl7.fhir.us.home-lab-report",
  "definition": {
    "page": {
      "page": [ {
        "title": "Notice to Ballot Commenters",
        "nameUrl": "notice_to_ballot_commenters.html",
        "generation": "markdown"
      }, {
        "title": "Technical Guidance",
        "nameUrl": "technical_guidance.html",
        "generation": "markdown"
      }, {
        "title": "Implementation Guide",
        "nameUrl": "implementation_guide.html",
        "generation": "markdown"
      }, {
        "title": "Workflow",
        "nameUrl": "workflow.html",
        "generation": "markdown"
      }, {
        "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",
          "generation": "markdown"
        }, {
          "title": "At-Home In-Vitro Test with Prescription V2 Example",
          "nameUrl": "at-home_in-vitro_test_with_prescription_v2_example.html",
          "generation": "markdown"
        } ],
        "title": "HL7 V2 Fields and OTC Example Message",
        "nameUrl": "hl7_v2_fields_and_otc_example_message.html",
        "generation": "markdown"
      } ],
      "title": "Home Page",
      "nameUrl": "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": "CodeSystem - At-Home In-Vitro Test",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "CodeSystem"
      } ],
      "reference": {
        "display": "CodeSystem - At-Home In-Vitro",
        "reference": "CodeSystem/codesystem-at-home-in-vitro-test"
      },
      "description": "This code system contains codes for use in At-Home In-Vitro Test Result Reports.",
      "exampleBoolean": false
    }, {
      "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 - QuickVue SARS Antigen Test",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Device"
      } ],
      "reference": {
        "reference": "Device/device-quickvue-sars-antigen-test"
      },
      "groupingId": "covid-specific-at-home-test-examples",
      "description": "Device - QuickVue 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": "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": "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",
      "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 example",
      "exampleCanonical": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-at-home-in-vitro-test-result"
    }, {
      "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 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": "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": "US Core Organization - Quidel Corporation",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Organization"
      } ],
      "reference": {
        "display": "Quidel Corporation",
        "reference": "Organization/us-core-organization-quidel-corporation"
      },
      "groupingId": "participant-examples",
      "description": "US Core Organization: Quidel Corporation example",
      "exampleBoolean": true
    }, {
      "name": "US Core Patient - Patricia Noelle",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Patient"
      } ],
      "reference": {
        "reference": "Patient/us-core-patient-patricia-noelle"
      },
      "groupingId": "participant-examples",
      "description": "US Core Patient: Patricia Noelle example",
      "exampleBoolean": true
    }, {
      "name": "ValueSet - At-Home In-Vitro Patient Questions",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "display": "ValueSet - At-Home In-Vitro Patient Questions",
        "reference": "ValueSet/ValueSet-at-home-in-vitro-patient-questions"
      },
      "description": "This set of values contains concepts representing questions asked of the patient by the app when recording or uploading their at-home in-vitro test results.",
      "exampleBoolean": false
    }, {
      "name": "ValueSet - At-Home In-Vitro Test Results - COVID-19",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "display": "ValueSet - COVID-19 Home Lab Test Results",
        "reference": "ValueSet/ValueSet-at-home-in-vitro-test-results-covid"
      },
      "description": "This set of values contains SNOMED CT concepts representing typical COVID-19 at home lab test results.",
      "exampleBoolean": false
    }, {
      "name": "ValueSet - At-Home In-Vitro Test Specimen Types - COVID-19",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "display": "ValueSet - Home Lab Test Specimen Types - COVID-19",
        "reference": "ValueSet/ValueSet-at-home-in-vitro-test-specimen-types-covid"
      },
      "description": "This set of values contains SNOMED CT concepts representing specimens used in COVID-19 home lab tests.",
      "exampleBoolean": false
    }, {
      "name": "ValueSet - At-Home In-Vitro Test Types - COVID-19",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "display": "ValueSet - COVID-19 Home Lab Test Types",
        "reference": "ValueSet/ValueSet-at-home-in-vitro-test-types-covid"
      },
      "description": "This set of values contains COVID-19 LOINC concepts that are appropriate for at-home tests",
      "exampleBoolean": false
    }, {
      "name": "ValueSet - Yes No Unknown SNOMED",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      } ],
      "reference": {
        "display": "ValueSet - Yes No Unknown SNOMED",
        "reference": "ValueSet/ValueSet-yes-no-unknown-snomed"
      },
      "description": "This set of values contains SNOMED-CT concepts representing \"Yes\", \"No\", and \"Unknown\".",
      "exampleBoolean": false
    }, {
      "name": "Extension - At-Home In-Vitro Test Proctored Information",
      "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": "US Core Practitioner - 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": "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.",
      "exampleBoolean": false
    } ],
    "extension": [ {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter",
      "extension": [ {
        "url": "code",
        "valueString": "path-expansion-params"
      }, {
        "url": "value",
        "valueString": "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": "Ballot"
      } ]
    }, {
      "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"
      }, {
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