<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ObservationDiagnosticResultMERT" />
  <url value="https://intrahealth.com/fhir/mert/StructureDefinition/ObservationDiagnosticResultMERT" />
  <name value="ObservationDiagnosticResultMERT" />
  <title value="Observation - Diagnostic Result (MERT)" />
  <status value="draft" />
  <description value="Observation profile intended for use as DiagnosticReport.result. Supports laboratory and imaging result observations." />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation.status">
      <path value="Observation.status" />
      <comment value="MERT requires Observation.status. All FHIR ObservationStatus codes are permitted." />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <valueSet value="http://hl7.org/fhir/ValueSet/observation-status" />
      </binding>
    </element>
    <element id="Observation.category">
      <path value="Observation.category" />
      <comment value="MERT allows only 'laboratory' and 'imaging' categories for DiagnosticReport.result observations." />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <valueSet value="https://intrahealth.com/fhir/mert/ValueSet/mert-observation-diagnostic-category-vs" />
      </binding>
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <comment value="Provide a standard code (e.g., LOINC) when possible. If only an internal/local code exists, transmit that code." />
      <mustSupport value="true" />
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://intrahealth.com/fhir/mert/StructureDefinition/PatientMERT" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.encounter">
      <path value="Observation.encounter" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x]">
      <path value="Observation.value[x]" />
      <comment value="A result value SHALL be present. Use the most appropriate value[x] type available." />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.interpretation">
      <path value="Observation.interpretation" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.note">
      <path value="Observation.note" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.referenceRange">
      <path value="Observation.referenceRange" />
      <constraint>
        <key value="mert-ref-range-has-low-high-or-text" />
        <severity value="error" />
        <human value="referenceRange must have at least one of low, high, or text." />
        <expression value="low.exists() or high.exists() or text.exists()" />
        <source value="https://intrahealth.com/fhir/mert/StructureDefinition/ObservationDiagnosticResultMERT" />
      </constraint>
      <mustSupport value="true" />
    </element>
    <element id="Observation.referenceRange.low">
      <path value="Observation.referenceRange.low" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.referenceRange.high">
      <path value="Observation.referenceRange.high" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.referenceRange.text">
      <path value="Observation.referenceRange.text" />
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>