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{
  "resourceType": "ImplementationGuide",
  "id": "telus.health.fhir.dwemrextract",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ImplementationGuide telus.health.fhir.dwemrextract</b></p><a name=\"telus.health.fhir.dwemrextract\"> </a><a name=\"hctelus.health.fhir.dwemrextract\"> </a><h2>TelusHealthFhirDwemrextract</h2><p>The official URL for this implementation guide is: </p><pre>https://www.telus.com/health/fhir/dwemrextract/ImplementationGuide/telus.health.fhir.dwemrextract</pre><div><p>A FHIR Implementation Guide for standardizing EMR data extraction into TELUS Health's Data Warehouse. This IG defines profiles, extensions, and value sets for exchanging healthcare data from various EMR systems.</p>\n</div></div>"
  },
  "url": "https://www.telus.com/health/fhir/dwemrextract/ImplementationGuide/telus.health.fhir.dwemrextract",
  "version": "1.1.21",
  "name": "TelusHealthFhirDwemrextract",
  "title": "TELUS Health Generic EMR Implementation Guide",
  "status": "active",
  "date": "2026-07-06T13:49:36+00:00",
  "publisher": "TELUS Health",
  "contact": [
    {
      "name": "TELUS Health",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.telus.com/health"
        }
      ]
    },
    {
      "name": "TELUS Health",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.telus.com/health"
        }
      ]
    }
  ],
  "description": "A FHIR Implementation Guide for standardizing EMR data extraction into TELUS Health's Data Warehouse. This IG defines profiles, extensions, and value sets for exchanging healthcare data from various EMR systems.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "CA",
          "display": "Canada"
        }
      ]
    }
  ],
  "copyright": "Copyright © 2026 TELUS Health. All rights reserved.",
  "packageId": "telus.health.fhir.dwemrextract",
  "license": "CC0-1.0",
  "fhirVersion": [
    "4.0.1"
  ],
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      "id": "hl7_fhir_ca_baseline",
      "uri": "http://hl7.org/fhir/ca/baseline/ImplementationGuide/hl7.fhir.ca.baseline",
      "packageId": "hl7.fhir.ca.baseline",
      "version": "1.1.7"
    },
    {
      "id": "ca_infoway_io_psca",
      "uri": "http://fhir.infoway-inforoute.ca/io/psca",
      "packageId": "ca.infoway.io.psca",
      "version": "1.0.0"
    },
    {
      "id": "hl7_terminology_r4",
      "uri": "http://terminology.hl7.org/ImplementationGuide/hl7.terminology",
      "packageId": "hl7.terminology.r4",
      "version": "5.3.0"
    },
    {
      "id": "hl7_fhir_uv_extensions_r4",
      "uri": "http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.extensions",
      "packageId": "hl7.fhir.uv.extensions.r4",
      "version": "1.0.0"
    },
    {
      "id": "hl7_fhir_uv_ips",
      "uri": "http://hl7.org/fhir/uv/ips/ImplementationGuide/hl7.fhir.uv.ips",
      "packageId": "hl7.fhir.uv.ips",
      "version": "1.1.0"
    }
  ],
  "global": [
    {
      "type": "Patient",
      "profile": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient"
    },
    {
      "type": "Practitioner",
      "profile": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner"
    },
    {
      "type": "Organization",
      "profile": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwOrganization"
    }
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      },
      {
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        ],
        "reference": {
          "reference": "ValueSet/absent-or-unknown-medications-uv-ips"
        },
        "name": "Absent or Unknown Medications - IPS",
        "description": "This value set includes codes from the Absent and Unknown Data - IPS code system for representing absent or unknown medications.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/absent-or-unknown-problems-uv-ips"
        },
        "name": "Absent or Unknown Problems - IPS",
        "description": "This value set includes codes from the Absent and Unknown Data - IPS code system for representing absent or unknown problems.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/absent-or-unknown-procedures-uv-ips"
        },
        "name": "Absent or Unknown Procedures - IPS",
        "description": "This value set includes codes from the Absent and Unknown Data - IPS code system for representing absent or unknown procedures.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/allergyintolerance-abatement"
        },
        "name": "Allergy Intolerance Abatement",
        "description": "The date or estimated date that the condition resolved or went into remission. This is called abatement because of the many overloaded connotations associated with resolution - Some conditions, such as chronic conditions, are never really resolved, but they can abate.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/allergyintolerance-reaction-to-snomed"
        },
        "name": "AllergyIntolerance ReactionManifestation EMR: reaction to FHIR (Read Path — shared)",
        "description": "Maps EMR allergy reaction names to FHIR AllergyIntolerance.reaction.manifestation SNOMED CT codes.\nShared across CHR/MA/PSS (common_mapping.allergy_intolerance_reaction_code_mapping_dict).\n\n**Source**: reaction name (CHR respondent_allergies.reaction / MA reaction_code / PSS short_details)\n**Target**: AllergyIntolerance.reaction.manifestation (http://snomed.info/sct)\n**Path**: Read (EMR -> FHIR). 'Other' has no SNOMED code (text only).",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-AppointmentEMRCustomStatus"
        },
        "name": "AppointmentEMRCustomStatus",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Organization"
          }
        ],
        "reference": {
          "reference": "Organization/chr-on-west-Organization-100"
        },
        "name": "CHR Account Organization Example",
        "description": "Example CHR EMR Organization resource representing the main Account",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwOrganization"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "AllergyIntolerance"
          }
        ],
        "reference": {
          "reference": "AllergyIntolerance/chr-on-west-AllergyIntolerance-4001"
        },
        "name": "CHR AllergyIntolerance Example - Penicillin Allergy",
        "description": "Example CHR EMR AllergyIntolerance resource demonstrating a confirmed penicillin allergy with rash reaction",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwAllergyIntolerance"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "AllergyIntolerance"
          }
        ],
        "reference": {
          "reference": "AllergyIntolerance/chr-on-west-AllergyIntolerance-4002-resolved"
        },
        "name": "CHR AllergyIntolerance Example - Resolved Amoxicillin Allergy",
        "description": "Example CHR EMR AllergyIntolerance resource demonstrating a resolved allergy using the abatement extension",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwAllergyIntolerance"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Appointment"
          }
        ],
        "reference": {
          "reference": "Appointment/chr-on-west-Appointment-3001"
        },
        "name": "CHR Appointment Example - Follow-up with Dr. Emily Thompson",
        "description": "Example CHR EMR Appointment resource for a booked follow-up visit for Sarah Johnson with Dr. Emily Thompson",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwAppointment"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CarePlan"
          }
        ],
        "reference": {
          "reference": "CarePlan/chr-on-west-CarePlan-5001"
        },
        "name": "CHR CarePlan Example - Assessment & Plan for Acute Bronchitis",
        "description": "Example CHR EMR CarePlan resource representing the assessment and plan from the December 10, 2024 encounter for acute bronchitis",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwCarePlan"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CareTeam"
          }
        ],
        "reference": {
          "reference": "CareTeam/chr-on-west-CareTeam-6001"
        },
        "name": "CHR CareTeam Example - Primary Demographics Care Team",
        "description": "Example CHR EMR CareTeam resource (ct0 — primary demographics care team) for patient Sarah Marie Johnson, including primary practitioner and family doctor",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwCareTeam"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Claim"
          }
        ],
        "reference": {
          "reference": "Claim/chr-on-west-Claim-20001"
        },
        "name": "CHR Claim Example - Ministry Billing",
        "description": "Example CHR EMR Claim resource representing a submitted Ontario ministry billing for a professional service visit.",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwClaim"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Condition"
          }
        ],
        "reference": {
          "reference": "Condition/chr-on-west-Condition-encounter-diagnosis-4002"
        },
        "name": "CHR Condition Example - Encounter Diagnosis (Acute Bronchitis)",
        "description": "Example CHR EMR Condition (Encounter Diagnosis)",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwCondition"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Condition"
          }
        ],
        "reference": {
          "reference": "Condition/chr-on-west-Condition-problem-list-4001"
        },
        "name": "CHR Condition Example - Problem List (Type 2 Diabetes Mellitus)",
        "description": "Example CHR EMR Condition (Problem List)",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwCondition"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "DocumentReference"
          }
        ],
        "reference": {
          "reference": "DocumentReference/chr-on-west-DocumentReference-8001"
        },
        "name": "CHR DocumentReference Example - Signed Encounter Note",
        "description": "Example CHR EMR DocumentReference resource for a signed clinical encounter note uploaded to the patient chart for the December 10, 2024 acute bronchitis visit",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwDocumentReference"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/chr-anatomical-sites"
        },
        "name": "CHR EMR Anatomical Sites",
        "description": "Local CodeSystem for CHR EMR anatomical site terminology used in immunization documentation.\nThese codes represent the standardized dropdown values from respondent_injections.site_given field.\n\n**Source**: CHR EMR Database - respondent_injections.site_given\n**Usage**: Maps to CVC-AnatomicalSite ValueSet via ConceptMap\n\n**Note**: CHR provides the most comprehensive anatomical site options (11 distinct locations).\nSome sites do not have corresponding CVC-AnatomicalSite codes and are marked as unmappable.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/chr-anatomical-sites-vs"
        },
        "name": "CHR EMR Anatomical Sites ValueSet",
        "description": "ValueSet containing all anatomical site codes used by CHR EMR for immunization documentation.\n\n**Source CodeSystem**: CHRAnatomicalSites\n**Usage**: Source ValueSet for ConceptMap to CVC-AnatomicalSite",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/chr-facility-category"
        },
        "name": "CHR EMR Facility Category",
        "description": "Local CodeSystem for CHR EMR facility category values used in the Contacts → Facilities tab.\nThese codes represent the canonical dropdown values from facilities.category.\n\n**Source**: CHR EMR Database - facilities.category\n**Usage**: Maps to http://terminology.hl7.org/CodeSystem/v3-RoleCode via ConceptMap.\n  Text is always emitted in Organization.type.text even when a coded mapping exists.\n\n**Note**: The field is stored as free text (max 255 chars) with no DB-level constraint;\nthe values below are the 13 canonical options enforced by the CHR GraphQL public API enum\n(app/graphql/public_api/objects/facility/facility_category_enum.rb).",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/chr-facility-category-vs"
        },
        "name": "CHR EMR Facility Category ValueSet",
        "description": "ValueSet containing all facility category codes used by CHR EMR in the Contacts → Facilities tab.\n\n**Source CodeSystem**: CHRFacilityCategory\n**Usage**: Source ValueSet for ConceptMap to v3-RoleCode (Organization.type)",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Encounter"
          }
        ],
        "reference": {
          "reference": "Encounter/chr-on-west-Encounter-2001"
        },
        "name": "CHR Encounter Example - Office Visit for Acute Bronchitis",
        "description": "Example CHR EMR Encounter resource for office visit where acute bronchitis was diagnosed",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwEncounter"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Practitioner"
          }
        ],
        "reference": {
          "reference": "Practitioner/chr-ca-pei-111-Practitioner-ext-901"
        },
        "name": "CHR External Contact Provider Example - Dr. Jane Doe (Physician)",
        "description": "External Contact Provider from the CHR Contacts/Directory module (ca-pei, account 111). Sourced from the contacts table — NOT a CHR platform user. Address comes from the linked external facility (contacts.facility_id → facilities). Identifier system uses :contactid suffix to distinguish from internal :userid resources.",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "PractitionerRole"
          }
        ],
        "reference": {
          "reference": "PractitionerRole/chr-ca-pei-111-PractitionerRole-ext-901"
        },
        "name": "CHR External Contact Provider Role Example - Dr. Jane Doe at External Cardiology Clinic",
        "description": "PractitionerRole for an External Contact Provider (ca-pei, account 111). Organization references the external facility (facilities.id = 500 via contacts.facility_id), not the main clinic. code[HL7Role] and code[InfowayRole] are mapped from contacts.occupation using chr_practitioner_role_code_mapping_dict — same as internal. code[TelusRole] is N/A for external contacts. specialty.coding populated because contacts.occupation = Physician.",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Organization"
          }
        ],
        "reference": {
          "reference": "Organization/chr-on-west-Organization-facility-500"
        },
        "name": "CHR External Organization Example - Directory Facility",
        "description": "External facility from the CHR Directory section. Sourced from the facilities table (Column O in CHR FHIR 4.x EMR DB Mappings). External facilities have four telecom types (phone, fax, email, url/website) and no partOf or service-language extension.",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwOrganization"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "FamilyMemberHistory"
          }
        ],
        "reference": {
          "reference": "FamilyMemberHistory/chr-on-west-FamilyMemberHistory-15001"
        },
        "name": "CHR FamilyMemberHistory Example - Mother with Hypertension",
        "description": "Example CHR EMR FamilyMemberHistory resource. CHR HDS generates one FamilyMemberHistory per diagnosable record; condition is always populated. The family_member_history_id is a composite of the family history record id and the diagnosable id.",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwFamilyMemberHistory"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Immunization"
          }
        ],
        "reference": {
          "reference": "Immunization/chr-on-west-Immunization-12345"
        },
        "name": "CHR Immunization Example - COVID-19 Vaccine",
        "description": "Example CHR EMR Immunization resource demonstrating all supported CHR fields",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwImmunization"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Location"
          }
        ],
        "reference": {
          "reference": "Location/chr-on-west-Location-101"
        },
        "name": "CHR Location Example - Clinic Building",
        "description": "Example CHR EMR Location resource representing the clinic building/facility that mirrors the sub-organization",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwLocation"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Location"
          }
        ],
        "reference": {
          "reference": "Location/chr-on-west-Location-101-room-1"
        },
        "name": "CHR Location Example - Exam Room 1",
        "description": "Example CHR EMR Location resource representing an examination room within the clinic building",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwLocation"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Location"
          }
        ],
        "reference": {
          "reference": "Location/chr-on-west-Location-101-room-2"
        },
        "name": "CHR Location Example - Procedure Room",
        "description": "Example CHR EMR Location resource representing a procedure room within the clinic building",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwLocation"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Medication"
          }
        ],
        "reference": {
          "reference": "Medication/chr-on-west-Medication-9001"
        },
        "name": "CHR Medication Example - Metformin 500 mg Tablet",
        "description": "Example CHR EMR Medication resource for Metformin 500 mg tablet (DIN 02229611, ATC A10BA02)",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwMedication"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "MedicationRequest"
          }
        ],
        "reference": {
          "reference": "MedicationRequest/chr-on-west-MedicationRequest-9002"
        },
        "name": "CHR MedicationRequest Example - Metformin Prescription",
        "description": "Example CHR EMR MedicationRequest resource for a Metformin 500 mg prescription for type 2 diabetes",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwMedicationRequest"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "MedicationStatement"
          }
        ],
        "reference": {
          "reference": "MedicationStatement/chr-on-west-MedicationStatement-9003"
        },
        "name": "CHR MedicationStatement Example - Active Metformin",
        "description": "Example CHR EMR MedicationStatement resource for active Metformin therapy for type 2 diabetes",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwMedicationStatement"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationAlcoholUseCurrentStatus-13002"
        },
        "name": "CHR Observation Alcohol Use Current Status Example - Current Drinker",
        "description": "Example CHR EMR alcohol use current status observation indicating the patient is a current drinker of alcohol",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationAlcoholUseCurrentStatus"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationAlcoholUseDrinksConsumed-13003"
        },
        "name": "CHR Observation Alcohol Use Drinks Consumed Example - 2 Drinks Per Occasion",
        "description": "Example CHR EMR alcohol use drinks consumed observation indicating the patient consumes 2 drinks per occasion",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationAlcoholUseDrinksConsumed"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationAlcoholUse-13001"
        },
        "name": "CHR Observation Alcohol Use Example - Parent",
        "description": "Example CHR EMR alcohol use parent observation linking to sub-observations for current status, drinks consumed, frequency, and alcohol type",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationAlcoholUse"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationAlcoholUseFrequency-13004"
        },
        "name": "CHR Observation Alcohol Use Frequency Example - Social/Occasional",
        "description": "Example CHR EMR alcohol use frequency observation. Note: DwObservationAlcoholUseFrequency is documented as CHR Not Supported (🔴) in the profile; this instance is included for completeness as requested.",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationAlcoholUseFrequency"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationAlcoholUseType-13005"
        },
        "name": "CHR Observation Alcohol Use Type Example - Wine",
        "description": "Example CHR EMR alcohol use type observation indicating the patient drinks wine",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationAlcoholUseType"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationDrugUse-14001"
        },
        "name": "CHR Observation Drug Use Example - Parent",
        "description": "Example CHR EMR drug use parent observation for past recreational cannabis use. hasMember is constrained to DwObservationSocialHistory per profile; sub-profile instances are linked via the social history container.",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationDrugUse"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationDrugUseFrequency-14002"
        },
        "name": "CHR Observation Drug Use Frequency Example - Past Use, Occasional",
        "description": "Example CHR EMR drug use frequency observation indicating occasional past use of recreational substances",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationDrugUseFrequency"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationDrugUseType-14003"
        },
        "name": "CHR Observation Drug Use Type Example - Cannabis",
        "description": "Example CHR EMR drug use type observation indicating cannabis as the substance used",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationDrugUseType"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-Observation-8316"
        },
        "name": "CHR Observation Example - Custom Patient Data Property",
        "description": "Example CHR EMR generic Observation for a fully account-customizable Patient Data property, as currently produced by the live ibis_chr_observation_patient_generation.py flat transform — a single Observation per respondent_property_items row, with a plain valueString and no coded value[x] or hasMember children (see the DwObservation notes page for the fuller parent+child design this transform does not yet implement)",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservation"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationSocialHistory-11001"
        },
        "name": "CHR Observation Social History Example - Social History Container",
        "description": "Example CHR EMR social history container observation linking tobacco, alcohol, and drug use sub-observations",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationSocialHistory"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationTobaccoUseCigarettesPerDay-12003"
        },
        "name": "CHR Observation Tobacco Use Cigarettes Per Day Example - 20 Cigarettes/Day",
        "description": "Example CHR EMR tobacco use cigarettes per day observation indicating patient smoked 20 cigarettes per day",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationTobaccoUseCigarettesPerDay"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationTobaccoUseCurrentStatus-12002"
        },
        "name": "CHR Observation Tobacco Use Current Status Example - Former Smoker",
        "description": "Example CHR EMR tobacco use current status observation indicating the patient is a former smoker",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationTobaccoUseCurrentStatus"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationTobaccoUse-12001"
        },
        "name": "CHR Observation Tobacco Use Example - Parent",
        "description": "Example CHR EMR tobacco use parent observation linking to sub-observations for current status, cigarettes per day, pack years, and tobacco product",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationTobaccoUse"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationTobaccoUsePackYears-12004"
        },
        "name": "CHR Observation Tobacco Use Pack Years Example - 10 Pack Years",
        "description": "Example CHR EMR tobacco use pack years observation indicating patient has a 10 pack-year smoking history",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationTobaccoUsePackYears"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationTobaccoUseTobaccoProduct-12005"
        },
        "name": "CHR Observation Tobacco Use Tobacco Product Example - Cigarettes",
        "description": "Example CHR EMR tobacco use product observation indicating patient used cigarettes as the tobacco product",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationTobaccoUseTobaccoProduct"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationVitals-10001"
        },
        "name": "CHR Observation Vitals Example - Blood Pressure",
        "description": "Example CHR EMR blood pressure panel observation recorded during office visit on December 10, 2024",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationVitals"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationVitals-10002"
        },
        "name": "CHR Observation Vitals Example - Heart Rate",
        "description": "Example CHR EMR standalone vital-sign Observation (Heart Rate) — CHR assorted vitals (heart rate, respiratory rate, temperature, weight, height, head/waist circumference, pulse oximetry) are each generated as their own Observation with its own code/value, not as components",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationVitals"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/chr-on-west-ObservationVitals-panel-10003"
        },
        "name": "CHR Observation Vitals Example - Vitals Panel",
        "description": "Example CHR EMR Vitals Panel Observation — auto-generated whenever a panel-member vital (Blood Pressure, Heart Rate, Heart Rhythm, Weight, Height, Temperature, BMI) is recorded within an encounter; groups the individual vital-sign Observations for that encounter via hasMember",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationVitals"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Patient"
          }
        ],
        "reference": {
          "reference": "Patient/chr-on-west-Patient-12345"
        },
        "name": "CHR Patient Example - Sarah Johnson",
        "description": "Example CHR EMR Patient resource demonstrating CHR-specific mappings and patterns",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Organization"
          }
        ],
        "reference": {
          "reference": "Organization/chr-ca-pei-111-Organization-facility-500"
        },
        "name": "CHR PEI External Organization Example - External Cardiology Clinic",
        "description": "External facility from the CHR Contacts/Directory module for the PEI CHR instance (ca-pei, account 111). Sourced from the facilities table. Referenced by external contact providers via contacts.facility_id.",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwOrganization"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Location"
          }
        ],
        "reference": {
          "reference": "Location/chr-ca-pei-111-Location-201"
        },
        "name": "CHR PEI Location Example - Clinic Location",
        "description": "Example CHR EMR Location resource representing the main clinic building for PEI account 111",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwLocation"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Organization"
          }
        ],
        "reference": {
          "reference": "Organization/chr-ca-pei-111-Organization-111"
        },
        "name": "CHR PEI Organization Example - Parent Clinic",
        "description": "Example CHR EMR Organization resource representing the PEI parent clinic (account 111)",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwOrganization"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Practitioner"
          }
        ],
        "reference": {
          "reference": "Practitioner/chr-on-west-Practitioner-501"
        },
        "name": "CHR Practitioner Example - Dr. Emily Thompson",
        "description": "Example CHR EMR Practitioner resource representing a family physician",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Practitioner"
          }
        ],
        "reference": {
          "reference": "Practitioner/chr-ca-pei-111-Practitioner-601"
        },
        "name": "CHR Practitioner Example - Dr. Maple Leaf",
        "description": "Example CHR EMR Practitioner resource representing a family physician",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "PractitionerRole"
          }
        ],
        "reference": {
          "reference": "PractitionerRole/chr-ca-pei-111-PractitionerRole-601"
        },
        "name": "CHR PractitionerRole Example - Dr. Leaf at PEI Clinic",
        "description": "Example CHR EMR PractitionerRole linking Doctor to Role",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "PractitionerRole"
          }
        ],
        "reference": {
          "reference": "PractitionerRole/chr-on-west-PractitionerRole-501-1"
        },
        "name": "CHR PractitionerRole Example - Dr. Thompson at Western Ontario Clinic",
        "description": "Example CHR EMR PractitionerRole linking Dr. Thompson to Western Ontario Family Health Clinic",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Procedure"
          }
        ],
        "reference": {
          "reference": "Procedure/chr-on-west-Procedure-7001"
        },
        "name": "CHR Procedure Example - Surgical Consultation",
        "description": "Example CHR EMR Procedure resource demonstrating supported fields for CHR system",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwProcedure"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Questionnaire"
          }
        ],
        "reference": {
          "reference": "Questionnaire/chr-on-west-Questionnaire-1001-AllTypes"
        },
        "name": "CHR Questionnaire Example - All Supported Item Types",
        "description": "Example CHR EMR Questionnaire demonstrating all FHIR R4 item types supported by CHR FormTemplates and Questionnaires",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwQuestionnaire"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "QuestionnaireResponse"
          }
        ],
        "reference": {
          "reference": "QuestionnaireResponse/chr-on-west-QuestionnaireResponse-4001-Complete"
        },
        "name": "CHR QuestionnaireResponse Example - All Supported Answer Types",
        "description": "Example CHR EMR QuestionnaireResponse demonstrating all FHIR R4 answer value types supported by CHR Forms and AnswerSheets",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwQuestionnaireResponse"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ServiceRequest"
          }
        ],
        "reference": {
          "reference": "ServiceRequest/chr-on-west-ServiceRequest-15001"
        },
        "name": "CHR ServiceRequest Example - Outgoing Referral to Cardiologist",
        "description": "Example CHR EMR ServiceRequest resource for an outgoing referral to cardiology, initiated during the December 10, 2024 encounter for chest pain workup",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwServiceRequest"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Organization"
          }
        ],
        "reference": {
          "reference": "Organization/chr-on-west-Organization-101"
        },
        "name": "CHR Sub-Organization Example - Appointment Location",
        "description": "Example CHR EMR Organization resource representing an Appointment Location (sub-organization)",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwOrganization"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-ClinicianAnnotation"
        },
        "name": "ClinicianAnnotation",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/combined-code-codes"
        },
        "name": "Combined Code Codes",
        "description": "ValueSet containing all code codes from loinc and pCLOCD used by DwObservationResults",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/combined-condition-codes"
        },
        "name": "Combined Condition Codes",
        "description": "ValueSet containing all condition codes from ICD-9-CM and SNOMED CT used by DwFamilyMemberHistory",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-DispenserInstructions"
        },
        "name": "DispenserInstructions",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-DispenseTrial"
        },
        "name": "DispenseTrial",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwAllergyIntolerance"
        },
        "name": "DwAllergyIntolerance",
        "description": "**CHR:** Allergies and intolerances are recorded in the **Allergies** section of the patient chart, accessible from the patient summary or directly from the patient sidebar. Both drug and non-drug allergies can be entered.\n\n**MA:** Allergies and intolerances are managed via **Menu → Patients → select patient → Allergies → Add / select entry** (routes: `/DisplayCreateAllergy.do`, `/DisplayEditAllergy.do`). Drug allergies use the DIS drug catalog; non-drug allergies use free-text allergen entry. Confirmation status (Confirmed/Unconfirmed/Suspect/Refuted/Resolved/Erroneous) drives both FHIR clinicalStatus and verificationStatus.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwallergyintolerance-clinicalstatus-chr-halo-to-fhir"
        },
        "name": "DwAllergyIntolerance Clinicalstatus CHR-HALO: CHR-HALO → FHIR (Read Path — HALO)",
        "description": "Maps CHR-HALO EMR AllergyIntolerance.clinicalStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAllergyIntolerance-clinicalstatus-CHR-HALO.csv`. Do not hand-edit.\n\n**Source**: clinical_status_code() (chr-backend app/misc/fhir_models/allergy_intolerance.rb)\n**Target**: AllergyIntolerance.clinicalStatus\n**Path**: Read (CHR-HALO FHIR API → FHIR) — HALO fhir_models mapper",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwallergyintolerance-clinicalstatus-chr-to-fhir"
        },
        "name": "DwAllergyIntolerance Clinicalstatus CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR AllergyIntolerance.clinicalStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAllergyIntolerance-clinicalstatus-CHR.csv`. Do not hand-edit.\n\n**Source**: respondent_allergies.status\n**Target**: AllergyIntolerance.clinicalStatus\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwallergyintolerance-clinicalstatus-ma-to-fhir"
        },
        "name": "DwAllergyIntolerance Clinicalstatus MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR AllergyIntolerance.clinicalStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAllergyIntolerance-clinicalstatus-MA.csv`. Do not hand-edit.\n\n**Source**: allergies.status_code\n**Target**: AllergyIntolerance.clinicalStatus\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwallergyintolerance-clinicalstatus-pss-to-fhir"
        },
        "name": "DwAllergyIntolerance Clinicalstatus PSS: PSS → FHIR (Read Path — HDS)",
        "description": "Maps PSS EMR AllergyIntolerance.clinicalStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAllergyIntolerance-clinicalstatus-PSS.csv`. Do not hand-edit.\n\n**Source**: allergy.deleted_status\n**Target**: AllergyIntolerance.clinicalStatus\n**Path**: Read (PSS DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwallergyintolerance-criticality-chr-halo-to-fhir"
        },
        "name": "DwAllergyIntolerance Criticality CHR-HALO: CHR-HALO → FHIR (Read Path — HALO)",
        "description": "Maps CHR-HALO EMR AllergyIntolerance.criticality values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAllergyIntolerance-criticality-CHR-HALO.csv`. Do not hand-edit.\n\n**Source**: criticality_code() (chr-backend app/misc/fhir_models/allergy_intolerance.rb)\n**Target**: AllergyIntolerance.criticality\n**Path**: Read (CHR-HALO FHIR API → FHIR) — HALO fhir_models mapper",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwallergyintolerance-criticality-chr-to-fhir"
        },
        "name": "DwAllergyIntolerance Criticality CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR AllergyIntolerance.criticality values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAllergyIntolerance-criticality-CHR.csv`. Do not hand-edit.\n\n**Source**: respondent_allergies.severity\n**Target**: AllergyIntolerance.criticality\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwallergyintolerance-criticality-ma-to-fhir"
        },
        "name": "DwAllergyIntolerance Criticality MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR AllergyIntolerance.criticality values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAllergyIntolerance-criticality-MA.csv`. Do not hand-edit.\n\n**Source**: allergies.severity_code\n**Target**: AllergyIntolerance.criticality\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwallergyintolerance-criticality-pss-to-fhir"
        },
        "name": "DwAllergyIntolerance Criticality PSS: PSS → FHIR (Read Path — HDS)",
        "description": "Maps PSS EMR AllergyIntolerance.criticality values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAllergyIntolerance-criticality-PSS.csv`. Do not hand-edit.\n\n**Source**: allergy.severity_code\n**Target**: AllergyIntolerance.criticality\n**Path**: Read (PSS DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwallergyintolerance-reactionseverity-chr-halo-to-fhir"
        },
        "name": "DwAllergyIntolerance Reactionseverity CHR-HALO: CHR-HALO → FHIR (Read Path — HALO)",
        "description": "Maps CHR-HALO EMR AllergyIntolerance.reaction.severity values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAllergyIntolerance-reactionseverity-CHR-HALO.csv`. Do not hand-edit.\n\n**Source**: reaction_severity() (chr-backend app/misc/fhir_models/allergy_intolerance.rb)\n**Target**: AllergyIntolerance.reaction.severity\n**Path**: Read (CHR-HALO FHIR API → FHIR) — HALO fhir_models mapper",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwallergyintolerance-reactionseverity-chr-to-fhir"
        },
        "name": "DwAllergyIntolerance Reactionseverity CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR AllergyIntolerance.reaction.severity values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAllergyIntolerance-reactionseverity-CHR.csv`. Do not hand-edit.\n\n**Source**: respondent_allergies.severity\n**Target**: AllergyIntolerance.reaction.severity\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwallergyintolerance-reactionseverity-ma-to-fhir"
        },
        "name": "DwAllergyIntolerance Reactionseverity MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR AllergyIntolerance.reaction.severity values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAllergyIntolerance-reactionseverity-MA.csv`. Do not hand-edit.\n\n**Source**: allergies.severity_code\n**Target**: AllergyIntolerance.reaction.severity\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwallergyintolerance-reactionseverity-pss-to-fhir"
        },
        "name": "DwAllergyIntolerance Reactionseverity PSS: PSS → FHIR (Read Path — HDS)",
        "description": "Maps PSS EMR AllergyIntolerance.reaction.severity values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAllergyIntolerance-reactionseverity-PSS.csv`. Do not hand-edit.\n\n**Source**: allergy.severity_code\n**Target**: AllergyIntolerance.reaction.severity\n**Path**: Read (PSS DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwallergyintolerance-verificationstatus-chr-halo-to-fhir"
        },
        "name": "DwAllergyIntolerance Verificationstatus CHR-HALO: CHR-HALO → FHIR (Read Path — HALO)",
        "description": "Maps CHR-HALO EMR AllergyIntolerance.verificationStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAllergyIntolerance-verificationstatus-CHR-HALO.csv`. Do not hand-edit.\n\n**Source**: verification_status_code() (chr-backend app/misc/fhir_models/allergy_intolerance.rb)\n**Target**: AllergyIntolerance.verificationStatus\n**Path**: Read (CHR-HALO FHIR API → FHIR) — HALO fhir_models mapper",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwallergyintolerance-verificationstatus-chr-to-fhir"
        },
        "name": "DwAllergyIntolerance Verificationstatus CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR AllergyIntolerance.verificationStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAllergyIntolerance-verificationstatus-CHR.csv`. Do not hand-edit.\n\n**Source**: respondent_allergies.status / archived\n**Target**: AllergyIntolerance.verificationStatus\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwallergyintolerance-verificationstatus-ma-to-fhir"
        },
        "name": "DwAllergyIntolerance Verificationstatus MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR AllergyIntolerance.verificationStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAllergyIntolerance-verificationstatus-MA.csv`. Do not hand-edit.\n\n**Source**: allergies.status_code\n**Target**: AllergyIntolerance.verificationStatus\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwallergyintolerance-verificationstatus-pss-to-fhir"
        },
        "name": "DwAllergyIntolerance Verificationstatus PSS: PSS → FHIR (Read Path — HDS)",
        "description": "Maps PSS EMR AllergyIntolerance.verificationStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAllergyIntolerance-verificationstatus-PSS.csv`. Do not hand-edit.\n\n**Source**: allergy.confirmation_status / deletion_reason_code\n**Target**: AllergyIntolerance.verificationStatus\n**Path**: Read (PSS DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwAppointment"
        },
        "name": "DwAppointment",
        "description": "**CHR:** Appointments can be entered through the main **Scheduler** module, directly within the patient chart via the **Appointments** section, the eBooking system for patient-requested appointments, or the Visits Dashboard for daily appointment oversight.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwappointment-status-chr-to-fhir"
        },
        "name": "DwAppointment Status CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR Appointment.status values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAppointment-status-CHR.csv`. Do not hand-edit.\n\n**Source**: appointments_appointments.status\n**Target**: Appointment.status\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwappointment-status-ma-to-fhir"
        },
        "name": "DwAppointment Status MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR Appointment.status values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAppointment-status-MA.csv`. Do not hand-edit.\n\n**Source**: appointment_statuses.value (via appt_status_id)\n**Target**: Appointment.status\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwappointment-status-pss-to-fhir"
        },
        "name": "DwAppointment Status PSS: PSS → FHIR (Read Path — HDS)",
        "description": "Maps PSS EMR Appointment.status values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwAppointment-status-PSS.csv`. Do not hand-edit.\n\n**Source**: appointments boolean flags: appt_no_show, appt_cancelled, appt_lwbs, appt_deleted\n**Target**: Appointment.status\n**Path**: Read (PSS DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwBundle"
        },
        "name": "DwBundle",
        "description": "**CHR:** A Bundle is not entered directly in CHR; it is a transport container that groups multiple FHIR resources together for exchange (e.g., combining Patient, Encounter, and Medication resources into a single payload).",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwCarePlan"
        },
        "name": "DwCarePlan",
        "description": "**CHR:** Care plans are derived from the **Assessment & Plan** section within an **Encounter**. The assessment and plan text is entered as part of the encounter workflow.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwCareTeam"
        },
        "name": "DwCareTeam",
        "description": "**CHR:** Care teams are managed through the patient **Dashboard** (Care Team widget) and the patient **Summary**. Members are added via the Care Team card with role selection. The primary care team (ct0) includes the primary practitioner, referring doctor, and family doctor from the patient's demographics.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwClaim"
        },
        "name": "DwClaim",
        "description": "**CHR:** Billing claims are recorded in the **Insured Payments** section of the patient chart or through the **Billing Dashboard** module. New billing items are created via the billing item dialog with service codes, diagnosis codes, and payment details.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwComposition"
        },
        "name": "DwComposition",
        "description": "**CHR:** Compositions are not entered directly in CHR; they represent a structured assembly of clinical content generated from encounter documentation for exchange or reporting purposes.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwCondition"
        },
        "name": "DwCondition",
        "description": "**CHR:** Conditions can be entered through the **Encounter → Diagnostics** section (for encounter diagnoses) or in the **Health Profile → Medical History** section of the patient chart. Each section has its own distinct data entry path. Surgical History is captured separately as a `Procedure` resource (see DwProcedure) and Family History as a `FamilyMemberHistory` resource (see DwFamilyMemberHistory) — neither produces a Condition.\n\n**MA:** Conditions are managed in the **Health Profile** section of the patient chart. Select **Medical History** from the Health Profile sub-menu. Use **Add** to create a new condition or select an existing entry to edit. Surgical History is captured separately as a `Procedure` resource (see DwProcedure) and Family History as a `FamilyMemberHistory` resource (see DwFamilyMemberHistory) — neither produces a Condition.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwcondition-clinicalstatus-chr-halo-to-fhir"
        },
        "name": "DwCondition Clinicalstatus CHR-HALO: CHR-HALO → FHIR (Read Path — HALO)",
        "description": "Maps CHR-HALO EMR Condition.clinicalStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwCondition-clinicalstatus-CHR-HALO.csv`. Do not hand-edit.\n\n**Source**: CLINICAL_STATUS_BY_MEDICAL_HISTORY_STATUS / clinical_status() (chr-backend app/misc/fhir_models/condition.rb)\n**Target**: Condition.clinicalStatus\n**Path**: Read (CHR-HALO FHIR API → FHIR) — HALO fhir_models mapper",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwcondition-clinicalstatus-chr-to-fhir"
        },
        "name": "DwCondition Clinicalstatus CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR Condition.clinicalStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwCondition-clinicalstatus-CHR.csv`. Do not hand-edit.\n\n**Source**: respondent_medical_history_records.status\n**Target**: Condition.clinicalStatus\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwcondition-clinicalstatus-ma-to-fhir"
        },
        "name": "DwCondition Clinicalstatus MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR Condition.clinicalStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwCondition-clinicalstatus-MA.csv`. Do not hand-edit.\n\n**Source**: problems.status\n**Target**: Condition.clinicalStatus\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwcondition-clinicalstatus-pss-to-fhir"
        },
        "name": "DwCondition Clinicalstatus PSS: PSS → FHIR (Read Path — HDS)",
        "description": "Maps PSS EMR Condition.clinicalStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwCondition-clinicalstatus-PSS.csv`. Do not hand-edit.\n\n**Source**: health_problem.status\n**Target**: Condition.clinicalStatus\n**Path**: Read (PSS DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwcondition-severity-ma-to-fhir"
        },
        "name": "DwCondition Severity MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR Condition.severity values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwCondition-severity-MA.csv`. Do not hand-edit.\n\n**Source**: problems.severity\n**Target**: Condition.severity\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwcondition-verificationstatus-chr-halo-to-fhir"
        },
        "name": "DwCondition Verificationstatus CHR-HALO: CHR-HALO → FHIR (Read Path — HALO)",
        "description": "Maps CHR-HALO EMR Condition.verificationStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwCondition-verificationstatus-CHR-HALO.csv`. Do not hand-edit.\n\n**Source**: medical_history_record.archived? / verification_status() (chr-backend app/misc/fhir_models/condition.rb)\n**Target**: Condition.verificationStatus\n**Path**: Read (CHR-HALO FHIR API → FHIR) — HALO fhir_models mapper",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwcondition-verificationstatus-chr-to-fhir"
        },
        "name": "DwCondition Verificationstatus CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR Condition.verificationStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwCondition-verificationstatus-CHR.csv`. Do not hand-edit.\n\n**Source**: respondent_medical_history_records.archived\n**Target**: Condition.verificationStatus\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwcondition-verificationstatus-ma-to-fhir"
        },
        "name": "DwCondition Verificationstatus MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR Condition.verificationStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwCondition-verificationstatus-MA.csv`. Do not hand-edit.\n\n**Source**: problems.confirmation_status\n**Target**: Condition.verificationStatus\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwcondition-verificationstatus-pss-to-fhir"
        },
        "name": "DwCondition Verificationstatus PSS: PSS → FHIR (Read Path — HDS)",
        "description": "Maps PSS EMR Condition.verificationStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwCondition-verificationstatus-PSS.csv`. Do not hand-edit.\n\n**Source**: health_problem.confirmation_status / deletion_reason_code\n**Target**: Condition.verificationStatus\n**Path**: Read (PSS DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwDiagnosticReport"
        },
        "name": "DwDiagnosticReport",
        "description": "**CHR:** Diagnostic reports (lab and imaging) are accessible in the **Files** section of the patient chart. Reports arrive via OLIS integration, DSQ integration, or are uploaded manually as documents.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwDocumentReference"
        },
        "name": "DwDocumentReference",
        "description": "**CHR:** Documents are uploaded and managed in the **Files** section of the patient chart (active and archived views). Files can be tagged, sorted, and downloaded. DSQ Lab, DSQ Imaging, and OLIS results also appear here as linked documents.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwDocumentReferenceClinicalNote"
        },
        "name": "DwDocumentReferenceClinicalNote",
        "description": "**CHR:** Clinical note documents are created within the **Encounters** section of the patient chart in the notes areas (H&P, Assessment & Plan, etc.) and may also appear in the **Files** section when saved as attachments.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwEncounter"
        },
        "name": "DwEncounter",
        "description": "**CHR:** Encounters are recorded in the **Encounters** section of the patient chart. A new encounter is started with the New Encounter button and contains sections for concern, diagnoses, medications, vital signs, assessment & plan, forms, and notes.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwencounter-class-chr-halo-to-fhir"
        },
        "name": "DwEncounter Class CHR-HALO: CHR-HALO → FHIR (Read Path — HALO)",
        "description": "Maps CHR-HALO EMR Encounter.class values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwEncounter-class-CHR-HALO.csv`. Do not hand-edit.\n\n**Source**: appointments.visit_type / encounter_class() (chr-backend app/misc/fhir_models/encounter.rb)\n**Target**: Encounter.class\n**Path**: Read (CHR-HALO FHIR API → FHIR) — HALO fhir_models mapper",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwencounter-class-chr-to-fhir"
        },
        "name": "DwEncounter Class CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR Encounter.class values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwEncounter-class-CHR.csv`. Do not hand-edit.\n\n**Source**: appointments.visit_type\n**Target**: Encounter.class\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwencounter-class-ma-to-fhir"
        },
        "name": "DwEncounter Class MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR Encounter.class values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwEncounter-class-MA.csv`. Do not hand-edit.\n\n**Source**: hardcoded AMB (ibis_ma_encounter_generation.py)\n**Target**: Encounter.class\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwencounter-class-pss-to-fhir"
        },
        "name": "DwEncounter Class PSS: PSS → FHIR (Read Path — HDS)",
        "description": "Maps PSS EMR Encounter.class values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwEncounter-class-PSS.csv`. Do not hand-edit.\n\n**Source**: hardcoded AMB (pss_encounter.py)\n**Target**: Encounter.class\n**Path**: Read (PSS DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwencounter-status-chr-halo-to-fhir"
        },
        "name": "DwEncounter Status CHR-HALO: CHR-HALO → FHIR (Read Path — HALO)",
        "description": "Maps CHR-HALO EMR Encounter.status values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwEncounter-status-CHR-HALO.csv`. Do not hand-edit.\n\n**Source**: encounters.locked (read_attribute raw) / status() (chr-backend app/misc/fhir_models/encounter.rb)\n**Target**: Encounter.status\n**Path**: Read (CHR-HALO FHIR API → FHIR) — HALO fhir_models mapper",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwencounter-status-chr-to-fhir"
        },
        "name": "DwEncounter Status CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR Encounter.status values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwEncounter-status-CHR.csv`. Do not hand-edit.\n\n**Source**: encounters.locked\n**Target**: Encounter.status\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwencounter-status-ma-to-fhir"
        },
        "name": "DwEncounter Status MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR Encounter.status values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwEncounter-status-MA.csv`. Do not hand-edit.\n\n**Source**: tasks.status\n**Target**: Encounter.status\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwencounter-status-pss-to-fhir"
        },
        "name": "DwEncounter Status PSS: PSS → FHIR (Read Path — HDS)",
        "description": "Maps PSS EMR Encounter.status values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwEncounter-status-PSS.csv`. Do not hand-edit.\n\n**Source**: patient_piece.unfinished\n**Target**: Encounter.status\n**Path**: Read (PSS DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwFamilyMemberHistory"
        },
        "name": "DwFamilyMemberHistory",
        "description": "**CHR:** Family history is recorded in the **Health Profile → Family History** section of the patient chart via the Family History modal, which captures family member relationships and associated conditions.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwfamilymemberhistory-relationship-chr-halo-to-fhir"
        },
        "name": "DwFamilyMemberHistory Relationship CHR-HALO: CHR-HALO → FHIR (Read Path — HALO)",
        "description": "Maps CHR-HALO EMR FamilyMemberHistory.relationship values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwFamilyMemberHistory-relationship-CHR-HALO.csv`. Do not hand-edit.\n\n**Source**: respondent_family_history_records.relationship → RELATIONSHIP_SNOMED_MAP (chr-backend app/misc/fhir_models/family_member_history.rb)\n**Target**: FamilyMemberHistory.relationship\n**Path**: Read (CHR-HALO FHIR API → FHIR) — HALO fhir_models mapper",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwfamilymemberhistory-relationship-chr-to-fhir"
        },
        "name": "DwFamilyMemberHistory Relationship CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR FamilyMemberHistory.relationship values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwFamilyMemberHistory-relationship-CHR.csv`. Do not hand-edit.\n\n**Source**: respondent_family_history_records.relationship\n**Target**: FamilyMemberHistory.relationship\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwfamilymemberhistory-relationship-ma-to-fhir"
        },
        "name": "DwFamilyMemberHistory Relationship MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR FamilyMemberHistory.relationship values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwFamilyMemberHistory-relationship-MA.csv`. Do not hand-edit.\n\n**Source**: problems.relation + problems.maternal_paternal\n**Target**: FamilyMemberHistory.relationship\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwfamilymemberhistory-relationship-pss-to-fhir"
        },
        "name": "DwFamilyMemberHistory Relationship PSS: PSS → FHIR (Read Path — HDS)",
        "description": "Maps PSS EMR FamilyMemberHistory.relationship values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwFamilyMemberHistory-relationship-PSS.csv`. Do not hand-edit.\n\n**Source**: patient_piece.relationship\n**Target**: FamilyMemberHistory.relationship\n**Path**: Read (PSS DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwfamilymemberhistory-status-chr-halo-to-fhir"
        },
        "name": "DwFamilyMemberHistory Status CHR-HALO: CHR-HALO → FHIR (Read Path — HALO)",
        "description": "Maps CHR-HALO EMR FamilyMemberHistory.status values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwFamilyMemberHistory-status-CHR-HALO.csv`. Do not hand-edit.\n\n**Source**: respondent_family_history_records.archived? + object.is_confirmed / status() (chr-backend app/misc/fhir_models/family_member_history.rb)\n**Target**: FamilyMemberHistory.status\n**Path**: Read (CHR-HALO FHIR API → FHIR) — HALO fhir_models mapper",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwHealthcareService"
        },
        "name": "DwHealthcareService",
        "description": "**CHR:** Healthcare services are configured at the account level through **Settings → Account Info** and represent the types of care offered at a clinic location, used in appointment scheduling and referral workflows.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwImmunization"
        },
        "name": "DwImmunization",
        "description": "**CHR:** Immunizations are recorded in the **Injections** section of the patient chart. A new injection is added via the New Injection dialog with fields for date administered, name, dosage, route, lot number, and series.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwimmunization-route-chr-halo-to-fhir"
        },
        "name": "DwImmunization Route CHR-HALO: CHR-HALO → FHIR (Read Path — HALO)",
        "description": "Maps CHR-HALO EMR Immunization.route values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwImmunization-route-CHR-HALO.csv`. Do not hand-edit.\n\n**Source**: route() — respondent_injections.route (chr-backend app/misc/fhir_models/immunization.rb)\n**Target**: Immunization.route\n**Path**: Read (CHR-HALO FHIR API → FHIR) — HALO fhir_models mapper",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwimmunization-route-chr-to-fhir"
        },
        "name": "DwImmunization Route CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR Immunization.route values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwImmunization-route-CHR.csv`. Do not hand-edit.\n\n**Source**: respondent_injections.route\n**Target**: Immunization.route\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwimmunization-site-chr-halo-to-fhir"
        },
        "name": "DwImmunization Site CHR-HALO: CHR-HALO → FHIR (Read Path — HALO)",
        "description": "Maps CHR-HALO EMR Immunization.site values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwImmunization-site-CHR-HALO.csv`. Do not hand-edit.\n\n**Source**: site() — respondent_injections.site_given (chr-backend app/misc/fhir_models/immunization.rb)\n**Target**: Immunization.site\n**Path**: Read (CHR-HALO FHIR API → FHIR) — HALO fhir_models mapper",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwimmunization-site-chr-to-fhir"
        },
        "name": "DwImmunization Site CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR Immunization.site values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwImmunization-site-CHR.csv`. Do not hand-edit.\n\n**Source**: respondent_injections.site_given\n**Target**: Immunization.site\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwLocation"
        },
        "name": "DwLocation",
        "description": "**CHR:** Locations (clinic sites) are configured in **Settings → Account Info → Locations**. Individual rooms are managed through **Settings → Room Management → Rooms**.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwMedication"
        },
        "name": "DwMedication",
        "description": "**CHR:** Medications (drug catalogue entries) are accessed through the drug search interface when creating a prescription or managing current medications. Clinicians search the drug database by name, DIN, or ATC code.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwMedicationAdministration"
        },
        "name": "DwMedicationAdministration",
        "description": "**CHR:** Medication administrations (substances given in-office) are recorded in the **Injections** section of the patient chart, using the same workflow as immunizations with an administered date.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwMedicationRequest"
        },
        "name": "DwMedicationRequest",
        "description": "**CHR:** Medication prescriptions are created in the **Prescriptions** section of the patient chart via the New Prescription button, or within an Encounter. The prescription form includes drug selection, dosage, frequency, route, and signing workflow.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwMedicationStatement"
        },
        "name": "DwMedicationStatement",
        "description": "**CHR:** Current medications are managed in the **Medications** section of the patient chart (tabs: All / Current / Past / External). New medications are added via the New Medication action and can be linked to a prescription.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservation"
        },
        "name": "DwObservation",
        "description": "**CHR:** Generic observations are recorded in the Patient Data sections of the patient chart",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationAlcoholUse"
        },
        "name": "DwObservationAlcoholUse",
        "description": "**CHR:** Alcohol use observations can be entered through two locations: (1) the **Social History** section of the patient chart (`Patients → select patient → chart → Social History → Add → Substance Use → Alcohol`) — full detail form with all sub-fields (status, type, frequency, drinks consumed); and (2) the **Patient Data** panel (`Patients → select patient → chart → Patient Data → Social History → Alcohol`) — summary view showing current alcohol use status only. Parent observation with hasMember sub-observations for CurrentStatus, DrinksConsumed, Frequency, Type, and YearsOfETOHUse.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationAlcoholUseCurrentStatus"
        },
        "name": "DwObservationAlcoholUseCurrentStatus",
        "description": "**CHR:** Alcohol use current status can be entered through two locations: (1) the **Social History** section of the patient chart (`Patients → select patient → chart → Social History → Substance Use → Alcohol → Status`); and (2) the **Patient Data** panel (`Patients → select patient → chart → Patient Data → Social History → Alcohol`) — summary view showing current alcohol use status. This sub-observation captures the coded current alcohol use status (e.g., Current Drinker, Occasional Drinker, Non Drinker).",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationAlcoholUseDrinksConsumed"
        },
        "name": "DwObservationAlcoholUseDrinksConsumed",
        "description": "**CHR:** Drinks consumed is recorded through the **Social History** section of the patient chart (`Patients → select patient → chart → Social History → Substance Use → Alcohol → Short Term Per Occasion`). This sub-observation is only accessible through the Social History section, not the Patient Data panel summary.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationAlcoholUseFrequency"
        },
        "name": "DwObservationAlcoholUseFrequency",
        "description": "**CHR:** Alcohol use frequency is recorded through the **Social History** section of the patient chart (`Patients → select patient → chart → Social History → Substance Use → Alcohol → Long Term Consumption`). This sub-observation is only accessible through the Social History section, not the Patient Data panel summary.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationAlcoholUseType"
        },
        "name": "DwObservationAlcoholUseType",
        "description": "**CHR:** Alcohol use type is recorded through the **Social History** section of the patient chart (`Patients → select patient → chart → Social History → Substance Use → Alcohol → Type`). This sub-observation is only accessible through the Social History section, not the Patient Data panel summary.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationAlcoholUseYearsOfETOHUse"
        },
        "name": "DwObservationAlcoholUseYearsOfETOHUse",
        "description": "**CHR:** Years of alcohol use is recorded through the **Social History** section of the patient chart (`Patients → select patient → chart → Social History → Substance Use → Alcohol`). This sub-observation is only accessible through the Social History section, not the Patient Data panel summary.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationClinicalNote"
        },
        "name": "DwObservationClinicalNote",
        "description": "**CHR:** Clinical note observations are recorded within the **Encounters** section of the patient chart, in the notes areas (H&P, Assessment & Plan, etc.). The note text is stored as the observation value.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationDrugUse"
        },
        "name": "DwObservationDrugUse",
        "description": "**CHR:** Drug use observations can be entered through the **Social History** section of the patient chart (`Patients → select patient → chart → Social History → Add → Substance Use → Recreational Drugs`). Drug use is not visible in the Patient Data panel summary. Parent observation with hasMember sub-observations for Frequency and Type.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationDrugUseFrequency"
        },
        "name": "DwObservationDrugUseFrequency",
        "description": "**CHR:** Drug use frequency is recorded through the **Social History** section of the patient chart (`Patients → select patient → chart → Social History → Substance Use → Recreational Drugs → Frequency`). This sub-observation is only accessible through the Social History section, not the Patient Data panel summary.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationDrugUseType"
        },
        "name": "DwObservationDrugUseType",
        "description": "**CHR:** Drug use type is recorded through the **Social History** section of the patient chart (`Patients → select patient → chart → Social History → Substance Use → Recreational Drugs → Type`). This sub-observation is only accessible through the Social History section, not the Patient Data panel summary.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationResults"
        },
        "name": "DwObservationResults",
        "description": "**CHR:** Observation results (lab and diagnostic imaging) are accessible in the **Files** section of the patient chart via the DSQ Lab, DSQ Imaging, and OLIS buttons, or through manual lab entry.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationSocialHistory"
        },
        "name": "DwObservationSocialHistory",
        "description": "**CHR:** Social History observations can be entered through two locations: (1) the **Social History** section of the patient chart (`Patients → select patient → chart → Social History → Add`) — full list view with Type (Substance Use, Lifestyle, etc.) and Sub-Type dropdowns, detailed modal for each entry; and (2) the **Patient Data** panel (`Patients → select patient → chart → Patient Data → Social History`) — summary view showing Smoking and Alcohol current status only.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationTobaccoUse"
        },
        "name": "DwObservationTobaccoUse",
        "description": "**CHR:** Tobacco use observations can be entered through two locations: (1) the **Social History** section of the patient chart (`Patients → select patient → chart → Social History → Add → Substance Use → Smoking`) — full detail form with all sub-fields (status, product type, cigarettes/day, pack years, etc.); and (2) the **Patient Data** panel (`Patients → select patient → chart → Patient Data → Social History → Smoking`) — summary view showing current smoking status only. Parent observation with hasMember sub-observations for CurrentStatus, CigarettesPerDay, PackYears, and TobaccoProduct.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationTobaccoUseCigarettesPerDay"
        },
        "name": "DwObservationTobaccoUseCigarettesPerDay",
        "description": "**CHR:** Cigarettes per day is recorded through the **Social History** section of the patient chart (`Patients → select patient → chart → Social History → Substance Use → Smoking → Number of Cigarettes Per Day`). This sub-observation is only accessible through the Social History section, not the Patient Data panel summary.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationTobaccoUseCurrentStatus"
        },
        "name": "DwObservationTobaccoUseCurrentStatus",
        "description": "**CHR:** Tobacco use current status can be entered through two locations: (1) the **Social History** section of the patient chart (`Patients → select patient → chart → Social History → Substance Use → Smoking → Status`); and (2) the **Patient Data** panel (`Patients → select patient → chart → Patient Data → Social History → Smoking`) — summary view showing current smoking status. This sub-observation captures the coded current smoking status (e.g., Current everyday smoker, Former Smoker, Non-Smoker).",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationTobaccoUsePackYears"
        },
        "name": "DwObservationTobaccoUsePackYears",
        "description": "**CHR:** Pack years is recorded through the **Social History** section of the patient chart (`Patients → select patient → chart → Social History → Substance Use → Smoking → Number of Packs Per Day`). This sub-observation is only accessible through the Social History section, not the Patient Data panel summary.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationTobaccoUseTobaccoProduct"
        },
        "name": "DwObservationTobaccoUseTobaccoProduct",
        "description": "**CHR:** Tobacco product type is recorded through the **Social History** section of the patient chart (`Patients → select patient → chart → Social History → Substance Use → Smoking → Type`). This sub-observation is only accessible through the Social History section, not the Patient Data panel summary.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwObservationVitals"
        },
        "name": "DwObservationVitals",
        "description": "**CHR:** Observations - Vitals can be entered in the **Encounters → Vitals** section within an encounter, with graph visualization available. Vitals are also accessible from the patient **Health Profile → Vitals** section.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwobservationvitals-bloodtype-chr-to-loinc"
        },
        "name": "DwObservationVitals Bloodtype CHR: CHR → LOINC (Read Path — HDS)",
        "description": "Maps CHR EMR Observation.value[x] (Blood Type) values to LOINC codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwObservationVitals-bloodtype-CHR.csv`. Do not hand-edit.\n\n**Source**: patient_data_entity_value_logs.value (searchable_name='Vitals|Blood Type|Type')\n**Target**: Observation.value[x] (Blood Type)\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwobservationvitals-bodyposition-chr-to-loinc"
        },
        "name": "DwObservationVitals Bodyposition CHR: CHR → LOINC (Read Path — HDS)",
        "description": "Maps CHR EMR Observation.extension:BodyPosition values to LOINC codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwObservationVitals-bodyposition-CHR.csv`. Do not hand-edit.\n\n**Source**: respondent_vitals.blood_pressure_position\n**Target**: Observation.extension:BodyPosition\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwobservationvitals-bodysite-chr-to-snomed"
        },
        "name": "DwObservationVitals Bodysite CHR: CHR → SNOMED (Read Path — HDS)",
        "description": "Maps CHR EMR Observation.bodySite values to SNOMED codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwObservationVitals-bodysite-CHR.csv`. Do not hand-edit.\n\n**Source**: respondent_vitals.blood_pressure_arm\n**Target**: Observation.bodySite\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwobservationvitals-vitaltype-chr-to-loinc"
        },
        "name": "DwObservationVitals Vitaltype CHR: CHR → LOINC (Read Path — HDS)",
        "description": "Maps CHR EMR Observation.code values to LOINC codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwObservationVitals-vitaltype-CHR.csv`. Do not hand-edit.\n\n**Source**: respondent_vitals.* / patient_data_entity_value_logs.property_name (chr_mapping.vitals_code_code_mapping key)\n**Target**: Observation.code\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwobservationvitals-vitaltype-ma-to-loinc"
        },
        "name": "DwObservationVitals Vitaltype MA: MA → LOINC (Read Path — HDS)",
        "description": "Maps MA EMR Observation.code values to LOINC codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwObservationVitals-vitaltype-MA.csv`. Do not hand-edit.\n\n**Source**: observation_current_items.label (ma_mapping.ma_vitals_code_mapping key)\n**Target**: Observation.code\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwobservationvitals-vitaltype-pss-to-loinc"
        },
        "name": "DwObservationVitals Vitaltype PSS: PSS → LOINC (Read Path — HDS)",
        "description": "Maps PSS EMR Observation.code values to LOINC codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwObservationVitals-vitaltype-PSS.csv`. Do not hand-edit.\n\n**Source**: vital.vital_name (pss_mapping.vital_name_mapping_dict key)\n**Target**: Observation.code\n**Path**: Read (PSS DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwOrganization"
        },
        "name": "DwOrganization",
        "description": "**CHR:** Organizations represent clinic and facility records. Internal clinic details are managed through **Settings → Account Info**. External facilities and contacts are recorded in the **Directory** section.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dworganization-type-chr-to-organizationtype"
        },
        "name": "DwOrganization Type CHR: CHR → OrganizationType (Read Path — HDS)",
        "description": "Maps CHR EMR Organization.type values to OrganizationType codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwOrganization-type-CHR.csv`. Do not hand-edit.\n\n**Source**: facilities.category\n**Target**: Organization.type\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwPatient"
        },
        "name": "DwPatient",
        "description": "**CHR:** Patient demographics are entered and maintained in the patient **Dashboard** (contact and demographic information), accessible by selecting a patient from the patient list.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpatient-gender-chr-halo-to-fhir"
        },
        "name": "DwPatient Gender CHR-HALO: CHR-HALO → FHIR (Read Path — HALO)",
        "description": "Maps CHR-HALO EMR Patient.gender values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPatient-gender-CHR-HALO.csv`. Do not hand-edit.\n\n**Source**: respondents.gender via RespondentToFhirR4Mapper#map_dob_gender (chr-backend app/misc/respondent_to_fhir_r4_mapper.rb)\n**Target**: Patient.gender\n**Path**: Read (CHR-HALO FHIR API → FHIR) — HALO fhir_models mapper",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpatient-gender-chr-to-fhir"
        },
        "name": "DwPatient Gender CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR Patient.gender values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPatient-gender-CHR.csv`. Do not hand-edit.\n\n**Source**: respondents.gender\n**Target**: Patient.gender\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpatient-gender-ma-to-fhir"
        },
        "name": "DwPatient Gender MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR Patient.gender values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPatient-gender-MA.csv`. Do not hand-edit.\n\n**Source**: demographics.gender_code\n**Target**: Patient.gender\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpatient-gender-pss-to-fhir"
        },
        "name": "DwPatient Gender PSS: PSS → FHIR (Read Path — HDS)",
        "description": "Maps PSS EMR Patient.gender values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPatient-gender-PSS.csv`. Do not hand-edit.\n\n**Source**: patient.sex\n**Target**: Patient.gender\n**Path**: Read (PSS DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpatient-maritalstatus-chr-to-fhir"
        },
        "name": "DwPatient Maritalstatus CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR Patient.maritalStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPatient-maritalstatus-CHR.csv`. Do not hand-edit.\n\n**Source**: respondent_property_items WHERE template_id='social-history-record-living-environment-marital-status'\n**Target**: Patient.maritalStatus\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpatient-maritalstatus-ma-to-fhir"
        },
        "name": "DwPatient Maritalstatus MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR Patient.maritalStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPatient-maritalstatus-MA.csv`. Do not hand-edit.\n\n**Source**: demographics.marital_status_code\n**Target**: Patient.maritalStatus\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpatient-patientstatus-chr-to-fhir"
        },
        "name": "DwPatient Patientstatus CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR Patient.extension:patientStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPatient-patientstatus-CHR.csv`. Do not hand-edit.\n\n**Source**: respondent_property_items WHERE template_id='global-demographics-status-entity-status'\n**Target**: Patient.extension:patientStatus\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpatient-patientstatus-ma-to-fhir"
        },
        "name": "DwPatient Patientstatus MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR Patient.extension:patientStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPatient-patientstatus-MA.csv`. Do not hand-edit.\n\n**Source**: demographics.status\n**Target**: Patient.extension:patientStatus\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpatient-patientstatus-pss-to-fhir"
        },
        "name": "DwPatient Patientstatus PSS: PSS → FHIR (Read Path — HDS)",
        "description": "Maps PSS EMR Patient.extension:patientStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPatient-patientstatus-PSS.csv`. Do not hand-edit.\n\n**Source**: patient.deleted_status\n**Target**: Patient.extension:patientStatus\n**Path**: Read (PSS DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpatient-rosterstatus-ma-to-fhir"
        },
        "name": "DwPatient Rosterstatus MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR Patient.extension:rosterStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPatient-rosterstatus-MA.csv`. Do not hand-edit.\n\n**Source**: demographics.rostered_code (Y/N)\n**Target**: Patient.extension:rosterStatus\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpatient-rosterstatus-pss-to-fhir"
        },
        "name": "DwPatient Rosterstatus PSS: PSS → FHIR (Read Path — HDS)",
        "description": "Maps PSS EMR Patient.extension:rosterStatus values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPatient-rosterstatus-PSS.csv`. Do not hand-edit.\n\n**Source**: patient.member_status\n**Target**: Patient.extension:rosterStatus\n**Path**: Read (PSS DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpatient-rosterterminationreason-pss-to-fhir"
        },
        "name": "DwPatient Rosterterminationreason PSS: PSS → FHIR (Read Path — HDS)",
        "description": "Maps PSS EMR Patient.extension:rosterTerminationReason values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPatient-rosterterminationreason-PSS.csv`. Do not hand-edit.\n\n**Source**: patient.termination_reason joined to PSSutie_numeric_constants WHERE Constant_name='enum_termination_reason'\n**Target**: Patient.extension:rosterTerminationReason\n**Path**: Read (PSS DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwPractitioner"
        },
        "name": "DwPractitioner",
        "description": "**CHR — Internal Practitioners:** Provider users are managed through **Settings → Account Info → User Management**, where clinic administrators can invite users and set user type (Practitioner or Staff).\n\n**CHR — External Contact Providers:** External practitioners from the CHR Contacts/Directory module are also extracted as DwPractitioner resources. They are contacts associated with external facilities (not the main clinic).\n\n**MA:** Practitioners are managed through the **Admin → Provider Setup** module.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpractitioner-gender-chr-halo-to-fhir"
        },
        "name": "DwPractitioner Gender CHR-HALO: CHR-HALO → FHIR (Read Path — HALO)",
        "description": "Maps CHR-HALO EMR Practitioner.gender values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPractitioner-gender-CHR-HALO.csv`. Do not hand-edit.\n\n**Source**: provider_users.gender (.downcase passthrough) (chr-backend app/misc/fhir_models/practitioner.rb)\n**Target**: Practitioner.gender\n**Path**: Read (CHR-HALO FHIR API → FHIR) — HALO fhir_models mapper",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpractitioner-gender-chr-to-fhir"
        },
        "name": "DwPractitioner Gender CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR Practitioner.gender values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPractitioner-gender-CHR.csv`. Do not hand-edit.\n\n**Source**: provider_users.gender\n**Target**: Practitioner.gender\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpractitioner-gender-ma-to-fhir"
        },
        "name": "DwPractitioner Gender MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR Practitioner.gender values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPractitioner-gender-MA.csv`. Do not hand-edit.\n\n**Source**: providers.gender\n**Target**: Practitioner.gender\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpractitioner-licensenumber-chr-to-fhir"
        },
        "name": "DwPractitioner Licensenumber CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR Practitioner.identifier[LicenseNumber].system values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPractitioner-licensenumber-CHR.csv`. Do not hand-edit.\n\n**Source**: provider_users.licensing_body\n**Target**: Practitioner.identifier[LicenseNumber].system\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwPractitionerRole"
        },
        "name": "DwPractitionerRole",
        "description": "**CHR — Internal Practitioners:** Practitioner roles are configured in **Settings → Account Info → User Management** via the member dialog Roles tab. The linked organization is the practitioner's home clinic.\n\n**CHR — External Contact Providers:** External contact practitioners also produce PractitionerRole resources. Their organization links to the associated **external facility** — not the main clinic. `code[HL7Role]` and `code[InfowayRole]` are mapped from the contact's occupation; `code[TelusRole]` is N/A. `specialty` is mapped from the medical specialty when occupation is Medical Doctor; otherwise text-only.\n\n**MA:** Practitioner roles are managed through **Admin → User Management** (user role dropdown) and **Admin → Provider Setup** (specialty).",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpractitionerrole-code-chr-to-infoway"
        },
        "name": "DwPractitionerRole Code CHR: CHR → Infoway (Read Path — HDS)",
        "description": "Maps CHR EMR PractitionerRole.code values to Infoway codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPractitionerRole-code-CHR.csv`. Do not hand-edit.\n\n**Source**: provider_users.occupation\n**Target**: PractitionerRole.code\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpractitionerrole-code-chr-to-snomed"
        },
        "name": "DwPractitionerRole Code CHR: CHR → SNOMED (Read Path — HDS)",
        "description": "Maps CHR EMR PractitionerRole.code values to SNOMED codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPractitionerRole-code-CHR.csv`. Do not hand-edit.\n\n**Source**: provider_users.occupation\n**Target**: PractitionerRole.code\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpractitionerrole-code-ma-to-infoway"
        },
        "name": "DwPractitionerRole Code MA: MA → Infoway (Read Path — HDS)",
        "description": "Maps MA EMR PractitionerRole.code values to Infoway codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPractitionerRole-code-MA.csv`. Do not hand-edit.\n\n**Source**: user.user_role\n**Target**: PractitionerRole.code\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpractitionerrole-code-ma-to-snomed"
        },
        "name": "DwPractitionerRole Code MA: MA → SNOMED (Read Path — HDS)",
        "description": "Maps MA EMR PractitionerRole.code values to SNOMED codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPractitionerRole-code-MA.csv`. Do not hand-edit.\n\n**Source**: user.user_role\n**Target**: PractitionerRole.code\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpractitionerrole-specialty-chr-to-snomed"
        },
        "name": "DwPractitionerRole Specialty CHR: CHR → SNOMED (Read Path — HDS)",
        "description": "Maps CHR EMR PractitionerRole.specialty values to SNOMED codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPractitionerRole-specialty-CHR.csv`. Do not hand-edit.\n\n**Source**: provider_users.medical_specialty\n**Target**: PractitionerRole.specialty\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwpractitionerrole-specialty-ma-to-snomed"
        },
        "name": "DwPractitionerRole Specialty MA: MA → SNOMED (Read Path — HDS)",
        "description": "Maps MA EMR PractitionerRole.specialty values to SNOMED codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwPractitionerRole-specialty-MA.csv`. Do not hand-edit.\n\n**Source**: providers.specialty_code\n**Target**: PractitionerRole.specialty\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwProcedure"
        },
        "name": "DwProcedure",
        "description": "**CHR:** Procedures are recorded in the **Health Profile → Surgical History** section of the patient chart.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwprocedure-status-chr-halo-to-fhir"
        },
        "name": "DwProcedure Status CHR-HALO: CHR-HALO → FHIR (Read Path — HALO)",
        "description": "Maps CHR-HALO EMR Procedure.status values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwProcedure-status-CHR-HALO.csv`. Do not hand-edit.\n\n**Source**: status() (chr-backend app/misc/fhir_models/procedure.rb)\n**Target**: Procedure.status\n**Path**: Read (CHR-HALO FHIR API → FHIR) — HALO fhir_models mapper",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwprocedure-status-chr-to-fhir"
        },
        "name": "DwProcedure Status CHR: CHR → FHIR (Read Path — HDS)",
        "description": "Maps CHR EMR Procedure.status values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwProcedure-status-CHR.csv`. Do not hand-edit.\n\n**Source**: respondent_surgical_history_records.status / archived\n**Target**: Procedure.status\n**Path**: Read (CHR DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwprocedure-status-ma-to-fhir"
        },
        "name": "DwProcedure Status MA: MA → FHIR (Read Path — HDS)",
        "description": "Maps MA EMR Procedure.status values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwProcedure-status-MA.csv`. Do not hand-edit.\n\n**Source**: problems.status / confirmation_status\n**Target**: Procedure.status\n**Path**: Read (MA DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/dwprocedure-status-pss-to-fhir"
        },
        "name": "DwProcedure Status PSS: PSS → FHIR (Read Path — HDS)",
        "description": "Maps PSS EMR Procedure.status values to FHIR codes.\n\n**Lookup table source of truth (IG):** Generated from\n`input/data/code-mapping/DwProcedure-status-PSS.csv`. Do not hand-edit.\n\n**Source**: patient_piece.unfinished\n**Target**: Procedure.status\n**Path**: Read (PSS DB → FHIR) — HDS Ibis transform",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwQuestionnaire"
        },
        "name": "DwQuestionnaire",
        "description": "**CHR:** Questionnaire forms are created and managed in the **Forms** module (admin form builder). Forms can be assigned to patients for completion and are accessible from the patient chart **Forms** section (Active/Archived tabs).",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwQuestionnaireResponse"
        },
        "name": "DwQuestionnaireResponse",
        "description": "**CHR:** Questionnaire responses (answer sheets) are submitted by patients or clinicians and accessible from the patient chart **Answer Sheets** section or via the **Inbox**. Forms can also be triggered from encounters or eBooking.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/profile-DwServiceRequest"
        },
        "name": "DwServiceRequest",
        "description": "**CHR:** Referrals and service requests are created in the **Referrals** section of the patient chart (for incoming/outgoing referrals) or via the **Letters** section for referral letters. Ocean eReferral integration is also supported for electronic referrals.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-EffectivePeriod"
        },
        "name": "EffectivePeriod",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/emr-route-abbreviations"
        },
        "name": "EMR Route of Administration Abbreviations",
        "description": "Local CodeSystem for common route of administration abbreviations used across all EMRs \n(PSS, MA, CHR) in immunization and medication documentation.\n\n**Source**: Common route abbreviations documented in all three EMR systems\n**Usage**: Maps to CVC-RouteOfAdmin ValueSet via ConceptMap\n\n**Note**: All three EMRs (PSS, MA, CHR) use the same set of route abbreviations,\nmaking this a shared CodeSystem rather than EMR-specific.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/emr-route-abbreviations-vs"
        },
        "name": "EMR Route of Administration Abbreviations ValueSet",
        "description": "ValueSet containing all route of administration abbreviations used across EMRs \n(PSS, MA, CHR) for immunization and medication documentation.\n\n**Source CodeSystem**: EMRRouteAbbreviations\n**Usage**: Source ValueSet for ConceptMap to CVC-RouteOfAdmin",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-Ethnicity"
        },
        "name": "Ethnicity",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-identifierversion"
        },
        "name": "Extension: Identifier Version",
        "description": "A version string indicating the currency/validity of an identifier",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-servicelanguage"
        },
        "name": "Extension: ServiceLanguage",
        "description": "Indentifies languages that that services are provided in.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/gender-identity"
        },
        "name": "Gender Identity Code System",
        "description": "This code system defines gender identity codes for use in R4. This is a local definition to support the patient-genderIdentity extension until proper R4 terminology packages are available.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/SS-HealthcareProviderRoleType-1-2-0"
        },
        "name": "HealthcareProviderRoleType",
        "description": "A role type that is used to categorize an entity that delivers health care in an expected and professional manner to an entity in need of health care services. Examples: Registered Nurse, Chiropractor, Physician, Custodial Care Clinic.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/individual-pronouns"
        },
        "name": "Individual Pronouns",
        "description": "The pronouns to use when referring to an individual in verbal or written communication.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-LanguageUse"
        },
        "name": "LanguageUse",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-LargeDataAttachment"
        },
        "name": "LargeDataAttachment",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "AllergyIntolerance"
          }
        ],
        "reference": {
          "reference": "AllergyIntolerance/ma-ma-schema-1-AllergyIntolerance-4001"
        },
        "name": "MA AllergyIntolerance Example - Penicillin Allergy",
        "description": "Example MA EMR AllergyIntolerance resource following IBIS FHIR4 transform patterns",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwAllergyIntolerance"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Appointment"
          }
        ],
        "reference": {
          "reference": "Appointment/ma-ma-schema-1-Appointment-10001"
        },
        "name": "MA Appointment Example - Follow-up Appointment",
        "description": "Example MA EMR Appointment resource following IBIS FHIR4 transform patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CarePlan"
          }
        ],
        "reference": {
          "reference": "CarePlan/ma-ma-schema-1-CarePlan-14001"
        },
        "name": "MA CarePlan Example - Hypertension Management Plan",
        "description": "Example MA EMR CarePlan resource following IBIS FHIR4 transform patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CareTeam"
          }
        ],
        "reference": {
          "reference": "CareTeam/ma-ma-schema-1-CareTeam-14002"
        },
        "name": "MA CareTeam Example - Hypertension Management Team",
        "description": "Example MA EMR CareTeam resource following IBIS FHIR4 transform patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Claim"
          }
        ],
        "reference": {
          "reference": "Claim/ma-ma-schema-1-Claim-11001"
        },
        "name": "MA Claim Example - Office Visit Claim",
        "description": "Example MA EMR Claim resource following IBIS FHIR4 transform patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Condition"
          }
        ],
        "reference": {
          "reference": "Condition/ma-ma-schema-1-Condition-encounter-diagnosis-3002"
        },
        "name": "MA Condition Example - Encounter Diagnosis (Acute Upper Respiratory Infection)",
        "description": "Example MA EMR Condition (Encounter Diagnosis) following IBIS FHIR4 transform patterns",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwCondition"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Condition"
          }
        ],
        "reference": {
          "reference": "Condition/ma-ma-schema-1-Condition-problem-list-3001"
        },
        "name": "MA Condition Example - Problem List (Essential Hypertension)",
        "description": "Example MA EMR Condition (Problem List) following IBIS FHIR4 transform patterns",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwCondition"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "DiagnosticReport"
          }
        ],
        "reference": {
          "reference": "DiagnosticReport/ma-ma-schema-1-DiagnosticReport-9002"
        },
        "name": "MA DiagnosticReport Example - Glucose Lab Report",
        "description": "Example MA EMR DiagnosticReport resource following IBIS FHIR4 transform patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "DocumentReference"
          }
        ],
        "reference": {
          "reference": "DocumentReference/ma-ma-schema-1-DocumentReference-12001"
        },
        "name": "MA DocumentReference Example - Clinical Summary Document",
        "description": "Example MA EMR DocumentReference resource following IBIS FHIR4 transform patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/ma-anatomical-sites"
        },
        "name": "MA EMR Anatomical Sites",
        "description": "Local CodeSystem for MA EMR anatomical site terminology used in immunization documentation.\nThese codes represent the standardized dropdown values from observation_current_items.value \nwhere label = \"Injection Site\".\n\n**Source**: MA EMR Database - observation_current_items.value (label = \"Injection Site\")\n**Usage**: Maps to CVC-AnatomicalSite ValueSet via ConceptMap\n\n**Note**: MA only documents two specific sites plus a generic \"other\" option.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/ma-anatomical-sites-vs"
        },
        "name": "MA EMR Anatomical Sites ValueSet",
        "description": "ValueSet containing all anatomical site codes used by MA EMR for immunization documentation.\n\n**Source CodeSystem**: MAAnatomicalSites\n**Usage**: Source ValueSet for ConceptMap to CVC-AnatomicalSite",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Encounter"
          }
        ],
        "reference": {
          "reference": "Encounter/ma-ma-schema-1-Encounter-2001"
        },
        "name": "MA Encounter Example - Annual Physical",
        "description": "Example MA EMR Encounter resource following IBIS FHIR4 transform patterns",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwEncounter"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "FamilyMemberHistory"
          }
        ],
        "reference": {
          "reference": "FamilyMemberHistory/ma-ma-schema-1-FamilyMemberHistory-15001"
        },
        "name": "MA FamilyMemberHistory Example - Maternal Grandmother (Type 2 Diabetes)",
        "description": "Example MA EMR FamilyMemberHistory for a maternal grandmother with Type 2 Diabetes. MA does not support deceased[x]; ICD-9 coding uses the system URL emitted by the MA pipeline.",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwFamilyMemberHistory"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Goal"
          }
        ],
        "reference": {
          "reference": "Goal/ma-ma-schema-1-Goal-14003"
        },
        "name": "MA Goal Example - Blood Pressure Control Target",
        "description": "Example MA EMR Goal resource following IBIS FHIR4 transform patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Immunization"
          }
        ],
        "reference": {
          "reference": "Immunization/ma-labtestsk1-Immunization-2387530"
        },
        "name": "MA Immunization Example - Diphtheria Tetanus with ICD-9 Reason (HDT-417 Error C fix)",
        "description": "MA EMR Immunization from labtestsk1 with text-only vaccineCode and an ICD-9 reasonCode. Tests the HDT-417 Error C fix: the ICD9Code slice now carries a fixed coding.system = 'http://terminology.hl7.org/CodeSystem/icd9cm', allowing the validator to correctly assign this reasonCode to the ICD9Code slice.",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwImmunization"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Immunization"
          }
        ],
        "reference": {
          "reference": "Immunization/ma-ma-schema-1-Immunization-7001"
        },
        "name": "MA Immunization Example - Influenza Vaccine",
        "description": "Example MA EMR Immunization resource following IBIS FHIR4 transform patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Immunization"
          }
        ],
        "reference": {
          "reference": "Immunization/ma-labtestsk1-Immunization-15424.0"
        },
        "name": "MA Immunization Example - No Known Immunizations (HDT-417 Error A+B)",
        "description": "MA EMR Immunization from labtestsk1 with no-known-immunizations code. Demonstrates Error A (vaccineCode.coding matches all four profile slices due to #type/$this discriminator) and Error B (pipeline emits ValueSet URL instead of CodeSystem URL in coding.system).",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwImmunization"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Practitioner"
          }
        ],
        "reference": {
          "reference": "Practitioner/ma-labtestns2-Practitioner-10098"
        },
        "name": "MA LabTestNS2 Practitioner Example - 10098",
        "description": "Example Practitioner from MA LabTestNS2 system with Nova Scotia Hospital credentials",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Location"
          }
        ],
        "reference": {
          "reference": "Location/ma-ma-schema-1-Location-101"
        },
        "name": "MA Location Example - Exam Room 1",
        "description": "Example MA EMR Location resource following IBIS FHIR4 transform patterns",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwLocation"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Medication"
          }
        ],
        "reference": {
          "reference": "Medication/ma-ma-schema-1-Medication-8001"
        },
        "name": "MA Medication Example - Amlodipine",
        "description": "Example MA EMR Medication resource following IBIS FHIR4 transform patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Medication"
          }
        ],
        "reference": {
          "reference": "Medication/ma-labtestsk1-Medication-GF-16427"
        },
        "name": "MA Medication Example - Nicotine Patch (HDT-430 Error E fix)",
        "description": "MA Medication from labtestsk1 — nicotine patch. Tests the HDT-430 Error E fix: form.coding slicing now uses a #value discriminator on system, making formSCTCA (http://snomed.info/sct) and formOrdereableDrugFormV3PrescribeIT (http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm) mutually exclusive.",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwMedication"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "MedicationRequest"
          }
        ],
        "reference": {
          "reference": "MedicationRequest/ma-ma-schema-1-MedicationRequest-8002"
        },
        "name": "MA MedicationRequest Example - Amlodipine Prescription",
        "description": "Example MA EMR MedicationRequest resource following IBIS FHIR4 transform patterns with MA-specific dosage patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "MedicationStatement"
          }
        ],
        "reference": {
          "reference": "MedicationStatement/ma-ma-schema-1-MedicationStatement-8003"
        },
        "name": "MA MedicationStatement Example - Current Amlodipine Use",
        "description": "Example MA EMR MedicationStatement resource following IBIS FHIR4 transform patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/ma-ma-schema-1-Observation-alcohol-use-5008"
        },
        "name": "MA Observation Example - Alcohol Use",
        "description": "Example MA EMR Observation (Alcohol Use) following IBIS FHIR4 transform patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/ma-ma-schema-1-Observation-vitals-bp-5001"
        },
        "name": "MA Observation Example - Blood Pressure Vitals",
        "description": "Example MA EMR Observation (Blood Pressure) following IBIS FHIR4 transform patterns",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationVitals"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/ma-ma-schema-1-Observation-vitals-height-5003"
        },
        "name": "MA Observation Example - Body Height Vitals",
        "description": "Example MA EMR Observation (Body Height) following IBIS FHIR4 transform patterns",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationVitals"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/ma-ma-schema-1-Observation-vitals-temperature-5004"
        },
        "name": "MA Observation Example - Body Temperature Vitals",
        "description": "Example MA EMR Observation (Body Temperature) following IBIS FHIR4 transform patterns",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationVitals"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/ma-ma-schema-1-Observation-vitals-weight-5002"
        },
        "name": "MA Observation Example - Body Weight Vitals",
        "description": "Example MA EMR Observation (Body Weight) following IBIS FHIR4 transform patterns",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationVitals"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/ma-ma-schema-1-Observation-clinical-note-5006"
        },
        "name": "MA Observation Example - Clinical Note",
        "description": "Example MA EMR Observation (Clinical Note) following IBIS FHIR4 transform patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/ma-ma-schema-1-Observation-lab-results-5005"
        },
        "name": "MA Observation Example - Laboratory Result (Glucose)",
        "description": "Example MA EMR Observation (Lab Results) following IBIS FHIR4 transform patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/ma-ma-schema-1-Observation-tobacco-use-5007"
        },
        "name": "MA Observation Example - Tobacco Use",
        "description": "Example MA EMR Observation (Tobacco Use) following IBIS FHIR4 transform patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/ma-labtestsk1-Observation-vitals-1680828-2331030"
        },
        "name": "MA Observation Vitals Example - Imperial Weight (entered-in-error / deleted)",
        "description": "MA EMR Observation (Imperial weight in ounces) from labtestsk1. Status entered-in-error because the source record was deleted (is_deleted=true). No category and no value element are present on deleted records.",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationVitals"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/ma-labtestsk1-Observation-vitals-1699348-2373230"
        },
        "name": "MA Observation Vitals Example - Imperial Weight (final)",
        "description": "MA EMR Observation (Imperial weight in ounces) from labtestsk1. Status final, category vital-signs present, text-only code without LOINC, valueQuantity 0.0 oz.",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationVitals"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Organization"
          }
        ],
        "reference": {
          "reference": "Organization/ma-ma-schema-1-Organization-0"
        },
        "name": "MA Organization Example - Main Street Family Practice",
        "description": "Example MA EMR Organization resource following IBIS FHIR4 transform patterns",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwOrganization"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Patient"
          }
        ],
        "reference": {
          "reference": "Patient/ma-ma-schema-1-Patient-12345"
        },
        "name": "MA Patient Example - John Smith",
        "description": "Example MA EMR Patient resource following IBIS FHIR4 transform patterns",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Practitioner"
          }
        ],
        "reference": {
          "reference": "Practitioner/ma-labtestns2-Practitioner-10106"
        },
        "name": "MA Practitioner Example - Blue (labtestns2)",
        "description": "Example MA Practitioner from labtestns2 schema — NS physician with billing number",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Practitioner"
          }
        ],
        "reference": {
          "reference": "Practitioner/ma-ma-schema-1-Practitioner-789"
        },
        "name": "MA Practitioner Example - Dr. Sarah Johnson",
        "description": "Example MA EMR Practitioner resource following IBIS FHIR4 transform patterns",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Practitioner"
          }
        ],
        "reference": {
          "reference": "Practitioner/ma-labtestns2-Practitioner-10077"
        },
        "name": "MA Practitioner Example - Latter (labtestns2)",
        "description": "Example MA Practitioner from labtestns2 schema — NS physician with billing number",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "PractitionerRole"
          }
        ],
        "reference": {
          "reference": "PractitionerRole/ma-labtestns2-PractitionerRole-0.10106"
        },
        "name": "MA PractitionerRole Example - Blue (labtestns2)",
        "description": "Example MA PractitionerRole from labtestns2 schema — role MD with two specialties mapped via common_mapping",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "PractitionerRole"
          }
        ],
        "reference": {
          "reference": "PractitionerRole/ma-ma-schema-1-PractitionerRole-789-1"
        },
        "name": "MA PractitionerRole Example - Dr. Johnson as Family Physician",
        "description": "Example MA EMR PractitionerRole resource following IBIS FHIR4 transform patterns",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "PractitionerRole"
          }
        ],
        "reference": {
          "reference": "PractitionerRole/ma-labtestns2-PractitionerRole-0.10077"
        },
        "name": "MA PractitionerRole Example - Latter (labtestns2)",
        "description": "Example MA PractitionerRole from labtestns2 schema — role MD mapped via common_mapping practitioner_role_code_mapping_dict",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Procedure"
          }
        ],
        "reference": {
          "reference": "Procedure/ma-ma-schema-1-Procedure-6001"
        },
        "name": "MA Procedure Example - Appendectomy (Surgical Hx)",
        "description": "Example MA EMR Procedure resource representing a Surgical Hx problem record, following the ibis_ma_procedure_generation.py transform pattern",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwProcedure"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Procedure"
          }
        ],
        "reference": {
          "reference": "Procedure/ma-ma-schema-1-Procedure-6002-data-absent"
        },
        "name": "MA Procedure Example - No-Procedure-Info Synthetic Stub (entered-in-error variant)",
        "description": "Example of the synthetic no-procedure-info Procedure stub the MA pipeline emits for EVERY patient via UNION, not an anti-join like CHR/PSS (DWI-8799). Because this patient already has a real, non-deleted Surgical Hx procedure (ma-ma-schema-1-Procedure-6001), this stub carries status=entered-in-error to mark it as a discardable artifact rather than a genuine absence-of-history signal. The pipeline leaves performed[x] fully null for this stub (no data-absent-reason extension); this example applies the extension to remain profile-conformant.",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwProcedure"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "RelatedPerson"
          }
        ],
        "reference": {
          "reference": "RelatedPerson/ma-ma-schema-1-RelatedPerson-13001"
        },
        "name": "MA RelatedPerson Example - Spouse as Emergency Contact",
        "description": "Example MA EMR RelatedPerson resource following IBIS FHIR4 transform patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ServiceRequest"
          }
        ],
        "reference": {
          "reference": "ServiceRequest/ma-ma-schema-1-ServiceRequest-9001"
        },
        "name": "MA ServiceRequest Example - Glucose Lab Test Order",
        "description": "Example MA EMR ServiceRequest resource following IBIS FHIR4 transform patterns",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Organization"
          }
        ],
        "reference": {
          "reference": "Organization/ma-labtestie1-Organization-30"
        },
        "name": "ma-labtestie1-Organization-30",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Patient"
          }
        ],
        "reference": {
          "reference": "Patient/ma-labtestns-Patient-17780"
        },
        "name": "Masked Patient with Placeholder Values",
        "description": "Example of a masked patient using placeholder values to satisfy mandatory cardinality while indicating data is masked.",
        "exampleBoolean": true
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-NoRenewalsFlag"
        },
        "name": "NoRenewalsFlag",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ConceptMap"
          }
        ],
        "reference": {
          "reference": "ConceptMap/organization-facility-category-chr-to-fhir"
        },
        "name": "Organization FacilityCategory CHR: facilities.category → v3-RoleCode (Read Path — HDS)",
        "description": "Maps CHR EMR facility category values (facilities.category) to HL7 v3-RoleCode codes\nused in Organization.type.coding for external Contact Facilities.\n\n**Source**: facilities.category (CHR DB, Ibis pipeline)\n**Target**: Organization.type.coding (http://terminology.hl7.org/CodeSystem/v3-RoleCode)\n**Path**: Read (CHR DB -> FHIR) — used by HDS glue-pipelines CHR Ibis transform\n  (ibis_datasets/organization/ibis_transforms/ibis_chr_contact_facility_generation.py)\n**Owner**: HDS / thdp-hds-glue-pipelines team\n\n## Source values\n\n13 canonical values enforced by the CHR GraphQL public API enum:\n  app/graphql/public_api/objects/facility/facility_category_enum.rb\n\nThe field is stored as free text in facilities.category (no DB-level constraint);\nnon-enum values may appear in legacy data and pass through as text-only (no coding).\n\n## Mapping approach\n\nOrganization.type.text is ALWAYS populated from facilities.category (even when unmapped).\nOrganization.type.coding is populated only when a direct v3-RoleCode match exists.\nUnmapped categories (Crisis Services, Insurance Agency, Pharma Company, Supplier,\nUtilities, Other) produce text-only Organization.type with no coding.\n\n## Mapped: 7 of 13 values\n## Unmapped: 6 of 13 values (text-only)",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-PatientStatus"
        },
        "name": "PatientStatus",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-PatientStatusDate"
        },
        "name": "PatientStatusDate",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/PerformedActivity"
        },
        "name": "PerformedActivity",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/pss-anatomical-sites"
        },
        "name": "PSS EMR Anatomical Sites",
        "description": "Local CodeSystem for PSS EMR anatomical site terminology used in immunization documentation.\nThese codes represent the free-text values documented in treatment_action.imm_site field.\n\n**Source**: PSS EMR Database - treatment_action.imm_site\n**Usage**: Maps to CVC-AnatomicalSite ValueSet via ConceptMap",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/pss-anatomical-sites-vs"
        },
        "name": "PSS EMR Anatomical Sites ValueSet",
        "description": "ValueSet containing all anatomical site codes used by PSS EMR for immunization documentation.\n\n**Source CodeSystem**: PSSAnatomicalSites\n**Usage**: Source ValueSet for ConceptMap to CVC-AnatomicalSite",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "FamilyMemberHistory"
          }
        ],
        "reference": {
          "reference": "FamilyMemberHistory/pss-CDK5-FamilyMemberHistory-15001"
        },
        "name": "PSS FamilyMemberHistory Example - Father (Essential Hypertension, Deceased)",
        "description": "Example PSS EMR FamilyMemberHistory for a deceased father with essential hypertension. PSS supports deceasedBoolean/deceasedString; condition onset provided as string (per profile comment PSS may use date, age, or string).",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwFamilyMemberHistory"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/pss-CDK5-Observation-vitals-hr-8001"
        },
        "name": "PSS Observation Example - Heart Rate Vitals",
        "description": "Example PSS EMR Observation (Heart Rate) following IBIS FHIR4 transform patterns — PSS never populates valueQuantity.unit for vitals (pipeline gap), and status is always hardcoded to 'final' (no entered-in-error branch in this transform)",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationVitals"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Patient"
          }
        ],
        "reference": {
          "reference": "Patient/pss-CDK5-Patient-304"
        },
        "name": "PSS Patient Example - Kennedy Cassie",
        "description": "Example PSS EMR Patient resource following IBIS FHIR4 transform patterns",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Procedure"
          }
        ],
        "reference": {
          "reference": "Procedure/pss-CDK5-Procedure-50001"
        },
        "name": "PSS Procedure Example - Cholecystectomy (Surgical/Medical History)",
        "description": "Example PSS EMR Procedure resource representing a health_problem record, following the pss_procedure.py transform pattern. PSS hardcodes category.coding to SNOMED 71388002 \"Procedure\" (not 387713003 \"Surgical procedure\" as CHR/MA do) and leaves category.text null.",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwProcedure"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Organization"
          }
        ],
        "reference": {
          "reference": "Organization/pss-CDK5-Organization-0"
        },
        "name": "pss-CDK5-Organization-0",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwOrganization"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Practitioner"
          }
        ],
        "reference": {
          "reference": "Practitioner/pss-CDK5-Practitioner-16"
        },
        "name": "pss-CDK5-Practitioner-16",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "PractitionerRole"
          }
        ],
        "reference": {
          "reference": "PractitionerRole/pss-CDK5-PractitionerRole-15-1"
        },
        "name": "pss-CDK5-PractitionerRole-15-1",
        "exampleCanonical": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole"
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-rendered-dosage-instruction"
        },
        "name": "Rendered Dosage Instruction",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-RosterPeriod"
        },
        "name": "RosterPeriod",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-RosterStatus"
        },
        "name": "RosterStatus",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-RosterTerminationReason"
        },
        "name": "RosterTerminationReason",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/SS-CS-SCPTYPE-1-2-0"
        },
        "name": "SCPTYPE",
        "description": "CodeSystem for SCPTYPE",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:complex-type"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/SimpleQuantity"
        },
        "name": "SimpleQuantity",
        "description": "A fixed quantity (no comparator)",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/StatusChanged"
        },
        "name": "StatusChanged",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-TotalQuantity"
        },
        "name": "TotalQuantity",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/composition-clinicaldocument-versionNumber"
        },
        "name": "VersionNumber",
        "description": "Version specific identifier for the composition, assigned when each version is created/updated.",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-VirtualVisit"
        },
        "name": "VirtualVisit",
        "description": "Identifies if the appointment is virtual",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-VirtualVisitType"
        },
        "name": "VirtualVisitType",
        "exampleBoolean": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/ext-VitalsBodyPosition"
        },
        "name": "VitalsBodyPosition",
        "exampleBoolean": false
      }
    ],
    "page": {
      "extension": [
        {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl": "toc.html"
        }
      ],
      "nameUrl": "toc.html",
      "title": "Table of Contents",
      "generation": "html",
      "page": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
              "valueUrl": "index.html"
            }
          ],
          "nameUrl": "index.html",
          "title": "Home",
          "generation": "markdown"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
              "valueUrl": "examples.html"
            }
          ],
          "nameUrl": "examples.html",
          "title": "Examples",
          "generation": "markdown"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
              "valueUrl": "downloads.html"
            }
          ],
          "nameUrl": "downloads.html",
          "title": "Downloads",
          "generation": "markdown"
        }
      ]
    },
    "parameter": [
      {
        "code": "path-resource",
        "value": "input/resources"
      },
      {
        "code": "path-resource",
        "value": "fsh-generated/resources"
      },
      {
        "code": "path-pages",
        "value": "input/pagecontent"
      },
      {
        "code": "path-pages",
        "value": "fsh-generated/includes"
      },
      {
        "code": "path-resource",
        "value": "input/capabilities"
      },
      {
        "code": "path-resource",
        "value": "input/examples"
      },
      {
        "code": "path-resource",
        "value": "input/extensions"
      },
      {
        "code": "path-resource",
        "value": "input/models"
      },
      {
        "code": "path-resource",
        "value": "input/operations"
      },
      {
        "code": "path-resource",
        "value": "input/profiles"
      },
      {
        "code": "path-resource",
        "value": "input/vocabulary"
      },
      {
        "code": "path-resource",
        "value": "input/testing"
      },
      {
        "code": "path-resource",
        "value": "input/history"
      },
      {
        "code": "path-pages",
        "value": "template/config"
      },
      {
        "code": "path-pages",
        "value": "input/images"
      },
      {
        "code": "path-tx-cache",
        "value": "input-cache/txcache"
      }
    ]
  }
}

name : TelusHealthFhirDwemrextract

{

}