<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="implication" />
  <meta>
    <lastUpdated value="2019-12-20T21:25:33.250+00:00" />
  </meta>
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
          <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/formats.html#table" title="The logical name of the element">Name</a>
          </th>
          <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/formats.html#table" title="Information about the use of the element">Flags</a>
          </th>
          <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a>
          </th>
          <th style="width: 100px" class="hierarchy">
            <a href="http://hl7.org/fhir/formats.html#table" title="Reference to the type of the element">Type</a>
          </th>
          <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/formats.html#table" title="Additional information about the element">Description &amp; Constraints</a>
            <span style="float: right">
              <a href="http://hl7.org/fhir/formats.html#table" title="Legend for this format">
                <img src="http://hl7.org/fhir/help16.png" alt="doco" style="background-color: inherit" />
              </a>
            </span>
          </th>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
            <a href="{{[id]}}-definitions.html#Observation" title="Abstract profile for observations describing the implication of one or more genetic observations.">Observation</a>
            <a name="Observation"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">0</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">*</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Implication</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;">
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy" />
            <a href="{{[id]}}-definitions.html#Observation.extension:RelatedArtifact" title="Extension URL = http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/RelatedArtifact">RelatedArtifact</a>
            <a name="Observation.extension"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/metadatatypes.html#RelatedArtifact">RelatedArtifact</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Citations and supporting info<br /><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/extension-RelatedArtifact.html">http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/RelatedArtifact</a><br /></td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
            <a href="{{[id]}}-definitions.html#Observation.note" title="Additional commentary, qualification or other information about the genetic implication.">note</a>
            <a name="Observation.note"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">0</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">*</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://hl7.org/fhir/datatypes.html#Annotation">Annotation</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Details</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;">
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy" />
            <a style="font-style: italic" href="{{[id]}}-definitions.html#Observation.derivedFrom" title="variant, haplotype, or MolecularSequence from which this implication is derived.">derivedFrom</a>
            <a name="Observation.derivedFrom"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="font-style: italic" />
            <span style="font-style: italic">1</span>
            <span style="font-style: italic">..</span>
            <span style="font-style: italic">*</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="font-style: italic" href="http://hl7.org/fhir/profiling.html#slicing">(Slice Definition)</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="font-weight:bold; font-style: italic">Slice: </span>
            <span style="font-style: italic">Unordered, Open by pattern:resolve().code</span>
            <br style="font-style: italic" />
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy" />
            <a href="{{[id]}}-definitions.html#Observation.derivedFrom:genotype" title="Slice genotype: Genotype from which this implication is derived.">derivedFrom:genotype</a>
            <a name="Observation.derivedFrom"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/references.html">Reference</a>(<a href="genotype.html">Genotype</a>)</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;">
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin_slicer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_slice_item.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Item" class="hierarchy" />
            <a href="{{[id]}}-definitions.html#Observation.derivedFrom:haplotype" title="Slice haplotype: Haplotype from which this implication is derived.">derivedFrom:haplotype</a>
            <a name="Observation.derivedFrom"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/references.html">Reference</a>(<a href="haplotype.html">Haplotype</a>)</td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy" />
            <a href="{{[id]}}-definitions.html#Observation.derivedFrom:variant" title="Slice variant: Variant from which this implication is derived.">derivedFrom:variant</a>
            <a name="Observation.derivedFrom"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/references.html">Reference</a>(<a href="variant.html">Variant</a>)</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;">
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_slice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Slice Definition" class="hierarchy" />
            <a style="font-style: italic" href="{{[id]}}-definitions.html#Observation.component">component</a>
            <a name="Observation.component"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="font-style: italic" />
            <span style="opacity: 0.4; font-style: italic">0</span>
            <span style="opacity: 0.5; font-style: italic">..</span>
            <span style="opacity: 0.4; font-style: italic">*</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="font-style: italic" href="http://hl7.org/fhir/profiling.html#slicing">(Slice Definition)</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="font-weight:bold; font-style: italic">Slice: </span>
            <span style="font-style: italic">Unordered, Open by pattern:code</span>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin_end_slicer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy" />
            <a href="{{[id]}}-definitions.html#Observation.component:evidence-level" title="Slice evidence-level: Indicates the quality and type of evidence supporting this assertion.  E.g. terms from ACMG guidelines for the interpretation of sequence variants, CPIC Clinical Annotation levels of Evidence.">component:evidence-level</a>
            <a name="Observation.component"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://hl7.org/fhir/datatypes.html#BackboneElement">BackboneElement</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Level of Evidence</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;">
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0251.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin_slice.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy" />
            <a href="{{[id]}}-definitions.html#Observation.component:evidence-level.code">code</a>
            <a name="Observation.component.code"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="font-weight:bold">Required Pattern: </span>
            <span style="color: darkgreen">At least the following</span>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02501.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vline_slice.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_fixed.gif" alt="." style="background-color: white; background-color: inherit" title="Fixed Value" class="hierarchy" />
            <a href="http://hl7.org/fhir/datatypes-definitions.html#CodeableConcept.coding">coding</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/datatypes.html#Coding">Coding</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Code defined by a terminology system<br /><span style="font-weight: bold">Fixed Value: </span><span style="color: darkgreen">(complex)</span></td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;">
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025010.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vline_slice.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_fixed.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Fixed Value" class="hierarchy" />
            <a href="http://hl7.org/fhir/datatypes-definitions.html#Coding.system">system</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/datatypes.html#uri">uri</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Identity of the terminology system<br /><span style="font-weight: bold">Fixed Value: </span><a style="color: darkgreen" href="http://hl7.org/fhir/loinc.html">http://loinc.org</a></td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025000.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vline_slice.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_fixed.gif" alt="." style="background-color: white; background-color: inherit" title="Fixed Value" class="hierarchy" />
            <a href="http://hl7.org/fhir/datatypes-definitions.html#Coding.code">code</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/datatypes.html#code">code</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Symbol in syntax defined by the system<br /><span style="font-weight: bold">Fixed Value: </span><span style="color: darkgreen">93044-6</span></td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;">
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0240.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy" />
            <a href="{{[id]}}-definitions.html#Observation.component:evidence-level.value[x]">value[x]</a>
            <a name="Observation.component.value_x_"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://hl7.org/fhir/datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="font-weight:bold">Binding: </span>
            <a href="https://r.details.loinc.org/AnswerList/LL5356-2.html">LOINC Answer List LL5356-2</a> (<a href="http://hl7.org/fhir/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">preferred</a>)</td>
        </tr>
        <tr>
          <td colspan="5" class="hierarchy">
            <br />
            <a href="http://hl7.org/fhir/formats.html#table" title="Legend for this format">
              <img src="http://hl7.org/fhir/help16.png" alt="doco" style="background-color: inherit" /> Documentation for this format</a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <url value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/implication" />
  <version value="1.0.0" />
  <name value="Implication" />
  <title value="Implication" />
  <status value="draft" />
  <experimental value="false" />
  <date value="2017-05-20T00:00:00+00:00" />
  <publisher value="HL7 Clinical Genomics WG" />
  <description value="Observation-related profiles" />
  <fhirVersion value="4.0.1" />
  <mapping>
    <identity value="workflow" />
    <uri value="http://hl7.org/fhir/workflow" />
    <name value="Workflow Pattern" />
  </mapping>
  <mapping>
    <identity value="sct-concept" />
    <uri value="http://snomed.info/conceptdomain" />
    <name value="SNOMED CT Concept Domain Binding" />
  </mapping>
  <mapping>
    <identity value="v2" />
    <uri value="http://hl7.org/v2" />
    <name value="HL7 v2 Mapping" />
  </mapping>
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM Mapping" />
  </mapping>
  <mapping>
    <identity value="w5" />
    <uri value="http://hl7.org/fhir/fivews" />
    <name value="FiveWs Pattern Mapping" />
  </mapping>
  <mapping>
    <identity value="sct-attr" />
    <uri value="http://snomed.org/attributebinding" />
    <name value="SNOMED CT Attribute Binding" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-base" />
  <derivation value="constraint" />
  <snapshot />
  <differential>
    <element id="Observation">
      <path value="Observation" />
      <short value="Implication" />
      <definition value="Abstract profile for observations describing the implication of one or more genetic observations." />
      <mustSupport value="false" />
    </element>
    <element id="Observation.extension:RelatedArtifact">
      <path value="Observation.extension" />
      <sliceName value="RelatedArtifact" />
      <short value="Citations and supporting info" />
      <definition value="References to literature that supports the implication assertion." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/RelatedArtifact" />
      </type>
      <mustSupport value="false" />
    </element>
    <element id="Observation.note">
      <path value="Observation.note" />
      <short value="Details" />
      <definition value="Additional commentary, qualification or other information about the genetic implication." />
      <mustSupport value="false" />
    </element>
    <element id="Observation.derivedFrom">
      <path value="Observation.derivedFrom" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="resolve().code" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <definition value="variant, haplotype, or MolecularSequence from which this implication is derived." />
      <min value="1" />
      <max value="*" />
      <mustSupport value="false" />
    </element>
    <element id="Observation.derivedFrom:genotype">
      <path value="Observation.derivedFrom" />
      <sliceName value="genotype" />
      <definition value="Genotype from which this implication is derived." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genotype" />
      </type>
      <mustSupport value="false" />
    </element>
    <element id="Observation.derivedFrom:haplotype">
      <path value="Observation.derivedFrom" />
      <sliceName value="haplotype" />
      <definition value="Haplotype from which this implication is derived." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/haplotype" />
      </type>
      <mustSupport value="false" />
    </element>
    <element id="Observation.derivedFrom:variant">
      <path value="Observation.derivedFrom" />
      <sliceName value="variant" />
      <definition value="Variant from which this implication is derived." />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant" />
      </type>
      <mustSupport value="false" />
    </element>
    <element id="Observation.component">
      <path value="Observation.component" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="code" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <mustSupport value="false" />
    </element>
    <element id="Observation.component:evidence-level">
      <path value="Observation.component" />
      <sliceName value="evidence-level" />
      <short value="Level of Evidence" />
      <definition value="Indicates the quality and type of evidence supporting this assertion.  E.g. terms from ACMG guidelines for the interpretation of sequence variants, CPIC Clinical Annotation levels of Evidence." />
      <min value="0" />
      <max value="1" />
      <mustSupport value="false" />
    </element>
    <element id="Observation.component:evidence-level.code">
      <path value="Observation.component.code" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org" />
          <code value="93044-6" />
        </coding>
      </patternCodeableConcept>
      <mustSupport value="false" />
    </element>
    <element id="Observation.component:evidence-level.value[x]">
      <path value="Observation.component.value[x]" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <binding>
        <strength value="preferred" />
        <description value="ACMG Level of evidence" />
        <valueSet value="http://loinc.org/vs/LL5356-2" />
      </binding>
    </element>
  </differential>
</StructureDefinition>