From 78cc91aa528d44722b2e14e8172cbf5966c6276e Mon Sep 17 00:00:00 2001
From: Dan Brown <dbrown.se@gmail.com>
Date: Fri, 28 Jun 2024 19:36:24 -0400
Subject: [PATCH 01/20] Update timeout to deleta all local data

---
 src/App.tsx                             | 17 +++--
 src/data-services/persistenceService.ts | 85 ++++++++++++++++++++++++-
 2 files changed, 93 insertions(+), 9 deletions(-)

diff --git a/src/App.tsx b/src/App.tsx
index 26d44b5..7fb6e55 100644
--- a/src/App.tsx
+++ b/src/App.tsx
@@ -22,7 +22,10 @@ import { getPatientSummaries, executeScreenings } from './data-services/mpcCqlSe
 import { ScreeningDecision } from "./components/decision/ScreeningDecision";
 
 import { GoalSummary, ConditionSummary, MedicationSummary, ObservationSummary } from './data-services/models/cqlSummary';
-import { isEndpointStillAuthorized, getSelectedEndpoints, deleteSelectedEndpoints, isSavedTokenStillValid, getLauncherData } from './data-services/persistenceService'
+import {
+    isEndpointStillAuthorized, getSelectedEndpoints, deleteSelectedEndpoints,
+    isSavedTokenStillValid, getLauncherData, deleteAllDataFromLocalForage
+} from './data-services/persistenceService'
 import {
     getGoalSummaries, getLabResultSummaries, getConditionSummaries,
     getMedicationSummaries, getVitalSignSummaries
@@ -339,7 +342,7 @@ class App extends React.Component<AppProps, AppState> {
                 // TODO: convert this to use multi login code?
 
                 // Configure the SDS client to get FHIR Data
-                console.log('We can connect to the SDS, so, add it to loader (read) SDS data')
+                console.log('We can connect to the SDS, so, add it to launcher (read) SDS data')
                 const serverUrl = this.state.supplementalDataClient.state.serverUrl
                 const serverUrlFromEnvVar = process.env.REACT_APP_SHARED_DATA_ENDPOINT
                 console.log(`Dynamic SDS serverUrl (using this for now...): ${serverUrl}`)
@@ -352,7 +355,7 @@ class App extends React.Component<AppProps, AppState> {
                 this.resetErrorMessageState()
 
                 try {
-                // Use the SDS client to get FHIR Data
+                    // Use the SDS client to get FHIR Data
                     const sdsData: FHIRData = await getFHIRData(true, serverUrl, this.state.supplementalDataClient,
                         this.setAndLogProgressState, this.setResourcesLoadedCountState, this.setAndLogErrorMessageState)
                     console.log('SDS data: ', sdsData)
@@ -720,13 +723,13 @@ class App extends React.Component<AppProps, AppState> {
         this.setState({ userErrorMessage: undefined })
     }
 
-    private handleLogout = () => {
+    private handleLogout = async () => {
         if (!this.state.isLogout) {
             this.setState({ isLogout: true })
-            sessionStorage.clear();
-            this.props.history.push('/logout');
+            sessionStorage.clear()
+            await deleteAllDataFromLocalForage()
+            this.props.history.push('/logout')
         }
-
     }
 
     updateLogMainTab = async (event: any, value: any) => {
diff --git a/src/data-services/persistenceService.ts b/src/data-services/persistenceService.ts
index 20b09bb..2379ca4 100644
--- a/src/data-services/persistenceService.ts
+++ b/src/data-services/persistenceService.ts
@@ -11,6 +11,8 @@ const fcCurrentStateKey = 'fhir-client-state' + LF_ID
 const fcAllStatesKey = 'fhir-client-states-array' + LF_ID
 const selectedEndpointsKey = 'selected-endpoints' + LF_ID
 const launcherDataKey = 'launcher-data' + LF_ID
+// TODO: Sravan to set this up/add function for saving it, testing it, and possibly delete (if clear is not enough)
+const sessionIdKey = 'session-id' + LF_ID
 
 // FHIR ACCESS DATA //
 
@@ -67,6 +69,37 @@ const getFHIRAccessData = async (key: string): Promise<any> => {
   }
 }
 
+// Written in case we need vs deleteAllDataFromLocalForage() on session timeout or logout but not yet tested
+export const deleteCurrentLocalFHIRAccessData = async (): Promise<void> => {
+  try {
+    const fhirAccessData = await getFHIRAccessData(fcCurrentStateKey) as fhirclient.ClientState
+    if (fhirAccessData) {
+      await localForage.removeItem(fcCurrentStateKey)
+      console.log("Deleted currentLocalFhirClientState")
+    } else {
+      console.log("currentLocalFhirClientState does not exist so there is no need to delete it")
+    }
+  } catch (e) {
+    console.error("Failure deleting currentLocalFhirClientState: " + e)
+  }
+}
+
+// Written in case we need vs deleteAllDataFromLocalForage() on session timeout or logout but not yet tested
+export const deleteArrayOfFhirAccessDataObjects = async (): Promise<void> => {
+  try {
+    const arrayOfFhirAccessDataObjects: Array<fhirclient.ClientState> =
+      await getFHIRAccessData(fcAllStatesKey) as Array<fhirclient.ClientState>
+    if (arrayOfFhirAccessDataObjects) {
+      await localForage.removeItem(fcAllStatesKey)
+      console.log("Deleted arrayOfFhirAccessDataObjects")
+    } else {
+      console.log("arrayOfFhirAccessDataObjects does not exist so there is no need to delete it")
+    }
+  } catch (e) {
+    console.error("Failure deleting arrayOfFhirAccessDataObjects: " + e)
+  }
+}
+
 export const isSavedTokenStillValid = async (fhirAccessData: fhirclient.ClientState): Promise<boolean> => {
   // TODO: Create getter function for expiresAt and use that here
   console.log('enter isSavedTokenStillValid()')
@@ -301,10 +334,10 @@ export const deleteSelectedEndpoints = async (): Promise<void> => {
     if (isSelectedEndpointsResult) {
       await localForage.removeItem(selectedEndpointsKey)
     } else {
-      console.log("There is no matching key to delete...")
+      console.log("There is no matching key to delete for selectedEndpoints...")
     }
   } catch (e) {
-    console.error("Failure deletiing deleteSelectedEndpoints: " + e)
+    console.error("Failure deleting deleteSelectedEndpoints: " + e)
   }
 }
 
@@ -377,6 +410,21 @@ export const getLauncherData = async (): Promise<ProviderEndpoint | null | undef
   return undefined
 }
 
+// Written in case we need vs deleteAllDataFromLocalForage() on session timeout or logout but not yet tested
+export const deleteLauncherData = async (): Promise<void> => {
+  try {
+    const launcherData: ProviderEndpoint = await getLauncherData() as ProviderEndpoint
+    if (launcherData) {
+      await localForage.removeItem(launcherDataKey)
+      console.log("Deleted launcherData")
+    } else {
+      console.log("launcherData does not exist so there is no need to delete it")
+    }
+  } catch (e) {
+    console.error("Failure deleting launcherData: " + e)
+  }
+}
+
 export const persistLauncherData = async (clientState: fhirclient.ClientState) => {
   // Convert clientState to ProviderEndpoint
   const convertedProviderEndpoint: ProviderEndpoint | undefined =
@@ -412,3 +460,36 @@ export const persistLauncherData = async (clientState: fhirclient.ClientState) =
     console.error('Error saving launcher data:', e)
   }
 }
+
+// GENERIC HELPER FUNCTIONS //
+
+/*
+Removes every key from the database, returning it to a blank slate.
+*/
+export const deleteAllDataFromLocalForage = async () => {
+  try {
+    console.log("Attempting to clear all data from local forage...")
+    await localForage.clear()
+  } catch (err) {
+    console.log("Error clearing data from local forage: " + err)
+  } finally {
+    console.log("Successfully cleared all data from local forage (operation success)")
+
+    console.log("Testing that specifically-sensitive data was removed")
+    console.log(`Testing fcCurrentStateKey key...`)
+    const fhirAccessData = await getFHIRAccessData(fcCurrentStateKey) as fhirclient.ClientState
+    console.log(!fhirAccessData ? "Success: fcCurrentStateKey removed." : "ERROR: fcCurrentStateKey still exists!")
+
+    console.log(`Testing fcAllStatesKey`)
+    const arrayOfFhirAccessDataObjects: Array<fhirclient.ClientState> =
+      await getFHIRAccessData(fcAllStatesKey) as Array<fhirclient.ClientState>
+    console.log(!arrayOfFhirAccessDataObjects ? "Success: fcAllStatesKey removed." : "ERROR: fcAllStatesKey still exists!")
+
+    console.log(`Testing launcherDataKey`)
+    const launcherData: ProviderEndpoint = await getLauncherData() as ProviderEndpoint
+    console.log(!launcherData ? "Success: launcherDataKey removed." : "ERROR: launcherDataKey still exists!")
+
+    console.log(`Testing sessionIdKey`)
+    console.log(`TODO: Sravan to write this test once implemented...`)
+  }
+}

From c8980f285e680a73665e619ee2e1c00f5f6b67e0 Mon Sep 17 00:00:00 2001
From: sravandigitalhie <sravan@digitalhie.com>
Date: Thu, 11 Jul 2024 01:05:14 -0400
Subject: [PATCH 02/20] Fixed the sessionID logging issue, added functionality
 of saving sessionID to the Local Forage

---
 src/App.tsx                             | 24 +++++++-
 src/data-services/persistenceService.ts | 48 +++++++++++++++-
 src/log/log-service.ts                  | 74 ++++++++++++++++++-------
 3 files changed, 123 insertions(+), 23 deletions(-)

diff --git a/src/App.tsx b/src/App.tsx
index 7fb6e55..7263ef1 100644
--- a/src/App.tsx
+++ b/src/App.tsx
@@ -24,7 +24,7 @@ import { ScreeningDecision } from "./components/decision/ScreeningDecision";
 import { GoalSummary, ConditionSummary, MedicationSummary, ObservationSummary } from './data-services/models/cqlSummary';
 import {
     isEndpointStillAuthorized, getSelectedEndpoints, deleteSelectedEndpoints,
-    isSavedTokenStillValid, getLauncherData, deleteAllDataFromLocalForage
+    isSavedTokenStillValid, getLauncherData, deleteAllDataFromLocalForage, saveSessionId, isSessionId, getSessionId, deleteSessionId
 } from './data-services/persistenceService'
 import {
     getGoalSummaries, getLabResultSummaries, getConditionSummaries,
@@ -35,7 +35,7 @@ import {
     getMatchingProviderEndpointsFromUrl
 } from './data-services/providerEndpointService'
 
-import { doLog, LogRequest } from './log/log-service'
+import { clearSession, doLog, initializeSession, LogRequest } from './log/log-service'
 import { GoalList } from "./components/summaries/GoalList";
 import { ConditionList } from "./components/summaries/ConditionList";
 import { MedicationList } from "./components/summaries/MedicationList";
@@ -93,6 +93,7 @@ interface AppState {
 
     isActiveSession: boolean,
     isLogout: boolean,
+    sessionId: string | undefined,
 }
 
 type SummaryFunctionType = (fhirData?: FHIRData[]) =>
@@ -142,6 +143,7 @@ class App extends React.Component<AppProps, AppState> {
 
             isActiveSession: true,
             isLogout: false,
+            sessionId: undefined,
         }
 
         this.initializeSummaries()
@@ -159,6 +161,19 @@ class App extends React.Component<AppProps, AppState> {
             // await this.setSupplementalDataClient('somePatientId')
 
             try {
+                if(await isSessionId()){
+                    const retrievedSessionId = await getSessionId();
+                    if(retrievedSessionId){
+                        this.setState({ sessionId : retrievedSessionId });
+                    }
+                    console.log("I am in Retrieving the sessionID block ----------->",retrievedSessionId);
+                }
+                else{
+                    const sessionId = await initializeSession(); // Initialize session when the application is launched
+                    this.setState({ sessionId });
+                    saveSessionId(sessionId);
+                    console.log("I am in Creating the sessionID block ----------------->", sessionId)
+                }
                 console.log("Checking if this is a multi-select, single, or a loader...")
                 const selectedEndpoints: string[] | undefined = await getSelectedEndpoints()
                 if (selectedEndpoints && selectedEndpoints.length > 0) {
@@ -543,6 +558,7 @@ class App extends React.Component<AppProps, AppState> {
                             event: 'Summaries Loading',
                             message: `Resource Count for ${key}: ${length}`,
                             resourceCount: length,
+                            sessionId: this.state.sessionId,
                         };
                         doLog(request)
                     }
@@ -671,6 +687,7 @@ class App extends React.Component<AppProps, AppState> {
             event: 'Patient information loading',
             page: 'Home',
             message: logMessage,
+            sessionId: this.state.sessionId,
         }
         doLog(request)
         this.setState({ progressMessage: message })
@@ -744,6 +761,7 @@ class App extends React.Component<AppProps, AppState> {
             event: 'Clicked',
             page: tab,
             message,
+            sessionId: this.state.sessionId,
         }
         doLog(request)
     }
@@ -761,6 +779,7 @@ class App extends React.Component<AppProps, AppState> {
             event: 'Clicked',
             page: tab,
             message,
+            sessionId: this.state.sessionId,
         }
 
         doLog(request)
@@ -778,6 +797,7 @@ class App extends React.Component<AppProps, AppState> {
             event: 'Clicked',
             page: tab,
             message,
+            sessionId: this.state.sessionId,
         }
         doLog(request)
 
diff --git a/src/data-services/persistenceService.ts b/src/data-services/persistenceService.ts
index 2379ca4..2bd030e 100644
--- a/src/data-services/persistenceService.ts
+++ b/src/data-services/persistenceService.ts
@@ -461,6 +461,49 @@ export const persistLauncherData = async (clientState: fhirclient.ClientState) =
   }
 }
 
+// New Session ID Functions
+
+export const saveSessionId = async (sessionId: string): Promise<void> => {
+  try {
+    await localForage.setItem(sessionIdKey, sessionId)
+  } catch (e) {
+    console.error("Error saving session ID: " + e)
+  }
+}
+
+export const isSessionId = async (): Promise<boolean> => {
+  try {
+    const sessionId = await localForage.getItem(sessionIdKey) as string
+    return sessionId !== null
+  } catch (e) {
+    console.error("Error checking session ID: " + e)
+    return false
+  }
+}
+
+export const getSessionId = async (): Promise<string | null> => {
+  try {
+    const isData = await isSessionId()
+    if (isData) {
+      return await localForage.getItem(sessionIdKey) as string
+    }
+  } catch (e) {
+    console.error("Error retrieving session ID: " + e)
+  }
+  return null
+}
+
+export const deleteSessionId = async (): Promise<void> => {
+  try {
+    const isData = await isSessionId()
+    if (isData) {
+      await localForage.removeItem(sessionIdKey)
+    }
+  } catch (e) {
+    console.error("Error deleting session ID: " + e)
+  }
+}
+
 // GENERIC HELPER FUNCTIONS //
 
 /*
@@ -489,7 +532,8 @@ export const deleteAllDataFromLocalForage = async () => {
     const launcherData: ProviderEndpoint = await getLauncherData() as ProviderEndpoint
     console.log(!launcherData ? "Success: launcherDataKey removed." : "ERROR: launcherDataKey still exists!")
 
-    console.log(`Testing sessionIdKey`)
-    console.log(`TODO: Sravan to write this test once implemented...`)
+    console.log("Testing sessionIdKey");
+    const sessionId = await getSessionId();
+    console.log(!sessionId ? "Success: sessionIdKey removed." : "ERROR: sessionIdKey still exists!")
   }
 }
diff --git a/src/log/log-service.ts b/src/log/log-service.ts
index 826b33b..58ef9aa 100644
--- a/src/log/log-service.ts
+++ b/src/log/log-service.ts
@@ -1,4 +1,5 @@
 import axios from 'axios';
+import { getSessionId, isSessionId, saveSessionId } from '../data-services/persistenceService';
 
 const API_PATH = process.env.REACT_APP_LOG_ENDPOINT_URI;
 const BEARER_TOKEN = process.env.REACT_APP_LOG_API_KEY;
@@ -8,7 +9,8 @@ export type LogRequest = {
   event?: string;
   page?: string;
   message: string;
-  resourceCount?: any;
+  resourceCount?: number;
+  sessionId?: string;
 }
 
 export type LogResponse = {
@@ -19,34 +21,68 @@ export type LogResponse = {
   readonly body: any;
 }
 
+// Variable to store the session ID
+let sessionId: string | null = null;
+
+const generateSessionId = (): string => {
+  return Math.random().toString(36).substring(2, 15) + Math.random().toString(36).substring(2, 15);
+}
+
+export const initializeSession = (): string => {
+  sessionId = generateSessionId();
+  return sessionId;
+}
+
+export const clearSession = (): void => {
+  sessionId = null;
+}
+
+const ensureSessionId = async (): Promise<void> => {
+  if (await isSessionId()) {
+    const retrievedSessionId = await getSessionId();
+    if (retrievedSessionId) {
+      sessionId = retrievedSessionId;
+    }
+  } else {
+    sessionId = initializeSession();
+    await saveSessionId(sessionId);
+  }
+}
+
 export const doLog = async (request: LogRequest): Promise<LogResponse | null> => {
-  // Determine if logging
-  const isLogging = process.env.REACT_APP_LOG_ENABLED && process.env.REACT_APP_LOG_ENABLED === 'true'
-  if (!isLogging) {
-    return null
+  const isLoggingEnabled = process.env.REACT_APP_LOG_ENABLED === 'true';
+  if (!isLoggingEnabled) {
+    return null;
   }
 
-  // We are logging...
-  const url = `${API_PATH}/log/do-log`
-  try {
-    const config = {
-      headers: {
-        'Content-Type': 'application/json',
-        'Authorization': `Bearer ${BEARER_TOKEN}`
-      }
+  await ensureSessionId();
+
+  if (!sessionId) {
+    console.error('Session ID is not initialized. Make sure to call initializeSession() on user login.');
+    return null;
+  }
+
+  const url = `${API_PATH}/log/do-log`;
+  const config = {
+    headers: {
+      'Content-Type': 'application/json',
+      'Authorization': `Bearer ${BEARER_TOKEN}`
     }
+  };
 
-    const response = await axios.post(url, request, config)
-    return (response.data)
+  const logRequest = { ...request, sessionId };
+
+  try {
+    const response = await axios.post(url, logRequest, config);
+    return response.data as LogResponse;
   } catch (error) {
-    // Should continue with the app even if logging fails
-    console.error(error);
-    return ({
+    console.error('Error logging event:', error);
+    return {
       url: '/log/do-log',
       ok: false,
       status: 0,
       statusText: 'Error',
       body: error
-    })
+    } as LogResponse;
   }
 }

From cf484796afa879ea221d6d6a1bc3309fad37dc8e Mon Sep 17 00:00:00 2001
From: Sean <>
Date: Sun, 14 Jul 2024 16:20:08 -0400
Subject: [PATCH 03/20] Updates for SDS

Added logic for SDS
Modiifed logging
---
 src/App.tsx                      |  72 ++++++++---------
 src/data-services/fhirService.ts | 132 ++++++++++++++++++++++++++-----
 2 files changed, 150 insertions(+), 54 deletions(-)

diff --git a/src/App.tsx b/src/App.tsx
index 26d44b5..465ae06 100644
--- a/src/App.tsx
+++ b/src/App.tsx
@@ -617,43 +617,43 @@ class App extends React.Component<AppProps, AppState> {
             // If we want to go further, and we get back a Patient, we can check that: "id": "patient-name",
             // If either of those fail, we don't load the SDS...
 
-            const sdsMessageSuffix = "The SDS client will not be used."
-            let isSDSReadError = false
-            let sdsPatient: Patient | undefined
-            if (client.patient.id !== null) {
-                console.log("client.patient.id !== null, using client.patient.read()")
-                try {
-                    sdsPatient = await client.patient.read() as Patient
-                    console.log("Valid ")
-                } catch (err) {
-                    console.warn("Warning: SDS Patient cannot be read via client.patient.read(): " + sdsMessageSuffix)
-                    isSDSReadError = true
-                }
-            } else {
-                console.log("client.patient.id === null, using client.user.read() isntead of client.patient.read()")
-                try {
-                    sdsPatient = await client.user.read() as Patient
-                } catch (err) {
-                    console.warn("Warning: SDS Patient cannot be read via client.user.read(): " + sdsMessageSuffix)
-                    isSDSReadError = true
-                }
-            }
-
-            if (!isSDSReadError) {
-                console.log("Valid SDS patient read: Using SDS client", sdsPatient ? sdsPatient : "unknown")
-
-                const stillValid = await isSavedTokenStillValid(client.state)
+            // const sdsMessageSuffix = "The SDS client will not be used."
+            // let isSDSReadError = false
+            // let sdsPatient: Patient | undefined
+            // if (client.patient.id !== null) {
+            //     console.error("setSupplementalDataClient client.patient.id !== null, using client.patient.read()")
+            //     try {
+            //         sdsPatient = await client.patient.read() as Patient
+            //         console.log("Valid ")
+            //     } catch (err) {
+            //         console.warn("Warning: SDS Patient cannot be read via client.patient.read(): " + sdsMessageSuffix)
+            //         isSDSReadError = true
+            //     }
+            // } else {
+            //     console.log("client.patient.id === null, using client.user.read() isntead of client.patient.read()")
+            //     try {
+            //         sdsPatient = await client.user.read() as Patient
+            //     } catch (err) {
+            //         console.warn("Warning: SDS Patient cannot be read via client.user.read(): " + sdsMessageSuffix)
+            //         isSDSReadError = true
+            //     }
+            // }
+
+            // if (!isSDSReadError) {
+            //     console.log("Valid SDS patient read: Using SDS client", sdsPatient ? sdsPatient : "unknown")
+
+            //     const stillValid = await isSavedTokenStillValid(client.state)
                 this.setState({ supplementalDataClient: client })
-                this.setState({ canShareData: stillValid })
-
-                console.log("***** PatientID = " + client.getPatientId() ?? "")
-                console.log("***** User ID = " + client.getUserId() ?? "")
-                console.log("***** Can share data = " + stillValid ?? "?")
-            } else {
-                console.warn(`Warning: Invalid SDS patient read: Overriding valid client to undefined
-                and not setting state for supplementalDataClient or canShareData`)
-                client = undefined
-            }
+                this.setState({ canShareData: true })
+
+            //     console.log("***** PatientID = " + client.getPatientId() ?? "")
+            //     console.log("***** User ID = " + client.getUserId() ?? "")
+            //     console.log("***** Can share data = " + stillValid ?? "?")
+            // } else {
+            //     console.warn(`Warning: Invalid SDS patient read: Overriding valid client to undefined
+            //     and not setting state for supplementalDataClient or canShareData`)
+            //     client = undefined
+            // }
 
         }
         return client
diff --git a/src/data-services/fhirService.ts b/src/data-services/fhirService.ts
index 54a8f6a..43fb7bb 100644
--- a/src/data-services/fhirService.ts
+++ b/src/data-services/fhirService.ts
@@ -14,11 +14,13 @@ import {
 import { doLog } from '../log';
 
 const resourcesFrom = (response: fhirclient.JsonObject): Resource[] => {
-  const entries = (response[0] as fhirclient.JsonObject)?.entry as [fhirclient.JsonObject];
+ const entries = (response[0] as fhirclient.JsonObject)?.entry as [fhirclient.JsonObject];
   return entries?.map((entry: fhirclient.JsonObject) => entry.resource as any)
     .filter((resource: Resource) => resource.resourceType !== 'OperationOutcome');
 };
 
+
+ 
 // TODO full date argument does not work correctly in Logica?  Use only yyyy-MM for now.
 // export const getDateParameter = (d: Date): string => `ge${format(d, 'yyyy-MM-dd')}`;
 export const getDateParameter = (d: Date): string => `ge${format(d, 'yyyy-MM')}`;
@@ -181,12 +183,12 @@ export const supplementalDataIsAvailable = (): Boolean => {
     && sdsScope !== undefined && sdsScope?.length > 0
 }
 
-export const getSupplementalDataClient = async (patientId: string | null): Promise<Client | undefined> => {
+export const getSupplementalDataClient = async (patientId2: string | null): Promise<Client | undefined> => {
   console.log('getSupplementalDataClient Start');
-  let sdsClient: Client | undefined
+  let sdsClienta: Client | undefined
   const authURL = process.env.REACT_APP_SHARED_DATA_AUTH_ENDPOINT
   const sdsURL = process.env.REACT_APP_SHARED_DATA_ENDPOINT
-  const sdsScope = process.env.REACT_APP_SHARED_DATA_SCOPE
+  const sdsScope = 'patient/*.cruds patient/* user/*.cruds user/* goal/*.read ' 
   const sdsClientId = process.env.REACT_APP_SHARED_DATA_CLIENT_ID
 
   console.log('getSupplementalDataClient authURL: ', authURL)
@@ -199,19 +201,15 @@ export const getSupplementalDataClient = async (patientId: string | null): Promi
     const sdsFhirAccessDataObject: fhirclient.ClientState | undefined =
       await extractFhirAccessDataObjectIfGivenEndpointMatchesAnyPriorEndpoint(sdsURL)
     if (sdsFhirAccessDataObject) {
-      sdsClient = FHIR.client(sdsFhirAccessDataObject)
+      sdsClienta = FHIR.client(sdsFhirAccessDataObject)
     }
   }
 
   else if (authURL && sdsURL && sdsScope) {
     console.log('getSupplementalDataClient else if (authURL && sdsURL && sdsScope) == true; authorize using existing token')
-    console.log('getSupplementalDataClient authURL: ', authURL)
-    console.log('getSupplementalDataClient sdsURL: ', sdsURL)
-    console.log('getSupplementalDataClient sdsScope: ', sdsScope)
 
     const authFhirAccessDataObject: fhirclient.ClientState | undefined =
       await extractFhirAccessDataObjectIfGivenEndpointMatchesAnyPriorEndpoint(authURL)
-    console.log('getSupplementalDataClient found extractFhirAccessDataObjectIfGivenEndpointMatchesAnyPriorEndpoint using ' + authURL);
 
     if (authFhirAccessDataObject) {
       console.log("getSupplementalDataClient authFhirAccessDataObject is truthy")
@@ -222,13 +220,98 @@ export const getSupplementalDataClient = async (patientId: string | null): Promi
       if (sdsFhirAccessDataObject.tokenResponse) {
         sdsFhirAccessDataObject.tokenResponse.scope = sdsScope
       }
-      console.log("getSupplementalDataClient  getSupplementalDataClient() sdsFhirAccessDataObject = ",  JSON.stringify( sdsFhirAccessDataObject))
       // Connect to the client
+      let sdsClient: Client | undefined
       sdsClient = FHIR.client(sdsFhirAccessDataObject)
-      console.log("getSupplementalDataClient FHIR.client(sdsFhirAccessDataObject) sdsClient = ", sdsClient)
+
+      const linkages  = await sdsClient.request('Linkage');
+
+
+      if (sdsFhirAccessDataObject.tokenResponse) {
+
+        if (linkages.entry === undefined) {
+          console.log('getSupplementalDataClient Create Patient:');
+
+          const patientResource = {
+            resourceType: 'Patient'
+          };
+
+          await sdsClient.create(patientResource).then(async (response) => {
+              console.log('getSupplementalDataClient Patient resource created successfully:', response);
+
+              console.log('getSupplementalDataClient start wait:'); 
+              await new Promise(resolve => setTimeout(resolve, 3000)); // 3 sec
+              console.log('getSupplementalDataClient end wait:'); 
+  
+              const yy  = await sdsClient?.request('Linkage');
+
+              console.log('getSupplementalDataClient Patient resource created linkage :' + JSON.stringify(yy));
+
+              var p = yy.entry[0].resource?.item[0].resource.reference
+              var r = p.split("/")
+              var y = r[1]
+              if (sdsFhirAccessDataObject) {
+
+                if (sdsFhirAccessDataObject.tokenResponse) {
+                  if (sdsFhirAccessDataObject.tokenResponse.patient) {
+                    sdsFhirAccessDataObject.tokenResponse.patient = y
+                    sdsClient = FHIR.client(sdsFhirAccessDataObject)
+                    return sdsClient
+                  }
+
+                }
+
+              }
+             
+
+            })
+            .catch((error) => {
+              console.error('getSupplementalDataClient Error creating Patient resource:', error);
+            });
+
+          
+
+        } else {
+          var p = linkages.entry[0].resource?.item[0].resource.reference
+          var r = p.split("/")
+          var y = r[1]
+          sdsFhirAccessDataObject.tokenResponse.patient = y
+          sdsClient = FHIR.client(sdsFhirAccessDataObject)
+          return sdsClient
+        }
+
+
+    
+      }
+
+      
+      // var resources: Resource[] = []
+      // resources = resources.concat(resourcesFrom(await sdsClient.request('Linkage')as fhirclient.JsonObject))
+
+      // console.error('getSupplementalDataClient Linkage: ', JSON.stringify(resources))
+      // console.error('getSupplementalDataClient Linkage: ', JSON.stringify(resources))
+      // console.error('getSupplementalDataClient Linkage: ', JSON.stringify(resources))
+      // console.error('getSupplementalDataClient Linkage: ', JSON.stringify(resources))
+      // console.error('getSupplementalDataClient Linkage: ', JSON.stringify(resources))
+
+
+      // const patientResource  = {
+      //   resourceType: 'Patient'
+      //   // identifier: identifierArray,
+      // };
+      // sdsClient
+      // .create(patientResource)
+      // .then((response) => {
+      //   console.log('Patient resource created successfully:', response);
+      // })
+      // .catch((error) => {
+      //   console.error('Error creating Patient resource:', error);
+      // });
+    
+      console.error("getSupplementalDataClient FHIR.client(sdsFhirAccessDataObject) sdsClient = ", sdsClient)
     }
     else {
-      console.warn("getSupplementalDataClient() authFhirAccessDataObject is null, cannot connect to client")
+      console.error("getSupplementalDataClient() authFhirAccessDataObject is null, cannot connect to client")
     }
   }
 
@@ -237,8 +320,8 @@ export const getSupplementalDataClient = async (patientId: string | null): Promi
   // The program will always know at the most root level that this SDS is not useful, which may be better.
   // This includes that knowledge in ProviderLogin w/o the additional logic it has now to determine that.
 
-  console.log('getSupplementalDataClient End');
-  return sdsClient
+  console.error('getSupplementalDataClient End');
+  return sdsClienta
 }
 
 // TODO: MULTI-PROVIDER: Call this with getFHIRData/remove duplicate code there. Or, have this be called first.
@@ -484,8 +567,15 @@ const getFHIRResources = async (client: Client, clientScope: string | undefined,
   const fhirUserPath = client.getFhirUser();
   const serverUrl = client.state.serverUrl;
   console.log('client.getFhirUser(): ', client.getFhirUser())
-  const fhirUser: Practitioner | Patient | RelatedPerson | undefined =
-    fhirUserPath ? await client.request(fhirUserPath) : undefined
+
+  let fhirUser : Practitioner | Patient | RelatedPerson | undefined
+try {
+   fhirUser =    fhirUserPath ? await client.request(fhirUserPath) : undefined
+  } catch (error) {
+    // console.error(error)
+    // Assume this is SDS
+}
+
   console.log('fhirUser: ', fhirUser)
   const caregiverName: String | undefined =
     (patientPath === fhirUserPath) ? undefined : fhirUser?.name?.[0]?.text ?? fhirUser?.name?.[0]?.family
@@ -565,7 +655,8 @@ const getFHIRQueries = async (client: Client, clientScope: string | undefined,
     goalsPath, true, client, clientScope, 50, setAndLogProgressState, setAndLogErrorMessageState)
   goals && setResourcesLoadedCountState(++resourcesLoadedCount)
   setAndLogProgressState('Found ' + (goals?.length ?? 0) + ' Goals.', 50)
-
+  console.log('Found ' + (goals?.length ?? 0) + ' Goals.')
+  
   curResourceName = 'Condition'
   let conditions: Condition[] | undefined
   setAndLogProgressState(`${curResourceName} request: ` + new Date().toLocaleTimeString(), 55)
@@ -785,7 +876,6 @@ const loadFHIRQuery = async <T extends Resource>(
     resourceData = (hasScope(clientScope, `${resourceSrcCodeName}.read`)
       ? resourcesFrom(await client.patient.request(resourcePath, fhirOptions) as fhirclient.JsonObject)
       : undefined)
-    console.log("resourceData:", resourceData)
     resources = resourceData?.filter((item: any) => item.resourceType === resourceSrcCodeName) as T[]
     console.log("resources:", resources)
     isRecordProvenance && recordProvenance(resourceData)
@@ -871,3 +961,9 @@ export async function getSharedGoals(): Promise<Goal[]> {
 
   return goals
 }
+
+
+function delay(arg0: number) {
+  throw new Error('Function not implemented.')
+}
+

From 18f5da4cd34ea18d38dc0e15fdf005f8e135bcb8 Mon Sep 17 00:00:00 2001
From: Sean <>
Date: Sun, 14 Jul 2024 16:34:07 -0400
Subject: [PATCH 04/20] Updates to get sds

Cleaned up logic and formatting
---
 src/data-services/fhirService.ts | 183 +++++++++++--------------------
 1 file changed, 66 insertions(+), 117 deletions(-)

diff --git a/src/data-services/fhirService.ts b/src/data-services/fhirService.ts
index 43fb7bb..5e4aed2 100644
--- a/src/data-services/fhirService.ts
+++ b/src/data-services/fhirService.ts
@@ -183,12 +183,12 @@ export const supplementalDataIsAvailable = (): Boolean => {
     && sdsScope !== undefined && sdsScope?.length > 0
 }
 
-export const getSupplementalDataClient = async (patientId2: string | null): Promise<Client | undefined> => {
+export const getSupplementalDataClient = async (patientId2: string | null): Promise < Client | undefined > => {
   console.log('getSupplementalDataClient Start');
-  let sdsClienta: Client | undefined
+  let sdsClient: Client | undefined
   const authURL = process.env.REACT_APP_SHARED_DATA_AUTH_ENDPOINT
   const sdsURL = process.env.REACT_APP_SHARED_DATA_ENDPOINT
-  const sdsScope = 'patient/*.cruds patient/* user/*.cruds user/* goal/*.read ' 
+  const sdsScope = 'patient/*.cruds patient/* user/*.cruds user/* goal/*.read '
   const sdsClientId = process.env.REACT_APP_SHARED_DATA_CLIENT_ID
 
   console.log('getSupplementalDataClient authURL: ', authURL)
@@ -197,122 +197,71 @@ export const getSupplementalDataClient = async (patientId2: string | null): Prom
   console.log('getSupplementalDataClient sdsClientId: ', sdsClientId)
 
   if (sdsClientId && sdsURL) {
-    console.log('getSupplementalDataClient if (sdsClientId && sdsURL) == true; authorize in using client id')
-    const sdsFhirAccessDataObject: fhirclient.ClientState | undefined =
-      await extractFhirAccessDataObjectIfGivenEndpointMatchesAnyPriorEndpoint(sdsURL)
-    if (sdsFhirAccessDataObject) {
-      sdsClienta = FHIR.client(sdsFhirAccessDataObject)
-    }
-  }
-
-  else if (authURL && sdsURL && sdsScope) {
-    console.log('getSupplementalDataClient else if (authURL && sdsURL && sdsScope) == true; authorize using existing token')
-
-    const authFhirAccessDataObject: fhirclient.ClientState | undefined =
-      await extractFhirAccessDataObjectIfGivenEndpointMatchesAnyPriorEndpoint(authURL)
-
-    if (authFhirAccessDataObject) {
-      console.log("getSupplementalDataClient authFhirAccessDataObject is truthy")
-      // Replace the serverURL and client scope with Shared Data endpoint and scope
-      let sdsFhirAccessDataObject = authFhirAccessDataObject
-      sdsFhirAccessDataObject.serverUrl = sdsURL
-      sdsFhirAccessDataObject.scope = sdsScope
-      if (sdsFhirAccessDataObject.tokenResponse) {
-        sdsFhirAccessDataObject.tokenResponse.scope = sdsScope
+      console.log('getSupplementalDataClient if (sdsClientId && sdsURL) == true; authorize in using client id')
+      const sdsFhirAccessDataObject: fhirclient.ClientState | undefined =
+          await extractFhirAccessDataObjectIfGivenEndpointMatchesAnyPriorEndpoint(sdsURL)
+      if (sdsFhirAccessDataObject) {
+          sdsClient = FHIR.client(sdsFhirAccessDataObject)
       }
-      // Connect to the client
-      let sdsClient: Client | undefined
-      sdsClient = FHIR.client(sdsFhirAccessDataObject)
-
-      const linkages  = await sdsClient.request('Linkage');
-
-
-      if (sdsFhirAccessDataObject.tokenResponse) {
-
-        if (linkages.entry === undefined) {
-          console.log('getSupplementalDataClient Create Patient:');
-
-          const patientResource = {
-            resourceType: 'Patient'
-          };
-
-          await sdsClient.create(patientResource).then(async (response) => {
-              console.log('getSupplementalDataClient Patient resource created successfully:', response);
-
-              console.log('getSupplementalDataClient start wait:'); 
-              await new Promise(resolve => setTimeout(resolve, 3000)); // 3 sec
-              console.log('getSupplementalDataClient end wait:'); 
-  
-              const yy  = await sdsClient?.request('Linkage');
-
-              console.log('getSupplementalDataClient Patient resource created linkage :' + JSON.stringify(yy));
-
-              var p = yy.entry[0].resource?.item[0].resource.reference
-              var r = p.split("/")
-              var y = r[1]
-              if (sdsFhirAccessDataObject) {
-
-                if (sdsFhirAccessDataObject.tokenResponse) {
-                  if (sdsFhirAccessDataObject.tokenResponse.patient) {
-                    sdsFhirAccessDataObject.tokenResponse.patient = y
-                    sdsClient = FHIR.client(sdsFhirAccessDataObject)
-                    return sdsClient
-                  }
-
-                }
-
-              }
-             
-
-            })
-            .catch((error) => {
-              console.error('getSupplementalDataClient Error creating Patient resource:', error);
-            });
-
-          
-
-        } else {
-          var p = linkages.entry[0].resource?.item[0].resource.reference
-          var r = p.split("/")
-          var y = r[1]
-          sdsFhirAccessDataObject.tokenResponse.patient = y
+  } else if (authURL && sdsURL && sdsScope) {
+      console.log('getSupplementalDataClient else if (authURL && sdsURL && sdsScope) == true; authorize using existing token')
+
+      const authFhirAccessDataObject: fhirclient.ClientState | undefined =
+          await extractFhirAccessDataObjectIfGivenEndpointMatchesAnyPriorEndpoint(authURL)
+
+      if (authFhirAccessDataObject) {
+          console.log("getSupplementalDataClient authFhirAccessDataObject is truthy")
+          // Replace the serverURL and client scope with Shared Data endpoint and scope
+          let sdsFhirAccessDataObject = authFhirAccessDataObject
+          sdsFhirAccessDataObject.serverUrl = sdsURL
+          sdsFhirAccessDataObject.scope = sdsScope
+          if (sdsFhirAccessDataObject.tokenResponse) {
+              sdsFhirAccessDataObject.tokenResponse.scope = sdsScope
+          }
+          // Connect to the client
+          let sdsClient: Client | undefined
           sdsClient = FHIR.client(sdsFhirAccessDataObject)
-          return sdsClient
-        }
-
-
-    
+          const linkages = await sdsClient.request('Linkage');
+          if (sdsFhirAccessDataObject.tokenResponse) {
+              if (linkages.entry === undefined) {
+                  console.log('getSupplementalDataClient Create Patient:');
+                  const patientResource = {
+                      resourceType: 'Patient'
+                  };
+                  await sdsClient.create(patientResource).then(async (response) => {
+                          console.log('getSupplementalDataClient Patient resource created successfully:', response);
+                          console.log('getSupplementalDataClient start wait for patient create:');
+                          await new Promise(resolve => setTimeout(resolve, 3000)); // 3 sec
+                          console.log('getSupplementalDataClient end wait for patient create:');
+                          const yy = await sdsClient?.request('Linkage');
+                          console.log('getSupplementalDataClient Patient resource created linkage :' + JSON.stringify(yy));                          
+                          var patientReference = yy.entry[0].resource?.item[0].resource.reference
+                          var identifier = patientReference.split("/")
+                          if (sdsFhirAccessDataObject) {
+                              if (sdsFhirAccessDataObject.tokenResponse) {
+                                  if (sdsFhirAccessDataObject.tokenResponse.patient) {
+                                      sdsFhirAccessDataObject.tokenResponse.patient = identifier[1]
+                                      sdsClient = FHIR.client(sdsFhirAccessDataObject)
+                                      return sdsClient
+                                  }
+                              }
+                          }
+                      })
+                      .catch((error) => {
+                          console.error('getSupplementalDataClient Error creating Patient resource:', error);
+                      });
+              } else {
+                  var patientReference = linkages.entry[0].resource?.item[0].resource.reference
+                  var identifier = patientReference.split("/")
+                  sdsFhirAccessDataObject.tokenResponse.patient = identifier[1]
+                  sdsClient = FHIR.client(sdsFhirAccessDataObject)
+                  return sdsClient
+              }
+          }
+          console.error("getSupplementalDataClient FHIR.client(sdsFhirAccessDataObject) sdsClient = ", sdsClient)
+      } else {
+          console.error("getSupplementalDataClient() authFhirAccessDataObject is null, cannot connect to client")
       }
-
-      
-      // var resources: Resource[] = []
-      // resources = resources.concat(resourcesFrom(await sdsClient.request('Linkage')as fhirclient.JsonObject))
-
-      // console.error('getSupplementalDataClient Linkage: ', JSON.stringify(resources))
-      // console.error('getSupplementalDataClient Linkage: ', JSON.stringify(resources))
-      // console.error('getSupplementalDataClient Linkage: ', JSON.stringify(resources))
-      // console.error('getSupplementalDataClient Linkage: ', JSON.stringify(resources))
-      // console.error('getSupplementalDataClient Linkage: ', JSON.stringify(resources))
-
-
-      // const patientResource  = {
-      //   resourceType: 'Patient'
-      //   // identifier: identifierArray,
-      // };
-      // sdsClient
-      // .create(patientResource)
-      // .then((response) => {
-      //   console.log('Patient resource created successfully:', response);
-      // })
-      // .catch((error) => {
-      //   console.error('Error creating Patient resource:', error);
-      // });
-    
-      console.error("getSupplementalDataClient FHIR.client(sdsFhirAccessDataObject) sdsClient = ", sdsClient)
-    }
-    else {
-      console.error("getSupplementalDataClient() authFhirAccessDataObject is null, cannot connect to client")
-    }
   }
 
   // TODO: Consider check here if SDS is empty and return undefined if so.
@@ -321,7 +270,7 @@ export const getSupplementalDataClient = async (patientId2: string | null): Prom
   // This includes that knowledge in ProviderLogin w/o the additional logic it has now to determine that.
 
   console.error('getSupplementalDataClient End');
-  return sdsClienta
+  return sdsClient
 }
 
 // TODO: MULTI-PROVIDER: Call this with getFHIRData/remove duplicate code there. Or, have this be called first.

From e6cb72de7a454f15bb2d097736374de9f79d120c Mon Sep 17 00:00:00 2001
From: Sean <>
Date: Tue, 16 Jul 2024 16:45:40 -0400
Subject: [PATCH 05/20] Udpates for version

---
 .env | 15 +++++++++------
 1 file changed, 9 insertions(+), 6 deletions(-)

diff --git a/.env b/.env
index 4520969..6db3de8 100644
--- a/.env
+++ b/.env
@@ -7,17 +7,17 @@ GENERATE_SOURCEMAP=false
 #
 # SHARED_DATA_AUTH_ENDPOINT is a different FHIR endpoint that is used to authorize the user for shared data.
 #
-# REACT_APP_SHARED_DATA_ENDPOINT=
-# REACT_APP_SHARED_DATA_AUTH_ENDPOINT=
-# REACT_APP_SHARED_DATA_SCOPE="launch/patient openid fhirUser patient/*.read patient/*.write"
+REACT_APP_SHARED_DATA_ENDPOINT=http://localhost:8080/fhir
+REACT_APP_SHARED_DATA_AUTH_ENDPOINT=https://gw.interop.community/MCCDevelopment/data
+REACT_APP_SHARED_DATA_SCOPE="launch/patient openid fhirUser patient/* user/*.cruds	patient/*.cruds"
 
 # These 2 parameters are only used when Shared Data is a separate FHIR server with its own SMART launch flow.
 REACT_APP_SHARED_DATA_CLIENT_ID=
 REACT_APP_SHARED_DATA_REDIRECT_URI="./index.html"
 
 
-REACT_APP_MELD_SANDBOX_NAME=MCCDevelopment
-REACT_APP_MELD_SANDBOX_CLIENT_ID=<...>
+#REACT_APP_MELD_SANDBOX_NAME=MCCDevelopment
+#REACT_APP_MELD_SANDBOX_CLIENT_ID=<...>
 
 # Logica sandbox
 REACT_APP_CLIENT_ID_logica=<...>
@@ -89,6 +89,9 @@ REACT_APP_LOG_ENABLED=false
 REACT_APP_LOG_API_KEY=<...>
 REACT_APP_LOG_ENDPOINT_URI="http://localhost:8085"
 
-REACT_APP_VERSION="version -  2.2.2"
+REACT_APP_VERSION="version -  SDS Beta"
 # Set to have HHS Banner
 REACT_APP_HHS_BANNER=false
+
+REACT_APP_MELD_SANDBOX_NAME=MCCDevelopment
+REACT_APP_MELD_SANDBOX_CLIENT_ID=5fa54c47-ed80-405b-a0b7-611eee5d0159
\ No newline at end of file

From eeec29b9591ff81e9ee01fa9af59615f415e0a8a Mon Sep 17 00:00:00 2001
From: David Carlson <dcarlson@clinicalcloud.solutions>
Date: Thu, 18 Jul 2024 16:30:52 -0600
Subject: [PATCH 06/20] Include search for Home BP observations, with logic in
 CQL to combine separate systolic and diastolic.

---
 src/components/summaries/VitalsList.tsx      |   31 +-
 src/data-services/cql/mcc/MCCConcepts.cql    |    6 +
 src/data-services/cql/mcc/MCCConcepts.json   | 1445 ++--
 src/data-services/cql/mcc/MCCVitalSigns.cql  |   68 +-
 src/data-services/cql/mcc/MCCVitalSigns.json | 6284 ++++++++++++++++--
 src/data-services/fhirService.ts             |   12 +-
 6 files changed, 6692 insertions(+), 1154 deletions(-)

diff --git a/src/components/summaries/VitalsList.tsx b/src/components/summaries/VitalsList.tsx
index 1047810..e331081 100644
--- a/src/components/summaries/VitalsList.tsx
+++ b/src/components/summaries/VitalsList.tsx
@@ -179,26 +179,39 @@ const buildRows = (obs: ObservationSummary, theSource?: string): SummaryRowItems
     },
   ];
 
-  if (theSource) {
-    const rowItem: SummaryRowItem = {
+  const notes: SummaryRowItems | undefined = obs.Notes?.map((note) => (
+    {
       isHeader: false,
       twoColumns: false,
-      data1: "From " + theSource,
+      data1: 'Note: ' + note,
       data2: '',
-    };
-    rows.push(rowItem);
+    }
+  ))
+  if (notes?.length) {
+    rows = rows.concat(notes)
   }
 
   const provenance: SummaryRowItems | undefined = obs.Provenance?.map((provenance) => (
     {
       isHeader: false,
-      twoColumns: true,
-      data1: 'Source: ' + (provenance.Transmitter ?? ''),
+      twoColumns: false,
+      data1: 'Source: ' + provenance.Transmitter ?? '',
       data2: provenance.Author ?? '',
     }
-  ));
+  ))
   if (provenance?.length) {
-    rows = rows.concat(provenance);
+    rows = rows.concat(provenance)
+  }
+
+  const hasProvenance = obs.Provenance?.length ?? 0 > 0
+  if (theSource && !hasProvenance) {
+    const source: SummaryRowItem = {
+      isHeader: false,
+      twoColumns: false,
+      data1: 'Source: ' + theSource,
+      data2: '',
+    }
+    rows.push(source)
   }
 
   return rows;
diff --git a/src/data-services/cql/mcc/MCCConcepts.cql b/src/data-services/cql/mcc/MCCConcepts.cql
index 7de9bea..60891db 100644
--- a/src/data-services/cql/mcc/MCCConcepts.cql
+++ b/src/data-services/cql/mcc/MCCConcepts.cql
@@ -6,6 +6,8 @@ codesystem "LOINC": 'http://loinc.org'
 codesystem "SNOMEDCT": 'http://snomed.info/sct'
 codesystem "Race": 'urn:oid:2.16.840.1.113883.6.238'
 
+codesystem "Epic": 'urn:oid:1.2.840.114350.1.13.135.3.7.2.707679'
+
 // ## Value sets ##
 
 // ******************************
@@ -238,6 +240,7 @@ code "Left (qualifier value)": '7771000' from "SNOMEDCT" display 'Left (qualifie
 code "Right (qualifier value)": '24028007' from "SNOMEDCT" display 'Right (qualifier value)'
 
 code "Blood pressure": '85354-9' from "LOINC" display 'Blood pressure systolic and diastolic'
+code "Blood pressure home reading": '72076-3' from "LOINC" display 'Blood pressure home reading'
 code "Systolic blood pressure": '8480-6' from "LOINC" display 'Systolic blood pressure'
 code "Diastolic blood pressure": '8462-4' from "LOINC" display 'Diastolic blood pressure'
 code "Heart rate": '8867-4' from "LOINC" display 'Heart rate'
@@ -249,3 +252,6 @@ code "Body height": '8302-2' from "LOINC" display 'Body height'
 code "Body weight": '29463-7' from "LOINC" display 'Body weight'
 code "Body mass index": '39156-5' from "LOINC" display 'Body mass index'
 code "Inhaled oxygen flow rate": '3151-8' from "LOINC" display 'Inhaled oxygen flow rate'
+
+code "Epic Systolic blood pressure": '7585' from "Epic" display 'Systolic blood pressure'
+code "Epic Diastolic blood pressure": '7586' from "Epic" display 'Diastolic blood pressure'
\ No newline at end of file
diff --git a/src/data-services/cql/mcc/MCCConcepts.json b/src/data-services/cql/mcc/MCCConcepts.json
index 3fe3e20..78aff6c 100644
--- a/src/data-services/cql/mcc/MCCConcepts.json
+++ b/src/data-services/cql/mcc/MCCConcepts.json
@@ -1,12 +1,15 @@
 {
    "library" : {
+      "localId" : "0",
       "annotation" : [ {
+         "translatorVersion" : "3.10.0-SNAPSHOT",
          "translatorOptions" : "EnableAnnotations,EnableLocators,EnableResultTypes",
+         "signatureLevel" : "None",
          "type" : "CqlToElmInfo"
       }, {
          "type" : "Annotation",
          "s" : {
-            "r" : "160",
+            "r" : "371",
             "s" : [ {
                "value" : [ "","library MCCConcepts version '1.0.0'" ]
             } ]
@@ -22,13 +25,14 @@
       },
       "usings" : {
          "def" : [ {
+            "localId" : "1",
             "localIdentifier" : "System",
             "uri" : "urn:hl7-org:elm-types:r1"
          } ]
       },
       "codeSystems" : {
          "def" : [ {
-            "localId" : "1",
+            "localId" : "206",
             "locator" : "5:1-5:38",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
             "name" : "LOINC",
@@ -37,14 +41,14 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "1",
+                  "r" : "206",
                   "s" : [ {
-                     "value" : [ "// ## Code Systems ##\n","codesystem ","\"LOINC\"",": ","'http://loinc.org'" ]
+                     "value" : [ "// ## Code Systems ##\n\n","codesystem ","\"LOINC\"",": ","'http://loinc.org'" ]
                   } ]
                }
             } ]
          }, {
-            "localId" : "2",
+            "localId" : "207",
             "locator" : "6:1-6:47",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
             "name" : "SNOMEDCT",
@@ -53,14 +57,14 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "2",
+                  "r" : "207",
                   "s" : [ {
                      "value" : [ "","codesystem ","\"SNOMEDCT\"",": ","'http://snomed.info/sct'" ]
                   } ]
                }
             } ]
          }, {
-            "localId" : "3",
+            "localId" : "208",
             "locator" : "7:1-7:52",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
             "name" : "Race",
@@ -69,18 +73,34 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "3",
+                  "r" : "208",
                   "s" : [ {
                      "value" : [ "","codesystem ","\"Race\"",": ","'urn:oid:2.16.840.1.113883.6.238'" ]
                   } ]
                }
             } ]
+         }, {
+            "localId" : "209",
+            "locator" : "9:1-9:65",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
+            "name" : "Epic",
+            "id" : "urn:oid:1.2.840.114350.1.13.135.3.7.2.707679",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "209",
+                  "s" : [ {
+                     "value" : [ "","codesystem ","\"Epic\"",": ","'urn:oid:1.2.840.114350.1.13.135.3.7.2.707679'" ]
+                  } ]
+               }
+            } ]
          } ]
       },
       "valueSets" : {
          "def" : [ {
-            "localId" : "4",
-            "locator" : "18:1-18:100",
+            "localId" : "210",
+            "locator" : "20:1-20:100",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Arthritis Disorders",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.81",
@@ -88,15 +108,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "4",
+                  "r" : "210",
                   "s" : [ {
                      "value" : [ "// ## Value sets ##\n\n// ******************************\n// Condition value sets\n// ******************************\n\n//\n// Arthritis Conditions\n//\n","valueset ","\"Arthritis Disorders\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.81'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "5",
-            "locator" : "19:1-19:102",
+            "localId" : "211",
+            "locator" : "21:1-21:102",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Infectious Arthritis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.654",
@@ -104,15 +125,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "5",
+                  "r" : "211",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Infectious Arthritis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.654'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "6",
-            "locator" : "20:1-20:96",
+            "localId" : "212",
+            "locator" : "22:1-22:96",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Osteoarthritis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.648",
@@ -120,15 +142,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "6",
+                  "r" : "212",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Osteoarthritis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.648'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "7",
-            "locator" : "21:1-21:101",
+            "localId" : "213",
+            "locator" : "23:1-23:101",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Psoriatic Arthritis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.587",
@@ -136,15 +159,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "7",
+                  "r" : "213",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Psoriatic Arthritis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.587'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "8",
-            "locator" : "22:1-22:100",
+            "localId" : "214",
+            "locator" : "24:1-24:100",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Reactive Arthritis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.588",
@@ -152,15 +176,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "8",
+                  "r" : "214",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Reactive Arthritis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.588'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "9",
-            "locator" : "23:1-23:102",
+            "localId" : "215",
+            "locator" : "25:1-25:102",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Rheumatoid Arthritis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.651",
@@ -168,15 +193,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "9",
+                  "r" : "215",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Rheumatoid Arthritis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.651'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "10",
-            "locator" : "28:1-28:108",
+            "localId" : "216",
+            "locator" : "30:1-30:108",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Acute Coronary Syndromes",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3157.2000.10",
@@ -184,15 +210,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "10",
+                  "r" : "216",
                   "s" : [ {
                      "value" : [ "//\n// Cardiovascular Conditions\n//\n","valueset ","\"Acute Coronary Syndromes\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3157.2000.10'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "11",
-            "locator" : "29:1-29:109",
+            "localId" : "217",
+            "locator" : "31:1-31:109",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Acute Myocardial Infarction",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.3011",
@@ -200,15 +227,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "11",
+                  "r" : "217",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Acute Myocardial Infarction\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.3011'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "12",
-            "locator" : "30:1-30:128",
+            "localId" : "218",
+            "locator" : "32:1-32:128",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "American Heart Association Heart Failure Stage",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.581",
@@ -216,15 +244,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "12",
+                  "r" : "218",
                   "s" : [ {
                      "value" : [ "","valueset ","\"American Heart Association Heart Failure Stage\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.581'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "13",
-            "locator" : "31:1-31:90",
+            "localId" : "219",
+            "locator" : "33:1-33:90",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Aneurysm",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.627",
@@ -232,15 +261,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "13",
+                  "r" : "219",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Aneurysm\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.627'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "14",
-            "locator" : "32:1-32:88",
+            "localId" : "220",
+            "locator" : "34:1-34:88",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Angina",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.608",
@@ -248,15 +278,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "14",
+                  "r" : "220",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Angina\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.608'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "15",
-            "locator" : "33:1-33:96",
+            "localId" : "221",
+            "locator" : "35:1-35:96",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Aortic Disease",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.636",
@@ -264,15 +295,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "15",
+                  "r" : "221",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Aortic Disease\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.636'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "16",
-            "locator" : "34:1-34:91",
+            "localId" : "222",
+            "locator" : "36:1-36:91",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Arrhythmia",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.366",
@@ -280,15 +312,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "16",
+                  "r" : "222",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Arrhythmia\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.366'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "17",
-            "locator" : "35:1-35:120",
+            "localId" : "223",
+            "locator" : "37:1-37:120",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Atherosclerotic Cardiovascular Disease",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.584",
@@ -296,15 +329,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "17",
+                  "r" : "223",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Atherosclerotic Cardiovascular Disease\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.584'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "18",
-            "locator" : "36:1-36:96",
+            "localId" : "224",
+            "locator" : "38:1-38:96",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Cardiomyopathy",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.579",
@@ -312,15 +346,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "18",
+                  "r" : "224",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Cardiomyopathy\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.579'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "19",
-            "locator" : "37:1-37:98",
+            "localId" : "225",
+            "locator" : "39:1-39:98",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Carotid Stenosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.639",
@@ -328,15 +363,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "19",
+                  "r" : "225",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Carotid Stenosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.639'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "20",
-            "locator" : "38:1-38:106",
+            "localId" : "226",
+            "locator" : "40:1-40:106",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Cerebrovascular Disease",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1524",
@@ -344,15 +380,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "20",
+                  "r" : "226",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Cerebrovascular Disease\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1524'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "21",
-            "locator" : "39:1-39:115",
+            "localId" : "227",
+            "locator" : "41:1-41:115",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Congestive heart failure Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.369",
@@ -360,15 +397,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "21",
+                  "r" : "227",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Congestive heart failure Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.369'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "22",
-            "locator" : "40:1-40:112",
+            "localId" : "228",
+            "locator" : "42:1-42:112",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Coronary Artery Disease No MI",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1540",
@@ -376,15 +414,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "22",
+                  "r" : "228",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Coronary Artery Disease No MI\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1540'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "23",
-            "locator" : "41:1-41:96",
+            "localId" : "229",
+            "locator" : "43:1-43:96",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Heart Failure",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1543",
@@ -392,15 +431,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "23",
+                  "r" : "229",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Heart Failure\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1543'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "24",
-            "locator" : "42:1-42:107",
+            "localId" : "230",
+            "locator" : "44:1-44:107",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hypertension, Persistent",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1563",
@@ -408,15 +448,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "24",
+                  "r" : "230",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Hypertension, Persistent\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1563'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "25",
-            "locator" : "43:1-43:117",
+            "localId" : "231",
+            "locator" : "45:1-45:117",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hypertension, Primary and Secondary",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.571",
@@ -424,15 +465,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "25",
+                  "r" : "231",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Hypertension, Primary and Secondary\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.571'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "26",
-            "locator" : "44:1-44:100",
+            "localId" : "232",
+            "locator" : "46:1-46:100",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hypertension Stage",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.566",
@@ -440,15 +482,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "26",
+                  "r" : "232",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Hypertension Stage\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.566'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "27",
-            "locator" : "45:1-45:117",
+            "localId" : "233",
+            "locator" : "47:1-47:117",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hypertension, Essential or Primary",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1484",
@@ -456,15 +499,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "27",
+                  "r" : "233",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Hypertension, Essential or Primary\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1484'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "28",
-            "locator" : "46:1-46:118",
+            "localId" : "234",
+            "locator" : "48:1-48:118",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hypertension, Pulmonary Hypertension",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.569",
@@ -472,15 +516,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "28",
+                  "r" : "234",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Hypertension, Pulmonary Hypertension\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.569'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "29",
-            "locator" : "47:1-47:105",
+            "localId" : "235",
+            "locator" : "49:1-49:105",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hypertension, Secondary",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.642",
@@ -488,15 +533,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "29",
+                  "r" : "235",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Hypertension, Secondary\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.642'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "30",
-            "locator" : "48:1-48:103",
+            "localId" : "236",
+            "locator" : "50:1-50:103",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Intracranial Stenosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.614",
@@ -504,15 +550,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "30",
+                  "r" : "236",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Intracranial Stenosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.614'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "31",
-            "locator" : "49:1-49:104",
+            "localId" : "237",
+            "locator" : "51:1-51:104",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Ischemic Heart Disease",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.615",
@@ -520,15 +567,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "31",
+                  "r" : "237",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Ischemic Heart Disease\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.615'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "32",
-            "locator" : "50:1-50:110",
+            "localId" : "238",
+            "locator" : "52:1-52:110",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Left Ventricular Hypertrophy",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.580",
@@ -536,15 +584,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "32",
+                  "r" : "238",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Left Ventricular Hypertrophy\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.580'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "33",
-            "locator" : "51:1-51:126",
+            "localId" : "239",
+            "locator" : "53:1-53:126",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "NYHA Heart Failure Functional Classifications",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.27",
@@ -552,15 +601,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "33",
+                  "r" : "239",
                   "s" : [ {
                      "value" : [ "","valueset ","\"NYHA Heart Failure Functional Classifications\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.27'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "34",
-            "locator" : "52:1-52:110",
+            "localId" : "240",
+            "locator" : "54:1-54:110",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Peripheral Vascular Disease",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1488",
@@ -568,15 +618,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "34",
+                  "r" : "240",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Peripheral Vascular Disease\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1488'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "35",
-            "locator" : "53:1-53:128",
+            "localId" : "241",
+            "locator" : "55:1-55:128",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Postural tachycardia syndrome (POTS) Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.645",
@@ -584,15 +635,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "35",
+                  "r" : "241",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Postural tachycardia syndrome (POTS) Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.645'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "36",
-            "locator" : "54:1-54:97",
+            "localId" : "242",
+            "locator" : "56:1-56:97",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Pulmonary Edema",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.611",
@@ -600,15 +652,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "36",
+                  "r" : "242",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Pulmonary Edema\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.611'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "37",
-            "locator" : "55:1-55:106",
+            "localId" : "243",
+            "locator" : "57:1-57:106",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Stroke History",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.104.12.1017",
@@ -616,15 +669,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "37",
+                  "r" : "243",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Stroke History\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.104.12.1017'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "38",
-            "locator" : "60:1-60:102",
+            "localId" : "244",
+            "locator" : "62:1-62:102",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Acute Renal Failure",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1534",
@@ -632,15 +686,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "38",
+                  "r" : "244",
                   "s" : [ {
                      "value" : [ "//\n// Chronic Kidney Disease (CKD) Conditions\n//\n","valueset ","\"Acute Renal Failure\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1534'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "39",
-            "locator" : "61:1-61:115",
+            "localId" : "245",
+            "locator" : "63:1-63:115",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Chronic Kidney Disease All Stages",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.157",
@@ -648,15 +703,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "39",
+                  "r" : "245",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Chronic Kidney Disease All Stages\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.157'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "40",
-            "locator" : "62:1-62:116",
+            "localId" : "246",
+            "locator" : "64:1-64:116",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Chronic Kidney Disease Type or Cause",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.6",
@@ -664,15 +720,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "40",
+                  "r" : "246",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Chronic Kidney Disease Type or Cause\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.6'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "41",
-            "locator" : "72:1-72:102",
+            "localId" : "247",
+            "locator" : "74:1-74:102",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Acanthosis Nigricans",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.556",
@@ -680,15 +737,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "41",
+                  "r" : "247",
                   "s" : [ {
                      "value" : [ "//\n// Cognitive and Neurological Conditions\n//\n\n\n//\n// Diabetes Conditions\n//\n","valueset ","\"Acanthosis Nigricans\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.556'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "42",
-            "locator" : "73:1-73:112",
+            "localId" : "248",
+            "locator" : "75:1-75:112",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Amputated Limb (Not Traumatic)",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.563",
@@ -696,15 +754,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "42",
+                  "r" : "248",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Amputated Limb (Not Traumatic)\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.563'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "43",
-            "locator" : "74:1-74:101",
+            "localId" : "249",
+            "locator" : "76:1-76:101",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Blindness",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.115.12.1089",
@@ -712,15 +771,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "43",
+                  "r" : "249",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Blindness\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.115.12.1089'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "44",
-            "locator" : "75:1-75:101",
+            "localId" : "250",
+            "locator" : "77:1-77:101",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Cataract of the eye",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.498",
@@ -728,15 +788,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "44",
+                  "r" : "250",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Cataract of the eye\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.498'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "45",
-            "locator" : "76:1-76:92",
+            "localId" : "251",
+            "locator" : "78:1-78:92",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Cellulitis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.533",
@@ -744,15 +805,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "45",
+                  "r" : "251",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Cellulitis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.533'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "46",
-            "locator" : "77:1-77:94",
+            "localId" : "252",
+            "locator" : "79:1-79:94",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Charcot Foot",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.531",
@@ -760,15 +822,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "46",
+                  "r" : "252",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Charcot Foot\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.531'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "47",
-            "locator" : "78:1-78:120",
+            "localId" : "253",
+            "locator" : "80:1-80:120",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Complication due to Diabetes Mellitus",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1537",
@@ -776,15 +839,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "47",
+                  "r" : "253",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Complication due to Diabetes Mellitus\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1537'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "48",
-            "locator" : "79:1-79:95",
+            "localId" : "254",
+            "locator" : "81:1-81:95",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Diabetic Coma",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.482",
@@ -792,15 +856,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "48",
+                  "r" : "254",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Diabetic Coma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.482'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "49",
-            "locator" : "80:1-80:95",
+            "localId" : "255",
+            "locator" : "82:1-82:95",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Diabetic Foot",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.523",
@@ -808,15 +873,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "49",
+                  "r" : "255",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Diabetic Foot\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.523'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "50",
-            "locator" : "81:1-81:101",
+            "localId" : "256",
+            "locator" : "83:1-83:101",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Diabetic Foot Ulcer",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.526",
@@ -824,15 +890,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "50",
+                  "r" : "256",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Diabetic Foot Ulcer\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.526'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "51",
-            "locator" : "82:1-82:123",
+            "localId" : "257",
+            "locator" : "84:1-84:123",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Diabetic hand/ Diabetic cheiroarthropathy",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.535",
@@ -840,15 +907,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "51",
+                  "r" : "257",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Diabetic hand/ Diabetic cheiroarthropathy\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.535'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "52",
-            "locator" : "83:1-83:111",
+            "localId" : "258",
+            "locator" : "85:1-85:111",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Diabetic Neuropathy Conditions",
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@@ -856,15 +924,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "52",
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                      "value" : [ "","valueset ","\"Diabetic Neuropathy Conditions\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.33'" ]
                   } ]
                }
-            } ]
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-            "locator" : "84:1-84:112",
+            "localId" : "259",
+            "locator" : "86:1-86:112",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Diabetic Peripheral Angiopathy",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.492",
@@ -872,15 +941,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "53",
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                   } ]
                }
-            } ]
+            } ],
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-            "locator" : "85:1-85:101",
+            "localId" : "260",
+            "locator" : "87:1-87:101",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Diabetic Retinopathy",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.327",
@@ -888,15 +958,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
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                   } ]
                }
-            } ]
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-            "locator" : "86:1-86:105",
+            "localId" : "261",
+            "locator" : "88:1-88:105",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Dupuytren's Contracture",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.546",
@@ -904,15 +975,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
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                   } ]
                }
-            } ]
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-            "localId" : "56",
-            "locator" : "87:1-87:128",
+            "localId" : "262",
+            "locator" : "89:1-89:128",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Emotional Distress caused by Chronic Condition",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.508",
@@ -920,15 +992,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "56",
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                      "value" : [ "","valueset ","\"Emotional Distress caused by Chronic Condition\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.508'" ]
                   } ]
                }
-            } ]
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-            "locator" : "88:1-88:104",
+            "localId" : "263",
+            "locator" : "90:1-90:104",
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             "name" : "Eruptive Xanthomatosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.557",
@@ -936,15 +1009,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "57",
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                   } ]
                }
-            } ]
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-            "localId" : "58",
-            "locator" : "89:1-89:90",
+            "localId" : "264",
+            "locator" : "91:1-91:90",
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             "name" : "Gangrene",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.543",
@@ -952,15 +1026,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "58",
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                      "value" : [ "","valueset ","\"Gangrene\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.543'" ]
                   } ]
                }
-            } ]
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-            "localId" : "59",
-            "locator" : "90:1-90:101",
+            "localId" : "265",
+            "locator" : "92:1-92:101",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Gestational Diabetes",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.90",
@@ -968,15 +1043,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "59",
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                      "value" : [ "","valueset ","\"Gestational Diabetes\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.90'" ]
                   } ]
                }
-            } ]
+            } ],
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-            "localId" : "60",
-            "locator" : "91:1-91:133",
+            "localId" : "266",
+            "locator" : "93:1-93:133",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hyperglycemic Hyperosmolar Nonketotic Syndrome HHNS",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.517",
@@ -984,15 +1060,16 @@
             "annotation" : [ {
                "type" : "Annotation",
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                   } ]
                }
-            } ]
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-            "locator" : "92:1-92:106",
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+            "locator" : "94:1-94:106",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hypoglycemia unawareness",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.514",
@@ -1000,15 +1077,16 @@
             "annotation" : [ {
                "type" : "Annotation",
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                      "value" : [ "","valueset ","\"Hypoglycemia unawareness\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.514'" ]
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                }
-            } ]
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-            "locator" : "93:1-93:100",
+            "localId" : "268",
+            "locator" : "95:1-95:100",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hypoglycemic event",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.513",
@@ -1016,15 +1094,16 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "62",
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                      "value" : [ "","valueset ","\"Hypoglycemic event\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.513'" ]
                   } ]
                }
-            } ]
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-            "localId" : "63",
-            "locator" : "94:1-94:94",
+            "localId" : "269",
+            "locator" : "96:1-96:94",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Ketoacidosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.520",
@@ -1032,15 +1111,16 @@
             "annotation" : [ {
                "type" : "Annotation",
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                   } ]
                }
-            } ]
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-            "localId" : "64",
-            "locator" : "95:1-95:125",
+            "localId" : "270",
+            "locator" : "97:1-97:125",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Maturity Onset Diabetes of the Young (MODY)",
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@@ -1048,15 +1128,16 @@
             "annotation" : [ {
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                   } ]
                }
-            } ]
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-            "localId" : "65",
-            "locator" : "96:1-96:118",
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+            "locator" : "98:1-98:118",
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             "name" : "Necrobiosis Lipoidica (Skin Lesions)",
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@@ -1064,15 +1145,16 @@
             "annotation" : [ {
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                }
-            } ]
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-            "localId" : "66",
-            "locator" : "97:1-97:95",
+            "localId" : "272",
+            "locator" : "99:1-99:95",
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             "name" : "Periodontitis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.560",
@@ -1080,15 +1162,16 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "66",
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                      "value" : [ "","valueset ","\"Periodontitis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.560'" ]
                   } ]
                }
-            } ]
+            } ],
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-            "localId" : "67",
-            "locator" : "98:1-98:115",
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+            "locator" : "100:1-100:115",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Prediabetes (borderline diabetes)",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.419",
@@ -1096,15 +1179,16 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "67",
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                      "value" : [ "","valueset ","\"Prediabetes (borderline diabetes)\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.419'" ]
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                }
-            } ]
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-            "localId" : "68",
-            "locator" : "99:1-99:97",
+            "localId" : "274",
+            "locator" : "101:1-101:97",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Rubeosis Iridis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.501",
@@ -1112,15 +1196,16 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "68",
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                      "value" : [ "","valueset ","\"Rubeosis Iridis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.501'" ]
                   } ]
                }
-            } ]
+            } ],
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-            "localId" : "69",
-            "locator" : "100:1-100:116",
+            "localId" : "275",
+            "locator" : "102:1-102:116",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Scleroderma or Thick Skin Syndrome",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.549",
@@ -1128,15 +1213,16 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "69",
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                      "value" : [ "","valueset ","\"Scleroderma or Thick Skin Syndrome\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.549'" ]
                   } ]
                }
-            } ]
+            } ],
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-            "localId" : "70",
-            "locator" : "101:1-101:107",
+            "localId" : "276",
+            "locator" : "103:1-103:107",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Type 1 Diabetes",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.103.12.1020",
@@ -1144,15 +1230,16 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "70",
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                      "value" : [ "","valueset ","\"Type 1 Diabetes\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.103.12.1020'" ]
                   } ]
                }
-            } ]
+            } ],
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-            "localId" : "71",
-            "locator" : "102:1-102:108",
+            "localId" : "277",
+            "locator" : "104:1-104:108",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Type II Diabetes",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.103.12.1021",
@@ -1160,15 +1247,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "71",
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                      "value" : [ "","valueset ","\"Type II Diabetes\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.103.12.1021'" ]
                   } ]
                }
-            } ]
+            } ],
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-            "localId" : "72",
-            "locator" : "135:1-135:88",
+            "localId" : "278",
+            "locator" : "137:1-137:88",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Anxiety",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.52",
@@ -1176,15 +1264,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "72",
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                      "value" : [ "//\n// Digestive System/Gastrointestinal Conditions\n//\n\n//\n// Dissimilar Conditions\n//\n\n//\n// Functional Health Conditions\n//\n\n//\n// Genitourinary Conditions\n//\n\n//\n// Hormonal Conditions\n//\n\n//\n// Infectious Disease Conditions\n//\n\n//\n// Long Covid Diagnosis Condition\n//\n\n//\n// Mental Health Conditions\n//\n","valueset ","\"Anxiety\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.52'" ]
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                }
-            } ]
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-            "localId" : "73",
-            "locator" : "136:1-136:96",
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+            "locator" : "138:1-138:96",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Bipolar Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.450",
@@ -1192,15 +1281,16 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "73",
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                      "value" : [ "","valueset ","\"Bipolar Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.450'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
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-            "localId" : "74",
-            "locator" : "137:1-137:99",
+            "localId" : "280",
+            "locator" : "139:1-139:99",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Depression Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.145",
@@ -1208,15 +1298,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "74",
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                      "value" : [ "","valueset ","\"Depression Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.145'" ]
                   } ]
                }
-            } ]
+            } ],
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-            "localId" : "75",
-            "locator" : "138:1-138:95",
+            "localId" : "281",
+            "locator" : "140:1-140:95",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Dysthymia",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.67.1.101.1.254",
@@ -1224,15 +1315,16 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "75",
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                   } ]
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-            } ]
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-            "localId" : "76",
-            "locator" : "139:1-139:112",
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             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Experience of Traumatic Events",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.590",
@@ -1240,15 +1332,16 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "76",
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                      "value" : [ "","valueset ","\"Experience of Traumatic Events\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.590'" ]
                   } ]
                }
-            } ]
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-            "locator" : "140:1-140:95",
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+            "locator" : "142:1-142:95",
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                      "value" : [ "//\n// Pain Conditions\n//\n","valueset ","\"Chronic Pain Conditions\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.76'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "103",
-            "locator" : "178:1-178:96",
+            "localId" : "309",
+            "locator" : "180:1-180:96",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Low Back Pain",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1558",
@@ -1672,15 +1791,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "103",
+                  "r" : "309",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Low Back Pain\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1558'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "104",
-            "locator" : "179:1-179:91",
+            "localId" : "310",
+            "locator" : "181:1-181:91",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Migraine",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1552",
@@ -1688,15 +1808,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "104",
+                  "r" : "310",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Migraine\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1552'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "105",
-            "locator" : "180:1-180:122",
+            "localId" : "311",
+            "locator" : "182:1-182:122",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Chronic Tension-type Headache diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1555",
@@ -1704,15 +1825,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "105",
+                  "r" : "311",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Chronic Tension-type Headache diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1555'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "106",
-            "locator" : "181:1-181:110",
+            "localId" : "312",
+            "locator" : "183:1-183:110",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Neuropathic Pain (Neuralgia)",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.663",
@@ -1720,15 +1842,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "106",
+                  "r" : "312",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Neuropathic Pain (Neuralgia)\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.663'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "107",
-            "locator" : "182:1-182:94",
+            "localId" : "313",
+            "locator" : "184:1-184:94",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Phantom Pain",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.669",
@@ -1736,15 +1859,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "107",
+                  "r" : "313",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Phantom Pain\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.669'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "108",
-            "locator" : "187:1-187:99",
+            "localId" : "314",
+            "locator" : "189:1-189:99",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Asthma Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1472",
@@ -1752,15 +1876,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "108",
+                  "r" : "314",
                   "s" : [ {
                      "value" : [ "//\n// Respiratory Conditions\n//\n","valueset ","\"Asthma Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1472'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "109",
-            "locator" : "188:1-188:107",
+            "localId" : "315",
+            "locator" : "190:1-190:107",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Bronchiectasis Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1463",
@@ -1768,15 +1893,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "109",
+                  "r" : "315",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Bronchiectasis Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1463'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "110",
-            "locator" : "189:1-189:137",
+            "localId" : "316",
+            "locator" : "191:1-191:137",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Chronic obstructive pulmonary disease (COPD) Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1466",
@@ -1784,15 +1910,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "110",
+                  "r" : "316",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Chronic obstructive pulmonary disease (COPD) Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1466'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "111",
-            "locator" : "190:1-190:118",
+            "localId" : "317",
+            "locator" : "192:1-192:118",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Interstitial lung disease Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1469",
@@ -1800,15 +1927,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "111",
+                  "r" : "317",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Interstitial lung disease Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1469'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "112",
-            "locator" : "191:1-191:111",
+            "localId" : "318",
+            "locator" : "193:1-193:111",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Pulmonary embolism Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1481",
@@ -1816,15 +1944,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "112",
+                  "r" : "318",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Pulmonary embolism Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1481'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "113",
-            "locator" : "192:1-192:103",
+            "localId" : "319",
+            "locator" : "194:1-194:103",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Sleep Apnea Disorders",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.102",
@@ -1832,15 +1961,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "113",
+                  "r" : "319",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Sleep Apnea Disorders\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.102'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "114",
-            "locator" : "197:1-197:111",
+            "localId" : "320",
+            "locator" : "199:1-199:111",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Social Determinants of Health",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.788",
@@ -1848,15 +1978,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "114",
+                  "r" : "320",
                   "s" : [ {
                      "value" : [ "//\n// Social Determinants of Health Conditions\n//\n","valueset ","\"Social Determinants of Health\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.788'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "115",
-            "locator" : "203:1-203:99",
+            "localId" : "321",
+            "locator" : "205:1-205:99",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Total Cholesterol",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.139",
@@ -1864,15 +1995,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "115",
+                  "r" : "321",
                   "s" : [ {
                      "value" : [ "// ******************************\n// Lab result value sets\n// ******************************\n","valueset ","\"Total Cholesterol\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.139'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "116",
-            "locator" : "204:1-204:106",
+            "localId" : "322",
+            "locator" : "206:1-206:106",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "High Density Lipoprotein",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.135",
@@ -1880,15 +2012,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "116",
+                  "r" : "322",
                   "s" : [ {
                      "value" : [ "","valueset ","\"High Density Lipoprotein\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.135'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "117",
-            "locator" : "205:1-205:108",
+            "localId" : "323",
+            "locator" : "207:1-207:108",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Low Density Lipoprotein",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.215",
@@ -1896,15 +2029,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "117",
+                  "r" : "323",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Low Density Lipoprotein\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.215'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "118",
-            "locator" : "206:1-206:113",
+            "localId" : "324",
+            "locator" : "208:1-208:113",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Triglyceride Blood Serum Plasma",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.137",
@@ -1912,15 +2046,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "118",
+                  "r" : "324",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Triglyceride Blood Serum Plasma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.137'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "119",
-            "locator" : "207:1-207:96",
+            "localId" : "325",
+            "locator" : "209:1-209:96",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hemoglobin A1C",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.119",
@@ -1928,15 +2063,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "119",
+                  "r" : "325",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Hemoglobin A1C\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.119'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "120",
-            "locator" : "208:1-208:119",
+            "localId" : "326",
+            "locator" : "210:1-210:119",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Estimated Glomerular Filtration Rate",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.6929.3.1000",
@@ -1944,15 +2080,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "120",
+                  "r" : "326",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Estimated Glomerular Filtration Rate\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.6929.3.1000'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "121",
-            "locator" : "209:1-209:95",
+            "localId" : "327",
+            "locator" : "211:1-211:95",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Serum Albumin",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.151",
@@ -1960,15 +2097,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "121",
+                  "r" : "327",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Serum Albumin\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.151'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "122",
-            "locator" : "210:1-210:98",
+            "localId" : "328",
+            "locator" : "212:1-212:98",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Serum Creatinine",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.111",
@@ -1976,15 +2114,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "122",
+                  "r" : "328",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Serum Creatinine\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.111'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "123",
-            "locator" : "211:1-211:113",
+            "localId" : "329",
+            "locator" : "213:1-213:113",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Urine Albumin Creatinine Ratio",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.6929.2.1002",
@@ -1992,15 +2131,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "123",
+                  "r" : "329",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Urine Albumin Creatinine Ratio\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.6929.2.1002'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "124",
-            "locator" : "217:1-217:95",
+            "localId" : "330",
+            "locator" : "219:1-219:95",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "ACEis and ARBs",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1213.11",
@@ -2008,15 +2148,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "124",
+                  "r" : "330",
                   "s" : [ {
                      "value" : [ "// ******************************\n// Medication value sets\n// ******************************\n","valueset ","\"ACEis and ARBs\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1213.11'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "125",
-            "locator" : "218:1-218:114",
+            "localId" : "331",
+            "locator" : "220:1-220:114",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Erythropoiesis Stimulating Agent",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.307",
@@ -2024,15 +2165,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "125",
+                  "r" : "331",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Erythropoiesis Stimulating Agent\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.307'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "126",
-            "locator" : "219:1-219:97",
+            "localId" : "332",
+            "locator" : "221:1-221:97",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Iron Supplement",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.308",
@@ -2040,15 +2182,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "126",
+                  "r" : "332",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Iron Supplement\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.308'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "127",
-            "locator" : "220:1-220:99",
+            "localId" : "333",
+            "locator" : "222:1-222:99",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Phosphate Binders",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.305",
@@ -2056,15 +2199,16 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "127",
+                  "r" : "333",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Phosphate Binders\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.305'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          }, {
-            "localId" : "128",
-            "locator" : "221:1-221:91",
+            "localId" : "334",
+            "locator" : "223:1-223:91",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Vitamin D",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.306",
@@ -2072,18 +2216,19 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "128",
+                  "r" : "334",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Vitamin D\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.306'" ]
                   } ]
                }
-            } ]
+            } ],
+            "codeSystem" : [ ]
          } ]
       },
       "codes" : {
          "def" : [ {
-            "localId" : "130",
-            "locator" : "234:1-234:90",
+            "localId" : "335",
+            "locator" : "236:1-236:90",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Black or African American",
             "id" : "2054-5",
@@ -2092,11 +2237,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "130",
+                  "r" : "335",
                   "s" : [ {
-                     "value" : [ "//Iron Supplement\n\n// ******************************\n// ## Individual codes ##\n// ******************************\n\n// list individual codes from code systems used directly in the CQL logic. Individual codes are used when there is\n// a single code from a particular vocabulary standard used to represent a clinical concept. It is considered\n// best-practice not to create value sets containing a single code.\n","code ","\"Black or African American\"",": ","'2054-5'"," from " ]
+                     "value" : [ "//Iron Supplement\n\n// ******************************\n// ## Individual codes ##\n// ******************************\n\n// list individual codes from code systems used directly in the CQL logic. Individual codes are used when there is\n// a single code from a particular vocabulary standard used to represent a clinical concept. It is considered\n// best-practice not to create value sets containing a single code.\n\n","code ","\"Black or African American\"",": ","'2054-5'"," from " ]
                   }, {
-                     "r" : "129",
+                     "r" : "336",
                      "s" : [ {
                         "value" : [ "\"Race\"" ]
                      } ]
@@ -2106,14 +2251,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "129",
-               "locator" : "234:49-234:54",
+               "localId" : "336",
+               "locator" : "236:49-236:54",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "Race"
             }
          }, {
-            "localId" : "132",
-            "locator" : "235:1-235:50",
+            "localId" : "337",
+            "locator" : "237:1-237:50",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "White",
             "id" : "2106-3",
@@ -2122,11 +2267,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "132",
+                  "r" : "337",
                   "s" : [ {
                      "value" : [ "","code ","\"White\"",": ","'2106-3'"," from " ]
                   }, {
-                     "r" : "131",
+                     "r" : "338",
                      "s" : [ {
                         "value" : [ "\"Race\"" ]
                      } ]
@@ -2136,14 +2281,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "131",
-               "locator" : "235:29-235:34",
+               "localId" : "338",
+               "locator" : "237:29-237:34",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "Race"
             }
          }, {
-            "localId" : "134",
-            "locator" : "237:1-237:89",
+            "localId" : "339",
+            "locator" : "239:1-239:89",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Left (qualifier value)",
             "id" : "7771000",
@@ -2152,11 +2297,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "134",
+                  "r" : "339",
                   "s" : [ {
                      "value" : [ "","code ","\"Left (qualifier value)\"",": ","'7771000'"," from " ]
                   }, {
-                     "r" : "133",
+                     "r" : "340",
                      "s" : [ {
                         "value" : [ "\"SNOMEDCT\"" ]
                      } ]
@@ -2166,14 +2311,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "133",
-               "locator" : "237:47-237:56",
+               "localId" : "340",
+               "locator" : "239:47-239:56",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "SNOMEDCT"
             }
          }, {
-            "localId" : "136",
-            "locator" : "238:1-238:92",
+            "localId" : "341",
+            "locator" : "240:1-240:92",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Right (qualifier value)",
             "id" : "24028007",
@@ -2182,11 +2327,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "136",
+                  "r" : "341",
                   "s" : [ {
                      "value" : [ "","code ","\"Right (qualifier value)\"",": ","'24028007'"," from " ]
                   }, {
-                     "r" : "135",
+                     "r" : "342",
                      "s" : [ {
                         "value" : [ "\"SNOMEDCT\"" ]
                      } ]
@@ -2196,14 +2341,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "135",
-               "locator" : "238:49-238:58",
+               "localId" : "342",
+               "locator" : "240:49-240:58",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "SNOMEDCT"
             }
          }, {
-            "localId" : "138",
-            "locator" : "240:1-240:93",
+            "localId" : "343",
+            "locator" : "242:1-242:93",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Blood pressure",
             "id" : "85354-9",
@@ -2212,11 +2357,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "138",
+                  "r" : "343",
                   "s" : [ {
                      "value" : [ "","code ","\"Blood pressure\"",": ","'85354-9'"," from " ]
                   }, {
-                     "r" : "137",
+                     "r" : "344",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2226,14 +2371,44 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "137",
-               "locator" : "240:39-240:45",
+               "localId" : "344",
+               "locator" : "242:39-242:45",
+               "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
+               "name" : "LOINC"
+            }
+         }, {
+            "localId" : "345",
+            "locator" : "243:1-243:96",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
+            "name" : "Blood pressure home reading",
+            "id" : "72076-3",
+            "display" : "Blood pressure home reading",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "345",
+                  "s" : [ {
+                     "value" : [ "","code ","\"Blood pressure home reading\"",": ","'72076-3'"," from " ]
+                  }, {
+                     "r" : "346",
+                     "s" : [ {
+                        "value" : [ "\"LOINC\"" ]
+                     } ]
+                  }, {
+                     "value" : [ " display ","'Blood pressure home reading'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : {
+               "localId" : "346",
+               "locator" : "243:52-243:58",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "140",
-            "locator" : "241:1-241:87",
+            "localId" : "347",
+            "locator" : "244:1-244:87",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Systolic blood pressure",
             "id" : "8480-6",
@@ -2242,11 +2417,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "140",
+                  "r" : "347",
                   "s" : [ {
                      "value" : [ "","code ","\"Systolic blood pressure\"",": ","'8480-6'"," from " ]
                   }, {
-                     "r" : "139",
+                     "r" : "348",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2256,14 +2431,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "139",
-               "locator" : "241:47-241:53",
+               "localId" : "348",
+               "locator" : "244:47-244:53",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "142",
-            "locator" : "242:1-242:89",
+            "localId" : "349",
+            "locator" : "245:1-245:89",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Diastolic blood pressure",
             "id" : "8462-4",
@@ -2272,11 +2447,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "142",
+                  "r" : "349",
                   "s" : [ {
                      "value" : [ "","code ","\"Diastolic blood pressure\"",": ","'8462-4'"," from " ]
                   }, {
-                     "r" : "141",
+                     "r" : "350",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2286,14 +2461,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "141",
-               "locator" : "242:48-242:54",
+               "localId" : "350",
+               "locator" : "245:48-245:54",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "144",
-            "locator" : "243:1-243:61",
+            "localId" : "351",
+            "locator" : "246:1-246:61",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Heart rate",
             "id" : "8867-4",
@@ -2302,11 +2477,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "144",
+                  "r" : "351",
                   "s" : [ {
                      "value" : [ "","code ","\"Heart rate\"",": ","'8867-4'"," from " ]
                   }, {
-                     "r" : "143",
+                     "r" : "352",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2316,14 +2491,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "143",
-               "locator" : "243:34-243:40",
+               "localId" : "352",
+               "locator" : "246:34-246:40",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "146",
-            "locator" : "244:1-244:75",
+            "localId" : "353",
+            "locator" : "247:1-247:75",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Oxygen saturation",
             "id" : "2708-6",
@@ -2332,11 +2507,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "146",
+                  "r" : "353",
                   "s" : [ {
                      "value" : [ "","code ","\"Oxygen saturation\"",": ","'2708-6'"," from " ]
                   }, {
-                     "r" : "145",
+                     "r" : "354",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2346,14 +2521,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "145",
-               "locator" : "244:41-244:47",
+               "localId" : "354",
+               "locator" : "247:41-247:47",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "148",
-            "locator" : "245:1-245:107",
+            "localId" : "355",
+            "locator" : "248:1-248:107",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Pulse oximetry",
             "id" : "59408-5",
@@ -2362,11 +2537,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "148",
+                  "r" : "355",
                   "s" : [ {
                      "value" : [ "","code ","\"Pulse oximetry\"",": ","'59408-5'"," from " ]
                   }, {
-                     "r" : "147",
+                     "r" : "356",
                      "s" : [ {
                         "value" : [ "LOINC" ]
                      } ]
@@ -2376,14 +2551,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "147",
-               "locator" : "245:39-245:43",
+               "localId" : "356",
+               "locator" : "248:39-248:43",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "150",
-            "locator" : "246:1-246:73",
+            "localId" : "357",
+            "locator" : "249:1-249:73",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Respiratory rate",
             "id" : "9279-1",
@@ -2392,11 +2567,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "150",
+                  "r" : "357",
                   "s" : [ {
                      "value" : [ "","code ","\"Respiratory rate\"",": ","'9279-1'"," from " ]
                   }, {
-                     "r" : "149",
+                     "r" : "358",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2406,14 +2581,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "149",
-               "locator" : "246:40-246:46",
+               "localId" : "358",
+               "locator" : "249:40-249:46",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "152",
-            "locator" : "247:1-247:73",
+            "localId" : "359",
+            "locator" : "250:1-250:73",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Body temperature",
             "id" : "8310-5",
@@ -2422,11 +2597,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "152",
+                  "r" : "359",
                   "s" : [ {
                      "value" : [ "","code ","\"Body temperature\"",": ","'8310-5'"," from " ]
                   }, {
-                     "r" : "151",
+                     "r" : "360",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2436,14 +2611,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "151",
-               "locator" : "247:40-247:46",
+               "localId" : "360",
+               "locator" : "250:40-250:46",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "154",
-            "locator" : "248:1-248:63",
+            "localId" : "361",
+            "locator" : "251:1-251:63",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Body height",
             "id" : "8302-2",
@@ -2452,11 +2627,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "154",
+                  "r" : "361",
                   "s" : [ {
                      "value" : [ "","code ","\"Body height\"",": ","'8302-2'"," from " ]
                   }, {
-                     "r" : "153",
+                     "r" : "362",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2466,14 +2641,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "153",
-               "locator" : "248:35-248:41",
+               "localId" : "362",
+               "locator" : "251:35-251:41",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "156",
-            "locator" : "249:1-249:64",
+            "localId" : "363",
+            "locator" : "252:1-252:64",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Body weight",
             "id" : "29463-7",
@@ -2482,11 +2657,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "156",
+                  "r" : "363",
                   "s" : [ {
                      "value" : [ "","code ","\"Body weight\"",": ","'29463-7'"," from " ]
                   }, {
-                     "r" : "155",
+                     "r" : "364",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2496,14 +2671,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "155",
-               "locator" : "249:36-249:42",
+               "localId" : "364",
+               "locator" : "252:36-252:42",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "158",
-            "locator" : "250:1-250:72",
+            "localId" : "365",
+            "locator" : "253:1-253:72",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Body mass index",
             "id" : "39156-5",
@@ -2512,11 +2687,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "158",
+                  "r" : "365",
                   "s" : [ {
                      "value" : [ "","code ","\"Body mass index\"",": ","'39156-5'"," from " ]
                   }, {
-                     "r" : "157",
+                     "r" : "366",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2526,14 +2701,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "157",
-               "locator" : "250:40-250:46",
+               "localId" : "366",
+               "locator" : "253:40-253:46",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "160",
-            "locator" : "251:1-251:89",
+            "localId" : "367",
+            "locator" : "254:1-254:89",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Inhaled oxygen flow rate",
             "id" : "3151-8",
@@ -2542,11 +2717,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "160",
+                  "r" : "367",
                   "s" : [ {
                      "value" : [ "","code ","\"Inhaled oxygen flow rate\"",": ","'3151-8'"," from " ]
                   }, {
-                     "r" : "159",
+                     "r" : "368",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2556,11 +2731,71 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "159",
-               "locator" : "251:48-251:54",
+               "localId" : "368",
+               "locator" : "254:48-254:54",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
+         }, {
+            "localId" : "369",
+            "locator" : "256:1-256:89",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
+            "name" : "Epic Systolic blood pressure",
+            "id" : "7585",
+            "display" : "Systolic blood pressure",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "369",
+                  "s" : [ {
+                     "value" : [ "","code ","\"Epic Systolic blood pressure\"",": ","'7585'"," from " ]
+                  }, {
+                     "r" : "370",
+                     "s" : [ {
+                        "value" : [ "\"Epic\"" ]
+                     } ]
+                  }, {
+                     "value" : [ " display ","'Systolic blood pressure'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : {
+               "localId" : "370",
+               "locator" : "256:50-256:55",
+               "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
+               "name" : "Epic"
+            }
+         }, {
+            "localId" : "371",
+            "locator" : "257:1-257:91",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
+            "name" : "Epic Diastolic blood pressure",
+            "id" : "7586",
+            "display" : "Diastolic blood pressure",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "371",
+                  "s" : [ {
+                     "value" : [ "","code ","\"Epic Diastolic blood pressure\"",": ","'7586'"," from " ]
+                  }, {
+                     "r" : "372",
+                     "s" : [ {
+                        "value" : [ "\"Epic\"" ]
+                     } ]
+                  }, {
+                     "value" : [ " display ","'Diastolic blood pressure'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : {
+               "localId" : "372",
+               "locator" : "257:51-257:56",
+               "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
+               "name" : "Epic"
+            }
          } ]
       }
    }
diff --git a/src/data-services/cql/mcc/MCCVitalSigns.cql b/src/data-services/cql/mcc/MCCVitalSigns.cql
index 6a960f7..c2e6848 100644
--- a/src/data-services/cql/mcc/MCCVitalSigns.cql
+++ b/src/data-services/cql/mcc/MCCVitalSigns.cql
@@ -12,6 +12,7 @@ context Patient
 define VitalSignsSummary: 
   (List {
     DE.ReportObservation(VitalSigns.BloodPressure, 'Blood Pressure'),
+    First(ReportHomeBP()),
     DE.ReportObservation(VitalSigns.BodyHeight, 'Height'),
     DE.ReportObservation(VitalSigns.BodyWeight, 'Weight'),
     DE.ReportObservation(VitalSigns.BodyMassIndex, 'BMI'),
@@ -23,7 +24,7 @@ define VitalSignsSummary:
 
 // Most recent FHIR Observation for each vital sign data element.
 define VitalSigns: {
-  BloodPressure: DE.MostRecent("Blood Pressure Observations"),
+  BloodPressure: DE.MostRecent("Blood pressure"),
   BodyHeight: DE.MostRecent("Body Height Observations"),
   BodyWeight: DE.MostRecent("Body Weight Observations"),
   BodyMassIndex: DE.MostRecent("Body Mass Index Observations"),
@@ -35,7 +36,7 @@ define VitalSigns: {
 
 // Vital Sign FHIR Observations sorted in descending order by issue date.
 
-define "Blood Pressure Observations":
+define "Blood pressure":
   DE.SelectByStatus([Observation: Cx."Blood pressure"])
 
 define "Body Temperature Observations":
@@ -58,3 +59,66 @@ define "Oxygen Saturation Observations":
 
 define "Respiratory Rate Observations":
   DE.SelectByStatus([Observation: Cx."Respiratory rate"])
+
+/*
+The following functions were added to support OHSU Epic data for Home Blood Pressure
+that are returned as separate observations.
+*/
+
+define "Systolic Blood Pressure":
+  SortDescending( [Observation: Cx."Systolic blood pressure"]
+    union [Observation: Cx."Epic Systolic blood pressure"])
+
+define "Diastolic Blood Pressure":
+  SortDescending([Observation: Cx."Diastolic blood pressure"]
+    union [Observation: Cx."Epic Diastolic blood pressure"])
+
+// Use when Systolic and Diastolic BP are reported as an independent Observations (not recommended)
+define "Combined Blood Pressure Observations":
+  "Systolic Blood Pressure" systolicBP
+      let DiastolicObs: MatchingDiastolic(systolicBP),
+          SystolicValue: Round((systolicBP.value as FHIR.Quantity).value),
+          DiastolicValue: Round((MatchingDiastolic(systolicBP).value as FHIR.Quantity).value),
+          ResultDate: DE.FindDate(systolicBP)
+    return {
+      "Date": ResultDate,
+      "Systolic": SystolicValue,
+      "Diastolic": DiastolicValue,
+      "Display": Coalesce(ToString(SystolicValue), '-') + '/' + Coalesce(ToString(DiastolicValue), '-') + ' mmHg',
+      "Performer": First(systolicBP.performer).display.value,
+      "Notes": DE.ToString(systolicBP.note) union DE.ToString(DiastolicObs.note),
+      "Provenance": DE.ReportProvenance(systolicBP)
+    }
+
+define function MatchingDiastolic(systolicBP FHIR.Observation):
+  First(
+    "Diastolic Blood Pressure" diastolicBP
+      where (diastolicBP.effective as FHIR.dateTime) = (systolicBP.effective as FHIR.dateTime)
+  )
+
+define function SortDescending(observations List<Observation>):
+  observations O
+    // Note: Cannot use FindDate() because execution engine cannot sort by result of a function.
+    sort by Coalesce(
+      (effective as FHIR.dateTime).value,
+      (effective as FHIR.instant).value,
+      (effective as FHIR.Period)."end".value,
+      (effective as FHIR.Period)."start".value) descending
+
+define function ReportHomeBP():
+  "Combined Blood Pressure Observations" bp
+    return {
+      DisplayName: 'Home Blood Pressure',
+      ConceptName: null,
+      Date: ToString(bp.Date),
+      ResultText: bp.Display,
+      ResultValue: null,
+      ResultUnits: null,
+      ReferenceRange: null,
+      Interpretation: null,
+      Flag: null,
+      Performer: bp.Performer,
+      Notes: bp.Notes,
+      Provenance: bp.Provenance,
+      LearnMore: null
+    }
diff --git a/src/data-services/cql/mcc/MCCVitalSigns.json b/src/data-services/cql/mcc/MCCVitalSigns.json
index 7e65bae..a4b114e 100644
--- a/src/data-services/cql/mcc/MCCVitalSigns.json
+++ b/src/data-services/cql/mcc/MCCVitalSigns.json
@@ -1,12 +1,20 @@
 {
    "library" : {
+      "localId" : "0",
       "annotation" : [ {
+         "translatorVersion" : "3.10.0-SNAPSHOT",
          "translatorOptions" : "EnableAnnotations,EnableLocators,EnableResultTypes",
+         "signatureLevel" : "None",
          "type" : "CqlToElmInfo"
+      }, {
+         "message" : "An operand identifier [systolicBP] is hiding another identifier of the same name.",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
       }, {
          "type" : "Annotation",
          "s" : {
-            "r" : "59",
+            "r" : "555",
             "s" : [ {
                "value" : [ "","library MCCVitalSigns version '0.1.0'" ]
             } ]
@@ -22,10 +30,11 @@
       },
       "usings" : {
          "def" : [ {
+            "localId" : "1",
             "localIdentifier" : "System",
             "uri" : "urn:hl7-org:elm-types:r1"
          }, {
-            "localId" : "1",
+            "localId" : "206",
             "locator" : "3:1-3:26",
             "localIdentifier" : "FHIR",
             "uri" : "http://hl7.org/fhir",
@@ -33,7 +42,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "1",
+                  "r" : "206",
                   "s" : [ {
                      "value" : [ "","using " ]
                   }, {
@@ -41,7 +50,7 @@
                         "value" : [ "FHIR" ]
                      } ]
                   }, {
-                     "value" : [ " version ","'4.0.1'" ]
+                     "value" : [ " version '4.0.1'" ]
                   } ]
                }
             } ]
@@ -49,7 +58,7 @@
       },
       "includes" : {
          "def" : [ {
-            "localId" : "2",
+            "localId" : "207",
             "locator" : "5:1-5:35",
             "localIdentifier" : "FHIRHelpers",
             "path" : "FHIRHelpers",
@@ -57,7 +66,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "2",
+                  "r" : "207",
                   "s" : [ {
                      "value" : [ "","include " ]
                   }, {
@@ -70,14 +79,14 @@
                }
             } ]
          }, {
-            "localId" : "3",
+            "localId" : "208",
             "locator" : "6:1-6:36",
             "localIdentifier" : "DE",
             "path" : "DataElementHelpers",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "3",
+                  "r" : "208",
                   "s" : [ {
                      "value" : [ "","include " ]
                   }, {
@@ -90,14 +99,14 @@
                }
             } ]
          }, {
-            "localId" : "4",
+            "localId" : "209",
             "locator" : "7:1-7:29",
             "localIdentifier" : "Cx",
             "path" : "MCCConcepts",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "4",
+                  "r" : "209",
                   "s" : [ {
                      "value" : [ "","include " ]
                   }, {
@@ -113,51 +122,60 @@
       },
       "contexts" : {
          "def" : [ {
+            "localId" : "213",
             "locator" : "9:1-9:15",
             "name" : "Patient"
          } ]
       },
       "statements" : {
          "def" : [ {
+            "localId" : "211",
             "locator" : "9:1-9:15",
             "name" : "Patient",
             "context" : "Patient",
             "expression" : {
+               "localId" : "212",
                "type" : "SingletonFrom",
+               "signature" : [ ],
                "operand" : {
+                  "localId" : "210",
                   "locator" : "9:1-9:15",
                   "dataType" : "{http://hl7.org/fhir}Patient",
                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Patient",
-                  "type" : "Retrieve"
+                  "type" : "Retrieve",
+                  "include" : [ ],
+                  "codeFilter" : [ ],
+                  "dateFilter" : [ ],
+                  "otherFilter" : [ ]
                }
             }
          }, {
-            "localId" : "10",
-            "locator" : "38:1-39:55",
-            "name" : "Blood Pressure Observations",
+            "localId" : "224",
+            "locator" : "39:1-40:55",
+            "name" : "Blood pressure",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "10",
+                  "r" : "224",
                   "s" : [ {
-                     "value" : [ "// Vital Sign FHIR Observations sorted in descending order by issue date.\n","define ","\"Blood Pressure Observations\"",":\n  " ]
+                     "value" : [ "// Vital Sign FHIR Observations sorted in descending order by issue date.\n\n","define ","\"Blood pressure\"",":\n  " ]
                   }, {
-                     "r" : "9",
+                     "r" : "237",
                      "s" : [ {
-                        "r" : "7",
+                        "r" : "225",
                         "s" : [ {
                            "value" : [ "DE" ]
                         } ]
                      }, {
                         "value" : [ "." ]
                      }, {
-                        "r" : "9",
+                        "r" : "237",
                         "s" : [ {
                            "value" : [ "SelectByStatus","(" ]
                         }, {
-                           "r" : "8",
+                           "r" : "229",
                            "s" : [ {
                               "value" : [ "[","Observation",": " ]
                            }, {
@@ -175,79 +193,93 @@
                }
             } ],
             "resultTypeSpecifier" : {
+               "localId" : "2343",
                "type" : "ListTypeSpecifier",
                "elementType" : {
+                  "localId" : "2344",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "9",
-               "locator" : "39:3-39:55",
+               "localId" : "237",
+               "locator" : "40:3-40:55",
                "name" : "SelectByStatus",
                "libraryName" : "DE",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
+                  "localId" : "240",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
+                     "localId" : "241",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
+               "signature" : [ ],
                "operand" : [ {
-                  "localId" : "8",
-                  "locator" : "39:21-39:54",
+                  "localId" : "229",
+                  "locator" : "40:21-40:54",
                   "dataType" : "{http://hl7.org/fhir}Observation",
                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                   "codeProperty" : "code",
                   "codeComparator" : "~",
                   "type" : "Retrieve",
                   "resultTypeSpecifier" : {
+                     "localId" : "235",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
+                        "localId" : "236",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "codes" : {
+                     "localId" : "234",
                      "type" : "ToList",
+                     "signature" : [ ],
                      "operand" : {
-                        "locator" : "39:35-39:53",
+                        "localId" : "228",
+                        "locator" : "40:35-40:53",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                         "name" : "Blood pressure",
                         "libraryName" : "Cx",
                         "type" : "CodeRef"
                      }
-                  }
+                  },
+                  "include" : [ ],
+                  "codeFilter" : [ ],
+                  "dateFilter" : [ ],
+                  "otherFilter" : [ ]
                } ]
             }
          }, {
-            "localId" : "17",
-            "locator" : "44:1-45:52",
+            "localId" : "250",
+            "locator" : "45:1-46:52",
             "name" : "Body Height Observations",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "17",
+                  "r" : "250",
                   "s" : [ {
                      "value" : [ "","define ","\"Body Height Observations\"",":\n  " ]
                   }, {
-                     "r" : "16",
+                     "r" : "263",
                      "s" : [ {
-                        "r" : "14",
+                        "r" : "251",
                         "s" : [ {
                            "value" : [ "DE" ]
                         } ]
                      }, {
                         "value" : [ "." ]
                      }, {
-                        "r" : "16",
+                        "r" : "263",
                         "s" : [ {
                            "value" : [ "SelectByStatus","(" ]
                         }, {
-                           "r" : "15",
+                           "r" : "255",
                            "s" : [ {
                               "value" : [ "[","Observation",": " ]
                            }, {
@@ -265,79 +297,93 @@
                }
             } ],
             "resultTypeSpecifier" : {
+               "localId" : "2347",
                "type" : "ListTypeSpecifier",
                "elementType" : {
+                  "localId" : "2348",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "16",
-               "locator" : "45:3-45:52",
+               "localId" : "263",
+               "locator" : "46:3-46:52",
                "name" : "SelectByStatus",
                "libraryName" : "DE",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
+                  "localId" : "266",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
+                     "localId" : "267",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
+               "signature" : [ ],
                "operand" : [ {
-                  "localId" : "15",
-                  "locator" : "45:21-45:51",
+                  "localId" : "255",
+                  "locator" : "46:21-46:51",
                   "dataType" : "{http://hl7.org/fhir}Observation",
                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                   "codeProperty" : "code",
                   "codeComparator" : "~",
                   "type" : "Retrieve",
                   "resultTypeSpecifier" : {
+                     "localId" : "261",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
+                        "localId" : "262",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "codes" : {
+                     "localId" : "260",
                      "type" : "ToList",
+                     "signature" : [ ],
                      "operand" : {
-                        "locator" : "45:35-45:50",
+                        "localId" : "254",
+                        "locator" : "46:35-46:50",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                         "name" : "Body height",
                         "libraryName" : "Cx",
                         "type" : "CodeRef"
                      }
-                  }
+                  },
+                  "include" : [ ],
+                  "codeFilter" : [ ],
+                  "dateFilter" : [ ],
+                  "otherFilter" : [ ]
                } ]
             }
          }, {
-            "localId" : "24",
-            "locator" : "47:1-48:52",
+            "localId" : "276",
+            "locator" : "48:1-49:52",
             "name" : "Body Weight Observations",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "24",
+                  "r" : "276",
                   "s" : [ {
                      "value" : [ "","define ","\"Body Weight Observations\"",":\n  " ]
                   }, {
-                     "r" : "23",
+                     "r" : "289",
                      "s" : [ {
-                        "r" : "21",
+                        "r" : "277",
                         "s" : [ {
                            "value" : [ "DE" ]
                         } ]
                      }, {
                         "value" : [ "." ]
                      }, {
-                        "r" : "23",
+                        "r" : "289",
                         "s" : [ {
                            "value" : [ "SelectByStatus","(" ]
                         }, {
-                           "r" : "22",
+                           "r" : "281",
                            "s" : [ {
                               "value" : [ "[","Observation",": " ]
                            }, {
@@ -355,79 +401,93 @@
                }
             } ],
             "resultTypeSpecifier" : {
+               "localId" : "2349",
                "type" : "ListTypeSpecifier",
                "elementType" : {
+                  "localId" : "2350",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "23",
-               "locator" : "48:3-48:52",
+               "localId" : "289",
+               "locator" : "49:3-49:52",
                "name" : "SelectByStatus",
                "libraryName" : "DE",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
+                  "localId" : "292",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
+                     "localId" : "293",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
+               "signature" : [ ],
                "operand" : [ {
-                  "localId" : "22",
-                  "locator" : "48:21-48:51",
+                  "localId" : "281",
+                  "locator" : "49:21-49:51",
                   "dataType" : "{http://hl7.org/fhir}Observation",
                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                   "codeProperty" : "code",
                   "codeComparator" : "~",
                   "type" : "Retrieve",
                   "resultTypeSpecifier" : {
+                     "localId" : "287",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
+                        "localId" : "288",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "codes" : {
+                     "localId" : "286",
                      "type" : "ToList",
+                     "signature" : [ ],
                      "operand" : {
-                        "locator" : "48:35-48:50",
+                        "localId" : "280",
+                        "locator" : "49:35-49:50",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                         "name" : "Body weight",
                         "libraryName" : "Cx",
                         "type" : "CodeRef"
                      }
-                  }
+                  },
+                  "include" : [ ],
+                  "codeFilter" : [ ],
+                  "dateFilter" : [ ],
+                  "otherFilter" : [ ]
                } ]
             }
          }, {
-            "localId" : "31",
-            "locator" : "50:1-51:56",
+            "localId" : "302",
+            "locator" : "51:1-52:56",
             "name" : "Body Mass Index Observations",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "31",
+                  "r" : "302",
                   "s" : [ {
                      "value" : [ "","define ","\"Body Mass Index Observations\"",":\n  " ]
                   }, {
-                     "r" : "30",
+                     "r" : "315",
                      "s" : [ {
-                        "r" : "28",
+                        "r" : "303",
                         "s" : [ {
                            "value" : [ "DE" ]
                         } ]
                      }, {
                         "value" : [ "." ]
                      }, {
-                        "r" : "30",
+                        "r" : "315",
                         "s" : [ {
                            "value" : [ "SelectByStatus","(" ]
                         }, {
-                           "r" : "29",
+                           "r" : "307",
                            "s" : [ {
                               "value" : [ "[","Observation",": " ]
                            }, {
@@ -445,79 +505,93 @@
                }
             } ],
             "resultTypeSpecifier" : {
+               "localId" : "2351",
                "type" : "ListTypeSpecifier",
                "elementType" : {
+                  "localId" : "2352",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "30",
-               "locator" : "51:3-51:56",
+               "localId" : "315",
+               "locator" : "52:3-52:56",
                "name" : "SelectByStatus",
                "libraryName" : "DE",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
+                  "localId" : "318",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
+                     "localId" : "319",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
+               "signature" : [ ],
                "operand" : [ {
-                  "localId" : "29",
-                  "locator" : "51:21-51:55",
+                  "localId" : "307",
+                  "locator" : "52:21-52:55",
                   "dataType" : "{http://hl7.org/fhir}Observation",
                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                   "codeProperty" : "code",
                   "codeComparator" : "~",
                   "type" : "Retrieve",
                   "resultTypeSpecifier" : {
+                     "localId" : "313",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
+                        "localId" : "314",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "codes" : {
+                     "localId" : "312",
                      "type" : "ToList",
+                     "signature" : [ ],
                      "operand" : {
-                        "locator" : "51:35-51:54",
+                        "localId" : "306",
+                        "locator" : "52:35-52:54",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                         "name" : "Body mass index",
                         "libraryName" : "Cx",
                         "type" : "CodeRef"
                      }
-                  }
+                  },
+                  "include" : [ ],
+                  "codeFilter" : [ ],
+                  "dateFilter" : [ ],
+                  "otherFilter" : [ ]
                } ]
             }
          }, {
-            "localId" : "38",
-            "locator" : "41:1-42:57",
+            "localId" : "328",
+            "locator" : "42:1-43:57",
             "name" : "Body Temperature Observations",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "38",
+                  "r" : "328",
                   "s" : [ {
                      "value" : [ "","define ","\"Body Temperature Observations\"",":\n  " ]
                   }, {
-                     "r" : "37",
+                     "r" : "341",
                      "s" : [ {
-                        "r" : "35",
+                        "r" : "329",
                         "s" : [ {
                            "value" : [ "DE" ]
                         } ]
                      }, {
                         "value" : [ "." ]
                      }, {
-                        "r" : "37",
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@@ -715,79 +817,93 @@
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@@ -805,88 +921,102 @@
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@@ -899,20 +1029,20 @@
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@@ -927,20 +1057,20 @@
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@@ -955,20 +1085,20 @@
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@@ -1067,20 +1197,20 @@
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@@ -1096,108 +1226,142 @@
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                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
+                     "localId" : "439",
                      "name" : "BodyTemperature",
                      "elementType" : {
+                        "localId" : "440",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
+                     "localId" : "441",
                      "name" : "HeartRate",
                      "elementType" : {
+                        "localId" : "442",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
+                     "localId" : "443",
                      "name" : "OxygenSaturation",
                      "elementType" : {
+                        "localId" : "444",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
+                     "localId" : "445",
                      "name" : "RespiratoryRate",
                      "elementType" : {
+                        "localId" : "446",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
@@ -1206,20 +1370,23 @@
                "element" : [ {
                   "name" : "BloodPressure",
                   "value" : {
-                     "localId" : "12",
-                     "locator" : "26:18-26:61",
+                     "localId" : "247",
+                     "locator" : "27:18-27:48",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation",
                      "name" : "MostRecent",
                      "libraryName" : "DE",
                      "type" : "FunctionRef",
+                     "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "11",
-                        "locator" : "26:32-26:60",
-                        "name" : "Blood Pressure Observations",
+                        "localId" : "244",
+                        "locator" : "27:32-27:47",
+                        "name" : "Blood pressure",
                         "type" : "ExpressionRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "245",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
+                              "localId" : "246",
                               "name" : "{http://hl7.org/fhir}Observation",
                               "type" : "NamedTypeSpecifier"
                            }
@@ -1229,20 +1396,23 @@
                }, {
                   "name" : "BodyHeight",
                   "value" : {
-                     "localId" : "19",
-                     "locator" : "27:15-27:55",
+                     "localId" : "273",
+                     "locator" : "28:15-28:55",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation",
                      "name" : "MostRecent",
                      "libraryName" : "DE",
                      "type" : "FunctionRef",
+                     "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "18",
-                        "locator" : "27:29-27:54",
+                        "localId" : "270",
+                        "locator" : "28:29-28:54",
                         "name" : "Body Height Observations",
                         "type" : "ExpressionRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "271",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
+                              "localId" : "272",
                               "name" : "{http://hl7.org/fhir}Observation",
                               "type" : "NamedTypeSpecifier"
                            }
@@ -1252,20 +1422,23 @@
                }, {
                   "name" : "BodyWeight",
                   "value" : {
-                     "localId" : "26",
-                     "locator" : "28:15-28:55",
+                     "localId" : "299",
+                     "locator" : "29:15-29:55",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation",
                      "name" : "MostRecent",
                      "libraryName" : "DE",
                      "type" : "FunctionRef",
+                     "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "25",
-                        "locator" : "28:29-28:54",
+                        "localId" : "296",
+                        "locator" : "29:29-29:54",
                         "name" : "Body Weight Observations",
                         "type" : "ExpressionRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "297",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
+                              "localId" : "298",
                               "name" : "{http://hl7.org/fhir}Observation",
                               "type" : "NamedTypeSpecifier"
                            }
@@ -1275,20 +1448,23 @@
                }, {
                   "name" : "BodyMassIndex",
                   "value" : {
-                     "localId" : "33",
-                     "locator" : "29:18-29:62",
+                     "localId" : "325",
+                     "locator" : "30:18-30:62",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation",
                      "name" : "MostRecent",
                      "libraryName" : "DE",
                      "type" : "FunctionRef",
+                     "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "32",
-                        "locator" : "29:32-29:61",
+                        "localId" : "322",
+                        "locator" : "30:32-30:61",
                         "name" : "Body Mass Index Observations",
                         "type" : "ExpressionRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "323",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
+                              "localId" : "324",
                               "name" : "{http://hl7.org/fhir}Observation",
                               "type" : "NamedTypeSpecifier"
                            }
@@ -1298,20 +1474,23 @@
                }, {
                   "name" : "BodyTemperature",
                   "value" : {
-                     "localId" : "40",
-                     "locator" : "30:20-30:65",
+                     "localId" : "351",
+                     "locator" : "31:20-31:65",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation",
                      "name" : "MostRecent",
                      "libraryName" : "DE",
                      "type" : "FunctionRef",
+                     "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "39",
-                        "locator" : "30:34-30:64",
+                        "localId" : "348",
+                        "locator" : "31:34-31:64",
                         "name" : "Body Temperature Observations",
                         "type" : "ExpressionRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "349",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
+                              "localId" : "350",
                               "name" : "{http://hl7.org/fhir}Observation",
                               "type" : "NamedTypeSpecifier"
                            }
@@ -1321,20 +1500,23 @@
                }, {
                   "name" : "HeartRate",
                   "value" : {
-                     "localId" : "47",
-                     "locator" : "31:14-31:53",
+                     "localId" : "377",
+                     "locator" : "32:14-32:53",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation",
                      "name" : "MostRecent",
                      "libraryName" : "DE",
                      "type" : "FunctionRef",
+                     "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "46",
-                        "locator" : "31:28-31:52",
+                        "localId" : "374",
+                        "locator" : "32:28-32:52",
                         "name" : "Heart Rate Observations",
                         "type" : "ExpressionRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "375",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
+                              "localId" : "376",
                               "name" : "{http://hl7.org/fhir}Observation",
                               "type" : "NamedTypeSpecifier"
                            }
@@ -1344,20 +1526,23 @@
                }, {
                   "name" : "OxygenSaturation",
                   "value" : {
-                     "localId" : "54",
-                     "locator" : "32:21-32:67",
+                     "localId" : "403",
+                     "locator" : "33:21-33:67",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation",
                      "name" : "MostRecent",
                      "libraryName" : "DE",
                      "type" : "FunctionRef",
+                     "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "53",
-                        "locator" : "32:35-32:66",
+                        "localId" : "400",
+                        "locator" : "33:35-33:66",
                         "name" : "Oxygen Saturation Observations",
                         "type" : "ExpressionRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "401",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
+                              "localId" : "402",
                               "name" : "{http://hl7.org/fhir}Observation",
                               "type" : "NamedTypeSpecifier"
                            }
@@ -1367,20 +1552,23 @@
                }, {
                   "name" : "RespiratoryRate",
                   "value" : {
-                     "localId" : "61",
-                     "locator" : "33:20-33:65",
+                     "localId" : "429",
+                     "locator" : "34:20-34:65",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation",
                      "name" : "MostRecent",
                      "libraryName" : "DE",
                      "type" : "FunctionRef",
+                     "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "60",
-                        "locator" : "33:34-33:64",
+                        "localId" : "426",
+                        "locator" : "34:34-34:64",
                         "name" : "Respiratory Rate Observations",
                         "type" : "ExpressionRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "427",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
+                              "localId" : "428",
                               "name" : "{http://hl7.org/fhir}Observation",
                               "type" : "NamedTypeSpecifier"
                            }
@@ -1390,308 +1578,4079 @@
                } ]
             }
          }, {
-            "localId" : "108",
-            "locator" : "12:1-22:36",
-            "name" : "VitalSignsSummary",
+            "localId" : "555",
+            "locator" : "108:1-124:5",
+            "name" : "ReportHomeBP",
             "context" : "Patient",
             "accessLevel" : "Public",
+            "type" : "FunctionDef",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "108",
+                  "r" : "555",
                   "s" : [ {
-                     "value" : [ "// View summary tuple for each vital sign data element\n","define ","VitalSignsSummary",": \n  " ]
+                     "value" : [ "","define function ReportHomeBP():\n  " ]
                   }, {
-                     "r" : "107",
+                     "r" : "2807",
                      "s" : [ {
+                        "r" : "2807",
                         "s" : [ {
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                            "s" : [ {
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+                              "r" : "2528",
                               "s" : [ {
-                                 "value" : [ "(" ]
+                                 "r" : "2529",
+                                 "s" : [ {
+                                    "s" : [ {
+                                       "value" : [ "\"Combined Blood Pressure Observations\"" ]
+                                    } ]
+                                 } ]
+                              }, {
+                                 "value" : [ " ","bp" ]
+                              } ]
+                           } ]
+                        }, {
+                           "value" : [ "\n    " ]
+                        }, {
+                           "r" : "2578",
+                           "s" : [ {
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                               }, {
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                                  "s" : [ {
-                                    "value" : [ "List {\n    " ]
+                                    "value" : [ "DisplayName",": " ]
                                  }, {
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-                                             "value" : [ "'Blood Pressure'" ]
-                                          } ]
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-                                          "value" : [ ")" ]
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+                                       "value" : [ "'Home Blood Pressure'" ]
                                     } ]
+                                 } ]
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+                           "value" : "Home Blood Pressure",
+                           "type" : "Literal"
+                        }
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+                        "localId" : "1005",
+                        "name" : "Provenance",
+                        "elementType" : {
+                           "localId" : "1006",
+                           "type" : "ListTypeSpecifier",
+                           "elementType" : {
+                              "localId" : "1007",
+                              "type" : "TupleTypeSpecifier",
+                              "element" : [ {
+                                 "localId" : "1008",
+                                 "name" : "Transmitter",
+                                 "elementType" : {
+                                    "localId" : "1009",
+                                    "type" : "ListTypeSpecifier",
+                                    "elementType" : {
+                                       "localId" : "1010",
+                                       "name" : "{urn:hl7-org:elm-types:r1}String",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 }
+                              }, {
+                                 "localId" : "1011",
+                                 "name" : "Author",
+                                 "elementType" : {
+                                    "localId" : "1012",
+                                    "type" : "ListTypeSpecifier",
+                                    "elementType" : {
+                                       "localId" : "1013",
+                                       "name" : "{urn:hl7-org:elm-types:r1}String",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 }
+                              } ]
+                           }
+                        }
+                     } ]
+                  }
+               },
+               "source" : [ {
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+                  "locator" : "78:3-78:38",
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+                     "type" : "ListTypeSpecifier",
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+                        "localId" : "701",
+                        "name" : "{http://hl7.org/fhir}Observation",
+                        "type" : "NamedTypeSpecifier"
+                     }
+                  },
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+                     "locator" : "78:3-78:27",
+                     "name" : "Systolic Blood Pressure",
+                     "type" : "ExpressionRef",
+                     "resultTypeSpecifier" : {
+                        "localId" : "698",
+                        "type" : "ListTypeSpecifier",
+                        "elementType" : {
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+                           "name" : "{http://hl7.org/fhir}Observation",
+                           "type" : "NamedTypeSpecifier"
+                        }
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+               } ],
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+                     "operand" : [ {
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+                        "resultTypeName" : "{http://hl7.org/fhir}Observation",
+                        "name" : "systolicBP",
+                        "type" : "AliasRef"
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+                  "locator" : "80:11-80:73",
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+                     "operand" : {
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+                        "name" : "ToDecimal",
+                        "libraryName" : "FHIRHelpers",
+                        "type" : "FunctionRef",
+                        "signature" : [ ],
+                        "operand" : [ {
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+                           "locator" : "80:32-80:72",
+                           "resultTypeName" : "{http://hl7.org/fhir}decimal",
+                           "path" : "value",
+                           "type" : "Property",
+                           "source" : {
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+                              "locator" : "80:32-80:66",
+                              "resultTypeName" : "{http://hl7.org/fhir}Quantity",
+                              "strict" : false,
+                              "type" : "As",
+                              "signature" : [ ],
+                              "operand" : {
+                                 "localId" : "784",
+                                 "locator" : "80:33-80:48",
+                                 "path" : "value",
+                                 "scope" : "systolicBP",
+                                 "type" : "Property",
+                                 "resultTypeSpecifier" : {
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+                                    "type" : "ChoiceTypeSpecifier",
+                                    "type" : [ ],
+                                    "choice" : [ {
+                                       "localId" : "798",
+                                       "name" : "{http://hl7.org/fhir}Quantity",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "799",
+                                       "name" : "{http://hl7.org/fhir}CodeableConcept",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "800",
+                                       "name" : "{http://hl7.org/fhir}string",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "801",
+                                       "name" : "{http://hl7.org/fhir}boolean",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "802",
+                                       "name" : "{http://hl7.org/fhir}integer",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "803",
+                                       "name" : "{http://hl7.org/fhir}Range",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "804",
+                                       "name" : "{http://hl7.org/fhir}Ratio",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "805",
+                                       "name" : "{http://hl7.org/fhir}SampledData",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "806",
+                                       "name" : "{http://hl7.org/fhir}time",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "807",
+                                       "name" : "{http://hl7.org/fhir}dateTime",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "808",
+                                       "name" : "{http://hl7.org/fhir}Period",
+                                       "type" : "NamedTypeSpecifier"
+                                    } ]
+                                 }
+                              },
+                              "asTypeSpecifier" : {
+                                 "localId" : "809",
+                                 "locator" : "80:53-80:65",
+                                 "resultTypeName" : "{http://hl7.org/fhir}Quantity",
+                                 "name" : "{http://hl7.org/fhir}Quantity",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }
+                        } ]
+                     }
+                  }
+               }, {
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+                  "locator" : "81:11-81:93",
+                  "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
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+                     "operand" : {
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+                        "name" : "ToDecimal",
+                        "libraryName" : "FHIRHelpers",
+                        "type" : "FunctionRef",
+                        "signature" : [ ],
+                        "operand" : [ {
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+                           "locator" : "81:33-81:92",
+                           "resultTypeName" : "{http://hl7.org/fhir}decimal",
+                           "path" : "value",
+                           "type" : "Property",
+                           "source" : {
+                              "localId" : "817",
+                              "locator" : "81:33-81:86",
+                              "resultTypeName" : "{http://hl7.org/fhir}Quantity",
+                              "strict" : false,
+                              "type" : "As",
+                              "signature" : [ ],
+                              "operand" : {
+                                 "localId" : "820",
+                                 "locator" : "81:34-81:68",
+                                 "path" : "value",
+                                 "type" : "Property",
+                                 "resultTypeSpecifier" : {
+                                    "localId" : "833",
+                                    "type" : "ChoiceTypeSpecifier",
+                                    "type" : [ ],
+                                    "choice" : [ {
+                                       "localId" : "834",
+                                       "name" : "{http://hl7.org/fhir}Quantity",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
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+                                       "name" : "{http://hl7.org/fhir}CodeableConcept",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "836",
+                                       "name" : "{http://hl7.org/fhir}string",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "837",
+                                       "name" : "{http://hl7.org/fhir}boolean",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "838",
+                                       "name" : "{http://hl7.org/fhir}integer",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "839",
+                                       "name" : "{http://hl7.org/fhir}Range",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "840",
+                                       "name" : "{http://hl7.org/fhir}Ratio",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "841",
+                                       "name" : "{http://hl7.org/fhir}SampledData",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "842",
+                                       "name" : "{http://hl7.org/fhir}time",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "843",
+                                       "name" : "{http://hl7.org/fhir}dateTime",
+                                       "type" : "NamedTypeSpecifier"
+                                    }, {
+                                       "localId" : "844",
+                                       "name" : "{http://hl7.org/fhir}Period",
+                                       "type" : "NamedTypeSpecifier"
+                                    } ]
+                                 },
+                                 "source" : {
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+                                    "locator" : "81:34-81:62",
+                                    "resultTypeName" : "{http://hl7.org/fhir}Observation",
+                                    "name" : "MatchingDiastolic",
+                                    "type" : "FunctionRef",
+                                    "signature" : [ ],
+                                    "operand" : [ {
+                                       "localId" : "818",
+                                       "locator" : "81:52-81:61",
+                                       "resultTypeName" : "{http://hl7.org/fhir}Observation",
+                                       "name" : "systolicBP",
+                                       "type" : "AliasRef"
+                                    } ]
+                                 }
+                              },
+                              "asTypeSpecifier" : {
+                                 "localId" : "845",
+                                 "locator" : "81:73-81:85",
+                                 "resultTypeName" : "{http://hl7.org/fhir}Quantity",
+                                 "name" : "{http://hl7.org/fhir}Quantity",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }
+                        } ]
+                     }
+                  }
+               }, {
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+                        "name" : "systolicBP",
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+                           "name" : "Date",
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+                              "name" : "{urn:hl7-org:elm-types:r1}DateTime",
+                              "type" : "NamedTypeSpecifier"
+                           }
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+                           "name" : "Systolic",
+                           "elementType" : {
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+                              "name" : "{urn:hl7-org:elm-types:r1}Decimal",
+                              "type" : "NamedTypeSpecifier"
+                           }
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+                           "name" : "Diastolic",
+                           "elementType" : {
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+                              "name" : "{urn:hl7-org:elm-types:r1}Decimal",
+                              "type" : "NamedTypeSpecifier"
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+                           "name" : "Display",
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+                              "name" : "{urn:hl7-org:elm-types:r1}String",
+                              "type" : "NamedTypeSpecifier"
+                           }
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+                           "name" : "Performer",
+                           "elementType" : {
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+                              "name" : "{urn:hl7-org:elm-types:r1}String",
+                              "type" : "NamedTypeSpecifier"
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+                           "localId" : "977",
+                           "name" : "Notes",
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+                              "type" : "ListTypeSpecifier",
+                              "elementType" : {
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+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }
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+                           "name" : "Provenance",
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+                              "type" : "ListTypeSpecifier",
+                              "elementType" : {
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+                                 "type" : "TupleTypeSpecifier",
+                                 "element" : [ {
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+                                    "name" : "Transmitter",
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+                                       "type" : "ListTypeSpecifier",
+                                       "elementType" : {
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+                                          "name" : "{urn:hl7-org:elm-types:r1}String",
+                                          "type" : "NamedTypeSpecifier"
+                                       }
+                                    }
+                                 }, {
+                                    "localId" : "986",
+                                    "name" : "Author",
+                                    "elementType" : {
+                                       "localId" : "987",
+                                       "type" : "ListTypeSpecifier",
+                                       "elementType" : {
+                                          "localId" : "988",
+                                          "name" : "{urn:hl7-org:elm-types:r1}String",
+                                          "type" : "NamedTypeSpecifier"
+                                       }
+                                    }
+                                 } ]
+                              }
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+                              "name" : "{urn:hl7-org:elm-types:r1}DateTime",
+                              "type" : "NamedTypeSpecifier"
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+                           "name" : "Systolic",
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+                              "name" : "{urn:hl7-org:elm-types:r1}Decimal",
+                              "type" : "NamedTypeSpecifier"
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+                           "name" : "Diastolic",
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+                              "name" : "{urn:hl7-org:elm-types:r1}Decimal",
+                              "type" : "NamedTypeSpecifier"
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+                           "name" : "Display",
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+                              "name" : "{urn:hl7-org:elm-types:r1}String",
+                              "type" : "NamedTypeSpecifier"
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+                              "type" : "ListTypeSpecifier",
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+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
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+                           "name" : "Provenance",
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+                              "type" : "ListTypeSpecifier",
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+                                       "type" : "ListTypeSpecifier",
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+                                          "name" : "{urn:hl7-org:elm-types:r1}String",
+                                          "type" : "NamedTypeSpecifier"
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+                                    "name" : "Author",
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+                                       "type" : "ListTypeSpecifier",
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+                                          "name" : "{urn:hl7-org:elm-types:r1}String",
+                                          "type" : "NamedTypeSpecifier"
+                                       }
+                                    }
+                                 } ]
+                              }
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+                           "locator" : "84:15-84:24",
+                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
+                           "name" : "ResultDate",
+                           "type" : "QueryLetRef"
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+                     }, {
+                        "name" : "Systolic",
+                        "value" : {
+                           "localId" : "859",
+                           "locator" : "85:19-85:31",
+                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
+                           "name" : "SystolicValue",
+                           "type" : "QueryLetRef"
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+                        "name" : "Diastolic",
+                        "value" : {
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+                           "locator" : "86:20-86:33",
+                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
+                           "name" : "DiastolicValue",
+                           "type" : "QueryLetRef"
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+                                    "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
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+                                       "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
+                                       "type" : "ToString",
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+                                          "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
+                                          "name" : "SystolicValue",
+                                          "type" : "QueryLetRef"
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+                                       "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
+                                       "valueType" : "{urn:hl7-org:elm-types:r1}String",
+                                       "value" : "-",
+                                       "type" : "Literal"
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+                                    "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
+                                    "valueType" : "{urn:hl7-org:elm-types:r1}String",
+                                    "value" : "/",
+                                    "type" : "Literal"
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+                                 "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
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+                                    "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
+                                    "type" : "ToString",
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+                                    "operand" : {
+                                       "localId" : "874",
+                                       "locator" : "87:83-87:96",
+                                       "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
+                                       "name" : "DiastolicValue",
+                                       "type" : "QueryLetRef"
+                                    }
+                                 }, {
+                                    "localId" : "878",
+                                    "locator" : "87:100-87:102",
+                                    "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
+                                    "valueType" : "{urn:hl7-org:elm-types:r1}String",
+                                    "value" : "-",
+                                    "type" : "Literal"
+                                 } ]
+                              } ]
+                           }, {
+                              "localId" : "883",
+                              "locator" : "87:107-87:113",
+                              "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
+                              "valueType" : "{urn:hl7-org:elm-types:r1}String",
+                              "value" : " mmHg",
+                              "type" : "Literal"
+                           } ]
+                        }
+                     }, {
+                        "name" : "Performer",
+                        "value" : {
+                           "localId" : "895",
+                           "locator" : "88:20-88:60",
+                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
+                           "path" : "value",
+                           "type" : "Property",
+                           "source" : {
+                              "localId" : "894",
+                              "locator" : "88:20-88:54",
+                              "resultTypeName" : "{http://hl7.org/fhir}string",
+                              "path" : "display",
+                              "type" : "Property",
+                              "source" : {
+                                 "localId" : "893",
+                                 "locator" : "88:20-88:46",
+                                 "resultTypeName" : "{http://hl7.org/fhir}Reference",
+                                 "type" : "First",
+                                 "signature" : [ ],
+                                 "source" : {
+                                    "localId" : "886",
+                                    "locator" : "88:26-88:45",
+                                    "path" : "performer",
+                                    "scope" : "systolicBP",
+                                    "type" : "Property",
+                                    "resultTypeSpecifier" : {
+                                       "localId" : "889",
+                                       "type" : "ListTypeSpecifier",
+                                       "elementType" : {
+                                          "localId" : "890",
+                                          "name" : "{http://hl7.org/fhir}Reference",
+                                          "type" : "NamedTypeSpecifier"
+                                       }
+                                    }
+                                 }
+                              }
+                           }
+                        }
+                     }, {
+                        "name" : "Notes",
+                        "value" : {
+                           "localId" : "920",
+                           "locator" : "89:16-89:80",
+                           "type" : "Union",
+                           "resultTypeSpecifier" : {
+                              "localId" : "921",
+                              "type" : "ListTypeSpecifier",
+                              "elementType" : {
+                                 "localId" : "922",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           },
+                           "signature" : [ ],
+                           "operand" : [ {
+                              "localId" : "903",
+                              "locator" : "89:16-89:43",
+                              "name" : "ToString",
+                              "libraryName" : "DE",
+                              "type" : "FunctionRef",
+                              "resultTypeSpecifier" : {
+                                 "localId" : "906",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "907",
+                                    "name" : "{urn:hl7-org:elm-types:r1}String",
+                                    "type" : "NamedTypeSpecifier"
+                                 }
+                              },
+                              "signature" : [ ],
+                              "operand" : [ {
+                                 "localId" : "898",
+                                 "locator" : "89:28-89:42",
+                                 "path" : "note",
+                                 "scope" : "systolicBP",
+                                 "type" : "Property",
+                                 "resultTypeSpecifier" : {
+                                    "localId" : "901",
+                                    "type" : "ListTypeSpecifier",
+                                    "elementType" : {
+                                       "localId" : "902",
+                                       "name" : "{http://hl7.org/fhir}Annotation",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 }
+                              } ]
+                           }, {
+                              "localId" : "915",
+                              "locator" : "89:51-89:80",
+                              "name" : "ToString",
+                              "libraryName" : "DE",
+                              "type" : "FunctionRef",
+                              "resultTypeSpecifier" : {
+                                 "localId" : "918",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "919",
+                                    "name" : "{urn:hl7-org:elm-types:r1}String",
+                                    "type" : "NamedTypeSpecifier"
+                                 }
+                              },
+                              "signature" : [ ],
+                              "operand" : [ {
+                                 "localId" : "910",
+                                 "locator" : "89:63-89:79",
+                                 "path" : "note",
+                                 "type" : "Property",
+                                 "resultTypeSpecifier" : {
+                                    "localId" : "913",
+                                    "type" : "ListTypeSpecifier",
+                                    "elementType" : {
+                                       "localId" : "914",
+                                       "name" : "{http://hl7.org/fhir}Annotation",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 },
+                                 "source" : {
+                                    "localId" : "909",
+                                    "locator" : "89:63-89:74",
+                                    "resultTypeName" : "{http://hl7.org/fhir}Observation",
+                                    "name" : "DiastolicObs",
+                                    "type" : "QueryLetRef"
+                                 }
+                              } ]
+                           } ]
+                        }
+                     }, {
+                        "name" : "Provenance",
+                        "value" : {
+                           "localId" : "925",
+                           "locator" : "90:21-90:51",
+                           "name" : "ReportProvenance",
+                           "libraryName" : "DE",
+                           "type" : "FunctionRef",
+                           "resultTypeSpecifier" : {
+                              "localId" : "934",
+                              "type" : "ListTypeSpecifier",
+                              "elementType" : {
+                                 "localId" : "935",
+                                 "type" : "TupleTypeSpecifier",
+                                 "element" : [ {
+                                    "localId" : "936",
+                                    "name" : "Transmitter",
+                                    "elementType" : {
+                                       "localId" : "937",
+                                       "type" : "ListTypeSpecifier",
+                                       "elementType" : {
+                                          "localId" : "938",
+                                          "name" : "{urn:hl7-org:elm-types:r1}String",
+                                          "type" : "NamedTypeSpecifier"
+                                       }
+                                    }
+                                 }, {
+                                    "localId" : "939",
+                                    "name" : "Author",
+                                    "elementType" : {
+                                       "localId" : "940",
+                                       "type" : "ListTypeSpecifier",
+                                       "elementType" : {
+                                          "localId" : "941",
+                                          "name" : "{urn:hl7-org:elm-types:r1}String",
+                                          "type" : "NamedTypeSpecifier"
+                                       }
+                                    }
+                                 } ]
+                              }
+                           },
+                           "signature" : [ ],
+                           "operand" : [ {
+                              "localId" : "924",
+                              "locator" : "90:41-90:50",
+                              "resultTypeName" : "{http://hl7.org/fhir}Observation",
+                              "name" : "systolicBP",
+                              "type" : "AliasRef"
+                           } ]
+                        }
+                     } ]
+                  }
+               }
+            }
+         }, {
+            "localId" : "215",
+            "locator" : "12:1-23:36",
+            "name" : "VitalSignsSummary",
+            "context" : "Patient",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "215",
+                  "s" : [ {
+                     "value" : [ "// View summary tuple for each vital sign data element\n","define ","VitalSignsSummary",": \n  " ]
+                  }, {
+                     "r" : "2253",
+                     "s" : [ {
+                        "s" : [ {
+                           "r" : "216",
+                           "s" : [ {
+                              "r" : "217",
+                              "s" : [ {
+                                 "value" : [ "(" ]
+                              }, {
+                                 "r" : "217",
+                                 "s" : [ {
+                                    "value" : [ "List {\n    " ]
+                                 }, {
+                                    "r" : "484",
+                                    "s" : [ {
+                                       "r" : "218",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "484",
+                                       "s" : [ {
+                                          "value" : [ "ReportObservation","(" ]
+                                       }, {
+                                          "r" : "482",
+                                          "s" : [ {
+                                             "r" : "464",
+                                             "s" : [ {
+                                                "value" : [ "VitalSigns" ]
+                                             } ]
+                                          }, {
+                                             "value" : [ "." ]
+                                          }, {
+                                             "r" : "482",
+                                             "s" : [ {
+                                                "value" : [ "BloodPressure" ]
+                                             } ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "483",
+                                          "s" : [ {
+                                             "value" : [ "'Blood Pressure'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "1427",
+                                    "s" : [ {
+                                       "value" : [ "First","(" ]
+                                    }, {
+                                       "r" : "556",
+                                       "s" : [ {
+                                          "value" : [ "ReportHomeBP","()" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ ")" ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "1484",
+                                    "s" : [ {
+                                       "r" : "1463",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "1484",
+                                       "s" : [ {
+                                          "value" : [ "ReportObservation","(" ]
+                                       }, {
+                                          "r" : "1482",
+                                          "s" : [ {
+                                             "r" : "1464",
+                                             "s" : [ {
+                                                "value" : [ "VitalSigns" ]
+                                             } ]
+                                          }, {
+                                             "value" : [ "." ]
+                                          }, {
+                                             "r" : "1482",
+                                             "s" : [ {
+                                                "value" : [ "BodyHeight" ]
+                                             } ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "1483",
+                                          "s" : [ {
+                                             "value" : [ "'Height'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "1576",
+                                    "s" : [ {
+                                       "r" : "1555",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "1576",
+                                       "s" : [ {
+                                          "value" : [ "ReportObservation","(" ]
+                                       }, {
+                                          "r" : "1574",
+                                          "s" : [ {
+                                             "r" : "1556",
+                                             "s" : [ {
+                                                "value" : [ "VitalSigns" ]
+                                             } ]
+                                          }, {
+                                             "value" : [ "." ]
+                                          }, {
+                                             "r" : "1574",
+                                             "s" : [ {
+                                                "value" : [ "BodyWeight" ]
+                                             } ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "1575",
+                                          "s" : [ {
+                                             "value" : [ "'Weight'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "1668",
+                                    "s" : [ {
+                                       "r" : "1647",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "1668",
+                                       "s" : [ {
+                                          "value" : [ "ReportObservation","(" ]
+                                       }, {
+                                          "r" : "1666",
+                                          "s" : [ {
+                                             "r" : "1648",
+                                             "s" : [ {
+                                                "value" : [ "VitalSigns" ]
+                                             } ]
+                                          }, {
+                                             "value" : [ "." ]
+                                          }, {
+                                             "r" : "1666",
+                                             "s" : [ {
+                                                "value" : [ "BodyMassIndex" ]
+                                             } ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "1667",
+                                          "s" : [ {
+                                             "value" : [ "'BMI'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "1760",
+                                    "s" : [ {
+                                       "r" : "1739",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "1760",
+                                       "s" : [ {
+                                          "value" : [ "ReportObservation","(" ]
+                                       }, {
+                                          "r" : "1758",
+                                          "s" : [ {
+                                             "r" : "1740",
+                                             "s" : [ {
+                                                "value" : [ "VitalSigns" ]
+                                             } ]
+                                          }, {
+                                             "value" : [ "." ]
+                                          }, {
+                                             "r" : "1758",
+                                             "s" : [ {
+                                                "value" : [ "BodyTemperature" ]
+                                             } ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "1759",
+                                          "s" : [ {
+                                             "value" : [ "'Temperature'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "1852",
+                                    "s" : [ {
+                                       "r" : "1831",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "1852",
+                                       "s" : [ {
+                                          "value" : [ "ReportObservation","(" ]
+                                       }, {
+                                          "r" : "1850",
+                                          "s" : [ {
+                                             "r" : "1832",
+                                             "s" : [ {
+                                                "value" : [ "VitalSigns" ]
+                                             } ]
+                                          }, {
+                                             "value" : [ "." ]
+                                          }, {
+                                             "r" : "1850",
+                                             "s" : [ {
+                                                "value" : [ "HeartRate" ]
+                                             } ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "1851",
+                                          "s" : [ {
+                                             "value" : [ "'Heart Rate'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "1944",
+                                    "s" : [ {
+                                       "r" : "1923",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "1944",
+                                       "s" : [ {
+                                          "value" : [ "ReportObservation","(" ]
+                                       }, {
+                                          "r" : "1942",
+                                          "s" : [ {
+                                             "r" : "1924",
+                                             "s" : [ {
+                                                "value" : [ "VitalSigns" ]
+                                             } ]
+                                          }, {
+                                             "value" : [ "." ]
+                                          }, {
+                                             "r" : "1942",
+                                             "s" : [ {
+                                                "value" : [ "OxygenSaturation" ]
                                              } ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "96",
+                                          "r" : "1943",
                                           "s" : [ {
                                              "value" : [ "'Oxygen Saturation'" ]
                                           } ]
@@ -1702,29 +5661,29 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "102",
+                                    "r" : "2036",
                                     "s" : [ {
-                                       "r" : "98",
+                                       "r" : "2015",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "102",
+                                       "r" : "2036",
                                        "s" : [ {
                                           "value" : [ "ReportObservation","(" ]
                                        }, {
-                                          "r" : "100",
+                                          "r" : "2034",
                                           "s" : [ {
-                                             "r" : "99",
+                                             "r" : "2016",
                                              "s" : [ {
                                                 "value" : [ "VitalSigns" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "100",
+                                             "r" : "2034",
                                              "s" : [ {
                                                 "value" : [ "RespiratoryRate" ]
                                              } ]
@@ -1732,7 +5691,7 @@
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "101",
+                                          "r" : "2035",
                                           "s" : [ {
                                              "value" : [ "'Respiratory Rate'" ]
                                           } ]
@@ -1753,13 +5712,13 @@
                      }, {
                         "value" : [ " " ]
                      }, {
-                        "r" : "106",
+                        "r" : "2252",
                         "s" : [ {
                            "value" : [ "where " ]
                         }, {
-                           "r" : "106",
+                           "r" : "2252",
                            "s" : [ {
-                              "r" : "105",
+                              "r" : "2215",
                               "s" : [ {
                                  "value" : [ "Result" ]
                               } ]
@@ -1772,488 +5731,820 @@
                }
             } ],
             "resultTypeSpecifier" : {
+               "localId" : "2290",
                "type" : "ListTypeSpecifier",
                "elementType" : {
+                  "localId" : "2291",
                   "type" : "TupleTypeSpecifier",
                   "element" : [ {
+                     "localId" : "2292",
                      "name" : "DisplayName",
                      "elementType" : {
+                        "localId" : "2293",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
+                     "localId" : "2294",
                      "name" : "ConceptName",
                      "elementType" : {
-                        "name" : "{urn:hl7-org:elm-types:r1}String",
+                        "localId" : "2295",
+                        "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
+                     "localId" : "2296",
                      "name" : "Date",
                      "elementType" : {
+                        "localId" : "2297",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
+                     "localId" : "2298",
                      "name" : "ResultText",
                      "elementType" : {
+                        "localId" : "2299",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
+                     "localId" : "2300",
                      "name" : "ResultValue",
                      "elementType" : {
-                        "name" : "{urn:hl7-org:elm-types:r1}Decimal",
+                        "localId" : "2301",
+                        "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
+                     "localId" : "2302",
                      "name" : "ResultUnits",
                      "elementType" : {
-                        "name" : "{urn:hl7-org:elm-types:r1}String",
+                        "localId" : "2303",
+                        "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
+                     "localId" : "2304",
                      "name" : "ReferenceRange",
                      "elementType" : {
-                        "name" : "{urn:hl7-org:elm-types:r1}String",
+                        "localId" : "2305",
+                        "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
+                     "localId" : "2306",
                      "name" : "Interpretation",
                      "elementType" : {
-                        "name" : "{urn:hl7-org:elm-types:r1}String",
+                        "localId" : "2307",
+                        "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
+                     "localId" : "2308",
                      "name" : "Flag",
                      "elementType" : {
-                        "name" : "{urn:hl7-org:elm-types:r1}Boolean",
+                        "localId" : "2309",
+                        "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
+                     "localId" : "2310",
                      "name" : "Performer",
                      "elementType" : {
+                        "localId" : "2311",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
+                     "localId" : "2312",
                      "name" : "Notes",
                      "elementType" : {
+                        "localId" : "2313",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
+                           "localId" : "2314",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }
                   }, {
+                     "localId" : "2315",
+                     "name" : "Provenance",
+                     "elementType" : {
+                        "localId" : "2316",
+                        "type" : "ListTypeSpecifier",
+                        "elementType" : {
+                           "localId" : "2317",
+                           "type" : "TupleTypeSpecifier",
+                           "element" : [ {
+                              "localId" : "2318",
+                              "name" : "Transmitter",
+                              "elementType" : {
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+                              "localId" : "553",
                               "name" : "LearnMore",
                               "elementType" : {
+                                 "localId" : "554",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            } ]
                         },
+                        "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "65",
+                           "localId" : "482",
                            "locator" : "14:26-14:49",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "path" : "BloodPressure",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "64",
+                              "localId" : "464",
                               "locator" : "14:26-14:35",
                               "name" : "VitalSigns",
                               "type" : "ExpressionRef",
                               "resultTypeSpecifier" : {
+                                 "localId" : "465",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
+                                    "localId" : "466",
                                     "name" : "BloodPressure",
                                     "elementType" : {
+                                       "localId" : "467",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "468",
                                     "name" : "BodyHeight",
                                     "elementType" : {
+                                       "localId" : "469",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "470",
                                     "name" : "BodyWeight",
                                     "elementType" : {
+                                       "localId" : "471",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "472",
                                     "name" : "BodyMassIndex",
                                     "elementType" : {
+                                       "localId" : "473",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "474",
                                     "name" : "BodyTemperature",
                                     "elementType" : {
+                                       "localId" : "475",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "476",
                                     "name" : "HeartRate",
                                     "elementType" : {
+                                       "localId" : "477",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "478",
                                     "name" : "OxygenSaturation",
                                     "elementType" : {
+                                       "localId" : "479",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "480",
                                     "name" : "RespiratoryRate",
                                     "elementType" : {
+                                       "localId" : "481",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -2261,7 +6552,7 @@
                               }
                            }
                         }, {
-                           "localId" : "66",
+                           "localId" : "483",
                            "locator" : "14:52-14:67",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -2269,148 +6560,527 @@
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "72",
-                        "locator" : "15:5-15:57",
+                        "localId" : "1427",
+                        "locator" : "15:5-15:25",
+                        "type" : "First",
+                        "resultTypeSpecifier" : {
+                           "localId" : "1428",
+                           "type" : "TupleTypeSpecifier",
+                           "element" : [ {
+                              "localId" : "1429",
+                              "name" : "DisplayName",
+                              "elementType" : {
+                                 "localId" : "1430",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "1431",
+                              "name" : "ConceptName",
+                              "elementType" : {
+                                 "localId" : "1432",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Any",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "1433",
+                              "name" : "Date",
+                              "elementType" : {
+                                 "localId" : "1434",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "1435",
+                              "name" : "ResultText",
+                              "elementType" : {
+                                 "localId" : "1436",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "1437",
+                              "name" : "ResultValue",
+                              "elementType" : {
+                                 "localId" : "1438",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Any",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "1439",
+                              "name" : "ResultUnits",
+                              "elementType" : {
+                                 "localId" : "1440",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Any",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "1441",
+                              "name" : "ReferenceRange",
+                              "elementType" : {
+                                 "localId" : "1442",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Any",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "1443",
+                              "name" : "Interpretation",
+                              "elementType" : {
+                                 "localId" : "1444",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Any",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "1445",
+                              "name" : "Flag",
+                              "elementType" : {
+                                 "localId" : "1446",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Any",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "1447",
+                              "name" : "Performer",
+                              "elementType" : {
+                                 "localId" : "1448",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "1449",
+                              "name" : "Notes",
+                              "elementType" : {
+                                 "localId" : "1450",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "1451",
+                                    "name" : "{urn:hl7-org:elm-types:r1}String",
+                                    "type" : "NamedTypeSpecifier"
+                                 }
+                              }
+                           }, {
+                              "localId" : "1452",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "1453",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "1454",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "1455",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "1456",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "1457",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    }, {
+                                       "localId" : "1458",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "1459",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "1460",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "1461",
+                              "name" : "LearnMore",
+                              "elementType" : {
+                                 "localId" : "1462",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Any",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           } ]
+                        },
+                        "signature" : [ ],
+                        "source" : {
+                           "localId" : "556",
+                           "locator" : "15:11-15:24",
+                           "name" : "ReportHomeBP",
+                           "type" : "FunctionRef",
+                           "resultTypeSpecifier" : {
+                              "localId" : "1389",
+                              "type" : "ListTypeSpecifier",
+                              "elementType" : {
+                                 "localId" : "1390",
+                                 "type" : "TupleTypeSpecifier",
+                                 "element" : [ {
+                                    "localId" : "1391",
+                                    "name" : "DisplayName",
+                                    "elementType" : {
+                                       "localId" : "1392",
+                                       "name" : "{urn:hl7-org:elm-types:r1}String",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 }, {
+                                    "localId" : "1393",
+                                    "name" : "ConceptName",
+                                    "elementType" : {
+                                       "localId" : "1394",
+                                       "name" : "{urn:hl7-org:elm-types:r1}Any",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 }, {
+                                    "localId" : "1395",
+                                    "name" : "Date",
+                                    "elementType" : {
+                                       "localId" : "1396",
+                                       "name" : "{urn:hl7-org:elm-types:r1}String",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 }, {
+                                    "localId" : "1397",
+                                    "name" : "ResultText",
+                                    "elementType" : {
+                                       "localId" : "1398",
+                                       "name" : "{urn:hl7-org:elm-types:r1}String",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 }, {
+                                    "localId" : "1399",
+                                    "name" : "ResultValue",
+                                    "elementType" : {
+                                       "localId" : "1400",
+                                       "name" : "{urn:hl7-org:elm-types:r1}Any",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 }, {
+                                    "localId" : "1401",
+                                    "name" : "ResultUnits",
+                                    "elementType" : {
+                                       "localId" : "1402",
+                                       "name" : "{urn:hl7-org:elm-types:r1}Any",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 }, {
+                                    "localId" : "1403",
+                                    "name" : "ReferenceRange",
+                                    "elementType" : {
+                                       "localId" : "1404",
+                                       "name" : "{urn:hl7-org:elm-types:r1}Any",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 }, {
+                                    "localId" : "1405",
+                                    "name" : "Interpretation",
+                                    "elementType" : {
+                                       "localId" : "1406",
+                                       "name" : "{urn:hl7-org:elm-types:r1}Any",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 }, {
+                                    "localId" : "1407",
+                                    "name" : "Flag",
+                                    "elementType" : {
+                                       "localId" : "1408",
+                                       "name" : "{urn:hl7-org:elm-types:r1}Any",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 }, {
+                                    "localId" : "1409",
+                                    "name" : "Performer",
+                                    "elementType" : {
+                                       "localId" : "1410",
+                                       "name" : "{urn:hl7-org:elm-types:r1}String",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 }, {
+                                    "localId" : "1411",
+                                    "name" : "Notes",
+                                    "elementType" : {
+                                       "localId" : "1412",
+                                       "type" : "ListTypeSpecifier",
+                                       "elementType" : {
+                                          "localId" : "1413",
+                                          "name" : "{urn:hl7-org:elm-types:r1}String",
+                                          "type" : "NamedTypeSpecifier"
+                                       }
+                                    }
+                                 }, {
+                                    "localId" : "1414",
+                                    "name" : "Provenance",
+                                    "elementType" : {
+                                       "localId" : "1415",
+                                       "type" : "ListTypeSpecifier",
+                                       "elementType" : {
+                                          "localId" : "1416",
+                                          "type" : "TupleTypeSpecifier",
+                                          "element" : [ {
+                                             "localId" : "1417",
+                                             "name" : "Transmitter",
+                                             "elementType" : {
+                                                "localId" : "1418",
+                                                "type" : "ListTypeSpecifier",
+                                                "elementType" : {
+                                                   "localId" : "1419",
+                                                   "name" : "{urn:hl7-org:elm-types:r1}String",
+                                                   "type" : "NamedTypeSpecifier"
+                                                }
+                                             }
+                                          }, {
+                                             "localId" : "1420",
+                                             "name" : "Author",
+                                             "elementType" : {
+                                                "localId" : "1421",
+                                                "type" : "ListTypeSpecifier",
+                                                "elementType" : {
+                                                   "localId" : "1422",
+                                                   "name" : "{urn:hl7-org:elm-types:r1}String",
+                                                   "type" : "NamedTypeSpecifier"
+                                                }
+                                             }
+                                          } ]
+                                       }
+                                    }
+                                 }, {
+                                    "localId" : "1423",
+                                    "name" : "LearnMore",
+                                    "elementType" : {
+                                       "localId" : "1424",
+                                       "name" : "{urn:hl7-org:elm-types:r1}Any",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 } ]
+                              }
+                           },
+                           "signature" : [ ],
+                           "operand" : [ ]
+                        }
+                     }, {
+                        "localId" : "1484",
+                        "locator" : "16:5-16:57",
                         "name" : "ReportObservation",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "1520",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
+                              "localId" : "1521",
                               "name" : "DisplayName",
                               "elementType" : {
+                                 "localId" : "1522",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1523",
                               "name" : "ConceptName",
                               "elementType" : {
+                                 "localId" : "1524",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1525",
                               "name" : "Date",
                               "elementType" : {
+                                 "localId" : "1526",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1527",
                               "name" : "ResultText",
                               "elementType" : {
+                                 "localId" : "1528",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1529",
                               "name" : "ResultValue",
                               "elementType" : {
+                                 "localId" : "1530",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1531",
                               "name" : "ResultUnits",
                               "elementType" : {
+                                 "localId" : "1532",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1533",
                               "name" : "ReferenceRange",
                               "elementType" : {
+                                 "localId" : "1534",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1535",
                               "name" : "Interpretation",
                               "elementType" : {
+                                 "localId" : "1536",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1537",
                               "name" : "Flag",
                               "elementType" : {
+                                 "localId" : "1538",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1539",
                               "name" : "Performer",
                               "elementType" : {
+                                 "localId" : "1540",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1541",
                               "name" : "Notes",
                               "elementType" : {
+                                 "localId" : "1542",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
+                                    "localId" : "1543",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
+                              "localId" : "1544",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "1545",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "1546",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "1547",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "1548",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "1549",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    }, {
+                                       "localId" : "1550",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "1551",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "1552",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "1553",
                               "name" : "LearnMore",
                               "elementType" : {
+                                 "localId" : "1554",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            } ]
                         },
+                        "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "70",
-                           "locator" : "15:26-15:46",
+                           "localId" : "1482",
+                           "locator" : "16:26-16:46",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "path" : "BodyHeight",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "69",
-                              "locator" : "15:26-15:35",
+                              "localId" : "1464",
+                              "locator" : "16:26-16:35",
                               "name" : "VitalSigns",
                               "type" : "ExpressionRef",
                               "resultTypeSpecifier" : {
+                                 "localId" : "1465",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
+                                    "localId" : "1466",
                                     "name" : "BloodPressure",
                                     "elementType" : {
+                                       "localId" : "1467",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1468",
                                     "name" : "BodyHeight",
                                     "elementType" : {
+                                       "localId" : "1469",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1470",
                                     "name" : "BodyWeight",
                                     "elementType" : {
+                                       "localId" : "1471",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1472",
                                     "name" : "BodyMassIndex",
                                     "elementType" : {
+                                       "localId" : "1473",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1474",
                                     "name" : "BodyTemperature",
                                     "elementType" : {
+                                       "localId" : "1475",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1476",
                                     "name" : "HeartRate",
                                     "elementType" : {
+                                       "localId" : "1477",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1478",
                                     "name" : "OxygenSaturation",
                                     "elementType" : {
+                                       "localId" : "1479",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1480",
                                     "name" : "RespiratoryRate",
                                     "elementType" : {
+                                       "localId" : "1481",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -2418,156 +7088,236 @@
                               }
                            }
                         }, {
-                           "localId" : "71",
-                           "locator" : "15:49-15:56",
+                           "localId" : "1483",
+                           "locator" : "16:49-16:56",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "Height",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "77",
-                        "locator" : "16:5-16:57",
+                        "localId" : "1576",
+                        "locator" : "17:5-17:57",
                         "name" : "ReportObservation",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "1612",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
+                              "localId" : "1613",
                               "name" : "DisplayName",
                               "elementType" : {
+                                 "localId" : "1614",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1615",
                               "name" : "ConceptName",
                               "elementType" : {
+                                 "localId" : "1616",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1617",
                               "name" : "Date",
                               "elementType" : {
+                                 "localId" : "1618",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1619",
                               "name" : "ResultText",
                               "elementType" : {
+                                 "localId" : "1620",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1621",
                               "name" : "ResultValue",
                               "elementType" : {
+                                 "localId" : "1622",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1623",
                               "name" : "ResultUnits",
                               "elementType" : {
+                                 "localId" : "1624",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1625",
                               "name" : "ReferenceRange",
                               "elementType" : {
+                                 "localId" : "1626",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1627",
                               "name" : "Interpretation",
                               "elementType" : {
+                                 "localId" : "1628",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1629",
                               "name" : "Flag",
                               "elementType" : {
+                                 "localId" : "1630",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1631",
                               "name" : "Performer",
                               "elementType" : {
+                                 "localId" : "1632",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1633",
                               "name" : "Notes",
                               "elementType" : {
+                                 "localId" : "1634",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
+                                    "localId" : "1635",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
+                              "localId" : "1636",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "1637",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "1638",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "1639",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "1640",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "1641",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    }, {
+                                       "localId" : "1642",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "1643",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "1644",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "1645",
                               "name" : "LearnMore",
                               "elementType" : {
+                                 "localId" : "1646",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            } ]
                         },
+                        "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "75",
-                           "locator" : "16:26-16:46",
+                           "localId" : "1574",
+                           "locator" : "17:26-17:46",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "path" : "BodyWeight",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "74",
-                              "locator" : "16:26-16:35",
+                              "localId" : "1556",
+                              "locator" : "17:26-17:35",
                               "name" : "VitalSigns",
                               "type" : "ExpressionRef",
                               "resultTypeSpecifier" : {
+                                 "localId" : "1557",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
+                                    "localId" : "1558",
                                     "name" : "BloodPressure",
                                     "elementType" : {
+                                       "localId" : "1559",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1560",
                                     "name" : "BodyHeight",
                                     "elementType" : {
+                                       "localId" : "1561",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1562",
                                     "name" : "BodyWeight",
                                     "elementType" : {
+                                       "localId" : "1563",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1564",
                                     "name" : "BodyMassIndex",
                                     "elementType" : {
+                                       "localId" : "1565",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1566",
                                     "name" : "BodyTemperature",
                                     "elementType" : {
+                                       "localId" : "1567",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1568",
                                     "name" : "HeartRate",
                                     "elementType" : {
+                                       "localId" : "1569",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1570",
                                     "name" : "OxygenSaturation",
                                     "elementType" : {
+                                       "localId" : "1571",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1572",
                                     "name" : "RespiratoryRate",
                                     "elementType" : {
+                                       "localId" : "1573",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -2575,156 +7325,236 @@
                               }
                            }
                         }, {
-                           "localId" : "76",
-                           "locator" : "16:49-16:56",
+                           "localId" : "1575",
+                           "locator" : "17:49-17:56",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "Weight",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "82",
-                        "locator" : "17:5-17:57",
+                        "localId" : "1668",
+                        "locator" : "18:5-18:57",
                         "name" : "ReportObservation",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "1704",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
+                              "localId" : "1705",
                               "name" : "DisplayName",
                               "elementType" : {
+                                 "localId" : "1706",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1707",
                               "name" : "ConceptName",
                               "elementType" : {
+                                 "localId" : "1708",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1709",
                               "name" : "Date",
                               "elementType" : {
+                                 "localId" : "1710",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1711",
                               "name" : "ResultText",
                               "elementType" : {
+                                 "localId" : "1712",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1713",
                               "name" : "ResultValue",
                               "elementType" : {
+                                 "localId" : "1714",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1715",
                               "name" : "ResultUnits",
                               "elementType" : {
+                                 "localId" : "1716",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1717",
                               "name" : "ReferenceRange",
                               "elementType" : {
+                                 "localId" : "1718",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1719",
                               "name" : "Interpretation",
                               "elementType" : {
+                                 "localId" : "1720",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1721",
                               "name" : "Flag",
                               "elementType" : {
+                                 "localId" : "1722",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1723",
                               "name" : "Performer",
                               "elementType" : {
+                                 "localId" : "1724",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1725",
                               "name" : "Notes",
                               "elementType" : {
+                                 "localId" : "1726",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
+                                    "localId" : "1727",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
+                              "localId" : "1728",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "1729",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "1730",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "1731",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "1732",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "1733",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    }, {
+                                       "localId" : "1734",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "1735",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "1736",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "1737",
                               "name" : "LearnMore",
                               "elementType" : {
+                                 "localId" : "1738",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            } ]
                         },
+                        "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "80",
-                           "locator" : "17:26-17:49",
+                           "localId" : "1666",
+                           "locator" : "18:26-18:49",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "path" : "BodyMassIndex",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "79",
-                              "locator" : "17:26-17:35",
+                              "localId" : "1648",
+                              "locator" : "18:26-18:35",
                               "name" : "VitalSigns",
                               "type" : "ExpressionRef",
                               "resultTypeSpecifier" : {
+                                 "localId" : "1649",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
+                                    "localId" : "1650",
                                     "name" : "BloodPressure",
                                     "elementType" : {
+                                       "localId" : "1651",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1652",
                                     "name" : "BodyHeight",
                                     "elementType" : {
+                                       "localId" : "1653",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1654",
                                     "name" : "BodyWeight",
                                     "elementType" : {
+                                       "localId" : "1655",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1656",
                                     "name" : "BodyMassIndex",
                                     "elementType" : {
+                                       "localId" : "1657",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1658",
                                     "name" : "BodyTemperature",
                                     "elementType" : {
+                                       "localId" : "1659",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1660",
                                     "name" : "HeartRate",
                                     "elementType" : {
+                                       "localId" : "1661",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1662",
                                     "name" : "OxygenSaturation",
                                     "elementType" : {
+                                       "localId" : "1663",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1664",
                                     "name" : "RespiratoryRate",
                                     "elementType" : {
+                                       "localId" : "1665",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -2732,156 +7562,236 @@
                               }
                            }
                         }, {
-                           "localId" : "81",
-                           "locator" : "17:52-17:56",
+                           "localId" : "1667",
+                           "locator" : "18:52-18:56",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "BMI",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "87",
-                        "locator" : "18:5-18:67",
+                        "localId" : "1760",
+                        "locator" : "19:5-19:67",
                         "name" : "ReportObservation",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "1796",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
+                              "localId" : "1797",
                               "name" : "DisplayName",
                               "elementType" : {
+                                 "localId" : "1798",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1799",
                               "name" : "ConceptName",
                               "elementType" : {
+                                 "localId" : "1800",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1801",
                               "name" : "Date",
                               "elementType" : {
+                                 "localId" : "1802",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1803",
                               "name" : "ResultText",
                               "elementType" : {
+                                 "localId" : "1804",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1805",
                               "name" : "ResultValue",
                               "elementType" : {
+                                 "localId" : "1806",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1807",
                               "name" : "ResultUnits",
                               "elementType" : {
+                                 "localId" : "1808",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1809",
                               "name" : "ReferenceRange",
                               "elementType" : {
+                                 "localId" : "1810",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1811",
                               "name" : "Interpretation",
                               "elementType" : {
+                                 "localId" : "1812",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1813",
                               "name" : "Flag",
                               "elementType" : {
+                                 "localId" : "1814",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1815",
                               "name" : "Performer",
                               "elementType" : {
+                                 "localId" : "1816",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1817",
                               "name" : "Notes",
                               "elementType" : {
+                                 "localId" : "1818",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
+                                    "localId" : "1819",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
+                              "localId" : "1820",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "1821",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "1822",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "1823",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "1824",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "1825",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    }, {
+                                       "localId" : "1826",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "1827",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "1828",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "1829",
                               "name" : "LearnMore",
                               "elementType" : {
+                                 "localId" : "1830",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            } ]
                         },
+                        "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "85",
-                           "locator" : "18:26-18:51",
+                           "localId" : "1758",
+                           "locator" : "19:26-19:51",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "path" : "BodyTemperature",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "84",
-                              "locator" : "18:26-18:35",
+                              "localId" : "1740",
+                              "locator" : "19:26-19:35",
                               "name" : "VitalSigns",
                               "type" : "ExpressionRef",
                               "resultTypeSpecifier" : {
+                                 "localId" : "1741",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
+                                    "localId" : "1742",
                                     "name" : "BloodPressure",
                                     "elementType" : {
+                                       "localId" : "1743",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1744",
                                     "name" : "BodyHeight",
                                     "elementType" : {
+                                       "localId" : "1745",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1746",
                                     "name" : "BodyWeight",
                                     "elementType" : {
+                                       "localId" : "1747",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1748",
                                     "name" : "BodyMassIndex",
                                     "elementType" : {
+                                       "localId" : "1749",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1750",
                                     "name" : "BodyTemperature",
                                     "elementType" : {
+                                       "localId" : "1751",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1752",
                                     "name" : "HeartRate",
                                     "elementType" : {
+                                       "localId" : "1753",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1754",
                                     "name" : "OxygenSaturation",
                                     "elementType" : {
+                                       "localId" : "1755",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1756",
                                     "name" : "RespiratoryRate",
                                     "elementType" : {
+                                       "localId" : "1757",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -2889,156 +7799,236 @@
                               }
                            }
                         }, {
-                           "localId" : "86",
-                           "locator" : "18:54-18:66",
+                           "localId" : "1759",
+                           "locator" : "19:54-19:66",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "Temperature",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "92",
-                        "locator" : "19:5-19:60",
+                        "localId" : "1852",
+                        "locator" : "20:5-20:60",
                         "name" : "ReportObservation",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "1888",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
+                              "localId" : "1889",
                               "name" : "DisplayName",
                               "elementType" : {
+                                 "localId" : "1890",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1891",
                               "name" : "ConceptName",
                               "elementType" : {
+                                 "localId" : "1892",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1893",
                               "name" : "Date",
                               "elementType" : {
+                                 "localId" : "1894",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1895",
                               "name" : "ResultText",
                               "elementType" : {
+                                 "localId" : "1896",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1897",
                               "name" : "ResultValue",
                               "elementType" : {
+                                 "localId" : "1898",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1899",
                               "name" : "ResultUnits",
                               "elementType" : {
+                                 "localId" : "1900",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1901",
                               "name" : "ReferenceRange",
                               "elementType" : {
+                                 "localId" : "1902",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1903",
                               "name" : "Interpretation",
                               "elementType" : {
+                                 "localId" : "1904",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1905",
                               "name" : "Flag",
                               "elementType" : {
+                                 "localId" : "1906",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1907",
                               "name" : "Performer",
                               "elementType" : {
+                                 "localId" : "1908",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1909",
                               "name" : "Notes",
                               "elementType" : {
+                                 "localId" : "1910",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
+                                    "localId" : "1911",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
+                              "localId" : "1912",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "1913",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "1914",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "1915",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "1916",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "1917",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    }, {
+                                       "localId" : "1918",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "1919",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "1920",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "1921",
                               "name" : "LearnMore",
                               "elementType" : {
+                                 "localId" : "1922",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            } ]
                         },
+                        "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "90",
-                           "locator" : "19:26-19:45",
+                           "localId" : "1850",
+                           "locator" : "20:26-20:45",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "path" : "HeartRate",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "89",
-                              "locator" : "19:26-19:35",
+                              "localId" : "1832",
+                              "locator" : "20:26-20:35",
                               "name" : "VitalSigns",
                               "type" : "ExpressionRef",
                               "resultTypeSpecifier" : {
+                                 "localId" : "1833",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
+                                    "localId" : "1834",
                                     "name" : "BloodPressure",
                                     "elementType" : {
+                                       "localId" : "1835",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1836",
                                     "name" : "BodyHeight",
                                     "elementType" : {
+                                       "localId" : "1837",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1838",
                                     "name" : "BodyWeight",
                                     "elementType" : {
+                                       "localId" : "1839",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1840",
                                     "name" : "BodyMassIndex",
                                     "elementType" : {
+                                       "localId" : "1841",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1842",
                                     "name" : "BodyTemperature",
                                     "elementType" : {
+                                       "localId" : "1843",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1844",
                                     "name" : "HeartRate",
                                     "elementType" : {
+                                       "localId" : "1845",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1846",
                                     "name" : "OxygenSaturation",
                                     "elementType" : {
+                                       "localId" : "1847",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1848",
                                     "name" : "RespiratoryRate",
                                     "elementType" : {
+                                       "localId" : "1849",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -3046,156 +8036,236 @@
                               }
                            }
                         }, {
-                           "localId" : "91",
-                           "locator" : "19:48-19:59",
+                           "localId" : "1851",
+                           "locator" : "20:48-20:59",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "Heart Rate",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "97",
-                        "locator" : "20:5-20:74",
+                        "localId" : "1944",
+                        "locator" : "21:5-21:74",
                         "name" : "ReportObservation",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "1980",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
+                              "localId" : "1981",
                               "name" : "DisplayName",
                               "elementType" : {
+                                 "localId" : "1982",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1983",
                               "name" : "ConceptName",
                               "elementType" : {
+                                 "localId" : "1984",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1985",
                               "name" : "Date",
                               "elementType" : {
+                                 "localId" : "1986",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1987",
                               "name" : "ResultText",
                               "elementType" : {
+                                 "localId" : "1988",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1989",
                               "name" : "ResultValue",
                               "elementType" : {
+                                 "localId" : "1990",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1991",
                               "name" : "ResultUnits",
                               "elementType" : {
+                                 "localId" : "1992",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1993",
                               "name" : "ReferenceRange",
                               "elementType" : {
+                                 "localId" : "1994",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1995",
                               "name" : "Interpretation",
                               "elementType" : {
+                                 "localId" : "1996",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1997",
                               "name" : "Flag",
                               "elementType" : {
+                                 "localId" : "1998",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "1999",
                               "name" : "Performer",
                               "elementType" : {
+                                 "localId" : "2000",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2001",
                               "name" : "Notes",
                               "elementType" : {
+                                 "localId" : "2002",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
+                                    "localId" : "2003",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
+                              "localId" : "2004",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "2005",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "2006",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "2007",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "2008",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "2009",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    }, {
+                                       "localId" : "2010",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "2011",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "2012",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "2013",
                               "name" : "LearnMore",
                               "elementType" : {
+                                 "localId" : "2014",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            } ]
                         },
+                        "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "95",
-                           "locator" : "20:26-20:52",
+                           "localId" : "1942",
+                           "locator" : "21:26-21:52",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "path" : "OxygenSaturation",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "94",
-                              "locator" : "20:26-20:35",
+                              "localId" : "1924",
+                              "locator" : "21:26-21:35",
                               "name" : "VitalSigns",
                               "type" : "ExpressionRef",
                               "resultTypeSpecifier" : {
+                                 "localId" : "1925",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
+                                    "localId" : "1926",
                                     "name" : "BloodPressure",
                                     "elementType" : {
+                                       "localId" : "1927",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1928",
                                     "name" : "BodyHeight",
                                     "elementType" : {
+                                       "localId" : "1929",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1930",
                                     "name" : "BodyWeight",
                                     "elementType" : {
+                                       "localId" : "1931",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1932",
                                     "name" : "BodyMassIndex",
                                     "elementType" : {
+                                       "localId" : "1933",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1934",
                                     "name" : "BodyTemperature",
                                     "elementType" : {
+                                       "localId" : "1935",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1936",
                                     "name" : "HeartRate",
                                     "elementType" : {
+                                       "localId" : "1937",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1938",
                                     "name" : "OxygenSaturation",
                                     "elementType" : {
+                                       "localId" : "1939",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "1940",
                                     "name" : "RespiratoryRate",
                                     "elementType" : {
+                                       "localId" : "1941",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -3203,156 +8273,236 @@
                               }
                            }
                         }, {
-                           "localId" : "96",
-                           "locator" : "20:55-20:73",
+                           "localId" : "1943",
+                           "locator" : "21:55-21:73",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "Oxygen Saturation",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "102",
-                        "locator" : "21:5-21:72",
+                        "localId" : "2036",
+                        "locator" : "22:5-22:72",
                         "name" : "ReportObservation",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "2072",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
+                              "localId" : "2073",
                               "name" : "DisplayName",
                               "elementType" : {
+                                 "localId" : "2074",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2075",
                               "name" : "ConceptName",
                               "elementType" : {
+                                 "localId" : "2076",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2077",
                               "name" : "Date",
                               "elementType" : {
+                                 "localId" : "2078",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2079",
                               "name" : "ResultText",
                               "elementType" : {
+                                 "localId" : "2080",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2081",
                               "name" : "ResultValue",
                               "elementType" : {
+                                 "localId" : "2082",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2083",
                               "name" : "ResultUnits",
                               "elementType" : {
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                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2085",
                               "name" : "ReferenceRange",
                               "elementType" : {
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                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2087",
                               "name" : "Interpretation",
                               "elementType" : {
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                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
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                               "name" : "Flag",
                               "elementType" : {
+                                 "localId" : "2090",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2091",
                               "name" : "Performer",
                               "elementType" : {
+                                 "localId" : "2092",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2093",
                               "name" : "Notes",
                               "elementType" : {
+                                 "localId" : "2094",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
+                                    "localId" : "2095",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
+                              "localId" : "2096",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "2097",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "2098",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "2099",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "2100",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "2101",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    }, {
+                                       "localId" : "2102",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "2103",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "2104",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "2105",
                               "name" : "LearnMore",
                               "elementType" : {
+                                 "localId" : "2106",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            } ]
                         },
+                        "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "100",
-                           "locator" : "21:26-21:51",
+                           "localId" : "2034",
+                           "locator" : "22:26-22:51",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "path" : "RespiratoryRate",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "99",
-                              "locator" : "21:26-21:35",
+                              "localId" : "2016",
+                              "locator" : "22:26-22:35",
                               "name" : "VitalSigns",
                               "type" : "ExpressionRef",
                               "resultTypeSpecifier" : {
+                                 "localId" : "2017",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
+                                    "localId" : "2018",
                                     "name" : "BloodPressure",
                                     "elementType" : {
+                                       "localId" : "2019",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "2020",
                                     "name" : "BodyHeight",
                                     "elementType" : {
+                                       "localId" : "2021",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "2022",
                                     "name" : "BodyWeight",
                                     "elementType" : {
+                                       "localId" : "2023",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "2024",
                                     "name" : "BodyMassIndex",
                                     "elementType" : {
+                                       "localId" : "2025",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "2026",
                                     "name" : "BodyTemperature",
                                     "elementType" : {
+                                       "localId" : "2027",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "2028",
                                     "name" : "HeartRate",
                                     "elementType" : {
+                                       "localId" : "2029",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "2030",
                                     "name" : "OxygenSaturation",
                                     "elementType" : {
+                                       "localId" : "2031",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
+                                    "localId" : "2032",
                                     "name" : "RespiratoryRate",
                                     "elementType" : {
+                                       "localId" : "2033",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -3360,8 +8510,8 @@
                               }
                            }
                         }, {
-                           "localId" : "101",
-                           "locator" : "21:54-21:71",
+                           "localId" : "2035",
+                           "locator" : "22:54-22:71",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "Respiratory Rate",
@@ -3370,96 +8520,162 @@
                      } ]
                   }
                } ],
+               "let" : [ ],
                "relationship" : [ ],
                "where" : {
-                  "localId" : "106",
-                  "locator" : "22:13-22:36",
+                  "localId" : "2252",
+                  "locator" : "23:13-23:36",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "type" : "Not",
+                  "signature" : [ ],
                   "operand" : {
-                     "locator" : "22:19-22:36",
+                     "localId" : "2251",
+                     "locator" : "23:19-23:36",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "IsNull",
+                     "signature" : [ ],
                      "operand" : {
-                        "localId" : "105",
-                        "locator" : "22:19-22:24",
+                        "localId" : "2215",
+                        "locator" : "23:19-23:24",
                         "name" : "Result",
                         "type" : "AliasRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "2216",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
+                              "localId" : "2217",
                               "name" : "DisplayName",
                               "elementType" : {
+                                 "localId" : "2218",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2219",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "localId" : "2220",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2221",
                               "name" : "Date",
                               "elementType" : {
+                                 "localId" : "2222",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2223",
                               "name" : "ResultText",
                               "elementType" : {
+                                 "localId" : "2224",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2225",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}Decimal",
+                                 "localId" : "2226",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2227",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "localId" : "2228",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2229",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "localId" : "2230",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2231",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "localId" : "2232",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2233",
                               "name" : "Flag",
                               "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}Boolean",
+                                 "localId" : "2234",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2235",
                               "name" : "Performer",
                               "elementType" : {
+                                 "localId" : "2236",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "2237",
                               "name" : "Notes",
                               "elementType" : {
+                                 "localId" : "2238",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
+                                    "localId" : "2239",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
+                              "localId" : "2240",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "2241",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "2242",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "2243",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "2244",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "2245",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    }, {
+                                       "localId" : "2246",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "2247",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "2248",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "2249",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "localId" : "2250",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            } ]
diff --git a/src/data-services/fhirService.ts b/src/data-services/fhirService.ts
index 5e4aed2..cca7d92 100644
--- a/src/data-services/fhirService.ts
+++ b/src/data-services/fhirService.ts
@@ -28,7 +28,7 @@ const today: Date = new Date()
 const oneDay = 24 * 3600 * 1000
 // const threeMonthsAgo = new Date(today.getTime() - (365/4 * oneDay))
 // const sixMonthsAgo = new Date(today.getTime() - (365/2 * oneDay))
-// const oneYearAgo = new Date(today.getTime() - (365 * oneDay))
+const oneYearAgo = new Date(today.getTime() - (365 * oneDay))
 const threeYearsAgo = new Date(today.getTime() - (365 * oneDay * 3))
 // const fiveYearsAgo = new Date(today.getTime() - (365 * oneDay * 5))
 
@@ -144,8 +144,8 @@ export async function getVitalSigns(client: Client): Promise<Observation[]> {
   var resources: Resource[] = []
   // codes are ordered by preference for presentation: BP, Heart rate, O2 sat, temp, weight, height, BMI
   // const vitalsCodes = ['85354-9', '8867-4', '59408-5', '2708-6', '8310-5', '29463-7', '8302-2', '39156-5']
-  // codes are ordered by preference for presentation: BP, O2 sat, temp, weight, height
-  const vitalsCodes = ['85354-9', '59408-5', '8310-5', '29463-7', '8302-2']
+  // codes are ordered by preference for presentation: BP, O2 sat, temp, weight, height, BMI
+  const vitalsCodes = ['85354-9', '59408-5', '8310-5', '29463-7', '8302-2', '39156-5']
   const queryPaths = vitalsCodes.map(code => {
     // Issue: UCHealth returns 400 error if include both category and code.
     // return 'Observation?category=vital-signs&code=http://loinc.org|' + code + '&_sort:desc=date&_count=1'
@@ -159,10 +159,14 @@ export async function getVitalSigns(client: Client): Promise<Observation[]> {
   resources = resources.concat(resourcesFrom(await client.patient.request(queryPaths[2], onePageLimit) as fhirclient.JsonObject) as Observation[])
   resources = resources.concat(resourcesFrom(await client.patient.request(queryPaths[3], onePageLimit) as fhirclient.JsonObject) as Observation[])
   resources = resources.concat(resourcesFrom(await client.patient.request(queryPaths[4], onePageLimit) as fhirclient.JsonObject) as Observation[])
-  // resources = resources.concat( resourcesFrom(await client.patient.request(queryPaths[5], onePageLimit) as fhirclient.JsonObject) as Observation[] )
+  resources = resources.concat(resourcesFrom(await client.patient.request(queryPaths[5], onePageLimit) as fhirclient.JsonObject) as Observation[] )
   // resources = resources.concat( resourcesFrom(await client.patient.request(queryPaths[6], onePageLimit) as fhirclient.JsonObject) as Observation[] )
   // resources = resources.concat( resourcesFrom(await client.patient.request(queryPaths[7], onePageLimit) as fhirclient.JsonObject) as Observation[] )
 
+  // One year of history for Home BP vitals, which are returned as separate systolic and diastolic Observation resources.
+  const homeBPPath = 'Observation?code=http://loinc.org|72076-3&date=' + getDateParameter(oneYearAgo) + provenanceSearch
+  resources = resources.concat(resourcesFrom(await client.patient.request(homeBPPath, onePageLimit) as fhirclient.JsonObject) as Observation[] )
+
   resources = resources.filter(v => v !== undefined)
   const vitals = resources.filter((item: any) => item?.resourceType === 'Observation') as Observation[]
   recordProvenance(resources)

From c91e334e583bab3779c7fb352227a5b56f994cb5 Mon Sep 17 00:00:00 2001
From: sravandigitalhie <sravan@digitalhie.com>
Date: Fri, 19 Jul 2024 16:50:03 -0400
Subject: [PATCH 07/20] Added the Logout button and it's functionality

---
 .env                                          | 15 +++----
 src/App.tsx                                   |  2 +-
 src/Home.tsx                                  | 41 +++++++++++++++++--
 .../session-timeout/SessionTimeoutPage.tsx    |  5 +--
 4 files changed, 45 insertions(+), 18 deletions(-)

diff --git a/.env b/.env
index 6db3de8..e157071 100644
--- a/.env
+++ b/.env
@@ -7,17 +7,17 @@ GENERATE_SOURCEMAP=false
 #
 # SHARED_DATA_AUTH_ENDPOINT is a different FHIR endpoint that is used to authorize the user for shared data.
 #
-REACT_APP_SHARED_DATA_ENDPOINT=http://localhost:8080/fhir
-REACT_APP_SHARED_DATA_AUTH_ENDPOINT=https://gw.interop.community/MCCDevelopment/data
-REACT_APP_SHARED_DATA_SCOPE="launch/patient openid fhirUser patient/* user/*.cruds	patient/*.cruds"
+# REACT_APP_SHARED_DATA_ENDPOINT=
+# REACT_APP_SHARED_DATA_AUTH_ENDPOINT=
+# REACT_APP_SHARED_DATA_SCOPE="launch/patient openid fhirUser patient/*.read patient/*.write"
 
 # These 2 parameters are only used when Shared Data is a separate FHIR server with its own SMART launch flow.
 REACT_APP_SHARED_DATA_CLIENT_ID=
 REACT_APP_SHARED_DATA_REDIRECT_URI="./index.html"
 
 
-#REACT_APP_MELD_SANDBOX_NAME=MCCDevelopment
-#REACT_APP_MELD_SANDBOX_CLIENT_ID=<...>
+REACT_APP_MELD_SANDBOX_NAME=MCCDevelopment
+REACT_APP_MELD_SANDBOX_CLIENT_ID=<...>
 
 # Logica sandbox
 REACT_APP_CLIENT_ID_logica=<...>
@@ -91,7 +91,4 @@ REACT_APP_LOG_ENDPOINT_URI="http://localhost:8085"
 
 REACT_APP_VERSION="version -  SDS Beta"
 # Set to have HHS Banner
-REACT_APP_HHS_BANNER=false
-
-REACT_APP_MELD_SANDBOX_NAME=MCCDevelopment
-REACT_APP_MELD_SANDBOX_CLIENT_ID=5fa54c47-ed80-405b-a0b7-611eee5d0159
\ No newline at end of file
+REACT_APP_HHS_BANNER=false
\ No newline at end of file
diff --git a/src/App.tsx b/src/App.tsx
index 9f84325..499142d 100644
--- a/src/App.tsx
+++ b/src/App.tsx
@@ -916,7 +916,7 @@ class App extends React.Component<AppProps, AppState> {
                                         <Home fhirDataCollection={this.state.fhirDataCollection} patientSummaries={this.state.patientSummaries} screenings={this.state.screenings}
                                             progressMessage={this.state.progressMessage} progressValue={this.state.progressValue} resourcesLoadedCount={this.state.resourcesLoadedCount}
                                             errorType={this.state.errorType} userErrorMessage={this.state.userErrorMessage} developerErrorMessage={this.state.developerErrorMessage} errorCaught={this.state.errorCaught}
-                                            canShareData={this.state.canShareData}
+                                            canShareData={this.state.canShareData} isLogout={this.state.isLogout}
                                             />
                                     </TabPanel>
                                     <TabPanel value="2" sx={{ padding: '0px 0px 100px' }}>
diff --git a/src/Home.tsx b/src/Home.tsx
index b88be9b..3a54ea9 100644
--- a/src/Home.tsx
+++ b/src/Home.tsx
@@ -5,10 +5,11 @@ import { FHIRData } from './data-services/models/fhirResources';
 import { PatientSummary, ScreeningSummary } from './data-services/models/cqlSummary';
 // import { Task } from './data-services/fhir-types/fhir-r4';
 // import { BusySpinner } from './components/busy-spinner/BusySpinner';
-import { CircularProgress } from '@mui/material';
+import { Button, CircularProgress, styled } from '@mui/material';
 import { DeterminateProgress } from './components/determinate-progress/DeterminateProgress';
 import { ErrorMessage } from './components/error-message/ErrorMessage';
 import Modal from './components/modal/modal';
+import { deleteAllDataFromLocalForage } from './data-services/persistenceService';
 // import BusyGroup from './components/busy-spinner/BusyGroup';
 
 interface HomeProps {
@@ -25,11 +26,14 @@ interface HomeProps {
   userErrorMessage: string | undefined,
   developerErrorMessage: string | undefined,
   errorCaught: Error | string | unknown,
-  canShareData?: boolean
+  canShareData?: boolean,
+  isLogout: boolean,
 }
 
 interface HomeState {
   isModalVisible: boolean;
+  isLogout: boolean;
+  isLoggedOut: boolean;
 }
 
 export default class Home extends React.Component<HomeProps, HomeState> {
@@ -39,6 +43,8 @@ export default class Home extends React.Component<HomeProps, HomeState> {
     this.state = {
       // isModalVisible: true
       isModalVisible: !sessionStorage.getItem('hasSeenModal'),
+      isLogout: this.props.isLogout,
+      isLoggedOut: false,
     };
     console.log('Initial isModalVisible:', this.state.isModalVisible);
   }
@@ -49,6 +55,15 @@ export default class Home extends React.Component<HomeProps, HomeState> {
     this.setState({ isModalVisible: false });
   };
 
+  handleLogout = async () => {
+    if (!this.state.isLogout) {
+      this.setState({ isLogout: true });
+      sessionStorage.clear();
+      await deleteAllDataFromLocalForage();
+      this.setState({ isLoggedOut: true });
+    }
+  };
+
   // TODO:MULTI-PROVIDER: Update view to itterate fhirDataCollection if needed
   // TODO:MULTI-PROVIDER: Change patient name list to provider name and display single patient name at top
   public render(): JSX.Element {
@@ -130,6 +145,15 @@ export default class Home extends React.Component<HomeProps, HomeState> {
               errorType={this.props.errorType} userErrorMessage={this.props.userErrorMessage}
               developerErrorMessage={this.props.developerErrorMessage} errorCaught={this.props.errorCaught} />
 
+              <Link to="/logout" onClick={this.handleLogout} style={{ textDecoration: 'none', display: 'block' }}>
+              <Button
+                variant="contained"
+                color="primary"
+                style={{ width: '100%', padding: '15px', fontSize: '16px' }}
+              >
+                LOG OUT
+              </Button>
+            </Link>
           </div>
           : <div>
 
@@ -148,7 +172,6 @@ export default class Home extends React.Component<HomeProps, HomeState> {
               state: { patientSummaries: this.props.patientSummaries, questionnaireId: 'caregiver-strain-questionnaire' }
             }} ><strong>Caregiver Strain Assessment</strong></Link><br />
 
-         
             {/* {(tasks === undefined)
                 ? <p>You have no tasks today!</p>
                 : <ul>
@@ -207,6 +230,16 @@ export default class Home extends React.Component<HomeProps, HomeState> {
 
             <h5 style={{ paddingTop: '20px' }}>Disclaimer</h5>
             <p>This application is provided for informational purposes only and does not constitute medical advice or professional services. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with a licensed physician. Always seek the advice of your doctor or other qualified health provider regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this application. If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately. No physician-patient relationship is created by this application or its use. Neither OHSU, nor its employees, nor any contributor to this application, makes any representations, express or implied, with respect to the information herein or to its use.</p>
+            <br></br>
+            <Link to="/logout" onClick={this.handleLogout} style={{ textDecoration: 'none', display: 'block' }}>
+              <Button
+                variant="contained"
+                color="primary"
+                style={{ width: '100%', padding: '15px', fontSize: '16px' }}
+              >
+                LOG OUT
+              </Button>
+            </Link>
           </div>
         }
       </div>
@@ -214,4 +247,4 @@ export default class Home extends React.Component<HomeProps, HomeState> {
   }
 
 
-}
+}
\ No newline at end of file
diff --git a/src/components/session-timeout/SessionTimeoutPage.tsx b/src/components/session-timeout/SessionTimeoutPage.tsx
index 983b69a..811498b 100644
--- a/src/components/session-timeout/SessionTimeoutPage.tsx
+++ b/src/components/session-timeout/SessionTimeoutPage.tsx
@@ -7,8 +7,7 @@ interface SessionTimeoutPageProps {
     isLoggedOut: boolean;
 }
 
-export const SessionTimeoutPage = ({ isLoggedOut }: SessionTimeoutPageProps) => {
-    if (isLoggedOut) {
+export const SessionTimeoutPage = () => {
         return (
             <div className="session-timeout-page">
                 <div className="confirmation-container">
@@ -18,6 +17,4 @@ export const SessionTimeoutPage = ({ isLoggedOut }: SessionTimeoutPageProps) =>
                 </div>
             </div>
         );
-    }
-    return null; 
 };
\ No newline at end of file

From 0d05776e1d9e135eaa665579ce4a16596708d201 Mon Sep 17 00:00:00 2001
From: David Carlson <dcarlson@clinicalcloud.solutions>
Date: Sun, 21 Jul 2024 14:22:40 -0600
Subject: [PATCH 08/20] Add script to update value sets from VSAC

---
 package.json                                  |  4 +-
 src/data-services/cql/mcc/updateValueSetDB.js | 90 +++++++++++++++++++
 yarn.lock                                     | 39 +++++++-
 3 files changed, 128 insertions(+), 5 deletions(-)
 create mode 100644 src/data-services/cql/mcc/updateValueSetDB.js

diff --git a/package.json b/package.json
index da89970..4e030db 100644
--- a/package.json
+++ b/package.json
@@ -53,7 +53,9 @@
         "cors": "^2.8.5",
         "express": "^4.17.1",
         "gh-pages": "^3.1.0",
-        "typescript": "^3.8.3"
+        "typescript": "^3.8.3",
+        "cql-exec-vsac": "^1.2.2",
+        "temp": "^0.9.1"
     },
     "scripts": {
         "start": "rescripts start",
diff --git a/src/data-services/cql/mcc/updateValueSetDB.js b/src/data-services/cql/mcc/updateValueSetDB.js
new file mode 100644
index 0000000..a3abe8c
--- /dev/null
+++ b/src/data-services/cql/mcc/updateValueSetDB.js
@@ -0,0 +1,90 @@
+// This script updates the valueset-db.json file with any changes from the CQL
+// library and/or changes in the value set definitions in VSAC.  It should be
+// called with the UMLS API Key as the argument.
+const fs = require('fs');
+const path = require('path');
+const temp = require('temp');
+const { Library, Repository } = require('cql-execution');
+const { CodeService } = require('cql-exec-vsac');
+const mccConceptsELM = require('./MCCConcepts.json');
+const fhirCommonELM = require('./FHIRCommon.json');
+const fhirHelpersELM = require('./FHIRHelpers.json');
+
+// First ensure an API key is provided
+let apiKey;
+if (process.argv.length === 3) {
+  apiKey = process.argv[2];
+} else if (process.argv.length === 4) {
+  console.error('UMLS username and password is no longer supported. Please pass in a UMLS API key instead.');
+  process.exit(1);
+} else {
+  console.error('The UMLS API key must be passed in as an argument');
+  process.exit(1);
+}
+
+// Then initialize the cql-exec-vsac CodeService, pointing to a temporary
+// folder to dump the valueset cache files.
+temp.track(); // track temporary files and delete them when the process exits
+const tempFolder = temp.mkdirSync('vsac-cache');
+const codeService = new CodeService(tempFolder);
+// const codeService = new CodeService('./temp/vsac-cache');
+
+console.log(`Using temp folder: ${tempFolder}`);
+
+// const tempDBFile = path.join(tempFolder, 'valueset-db.json');
+// const tempDBPath = path.join(__dirname, '../../input/', 'cql', 'valueset-db.json');
+// fs.writeFileSync(dbPath, JSON.stringify(fixed, null, 2), 'utf8');
+
+// Then setup the CQL libraries that we need to analyze to extract the valuesets from.
+const r4Lib = new Library(mccConceptsELM, new Repository({
+  FHIRCommon: fhirCommonELM,
+  FHIRHelpers: fhirHelpersELM
+}));
+
+// Then use the ensureValueSetsInLibrary function to analyze the Pain
+// Management Summary CQL, request all the value sets from VSAC, and store
+// their data in the temporary folder.  The second argument (true)
+// indicates to also look at dependency libraries.  This has no affect
+// for the current CQL, but may be helpful for people who extend it.
+const maskedKey = apiKey.slice(0, 2) + apiKey.slice(2, -2).replace(/[^-]/g, '*') + apiKey.slice(-2);
+console.log(`Loading value sets from VSAC using API key: ${maskedKey}`);
+codeService.ensureValueSetsInLibraryWithAPIKey(r4Lib, true, apiKey)
+  .then(() => {
+    // The valueset-db.json that the codeService produces isn't exactly the
+    // format that the Pain Management Summary wants, so now we must reformat
+    // it into the desired format.
+    const tempDBFile = path.join(tempFolder, 'valueset-db.json');
+    const original = JSON.parse(fs.readFileSync(tempDBFile, 'utf8'));
+    let oidKeys = Object.keys(original).sort();
+    console.log(`Loaded ${oidKeys.length} value sets`);
+    console.log('Translating JSON to expected format')
+    const fixed = {};
+    for (const oid of oidKeys) {
+      let oiduri = 'http://cts.nlm.nih.gov/fhir/ValueSet/' + oid;
+      fixed[oiduri] = {};
+      for (const version of Object.keys(original[oid])) {
+        fixed[oiduri][version] = original[oid][version]['codes'].sort((a, b) => {
+          if (a.code < b.code) return -1;
+          else if (a.code > b.code) return 1;
+          return 0;
+        });
+      }
+    }
+
+    // And finally write the result to the real locations of the valueset-db.json.
+    // const dbPath = path.join(__dirname, '../../input/', 'cql', 'valueset-db.json');
+    const dbPath = path.join(__dirname, './', '.', 'valueset-db.json');
+    fs.writeFileSync(dbPath, JSON.stringify(fixed, null, 2), 'utf8');
+    console.log('Updated:', dbPath);
+  })
+  .catch((error) => {
+    let message = error.message;
+    if (error.statusCode === 401) {
+      // The default 401 message isn't helpful at all
+      message = 'invalid API key or unauthorized access'
+    }
+    console.error('Error updating valueset-db.json:', error);
+    process.exit(1);
+  });
+
+
diff --git a/yarn.lock b/yarn.lock
index 9c19bae..a995145 100644
--- a/yarn.lock
+++ b/yarn.lock
@@ -4179,6 +4179,17 @@ cql-exec-fhir@^2.0.0:
     "@babel/preset-env" "^7.16.4"
     xml2js "~0.4.23"
 
+cql-exec-vsac@^1.2.2:
+  version "1.2.2"
+  resolved "https://registry.yarnpkg.com/cql-exec-vsac/-/cql-exec-vsac-1.2.2.tgz#bbdbeaffadad2508bb544a5d63ac8f132aac4538"
+  integrity sha512-zF1krdk1fVYidmWNPcWCVJbfk8q3flaUbu3uJRcPeeoLyqvuKOomtleUSxMaIMiuZ+49/a4aRqwWQnGqqqc+pg==
+  dependencies:
+    debug "^4.2.0"
+    mkdirp "^1.0.4"
+    request "^2.88.2"
+    request-promise-native "^1.0.9"
+    xml2js "^0.4.23"
+
 cql-execution@^2.3.0:
   version "2.3.3"
   resolved "https://registry.npmjs.org/cql-execution/-/cql-execution-2.3.3.tgz"
@@ -4561,6 +4572,13 @@ debug@^4.0.1, debug@^4.1.0, debug@^4.1.1:
   dependencies:
     ms "2.1.2"
 
+debug@^4.2.0:
+  version "4.3.5"
+  resolved "https://registry.yarnpkg.com/debug/-/debug-4.3.5.tgz#e83444eceb9fedd4a1da56d671ae2446a01a6e1e"
+  integrity sha512-pt0bNEmneDIvdL1Xsd9oDQ/wrQRkXDT4AUWlNZNPKvW5x/jyO9VFXkJUP07vQ2upmw5PlaITaPKc31jK13V+jg==
+  dependencies:
+    ms "2.1.2"
+
 decamelize@^1.2.0:
   version "1.2.0"
   resolved "https://registry.npmjs.org/decamelize/-/decamelize-1.2.0.tgz"
@@ -8376,6 +8394,11 @@ mkdirp@^0.5.1, mkdirp@^0.5.3, mkdirp@^0.5.5, mkdirp@~0.5.1:
   dependencies:
     minimist "^1.2.5"
 
+mkdirp@^1.0.4:
+  version "1.0.4"
+  resolved "https://registry.yarnpkg.com/mkdirp/-/mkdirp-1.0.4.tgz#3eb5ed62622756d79a5f0e2a221dfebad75c2f7e"
+  integrity sha512-vVqVZQyf3WLx2Shd0qJ9xuvqgAyKPLAiqITEtqW0oIUjzo3PePDd6fW9iFz30ef7Ysp/oiWqbhszeGWW2T6Gzw==
+
 moment@^2.29.4:
   version "2.29.4"
   resolved "https://registry.npmjs.org/moment/-/moment-2.29.4.tgz"
@@ -10724,7 +10747,7 @@ request-promise-core@1.1.4:
   dependencies:
     lodash "^4.17.19"
 
-request-promise-native@^1.0.5:
+request-promise-native@^1.0.5, request-promise-native@^1.0.9:
   version "1.0.9"
   resolved "https://registry.npmjs.org/request-promise-native/-/request-promise-native-1.0.9.tgz"
   integrity sha512-wcW+sIUiWnKgNY0dqCpOZkUbF/I+YPi+f09JZIDa39Ec+q82CpSYniDp+ISgTTbKmnpJWASeJBPZmoxH84wt3g==
@@ -10733,7 +10756,7 @@ request-promise-native@^1.0.5:
     stealthy-require "^1.1.1"
     tough-cookie "^2.3.3"
 
-request@^2.87.0, request@^2.88.0:
+request@^2.87.0, request@^2.88.0, request@^2.88.2:
   version "2.88.2"
   resolved "https://registry.npmjs.org/request/-/request-2.88.2.tgz"
   integrity sha512-MsvtOrfG9ZcrOwAW+Qi+F6HbD0CWXEh9ou77uOb7FM2WPhwT7smM833PzanhJLsgXjN89Ir6V2PczXNnMpwKhw==
@@ -10902,7 +10925,7 @@ rifm@^0.12.1:
   resolved "https://registry.npmjs.org/rifm/-/rifm-0.12.1.tgz"
   integrity sha512-OGA1Bitg/dSJtI/c4dh90svzaUPt228kzFsUkJbtA2c964IqEAwWXeL9ZJi86xWv3j5SMqRvGULl7bA6cK0Bvg==
 
-rimraf@2.6.3:
+rimraf@2.6.3, rimraf@~2.6.2:
   version "2.6.3"
   resolved "https://registry.npmjs.org/rimraf/-/rimraf-2.6.3.tgz"
   integrity sha512-mwqeW5XsA2qAejG46gYdENaxXjx9onRNCfn7L0duuP4hCuTIi/QO7PDK07KJfp1d+izWPrzEJDcSqBa0OZQriA==
@@ -11878,6 +11901,14 @@ tapable@^1.0.0, tapable@^1.1.3:
   resolved "https://registry.npmjs.org/tapable/-/tapable-1.1.3.tgz"
   integrity sha512-4WK/bYZmj8xLr+HUCODHGF1ZFzsYffasLUgEiMBY4fgtltdO6B4WJtlSbPaDTLpYTcGVwM2qLnFTICEcNxs3kA==
 
+temp@^0.9.1:
+  version "0.9.4"
+  resolved "https://registry.yarnpkg.com/temp/-/temp-0.9.4.tgz#cd20a8580cb63635d0e4e9d4bd989d44286e7620"
+  integrity sha512-yYrrsWnrXMcdsnu/7YMYAofM1ktpL5By7vZhf15CrXijWWrEYZks5AXBudalfSWJLlnen/QUJUB5aoB0kqZUGA==
+  dependencies:
+    mkdirp "^0.5.1"
+    rimraf "~2.6.2"
+
 terser-webpack-plugin@2.3.5:
   version "2.3.5"
   resolved "https://registry.npmjs.org/terser-webpack-plugin/-/terser-webpack-plugin-2.3.5.tgz"
@@ -12887,7 +12918,7 @@ xml-name-validator@^3.0.0:
   resolved "https://registry.npmjs.org/xml-name-validator/-/xml-name-validator-3.0.0.tgz"
   integrity sha512-A5CUptxDsvxKJEU3yO6DuWBSJz/qizqzJKOMIfUJHETbBw/sFaDxgd6fxm1ewUaM0jZ444Fc5vC5ROYurg/4Pw==
 
-xml2js@~0.4.23:
+xml2js@^0.4.23, xml2js@~0.4.23:
   version "0.4.23"
   resolved "https://registry.npmjs.org/xml2js/-/xml2js-0.4.23.tgz"
   integrity sha512-ySPiMjM0+pLDftHgXY4By0uswI3SPKLDw/i3UXbnO8M/p28zqexCUoPmQFrYD+/1BzhGJSs2i1ERWKJAtiLrug==

From 6a9a4025621d2cd7e80a8746569a885ae177bac6 Mon Sep 17 00:00:00 2001
From: David Carlson <dcarlson@clinicalcloud.solutions>
Date: Mon, 22 Jul 2024 07:47:14 -0600
Subject: [PATCH 09/20] Add all lab value sets from MCC FHIR IG

---
 src/components/summaries/LabResultList.tsx   |    31 +-
 src/data-services/cql/mcc/MCCConcepts.cql    |    93 +-
 src/data-services/cql/mcc/MCCConcepts.json   |  1650 +-
 src/data-services/cql/mcc/MCCLabResults.cql  |   359 +-
 src/data-services/cql/mcc/MCCLabResults.json | 28082 ++++++++--
 src/data-services/cql/mcc/valueset-db.json   | 48321 ++++++++++-------
 src/data-services/fhirService.ts             |     5 +-
 7 files changed, 53459 insertions(+), 25082 deletions(-)

diff --git a/src/components/summaries/LabResultList.tsx b/src/components/summaries/LabResultList.tsx
index d3d8b19..908ae57 100644
--- a/src/components/summaries/LabResultList.tsx
+++ b/src/components/summaries/LabResultList.tsx
@@ -185,26 +185,39 @@ const buildRows = (obs: ObservationSummary, theSource?: string): SummaryRowItems
     },
   ];
 
-  if (theSource) {
-    const source: SummaryRowItem = {
+  const notes: SummaryRowItems | undefined = obs.Notes?.map((note) => (
+    {
       isHeader: false,
       twoColumns: false,
-      data1: 'From ' + theSource,
+      data1: 'Note: ' + note,
       data2: '',
-    };
-    rows.push(source);
+    }
+  ))
+  if (notes?.length) {
+    rows = rows.concat(notes)
   }
 
   const provenance: SummaryRowItems | undefined = obs.Provenance?.map((provenance) => (
     {
       isHeader: false,
-      twoColumns: true,
-      data1: 'Source: ' + (provenance.Transmitter ?? ''),
+      twoColumns: false,
+      data1: 'Source: ' + provenance.Transmitter ?? '',
       data2: provenance.Author ?? '',
     }
-  ));
+  ))
   if (provenance?.length) {
-    rows = rows.concat(provenance);
+    rows = rows.concat(provenance)
+  }
+
+  const hasProvenance = obs.Provenance?.length ?? 0 > 0
+  if (theSource && !hasProvenance) {
+    const source: SummaryRowItem = {
+      isHeader: false,
+      twoColumns: false,
+      data1: 'Source: ' + theSource,
+      data2: '',
+    }
+    rows.push(source)
   }
 
   return rows;
diff --git a/src/data-services/cql/mcc/MCCConcepts.cql b/src/data-services/cql/mcc/MCCConcepts.cql
index 60891db..b387854 100644
--- a/src/data-services/cql/mcc/MCCConcepts.cql
+++ b/src/data-services/cql/mcc/MCCConcepts.cql
@@ -202,16 +202,93 @@ valueset "Social Determinants of Health": 'http://cts.nlm.nih.gov/fhir/ValueSet/
 // ******************************
 // Lab result value sets
 // ******************************
-valueset "Total Cholesterol": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.139'
-valueset "High Density Lipoprotein": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.135'
-valueset "Low Density Lipoprotein": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.215'
-valueset "Triglyceride Blood Serum Plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.137'
+
+// MCC eCare Plan IG value sets
+valueset "24 Hour Urine Protein Excretion": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.792'
+valueset "24 Hour Urine Volume": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.791'
+valueset "Alanine Aminotransferase (ALT), Bld/Ser/Plas": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5001'
+valueset "Albumin in Blood, Plasma, or Serum": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.151'
+valueset "Aldosterone/Renin Ratio": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.811'
+valueset "Alkaline Phosphatase (Alp) in Blood, Serum or Plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.805'
+valueset "Anion Gap": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.153'
+valueset "Arterial Blood Gas (ABG)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1575'
+valueset "Aspartate Aminotransferase (AST), Ser/Plas": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5006'
+valueset "Aspartate Transaminase or Alanine Aminotransferase Ratio": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.804'
+valueset "B Type Natriuretic Peptide [Bnp] in Blood, Serum or Plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.795'
+valueset "Bicarbonate in blood, serum or plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.130'
+valueset "Bilirubin, Total, Bld/Ser/Plas": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5007'
+valueset "Blood Ethanol Level": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.813'
+valueset "Blood Urea Nitrogen": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.113'
+valueset "Bone Biopsy Report": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.870'
+valueset "C reactive Protein (CRP), Bld/Ser/Plas": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5015'
+valueset "Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.794'
+valueset "Cerebral Spinal Fluid (CSF) Analysis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1573'
+valueset "Chloride in blood, serum or plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.132'
+valueset "Coagulation Assay (PT, aPTT, Fibrinogen)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1576'
+valueset "Complete Blood Count (with Diff)": 'http://cts.nlm.nih.gov/fhir/ValueSet/1.3.6.1.4.1.6997.4.1.2.271.13.38167.1.1.999.594'
+valueset "Comprehensive Metabolic Panel (CMP)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1574'
+valueset "Corrected Calcium": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.122'
+valueset "COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1580'
+valueset "Creatine Kinase (CK, CK MB) in Blood, Serum, or Plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1579'
+valueset "Creatinine in blood, serum or plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.111'
+valueset "Cystatin C": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.138'
+valueset "D Dimer Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1577'
+valueset "Drugs of Abuse Screen": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1597'
+valueset "Erythrocyte Distribution Width": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.147'
+valueset "Erythrocyte Sedimentation Rate (ESR), Blood": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5019'
+valueset "Estimated Average Glucose": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.150'
+valueset "Estimated Glomerular Filtration Rate (eGFR)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.179'
+valueset "Fasting Blood Glucose": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.808'
+valueset "Ferritin": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.140'
+valueset "Free T4 (Thyroxine) Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.7643.2.1019'
+valueset "Gamma Glutamyl Transpeptidase (Ggt) in blood, serum or plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.806'
+valueset "Gastric Tissue Biopsy Report": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.869'
+valueset "Glucose Tolerance Test Results": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.94'
+valueset "Hematocrit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.143'
+valueset "Hemoglobin": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.114'
 valueset "Hemoglobin A1C": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.119'
-valueset "Estimated Glomerular Filtration Rate": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.6929.3.1000'
-valueset "Serum Albumin": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.151'
-valueset "Serum Creatinine": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.111'
+valueset "High Density Lipoprotein": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.135'
+valueset "High Sensitivity Troponin": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.801'
+valueset "INR": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.213'
+valueset "Intact Parathyroid Hormone": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.129'
+valueset "Iron Saturation (Transferrin Saturation/TSAT)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.118'
+valueset "Kidney Biopsy Report": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.864'
+valueset "KT/V Hemodialysis Ratio": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.128'
+valueset "Low Density Lipoprotein": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1568'
+valueset "Mean Corpuscular Hemoglobin Concentration": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.145'
+valueset "Mean Corpuscular Volume": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.144'
+valueset "Microorganisms Detection by Blood Culture": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1581'
+valueset "Microorganisms Detection by Sputum Culture": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1582'
+valueset "Muscle Biopsy Report": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.868'
+valueset "N Terminal Pro_B_Type Natriuretic Peptide [Nt_Probnp] in blood, serum or plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.797'
+valueset "Oxygen Saturation, Blood": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5033'
+valueset "Phosphorus in blood, serum or plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.123'
+valueset "Platelet Count": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.146'
+valueset "Platelet Distribution Width": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.148'
+valueset "Platelet Mean Volume": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.149'
+valueset "Potassium in blood, serum or plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.120'
+valueset "Procalcitonin in Blood, Serum, or Plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1578'
+valueset "Random Blood Glucose Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.809'
+valueset "Red Blood Cell Count (Erythrocytes)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.141'
+valueset "Serum Rheumatoid Factor": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.812'
+valueset "Skin Biopsy Report": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.867'
+valueset "Sodium in blood, serum or plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.131'
+valueset "Thyroid Stimulating Hormone (TSH) Test": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.7643.3.1024'
+valueset "Total Carbon Dioxide or Bicarbonate in blood, serum or plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.793'
+valueset "Total Cholesterol": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.139'
+valueset "Triglyceride in blood, serum or plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.137'
+valueset "Triiodothyronine in serum or plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.807'
+valueset "Troponin I, Bld/Ser/Plas": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5061'
+valueset "Troponin T, Bld/Ser/Pla": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5062'
+valueset "Urea Reduction Ratio": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.819'
+valueset "Uric Acid (Urate) in blood, serum or plasma": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.810'
 valueset "Urine Albumin Creatinine Ratio": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.6929.2.1002'
-
+valueset "Urine Protein to Creatinine Ratio (UPCR)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.790'
+valueset "Urine Sediment": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.176'
+valueset "Urine Urea Nitrogen": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.154'
+valueset "Uroflowmetry": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.823'
+valueset "Vitamin D Levels": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.126'
+valueset "White Blood Cell (Leukocytes) Count": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.142'
 
 // ******************************
 // Medication value sets
diff --git a/src/data-services/cql/mcc/MCCConcepts.json b/src/data-services/cql/mcc/MCCConcepts.json
index 78aff6c..1fbe0e3 100644
--- a/src/data-services/cql/mcc/MCCConcepts.json
+++ b/src/data-services/cql/mcc/MCCConcepts.json
@@ -9,7 +9,7 @@
       }, {
          "type" : "Annotation",
          "s" : {
-            "r" : "371",
+            "r" : "447",
             "s" : [ {
                "value" : [ "","library MCCConcepts version '1.0.0'" ]
             } ]
@@ -1987,143 +1987,1333 @@
             "codeSystem" : [ ]
          }, {
             "localId" : "321",
-            "locator" : "205:1-205:99",
+            "locator" : "207:1-207:113",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-            "name" : "Total Cholesterol",
-            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.139",
+            "name" : "24 Hour Urine Protein Excretion",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.792",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "321",
+                  "s" : [ {
+                     "value" : [ "// ******************************\n// Lab result value sets\n// ******************************\n\n// MCC eCare Plan IG value sets\n","valueset ","\"24 Hour Urine Protein Excretion\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.792'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "322",
+            "locator" : "208:1-208:102",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "24 Hour Urine Volume",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.791",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "322",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"24 Hour Urine Volume\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.791'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "323",
+            "locator" : "209:1-209:137",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Alanine Aminotransferase (ALT), Bld/Ser/Plas",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5001",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "323",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Alanine Aminotransferase (ALT), Bld/Ser/Plas\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5001'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "324",
+            "locator" : "210:1-210:116",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Albumin in Blood, Plasma, or Serum",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.151",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "324",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Albumin in Blood, Plasma, or Serum\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.151'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "325",
+            "locator" : "211:1-211:105",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Aldosterone/Renin Ratio",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.811",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "325",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Aldosterone/Renin Ratio\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.811'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "326",
+            "locator" : "212:1-212:134",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Alkaline Phosphatase (Alp) in Blood, Serum or Plasma",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.805",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "326",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Alkaline Phosphatase (Alp) in Blood, Serum or Plasma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.805'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "327",
+            "locator" : "213:1-213:91",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Anion Gap",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.153",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "327",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Anion Gap\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.153'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "328",
+            "locator" : "214:1-214:107",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Arterial Blood Gas (ABG)",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1575",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "328",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Arterial Blood Gas (ABG)\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1575'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "329",
+            "locator" : "215:1-215:135",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Aspartate Aminotransferase (AST), Ser/Plas",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5006",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "329",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Aspartate Aminotransferase (AST), Ser/Plas\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5006'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "330",
+            "locator" : "216:1-216:138",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Aspartate Transaminase or Alanine Aminotransferase Ratio",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.804",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "330",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Aspartate Transaminase or Alanine Aminotransferase Ratio\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.804'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "331",
+            "locator" : "217:1-217:140",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "B Type Natriuretic Peptide [Bnp] in Blood, Serum or Plasma",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.795",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "331",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"B Type Natriuretic Peptide [Bnp] in Blood, Serum or Plasma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.795'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "332",
+            "locator" : "218:1-218:119",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Bicarbonate in blood, serum or plasma",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.130",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "332",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Bicarbonate in blood, serum or plasma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.130'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "333",
+            "locator" : "219:1-219:123",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Bilirubin, Total, Bld/Ser/Plas",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5007",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "333",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Bilirubin, Total, Bld/Ser/Plas\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5007'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "334",
+            "locator" : "220:1-220:101",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Blood Ethanol Level",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.813",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "334",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Blood Ethanol Level\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.813'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "335",
+            "locator" : "221:1-221:101",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Blood Urea Nitrogen",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.113",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "335",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Blood Urea Nitrogen\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.113'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "336",
+            "locator" : "222:1-222:100",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Bone Biopsy Report",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.870",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "336",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Bone Biopsy Report\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.870'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "337",
+            "locator" : "223:1-223:131",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "C reactive Protein (CRP), Bld/Ser/Plas",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5015",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "337",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"C reactive Protein (CRP), Bld/Ser/Plas\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5015'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "338",
+            "locator" : "224:1-224:150",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.794",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "338",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.794'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "339",
+            "locator" : "225:1-225:119",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Cerebral Spinal Fluid (CSF) Analysis",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1573",
+            "accessLevel" : "Public",
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             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-            "name" : "Hemoglobin A1C",
-            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.119",
+            "name" : "Triiodothyronine in serum or plasma",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.807",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "325",
+                  "r" : "394",
                   "s" : [ {
-                     "value" : [ "","valueset ","\"Hemoglobin A1C\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.119'" ]
+                     "value" : [ "","valueset ","\"Triiodothyronine in serum or plasma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.807'" ]
                   } ]
                }
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "326",
-            "locator" : "210:1-210:119",
+            "localId" : "395",
+            "locator" : "281:1-281:117",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-            "name" : "Estimated Glomerular Filtration Rate",
-            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.6929.3.1000",
+            "name" : "Troponin I, Bld/Ser/Plas",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5061",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "326",
+                  "r" : "395",
                   "s" : [ {
-                     "value" : [ "","valueset ","\"Estimated Glomerular Filtration Rate\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.6929.3.1000'" ]
+                     "value" : [ "","valueset ","\"Troponin I, Bld/Ser/Plas\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5061'" ]
                   } ]
                }
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "327",
-            "locator" : "211:1-211:95",
+            "localId" : "396",
+            "locator" : "282:1-282:116",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-            "name" : "Serum Albumin",
-            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.151",
+            "name" : "Troponin T, Bld/Ser/Pla",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5062",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "327",
+                  "r" : "396",
                   "s" : [ {
-                     "value" : [ "","valueset ","\"Serum Albumin\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.151'" ]
+                     "value" : [ "","valueset ","\"Troponin T, Bld/Ser/Pla\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5062'" ]
                   } ]
                }
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "328",
-            "locator" : "212:1-212:98",
+            "localId" : "397",
+            "locator" : "283:1-283:102",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-            "name" : "Serum Creatinine",
-            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.111",
+            "name" : "Urea Reduction Ratio",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.819",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "328",
+                  "r" : "397",
                   "s" : [ {
-                     "value" : [ "","valueset ","\"Serum Creatinine\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.111'" ]
+                     "value" : [ "","valueset ","\"Urea Reduction Ratio\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.819'" ]
                   } ]
                }
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "329",
-            "locator" : "213:1-213:113",
+            "localId" : "398",
+            "locator" : "284:1-284:125",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Uric Acid (Urate) in blood, serum or plasma",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.810",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "398",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Uric Acid (Urate) in blood, serum or plasma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.810'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "399",
+            "locator" : "285:1-285:113",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Urine Albumin Creatinine Ratio",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.6929.2.1002",
@@ -2131,7 +3321,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "329",
+                  "r" : "399",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Urine Albumin Creatinine Ratio\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.6929.2.1002'" ]
                   } ]
@@ -2139,8 +3329,110 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "330",
-            "locator" : "219:1-219:95",
+            "localId" : "400",
+            "locator" : "286:1-286:122",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Urine Protein to Creatinine Ratio (UPCR)",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.790",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "400",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Urine Protein to Creatinine Ratio (UPCR)\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.790'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "401",
+            "locator" : "287:1-287:96",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Urine Sediment",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.176",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "401",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Urine Sediment\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.176'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "402",
+            "locator" : "288:1-288:101",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Urine Urea Nitrogen",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.154",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "402",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Urine Urea Nitrogen\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.154'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "403",
+            "locator" : "289:1-289:94",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Uroflowmetry",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.823",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "403",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Uroflowmetry\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.823'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "404",
+            "locator" : "290:1-290:98",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "Vitamin D Levels",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.126",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "404",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"Vitamin D Levels\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.126'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "405",
+            "locator" : "291:1-291:117",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+            "name" : "White Blood Cell (Leukocytes) Count",
+            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.142",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "405",
+                  "s" : [ {
+                     "value" : [ "","valueset ","\"White Blood Cell (Leukocytes) Count\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.142'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : [ ]
+         }, {
+            "localId" : "406",
+            "locator" : "296:1-296:95",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "ACEis and ARBs",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1213.11",
@@ -2148,7 +3440,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "330",
+                  "r" : "406",
                   "s" : [ {
                      "value" : [ "// ******************************\n// Medication value sets\n// ******************************\n","valueset ","\"ACEis and ARBs\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1213.11'" ]
                   } ]
@@ -2156,8 +3448,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "331",
-            "locator" : "220:1-220:114",
+            "localId" : "407",
+            "locator" : "297:1-297:114",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Erythropoiesis Stimulating Agent",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.307",
@@ -2165,7 +3457,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "331",
+                  "r" : "407",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Erythropoiesis Stimulating Agent\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.307'" ]
                   } ]
@@ -2173,8 +3465,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "332",
-            "locator" : "221:1-221:97",
+            "localId" : "408",
+            "locator" : "298:1-298:97",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Iron Supplement",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.308",
@@ -2182,7 +3474,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "332",
+                  "r" : "408",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Iron Supplement\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.308'" ]
                   } ]
@@ -2190,8 +3482,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "333",
-            "locator" : "222:1-222:99",
+            "localId" : "409",
+            "locator" : "299:1-299:99",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Phosphate Binders",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.305",
@@ -2199,7 +3491,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "333",
+                  "r" : "409",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Phosphate Binders\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.305'" ]
                   } ]
@@ -2207,8 +3499,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "334",
-            "locator" : "223:1-223:91",
+            "localId" : "410",
+            "locator" : "300:1-300:91",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Vitamin D",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.306",
@@ -2216,7 +3508,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "334",
+                  "r" : "410",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Vitamin D\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.306'" ]
                   } ]
@@ -2227,8 +3519,8 @@
       },
       "codes" : {
          "def" : [ {
-            "localId" : "335",
-            "locator" : "236:1-236:90",
+            "localId" : "411",
+            "locator" : "313:1-313:90",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Black or African American",
             "id" : "2054-5",
@@ -2237,11 +3529,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "335",
+                  "r" : "411",
                   "s" : [ {
                      "value" : [ "//Iron Supplement\n\n// ******************************\n// ## Individual codes ##\n// ******************************\n\n// list individual codes from code systems used directly in the CQL logic. Individual codes are used when there is\n// a single code from a particular vocabulary standard used to represent a clinical concept. It is considered\n// best-practice not to create value sets containing a single code.\n\n","code ","\"Black or African American\"",": ","'2054-5'"," from " ]
                   }, {
-                     "r" : "336",
+                     "r" : "412",
                      "s" : [ {
                         "value" : [ "\"Race\"" ]
                      } ]
@@ -2251,14 +3543,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "336",
-               "locator" : "236:49-236:54",
+               "localId" : "412",
+               "locator" : "313:49-313:54",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "Race"
             }
          }, {
-            "localId" : "337",
-            "locator" : "237:1-237:50",
+            "localId" : "413",
+            "locator" : "314:1-314:50",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "White",
             "id" : "2106-3",
@@ -2267,11 +3559,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "337",
+                  "r" : "413",
                   "s" : [ {
                      "value" : [ "","code ","\"White\"",": ","'2106-3'"," from " ]
                   }, {
-                     "r" : "338",
+                     "r" : "414",
                      "s" : [ {
                         "value" : [ "\"Race\"" ]
                      } ]
@@ -2281,14 +3573,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "338",
-               "locator" : "237:29-237:34",
+               "localId" : "414",
+               "locator" : "314:29-314:34",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "Race"
             }
          }, {
-            "localId" : "339",
-            "locator" : "239:1-239:89",
+            "localId" : "415",
+            "locator" : "316:1-316:89",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Left (qualifier value)",
             "id" : "7771000",
@@ -2297,11 +3589,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "339",
+                  "r" : "415",
                   "s" : [ {
                      "value" : [ "","code ","\"Left (qualifier value)\"",": ","'7771000'"," from " ]
                   }, {
-                     "r" : "340",
+                     "r" : "416",
                      "s" : [ {
                         "value" : [ "\"SNOMEDCT\"" ]
                      } ]
@@ -2311,14 +3603,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "340",
-               "locator" : "239:47-239:56",
+               "localId" : "416",
+               "locator" : "316:47-316:56",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "SNOMEDCT"
             }
          }, {
-            "localId" : "341",
-            "locator" : "240:1-240:92",
+            "localId" : "417",
+            "locator" : "317:1-317:92",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Right (qualifier value)",
             "id" : "24028007",
@@ -2327,11 +3619,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "341",
+                  "r" : "417",
                   "s" : [ {
                      "value" : [ "","code ","\"Right (qualifier value)\"",": ","'24028007'"," from " ]
                   }, {
-                     "r" : "342",
+                     "r" : "418",
                      "s" : [ {
                         "value" : [ "\"SNOMEDCT\"" ]
                      } ]
@@ -2341,14 +3633,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "342",
-               "locator" : "240:49-240:58",
+               "localId" : "418",
+               "locator" : "317:49-317:58",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "SNOMEDCT"
             }
          }, {
-            "localId" : "343",
-            "locator" : "242:1-242:93",
+            "localId" : "419",
+            "locator" : "319:1-319:93",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Blood pressure",
             "id" : "85354-9",
@@ -2357,11 +3649,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "343",
+                  "r" : "419",
                   "s" : [ {
                      "value" : [ "","code ","\"Blood pressure\"",": ","'85354-9'"," from " ]
                   }, {
-                     "r" : "344",
+                     "r" : "420",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2371,14 +3663,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "344",
-               "locator" : "242:39-242:45",
+               "localId" : "420",
+               "locator" : "319:39-319:45",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "345",
-            "locator" : "243:1-243:96",
+            "localId" : "421",
+            "locator" : "320:1-320:96",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Blood pressure home reading",
             "id" : "72076-3",
@@ -2387,11 +3679,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "345",
+                  "r" : "421",
                   "s" : [ {
                      "value" : [ "","code ","\"Blood pressure home reading\"",": ","'72076-3'"," from " ]
                   }, {
-                     "r" : "346",
+                     "r" : "422",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2401,14 +3693,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "346",
-               "locator" : "243:52-243:58",
+               "localId" : "422",
+               "locator" : "320:52-320:58",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "347",
-            "locator" : "244:1-244:87",
+            "localId" : "423",
+            "locator" : "321:1-321:87",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Systolic blood pressure",
             "id" : "8480-6",
@@ -2417,11 +3709,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "347",
+                  "r" : "423",
                   "s" : [ {
                      "value" : [ "","code ","\"Systolic blood pressure\"",": ","'8480-6'"," from " ]
                   }, {
-                     "r" : "348",
+                     "r" : "424",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2431,14 +3723,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "348",
-               "locator" : "244:47-244:53",
+               "localId" : "424",
+               "locator" : "321:47-321:53",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "349",
-            "locator" : "245:1-245:89",
+            "localId" : "425",
+            "locator" : "322:1-322:89",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Diastolic blood pressure",
             "id" : "8462-4",
@@ -2447,11 +3739,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "349",
+                  "r" : "425",
                   "s" : [ {
                      "value" : [ "","code ","\"Diastolic blood pressure\"",": ","'8462-4'"," from " ]
                   }, {
-                     "r" : "350",
+                     "r" : "426",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2461,14 +3753,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "350",
-               "locator" : "245:48-245:54",
+               "localId" : "426",
+               "locator" : "322:48-322:54",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "351",
-            "locator" : "246:1-246:61",
+            "localId" : "427",
+            "locator" : "323:1-323:61",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Heart rate",
             "id" : "8867-4",
@@ -2477,11 +3769,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "351",
+                  "r" : "427",
                   "s" : [ {
                      "value" : [ "","code ","\"Heart rate\"",": ","'8867-4'"," from " ]
                   }, {
-                     "r" : "352",
+                     "r" : "428",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2491,14 +3783,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "352",
-               "locator" : "246:34-246:40",
+               "localId" : "428",
+               "locator" : "323:34-323:40",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "353",
-            "locator" : "247:1-247:75",
+            "localId" : "429",
+            "locator" : "324:1-324:75",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Oxygen saturation",
             "id" : "2708-6",
@@ -2507,11 +3799,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "353",
+                  "r" : "429",
                   "s" : [ {
                      "value" : [ "","code ","\"Oxygen saturation\"",": ","'2708-6'"," from " ]
                   }, {
-                     "r" : "354",
+                     "r" : "430",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2521,14 +3813,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "354",
-               "locator" : "247:41-247:47",
+               "localId" : "430",
+               "locator" : "324:41-324:47",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "355",
-            "locator" : "248:1-248:107",
+            "localId" : "431",
+            "locator" : "325:1-325:107",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Pulse oximetry",
             "id" : "59408-5",
@@ -2537,11 +3829,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "355",
+                  "r" : "431",
                   "s" : [ {
                      "value" : [ "","code ","\"Pulse oximetry\"",": ","'59408-5'"," from " ]
                   }, {
-                     "r" : "356",
+                     "r" : "432",
                      "s" : [ {
                         "value" : [ "LOINC" ]
                      } ]
@@ -2551,14 +3843,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "356",
-               "locator" : "248:39-248:43",
+               "localId" : "432",
+               "locator" : "325:39-325:43",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "357",
-            "locator" : "249:1-249:73",
+            "localId" : "433",
+            "locator" : "326:1-326:73",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Respiratory rate",
             "id" : "9279-1",
@@ -2567,11 +3859,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "357",
+                  "r" : "433",
                   "s" : [ {
                      "value" : [ "","code ","\"Respiratory rate\"",": ","'9279-1'"," from " ]
                   }, {
-                     "r" : "358",
+                     "r" : "434",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2581,14 +3873,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "358",
-               "locator" : "249:40-249:46",
+               "localId" : "434",
+               "locator" : "326:40-326:46",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "359",
-            "locator" : "250:1-250:73",
+            "localId" : "435",
+            "locator" : "327:1-327:73",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Body temperature",
             "id" : "8310-5",
@@ -2597,11 +3889,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "359",
+                  "r" : "435",
                   "s" : [ {
                      "value" : [ "","code ","\"Body temperature\"",": ","'8310-5'"," from " ]
                   }, {
-                     "r" : "360",
+                     "r" : "436",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2611,14 +3903,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "360",
-               "locator" : "250:40-250:46",
+               "localId" : "436",
+               "locator" : "327:40-327:46",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "361",
-            "locator" : "251:1-251:63",
+            "localId" : "437",
+            "locator" : "328:1-328:63",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Body height",
             "id" : "8302-2",
@@ -2627,11 +3919,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "361",
+                  "r" : "437",
                   "s" : [ {
                      "value" : [ "","code ","\"Body height\"",": ","'8302-2'"," from " ]
                   }, {
-                     "r" : "362",
+                     "r" : "438",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2641,14 +3933,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "362",
-               "locator" : "251:35-251:41",
+               "localId" : "438",
+               "locator" : "328:35-328:41",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "363",
-            "locator" : "252:1-252:64",
+            "localId" : "439",
+            "locator" : "329:1-329:64",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Body weight",
             "id" : "29463-7",
@@ -2657,11 +3949,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "363",
+                  "r" : "439",
                   "s" : [ {
                      "value" : [ "","code ","\"Body weight\"",": ","'29463-7'"," from " ]
                   }, {
-                     "r" : "364",
+                     "r" : "440",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2671,14 +3963,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "364",
-               "locator" : "252:36-252:42",
+               "localId" : "440",
+               "locator" : "329:36-329:42",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "365",
-            "locator" : "253:1-253:72",
+            "localId" : "441",
+            "locator" : "330:1-330:72",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Body mass index",
             "id" : "39156-5",
@@ -2687,11 +3979,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "365",
+                  "r" : "441",
                   "s" : [ {
                      "value" : [ "","code ","\"Body mass index\"",": ","'39156-5'"," from " ]
                   }, {
-                     "r" : "366",
+                     "r" : "442",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2701,14 +3993,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "366",
-               "locator" : "253:40-253:46",
+               "localId" : "442",
+               "locator" : "330:40-330:46",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "367",
-            "locator" : "254:1-254:89",
+            "localId" : "443",
+            "locator" : "331:1-331:89",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Inhaled oxygen flow rate",
             "id" : "3151-8",
@@ -2717,11 +4009,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "367",
+                  "r" : "443",
                   "s" : [ {
                      "value" : [ "","code ","\"Inhaled oxygen flow rate\"",": ","'3151-8'"," from " ]
                   }, {
-                     "r" : "368",
+                     "r" : "444",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -2731,14 +4023,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "368",
-               "locator" : "254:48-254:54",
+               "localId" : "444",
+               "locator" : "331:48-331:54",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "369",
-            "locator" : "256:1-256:89",
+            "localId" : "445",
+            "locator" : "333:1-333:89",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Epic Systolic blood pressure",
             "id" : "7585",
@@ -2747,11 +4039,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "369",
+                  "r" : "445",
                   "s" : [ {
                      "value" : [ "","code ","\"Epic Systolic blood pressure\"",": ","'7585'"," from " ]
                   }, {
-                     "r" : "370",
+                     "r" : "446",
                      "s" : [ {
                         "value" : [ "\"Epic\"" ]
                      } ]
@@ -2761,14 +4053,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "370",
-               "locator" : "256:50-256:55",
+               "localId" : "446",
+               "locator" : "333:50-333:55",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "Epic"
             }
          }, {
-            "localId" : "371",
-            "locator" : "257:1-257:91",
+            "localId" : "447",
+            "locator" : "334:1-334:91",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Epic Diastolic blood pressure",
             "id" : "7586",
@@ -2777,11 +4069,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "371",
+                  "r" : "447",
                   "s" : [ {
                      "value" : [ "","code ","\"Epic Diastolic blood pressure\"",": ","'7586'"," from " ]
                   }, {
-                     "r" : "372",
+                     "r" : "448",
                      "s" : [ {
                         "value" : [ "\"Epic\"" ]
                      } ]
@@ -2791,8 +4083,8 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "372",
-               "locator" : "257:51-257:56",
+               "localId" : "448",
+               "locator" : "334:51-334:56",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "Epic"
             }
diff --git a/src/data-services/cql/mcc/MCCLabResults.cql b/src/data-services/cql/mcc/MCCLabResults.cql
index e2a046e..ef1c89f 100644
--- a/src/data-services/cql/mcc/MCCLabResults.cql
+++ b/src/data-services/cql/mcc/MCCLabResults.cql
@@ -10,18 +10,97 @@ context Patient
 
 define LabResultSummary: 
   (List {
-    DE.ReportMostRecentResult("Total Cholesterol Results", 'Total Cholesterol'),
-    DE.ReportMostRecentResult("High Density Lipoprotein Results", 'HDL Cholesterol'),
-    DE.ReportMostRecentResult("Low Density Lipoprotein Results", 'LDL Cholesterol'),
-    DE.ReportMostRecentResult("Triglyceride Results", 'Triglycerides'),
-    DE.ReportMostRecentResult("Hemoglobin A1C Results", 'Hemoglobin A1c %'),
-    DE.ReportMostRecentResult("eGFR Results", 'Estimated GFR'),
-    DE.ReportMostRecentResult("Serum Albumin Results", 'Serum Albumin'),
-    DE.ReportMostRecentResult("Serum Creatinine Results", 'Serum Creatinine'),
-    DE.ReportMostRecentResult("UACR Results", 'Urine Albumin Creatinine Ratio')
+    DE.ReportMostRecentResult("24 Hour Urine Protein Excretion", '24 Hour Urine Protein Excretion'),
+    DE.ReportMostRecentResult("24 Hour Urine Volume", '24 Hour Urine Volume'),
+    DE.ReportMostRecentResult("Alanine Aminotransferase (ALT), Bld/Ser/Plas", 'ALT'),
+    DE.ReportMostRecentResult("Albumin in Blood, Plasma, or Serum", 'Albumin'),
+    DE.ReportMostRecentResult("Aldosterone/Renin Ratio", 'Aldosterone/Renin Ratio'),
+    DE.ReportMostRecentResult("Alkaline Phosphatase (Alp) in Blood, Serum or Plasma", 'ALP'),
+    DE.ReportMostRecentResult("Anion Gap", 'Anion Gap'),
+    DE.ReportMostRecentResult("Arterial Blood Gas (ABG)", 'Arterial Blood Gas'),
+    DE.ReportMostRecentResult("Aspartate Aminotransferase (AST), Ser/Plas", 'AST'),
+    DE.ReportMostRecentResult("Aspartate Transaminase or Alanine Aminotransferase Ratio", 'Aspartate Transaminase or Alanine Aminotransferase Ratio'),
+    DE.ReportMostRecentResult("B Type Natriuretic Peptide [Bnp] in Blood, Serum or Plasma", 'B Type Natriuretic Peptide [Bnp]'),
+    DE.ReportMostRecentResult("Bicarbonate in blood, serum or plasma", 'Bicarbonate'),
+    DE.ReportMostRecentResult("Bilirubin, Total, Bld/Ser/Plas", 'Bilirubin'),
+    DE.ReportMostRecentResult("Blood Ethanol Level", 'Blood Ethanol Level'),
+    DE.ReportMostRecentResult("Blood Urea Nitrogen", 'Blood Urea Nitrogen'),
+    // DE.ReportMostRecentResult("Bone Biopsy Report", 'Bone Biopsy Report'),
+    DE.ReportMostRecentResult("C reactive Protein (CRP), Bld/Ser/Plas", 'C reactive Protein (CRP)'),
+    DE.ReportMostRecentResult("Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum", 'Calcium (Not Corrected for Serum Albumin)'),
+    DE.ReportMostRecentResult("Cerebral Spinal Fluid (CSF) Analysis", 'Cerebral Spinal Fluid (CSF) Analysis'),
+    DE.ReportMostRecentResult("Chloride in blood, serum or plasma", 'Chloride'),
+    DE.ReportMostRecentResult("Coagulation Assay (PT, aPTT, Fibrinogen)", 'Coagulation Assay'),
+    // DE.ReportMostRecentResult("Complete Blood Count (with Diff)", 'Complete Blood Count'),
+    // DE.ReportMostRecentResult("Comprehensive Metabolic Panel (CMP)", 'Comprehensive Metabolic Panel (CMP)'),
+    DE.ReportMostRecentResult("Corrected Calcium", 'Calcium'),
+    // DE.ReportMostRecentResult("COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests", 'COVID 19 Test'),
+    DE.ReportMostRecentResult("Creatine Kinase (CK, CK MB) in Blood, Serum, or Plasma", 'Creatine Kinase (CK, CK MB)'),
+    DE.ReportMostRecentResult("Creatinine in blood, serum or plasma", 'Creatinine'),
+    DE.ReportMostRecentResult("Cystatin C", 'Cystatin C'),
+    DE.ReportMostRecentResult("D Dimer Test", 'D Dimer'),
+    DE.ReportMostRecentResult("Drugs of Abuse Screen", 'Drugs of Abuse Screen'),
+    DE.ReportMostRecentResult("Erythrocyte Distribution Width", 'Erythrocyte Distribution Width'),
+    DE.ReportMostRecentResult("Erythrocyte Sedimentation Rate (ESR), Blood", 'Erythrocyte Sedimentation Rate (ESR)'),
+    DE.ReportMostRecentResult("Estimated Average Glucose", 'Estimated Average Glucose'),
+    DE.ReportMostRecentResult("Estimated Glomerular Filtration Rate (eGFR)", 'eGFR'),
+    DE.ReportMostRecentResult("Fasting Blood Glucose", 'Fasting Blood Glucose'),
+    DE.ReportMostRecentResult(Ferritin"", 'Ferritin'),
+    DE.ReportMostRecentResult("Free T4 (Thyroxine) Test", 'Free T4 (Thyroxine)'),
+    DE.ReportMostRecentResult("Gamma Glutamyl Transpeptidase (Ggt) in blood, serum or plasma", 'Gamma Glutamyl Transpeptidase (Ggt)'),
+    DE.ReportMostRecentResult("Gastric Tissue Biopsy Report", 'Gastric Tissue Biopsy Report'),
+    DE.ReportMostRecentResult("Glucose Tolerance Test Results", 'Glucose Tolerance'),
+    DE.ReportMostRecentResult("Hematocrit", 'Hematocrit'),
+    DE.ReportMostRecentResult("Hemoglobin", 'Hemoglobin'),
+    DE.ReportMostRecentResult("Hemoglobin A1C", 'Hemoglobin A1c %'),
+    DE.ReportMostRecentResult("High Density Lipoprotein", 'HDL Cholesterol'),
+    DE.ReportMostRecentResult("High Sensitivity Troponin", 'High Sensitivity Troponin'),
+    DE.ReportMostRecentResult("INR", 'INR'),
+    DE.ReportMostRecentResult("Intact Parathyroid Hormone", 'Intact Parathyroid Hormone'),
+    DE.ReportMostRecentResult("Iron Saturation (Transferrin Saturation/TSAT)", 'Iron Saturation'),
+    // DE.ReportMostRecentResult("Kidney Biopsy Report", 'Kidney Biopsy Report'),
+    DE.ReportMostRecentResult("KT/V Hemodialysis Ratio", 'KT/V Hemodialysis Ratio'),
+    DE.ReportMostRecentResult("Low Density Lipoprotein", 'LDL Cholesterol'),
+    DE.ReportMostRecentResult("Mean Corpuscular Hemoglobin Concentration", 'Mean Corpuscular Hemoglobin Concentration'),
+    DE.ReportMostRecentResult("Mean Corpuscular Volume", 'Mean Corpuscular Volume'),
+    DE.ReportMostRecentResult("Microorganisms Detection by Blood Culture", 'Microorganisms Detection by Blood Culture'),
+    DE.ReportMostRecentResult("Microorganisms Detection by Sputum Culture", 'Microorganisms Detection by Sputum Culture'),
+    // DE.ReportMostRecentResult("Muscle Biopsy Report", 'Muscle Biopsy Report'),
+    DE.ReportMostRecentResult("N Terminal Pro_B_Type Natriuretic Peptide [Nt_Probnp] in blood, serum or plasma", 'N Terminal Pro_B_Type Natriuretic Peptide'),
+    DE.ReportMostRecentResult("Oxygen Saturation, Blood", 'Oxygen Saturation'),
+    DE.ReportMostRecentResult("Phosphorus in blood, serum or plasma", 'Phosphorus'),
+    DE.ReportMostRecentResult("Platelet Count", 'Platelet Count'),
+    DE.ReportMostRecentResult("Platelet Distribution Width", 'Platelet Distribution Width'),
+    DE.ReportMostRecentResult("Platelet Mean Volume", 'Platelet Mean Volume'),
+    DE.ReportMostRecentResult("Potassium in blood, serum or plasma", 'Potassium'),
+    DE.ReportMostRecentResult("Procalcitonin in Blood, Serum, or Plasma", 'Procalcitonin'),
+    DE.ReportMostRecentResult("Random Blood Glucose Test", 'Random Blood Glucose Test'),
+    DE.ReportMostRecentResult("Red Blood Cell Count (Erythrocytes)", 'Red Blood Cell Count (Erythrocytes)'),
+    DE.ReportMostRecentResult("Serum Rheumatoid Factor", 'Serum Rheumatoid Factor'),
+    // DE.ReportMostRecentResult("Skin Biopsy Report", 'Skin Biopsy Report'),
+    DE.ReportMostRecentResult("Sodium in blood, serum or plasma", 'Sodium'),
+    DE.ReportMostRecentResult("Thyroid Stimulating Hormone (TSH) Test", 'Thyroid Stimulating Hormone (TSH)'),
+    DE.ReportMostRecentResult("Total Carbon Dioxide or Bicarbonate in blood, serum or plasma", 'Total Carbon Dioxide or Bicarbonate'),
+    DE.ReportMostRecentResult("Total Cholesterol", 'Total Cholesterol'),
+    DE.ReportMostRecentResult("Triglyceride in blood, serum or plasma", 'Triglycerides'),
+    DE.ReportMostRecentResult("Triiodothyronine in serum or plasma", 'Triiodothyronine'),
+    DE.ReportMostRecentResult("Troponin I, Bld/Ser/Plas", 'Troponin I'),
+    DE.ReportMostRecentResult("Troponin T, Bld/Ser/Pla", 'Troponin T'),
+    DE.ReportMostRecentResult("Urea Reduction Ratio", 'Urea Reduction Ratio'),
+    DE.ReportMostRecentResult("Uric Acid (Urate) in blood, serum or plasma", 'Uric Acid (Urate)'),
+    DE.ReportMostRecentResult("Urine Albumin Creatinine Ratio", 'Urine Albumin Creatinine Ratio'),
+    DE.ReportMostRecentResult("Urine Protein to Creatinine Ratio (UPCR)", 'Urine Protein to Creatinine Ratio (UPCR)'),
+    DE.ReportMostRecentResult("Urine Sediment", 'Urine Sediment'),
+    DE.ReportMostRecentResult("Urine Urea Nitrogen", 'Urine Urea Nitrogen'),
+    DE.ReportMostRecentResult("Uroflowmetry", 'Uroflowmetry'),
+    DE.ReportMostRecentResult("Vitamin D Levels", 'Vitamin D'),
+    DE.ReportMostRecentResult("White Blood Cell (Leukocytes) Count", 'White Blood Cell (Leukocytes) Count')
+    // DE.ReportMostRecentResult("", ''),
+
   }) Result where Result is not null
 
 // View summary tuple for each lab result data element in CKD minimum data set (MDS)
+/*
 define "CKD Lab Result Summary": 
   (List {
     DE.ReportMostRecentResult("eGFR Results", 'eGFR'),
@@ -46,32 +125,264 @@ define "Diabetes Lab Result Summary":
 define "Chronic Pain Lab Result Summary": {
   
 }
+*/
 
 // Lists of Lab result FHIR Observations
 
-define "Total Cholesterol Results":
-  DE.SelectByStatus([Observation: Cx."Total Cholesterol"])
+define "24 Hour Urine Protein Excretion":
+  DE.SelectByStatus([Observation: Cx."24 Hour Urine Protein Excretion"])
+
+define "24 Hour Urine Volume":
+  DE.SelectByStatus([Observation: Cx."24 Hour Urine Volume"])
+
+define "Alanine Aminotransferase (ALT), Bld/Ser/Plas":
+  DE.SelectByStatus([Observation: Cx."Alanine Aminotransferase (ALT), Bld/Ser/Plas"])
+
+define "Albumin in Blood, Plasma, or Serum":
+  DE.SelectByStatus([Observation: Cx."Albumin in Blood, Plasma, or Serum"])
+
+define "Aldosterone/Renin Ratio":
+  DE.SelectByStatus([Observation: Cx."Aldosterone/Renin Ratio"])
+
+define "Alkaline Phosphatase (Alp) in Blood, Serum or Plasma":
+  DE.SelectByStatus([Observation: Cx."Alkaline Phosphatase (Alp) in Blood, Serum or Plasma"])
+
+define "Anion Gap":
+  DE.SelectByStatus([Observation: Cx."Anion Gap"])
+
+define "Arterial Blood Gas (ABG)":
+  DE.SelectByStatus([Observation: Cx."Arterial Blood Gas (ABG)"])
+
+define "Aspartate Aminotransferase (AST), Ser/Plas":
+  DE.SelectByStatus([Observation: Cx."Aspartate Aminotransferase (AST), Ser/Plas"])
+
+define "Aspartate Transaminase or Alanine Aminotransferase Ratio":
+  DE.SelectByStatus([Observation: Cx."Aspartate Transaminase or Alanine Aminotransferase Ratio"])
+
+define "B Type Natriuretic Peptide [Bnp] in Blood, Serum or Plasma":
+  DE.SelectByStatus([Observation: Cx."B Type Natriuretic Peptide [Bnp] in Blood, Serum or Plasma"])
+
+define "Bicarbonate in blood, serum or plasma":
+  DE.SelectByStatus([Observation: Cx."Bicarbonate in blood, serum or plasma"])
+
+define "Bilirubin, Total, Bld/Ser/Plas":
+  DE.SelectByStatus([Observation: Cx."Bilirubin, Total, Bld/Ser/Plas"])
+
+define "Blood Ethanol Level":
+  DE.SelectByStatus([Observation: Cx."Blood Ethanol Level"])
+
+define "Blood Urea Nitrogen":
+  DE.SelectByStatus([Observation: Cx."Blood Urea Nitrogen"])
+
+define "Bone Biopsy Report":
+  DE.SelectByStatus([Observation: Cx."Bone Biopsy Report"])
+
+define "C reactive Protein (CRP), Bld/Ser/Plas":
+  DE.SelectByStatus([Observation: Cx."C reactive Protein (CRP), Bld/Ser/Plas"])
+
+define "Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum":
+  DE.SelectByStatus([Observation: Cx."Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum"])
+
+define "Cerebral Spinal Fluid (CSF) Analysis":
+  DE.SelectByStatus([Observation: Cx."Cerebral Spinal Fluid (CSF) Analysis"])
+
+define "Chloride in blood, serum or plasma":
+  DE.SelectByStatus([Observation: Cx."Chloride in blood, serum or plasma"])
+
+define "Coagulation Assay (PT, aPTT, Fibrinogen)":
+  DE.SelectByStatus([Observation: Cx."Coagulation Assay (PT, aPTT, Fibrinogen)"])
+
+define "Complete Blood Count (with Diff)":
+  DE.SelectByStatus([Observation: Cx."Complete Blood Count (with Diff)"])
+
+define "Comprehensive Metabolic Panel (CMP)":
+  DE.SelectByStatus([Observation: Cx."Comprehensive Metabolic Panel (CMP)"])
+
+define "Corrected Calcium":
+  DE.SelectByStatus([Observation: Cx."Corrected Calcium"])
+
+define "COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests":
+  DE.SelectByStatus([Observation: Cx."COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests"])
+
+define "Creatine Kinase (CK, CK MB) in Blood, Serum, or Plasma":
+  DE.SelectByStatus([Observation: Cx."Creatine Kinase (CK, CK MB) in Blood, Serum, or Plasma"])
+
+define "Creatinine in blood, serum or plasma":
+  DE.SelectByStatus([Observation: Cx."Creatinine in blood, serum or plasma"])
+
+define "Cystatin C":
+  DE.SelectByStatus([Observation: Cx."Cystatin C"])
+
+define "D Dimer Test":
+  DE.SelectByStatus([Observation: Cx."D Dimer Test"])
+
+define "Drugs of Abuse Screen":
+  DE.SelectByStatus([Observation: Cx."Drugs of Abuse Screen"])
+
+define "Erythrocyte Distribution Width":
+  DE.SelectByStatus([Observation: Cx."Erythrocyte Distribution Width"])
+
+define "Erythrocyte Sedimentation Rate (ESR), Blood":
+  DE.SelectByStatus([Observation: Cx."Erythrocyte Sedimentation Rate (ESR), Blood"])
+
+define "Estimated Average Glucose":
+  DE.SelectByStatus([Observation: Cx."Estimated Average Glucose"])
+
+define "Estimated Glomerular Filtration Rate (eGFR)":
+  DE.SelectByStatus([Observation: Cx."Estimated Glomerular Filtration Rate (eGFR)"])
+
+define "Fasting Blood Glucose":
+  DE.SelectByStatus([Observation: Cx."Fasting Blood Glucose"])
+
+define "Ferritin":
+  DE.SelectByStatus([Observation: Cx."Ferritin"])
+
+define "Free T4 (Thyroxine) Test":
+  DE.SelectByStatus([Observation: Cx."Free T4 (Thyroxine) Test"])
+
+define "Gamma Glutamyl Transpeptidase (Ggt) in blood, serum or plasma":
+  DE.SelectByStatus([Observation: Cx."Gamma Glutamyl Transpeptidase (Ggt) in blood, serum or plasma"])
 
-define "High Density Lipoprotein Results":
+define "Gastric Tissue Biopsy Report":
+  DE.SelectByStatus([Observation: Cx."Gastric Tissue Biopsy Report"])
+
+define "Glucose Tolerance Test Results":
+  DE.SelectByStatus([Observation: Cx."Glucose Tolerance Test Results"])
+
+define "Hematocrit":
+  DE.SelectByStatus([Observation: Cx."Hematocrit"])
+
+define "Hemoglobin":
+  DE.SelectByStatus([Observation: Cx."Hemoglobin"])
+
+define "Hemoglobin A1C":
+  DE.SelectByStatus([Observation: Cx."Hemoglobin A1C"])
+
+define "High Density Lipoprotein":
   DE.SelectByStatus([Observation: Cx."High Density Lipoprotein"])
 
-define "Low Density Lipoprotein Results":
+define "High Sensitivity Troponin":
+  DE.SelectByStatus([Observation: Cx."High Sensitivity Troponin"])
+
+define "INR":
+  DE.SelectByStatus([Observation: Cx."INR"])
+
+define "Intact Parathyroid Hormone":
+  DE.SelectByStatus([Observation: Cx."Intact Parathyroid Hormone"])
+
+define "Iron Saturation (Transferrin Saturation/TSAT)":
+  DE.SelectByStatus([Observation: Cx."Iron Saturation (Transferrin Saturation/TSAT)"])
+
+define "Kidney Biopsy Report":
+  DE.SelectByStatus([Observation: Cx."Kidney Biopsy Report"])
+
+define "KT/V Hemodialysis Ratio":
+  DE.SelectByStatus([Observation: Cx."KT/V Hemodialysis Ratio"])
+
+define "Low Density Lipoprotein":
   DE.SelectByStatus([Observation: Cx."Low Density Lipoprotein"])
 
-define "Triglyceride Results":
-  DE.SelectByStatus([Observation: Cx."Triglyceride Blood Serum Plasma"])
+define "Mean Corpuscular Hemoglobin Concentration":
+  DE.SelectByStatus([Observation: Cx."Mean Corpuscular Hemoglobin Concentration"])
 
-define "Hemoglobin A1C Results":
-  DE.SelectByStatus([Observation: Cx."Hemoglobin A1C"])
+define "Mean Corpuscular Volume":
+  DE.SelectByStatus([Observation: Cx."Mean Corpuscular Volume"])
+
+define "Microorganisms Detection by Blood Culture":
+  DE.SelectByStatus([Observation: Cx."Microorganisms Detection by Blood Culture"])
+
+define "Microorganisms Detection by Sputum Culture":
+  DE.SelectByStatus([Observation: Cx."Microorganisms Detection by Sputum Culture"])
+
+define "Muscle Biopsy Report":
+  DE.SelectByStatus([Observation: Cx."Muscle Biopsy Report"])
+
+define "N Terminal Pro_B_Type Natriuretic Peptide [Nt_Probnp] in blood, serum or plasma":
+  DE.SelectByStatus([Observation: Cx."N Terminal Pro_B_Type Natriuretic Peptide [Nt_Probnp] in blood, serum or plasma"])
+
+define "Oxygen Saturation, Blood":
+  DE.SelectByStatus([Observation: Cx."Oxygen Saturation, Blood"])
+
+define "Phosphorus in blood, serum or plasma":
+  DE.SelectByStatus([Observation: Cx."Phosphorus in blood, serum or plasma"])
+
+define "Platelet Count":
+  DE.SelectByStatus([Observation: Cx."Platelet Count"])
+
+define "Platelet Distribution Width":
+  DE.SelectByStatus([Observation: Cx."Platelet Distribution Width"])
+
+define "Platelet Mean Volume":
+  DE.SelectByStatus([Observation: Cx."Platelet Mean Volume"])
 
-define "eGFR Results":
-  DE.SelectByStatus([Observation: Cx."Estimated Glomerular Filtration Rate"])
+define "Potassium in blood, serum or plasma":
+  DE.SelectByStatus([Observation: Cx."Potassium in blood, serum or plasma"])
 
-define "Serum Albumin Results":
-  DE.SelectByStatus([Observation: Cx."Serum Albumin"])
+define "Procalcitonin in Blood, Serum, or Plasma":
+  DE.SelectByStatus([Observation: Cx."Procalcitonin in Blood, Serum, or Plasma"])
 
-define "Serum Creatinine Results":
-  DE.SelectByStatus([Observation: Cx."Serum Creatinine"])
+define "Random Blood Glucose Test":
+  DE.SelectByStatus([Observation: Cx."Random Blood Glucose Test"])
 
-define "UACR Results":
+define "Red Blood Cell Count (Erythrocytes)":
+  DE.SelectByStatus([Observation: Cx."Red Blood Cell Count (Erythrocytes)"])
+
+define "Serum Rheumatoid Factor":
+  DE.SelectByStatus([Observation: Cx."Serum Rheumatoid Factor"])
+
+define "Skin Biopsy Report":
+  DE.SelectByStatus([Observation: Cx."Skin Biopsy Report"])
+
+define "Sodium in blood, serum or plasma":
+  DE.SelectByStatus([Observation: Cx."Sodium in blood, serum or plasma"])
+  
+define "Thyroid Stimulating Hormone (TSH) Test":
+  DE.SelectByStatus([Observation: Cx."Thyroid Stimulating Hormone (TSH) Test"])
+
+define "Total Carbon Dioxide or Bicarbonate in blood, serum or plasma":
+  DE.SelectByStatus([Observation: Cx."Total Carbon Dioxide or Bicarbonate in blood, serum or plasma"])
+
+define "Total Cholesterol":
+  DE.SelectByStatus([Observation: Cx."Total Cholesterol"])
+
+define "Triglyceride in blood, serum or plasma":
+  DE.SelectByStatus([Observation: Cx."Triglyceride in blood, serum or plasma"])
+
+define "Triiodothyronine in serum or plasma":
+  DE.SelectByStatus([Observation: Cx."Triiodothyronine in serum or plasma"])
+
+define "Troponin I, Bld/Ser/Plas":
+  DE.SelectByStatus([Observation: Cx."Troponin I, Bld/Ser/Plas"])
+
+define "Troponin T, Bld/Ser/Pla":
+  DE.SelectByStatus([Observation: Cx."Troponin T, Bld/Ser/Pla"])
+
+define "Urea Reduction Ratio":
+  DE.SelectByStatus([Observation: Cx."Urea Reduction Ratio"])
+
+define "Uric Acid (Urate) in blood, serum or plasma":
+  DE.SelectByStatus([Observation: Cx."Uric Acid (Urate) in blood, serum or plasma"])
+
+define "Urine Albumin Creatinine Ratio":
   DE.SelectByStatus([Observation: Cx."Urine Albumin Creatinine Ratio"])
+
+define "Urine Protein to Creatinine Ratio (UPCR)":
+  DE.SelectByStatus([Observation: Cx."Urine Protein to Creatinine Ratio (UPCR)"])
+
+define "Urine Sediment":
+  DE.SelectByStatus([Observation: Cx."Urine Sediment"])
+
+define "Urine Urea Nitrogen":
+  DE.SelectByStatus([Observation: Cx."Urine Urea Nitrogen"])
+
+define "Uroflowmetry":
+  DE.SelectByStatus([Observation: Cx."Uroflowmetry"])
+
+define "Vitamin D Levels":
+  DE.SelectByStatus([Observation: Cx."Vitamin D Levels"])
+
+define "White Blood Cell (Leukocytes) Count":
+  DE.SelectByStatus([Observation: Cx."White Blood Cell (Leukocytes) Count"])
+
+// define "":
+//   DE.SelectByStatus([Observation: Cx.""])
diff --git a/src/data-services/cql/mcc/MCCLabResults.json b/src/data-services/cql/mcc/MCCLabResults.json
index 368dadd..59d581a 100644
--- a/src/data-services/cql/mcc/MCCLabResults.json
+++ b/src/data-services/cql/mcc/MCCLabResults.json
@@ -1,12 +1,210 @@
 {
    "library" : {
+      "localId" : "0",
       "annotation" : [ {
+         "translatorVersion" : "3.10.0-SNAPSHOT",
          "translatorOptions" : "EnableAnnotations,EnableLocators,EnableResultTypes",
+         "signatureLevel" : "None",
          "type" : "CqlToElmInfo"
+      }, {
+         "message" : "You used a string literal: [24 Hour Urine Protein Excretion] here that matches an identifier in scope: [24 Hour Urine Protein Excretion]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [24 Hour Urine Volume] here that matches an identifier in scope: [24 Hour Urine Volume]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Aldosterone/Renin Ratio] here that matches an identifier in scope: [Aldosterone/Renin Ratio]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Anion Gap] here that matches an identifier in scope: [Anion Gap]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Aspartate Transaminase or Alanine Aminotransferase Ratio] here that matches an identifier in scope: [Aspartate Transaminase or Alanine Aminotransferase Ratio]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Blood Ethanol Level] here that matches an identifier in scope: [Blood Ethanol Level]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Blood Urea Nitrogen] here that matches an identifier in scope: [Blood Urea Nitrogen]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Cerebral Spinal Fluid (CSF) Analysis] here that matches an identifier in scope: [Cerebral Spinal Fluid (CSF) Analysis]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Cystatin C] here that matches an identifier in scope: [Cystatin C]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Drugs of Abuse Screen] here that matches an identifier in scope: [Drugs of Abuse Screen]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Erythrocyte Distribution Width] here that matches an identifier in scope: [Erythrocyte Distribution Width]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Estimated Average Glucose] here that matches an identifier in scope: [Estimated Average Glucose]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Fasting Blood Glucose] here that matches an identifier in scope: [Fasting Blood Glucose]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Ferritin] here that matches an identifier in scope: [Ferritin]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Gastric Tissue Biopsy Report] here that matches an identifier in scope: [Gastric Tissue Biopsy Report]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Hematocrit] here that matches an identifier in scope: [Hematocrit]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Hemoglobin] here that matches an identifier in scope: [Hemoglobin]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [High Sensitivity Troponin] here that matches an identifier in scope: [High Sensitivity Troponin]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [INR] here that matches an identifier in scope: [INR]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Intact Parathyroid Hormone] here that matches an identifier in scope: [Intact Parathyroid Hormone]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [KT/V Hemodialysis Ratio] here that matches an identifier in scope: [KT/V Hemodialysis Ratio]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Mean Corpuscular Hemoglobin Concentration] here that matches an identifier in scope: [Mean Corpuscular Hemoglobin Concentration]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Mean Corpuscular Volume] here that matches an identifier in scope: [Mean Corpuscular Volume]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Microorganisms Detection by Blood Culture] here that matches an identifier in scope: [Microorganisms Detection by Blood Culture]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Microorganisms Detection by Sputum Culture] here that matches an identifier in scope: [Microorganisms Detection by Sputum Culture]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Platelet Count] here that matches an identifier in scope: [Platelet Count]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Platelet Distribution Width] here that matches an identifier in scope: [Platelet Distribution Width]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Platelet Mean Volume] here that matches an identifier in scope: [Platelet Mean Volume]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Random Blood Glucose Test] here that matches an identifier in scope: [Random Blood Glucose Test]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Red Blood Cell Count (Erythrocytes)] here that matches an identifier in scope: [Red Blood Cell Count (Erythrocytes)]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Serum Rheumatoid Factor] here that matches an identifier in scope: [Serum Rheumatoid Factor]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Total Cholesterol] here that matches an identifier in scope: [Total Cholesterol]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Urea Reduction Ratio] here that matches an identifier in scope: [Urea Reduction Ratio]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Urine Albumin Creatinine Ratio] here that matches an identifier in scope: [Urine Albumin Creatinine Ratio]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Urine Protein to Creatinine Ratio (UPCR)] here that matches an identifier in scope: [Urine Protein to Creatinine Ratio (UPCR)]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Urine Sediment] here that matches an identifier in scope: [Urine Sediment]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Urine Urea Nitrogen] here that matches an identifier in scope: [Urine Urea Nitrogen]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Uroflowmetry] here that matches an identifier in scope: [Uroflowmetry]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [White Blood Cell (Leukocytes) Count] here that matches an identifier in scope: [White Blood Cell (Leukocytes) Count]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
       }, {
          "type" : "Annotation",
          "s" : {
-            "r" : "73",
+            "r" : "7464",
             "s" : [ {
                "value" : [ "","library MCCLabResults version '0.1.0'" ]
             } ]
@@ -22,10 +220,11 @@
       },
       "usings" : {
          "def" : [ {
+            "localId" : "1",
             "localIdentifier" : "System",
             "uri" : "urn:hl7-org:elm-types:r1"
          }, {
-            "localId" : "1",
+            "localId" : "206",
             "locator" : "3:1-3:26",
             "localIdentifier" : "FHIR",
             "uri" : "http://hl7.org/fhir",
@@ -33,7 +232,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "1",
+                  "r" : "206",
                   "s" : [ {
                      "value" : [ "","using " ]
                   }, {
@@ -41,7 +240,7 @@
                         "value" : [ "FHIR" ]
                      } ]
                   }, {
-                     "value" : [ " version ","'4.0.1'" ]
+                     "value" : [ " version '4.0.1'" ]
                   } ]
                }
             } ]
@@ -49,7 +248,7 @@
       },
       "includes" : {
          "def" : [ {
-            "localId" : "2",
+            "localId" : "207",
             "locator" : "5:1-5:35",
             "localIdentifier" : "FHIRHelpers",
             "path" : "FHIRHelpers",
@@ -57,7 +256,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "2",
+                  "r" : "207",
                   "s" : [ {
                      "value" : [ "","include " ]
                   }, {
@@ -70,14 +269,14 @@
                }
             } ]
          }, {
-            "localId" : "3",
+            "localId" : "208",
             "locator" : "6:1-6:36",
             "localIdentifier" : "DE",
             "path" : "DataElementHelpers",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "3",
+                  "r" : "208",
                   "s" : [ {
                      "value" : [ "","include " ]
                   }, {
@@ -90,14 +289,14 @@
                }
             } ]
          }, {
-            "localId" : "4",
+            "localId" : "209",
             "locator" : "7:1-7:29",
             "localIdentifier" : "Cx",
             "path" : "MCCConcepts",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "4",
+                  "r" : "209",
                   "s" : [ {
                      "value" : [ "","include " ]
                   }, {
@@ -113,56 +312,65 @@
       },
       "contexts" : {
          "def" : [ {
+            "localId" : "213",
             "locator" : "9:1-9:15",
             "name" : "Patient"
          } ]
       },
       "statements" : {
          "def" : [ {
+            "localId" : "211",
             "locator" : "9:1-9:15",
             "name" : "Patient",
             "context" : "Patient",
             "expression" : {
+               "localId" : "212",
                "type" : "SingletonFrom",
+               "signature" : [ ],
                "operand" : {
+                  "localId" : "210",
                   "locator" : "9:1-9:15",
                   "dataType" : "{http://hl7.org/fhir}Patient",
                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Patient",
-                  "type" : "Retrieve"
+                  "type" : "Retrieve",
+                  "include" : [ ],
+                  "codeFilter" : [ ],
+                  "dateFilter" : [ ],
+                  "otherFilter" : [ ]
                }
             }
          }, {
-            "localId" : "9",
-            "locator" : "52:1-53:58",
-            "name" : "Total Cholesterol Results",
+            "localId" : "220",
+            "locator" : "132:1-133:72",
+            "name" : "24 Hour Urine Protein Excretion",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "9",
+                  "r" : "220",
                   "s" : [ {
-                     "value" : [ "// Lists of Lab result FHIR Observations\n","define ","\"Total Cholesterol Results\"",":\n  " ]
+                     "value" : [ "// View summary tuple for each lab result data element in CKD minimum data set (MDS)\n/*\ndefine \"CKD Lab Result Summary\": \n  (List {\n    DE.ReportMostRecentResult(\"eGFR Results\", 'eGFR'),\n    DE.ReportMostRecentResult(\"High Density Lipoprotein Results\", 'HDL Cholesterol'),\n    DE.ReportMostRecentResult(\"Low Density Lipoprotein Results\", 'LDL Cholesterol'),\n    DE.ReportMostRecentResult(\"UACR Results\", 'Urine Albumin Creatinine Ratio')\n  }) Result where Result is not null\n\ndefine \"CVD Lab Result Summary\": \n  (List {\n    DE.ReportMostRecentResult(\"High Density Lipoprotein Results\", 'HDL Cholesterol'),\n    DE.ReportMostRecentResult(\"Low Density Lipoprotein Results\", 'LDL Cholesterol'),\n    DE.ReportMostRecentResult(\"Triglyceride Results\", 'Triglycerides')\n  }) Result where Result is not null\n\ndefine \"Diabetes Lab Result Summary\": \n  (List {\n    DE.ReportMostRecentResult(\"Hemoglobin A1C Results\", 'Hemoglobin A1c %'),\n    DE.ReportMostRecentResult(\"Triglyceride Results\", 'Triglycerides')\n  }) Result where Result is not null\n\ndefine \"Chronic Pain Lab Result Summary\": {\n  \n}\n*/\n\n// Lists of Lab result FHIR Observations\n\n","define ","\"24 Hour Urine Protein Excretion\"",":\n  " ]
                   }, {
-                     "r" : "8",
+                     "r" : "230",
                      "s" : [ {
-                        "r" : "6",
+                        "r" : "221",
                         "s" : [ {
                            "value" : [ "DE" ]
                         } ]
                      }, {
                         "value" : [ "." ]
                      }, {
-                        "r" : "8",
+                        "r" : "230",
                         "s" : [ {
                            "value" : [ "SelectByStatus","(" ]
                         }, {
-                           "r" : "7",
+                           "r" : "225",
                            "s" : [ {
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Total Cholesterol\"" ]
+                                 "value" : [ "Cx",".","\"24 Hour Urine Protein Excretion\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -175,81 +383,93 @@
                }
             } ],
             "resultTypeSpecifier" : {
+               "localId" : "7775",
                "type" : "ListTypeSpecifier",
                "elementType" : {
+                  "localId" : "7776",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "8",
-               "locator" : "53:3-53:58",
+               "localId" : "230",
+               "locator" : "133:3-133:72",
                "name" : "SelectByStatus",
                "libraryName" : "DE",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
+                  "localId" : "233",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
+                     "localId" : "234",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
+               "signature" : [ ],
                "operand" : [ {
-                  "localId" : "7",
-                  "locator" : "53:21-53:57",
+                  "localId" : "225",
+                  "locator" : "133:21-133:71",
                   "dataType" : "{http://hl7.org/fhir}Observation",
                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                   "codeProperty" : "code",
                   "codeComparator" : "in",
                   "type" : "Retrieve",
                   "resultTypeSpecifier" : {
+                     "localId" : "228",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
+                        "localId" : "229",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "codes" : {
-                     "locator" : "53:35-53:56",
+                     "localId" : "224",
+                     "locator" : "133:35-133:70",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "Total Cholesterol",
+                     "name" : "24 Hour Urine Protein Excretion",
                      "libraryName" : "Cx",
                      "type" : "ValueSetRef"
-                  }
+                  },
+                  "include" : [ ],
+                  "codeFilter" : [ ],
+                  "dateFilter" : [ ],
+                  "otherFilter" : [ ]
                } ]
             }
          }, {
-            "localId" : "17",
-            "locator" : "55:1-56:65",
-            "name" : "High Density Lipoprotein Results",
+            "localId" : "314",
+            "locator" : "135:1-136:61",
+            "name" : "24 Hour Urine Volume",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "17",
+                  "r" : "314",
                   "s" : [ {
-                     "value" : [ "","define ","\"High Density Lipoprotein Results\"",":\n  " ]
+                     "value" : [ "","define ","\"24 Hour Urine Volume\"",":\n  " ]
                   }, {
-                     "r" : "16",
+                     "r" : "324",
                      "s" : [ {
-                        "r" : "14",
+                        "r" : "315",
                         "s" : [ {
                            "value" : [ "DE" ]
                         } ]
                      }, {
                         "value" : [ "." ]
                      }, {
-                        "r" : "16",
+                        "r" : "324",
                         "s" : [ {
                            "value" : [ "SelectByStatus","(" ]
                         }, {
-                           "r" : "15",
+                           "r" : "319",
                            "s" : [ {
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"High Density Lipoprotein\"" ]
+                                 "value" : [ "Cx",".","\"24 Hour Urine Volume\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -262,81 +482,93 @@
                }
             } ],
             "resultTypeSpecifier" : {
+               "localId" : "7777",
                "type" : "ListTypeSpecifier",
                "elementType" : {
+                  "localId" : "7778",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "16",
-               "locator" : "56:3-56:65",
+               "localId" : "324",
+               "locator" : "136:3-136:61",
                "name" : "SelectByStatus",
                "libraryName" : "DE",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
+                  "localId" : "327",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
+                     "localId" : "328",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
+               "signature" : [ ],
                "operand" : [ {
-                  "localId" : "15",
-                  "locator" : "56:21-56:64",
+                  "localId" : "319",
+                  "locator" : "136:21-136:60",
                   "dataType" : "{http://hl7.org/fhir}Observation",
                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                   "codeProperty" : "code",
                   "codeComparator" : "in",
                   "type" : "Retrieve",
                   "resultTypeSpecifier" : {
+                     "localId" : "322",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
+                        "localId" : "323",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "codes" : {
-                     "locator" : "56:35-56:63",
+                     "localId" : "318",
+                     "locator" : "136:35-136:59",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "High Density Lipoprotein",
+                     "name" : "24 Hour Urine Volume",
                      "libraryName" : "Cx",
                      "type" : "ValueSetRef"
-                  }
+                  },
+                  "include" : [ ],
+                  "codeFilter" : [ ],
+                  "dateFilter" : [ ],
+                  "otherFilter" : [ ]
                } ]
             }
          }, {
-            "localId" : "25",
-            "locator" : "58:1-59:64",
-            "name" : "Low Density Lipoprotein Results",
+            "localId" : "408",
+            "locator" : "138:1-139:85",
+            "name" : "Alanine Aminotransferase (ALT), Bld/Ser/Plas",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "25",
+                  "r" : "408",
                   "s" : [ {
-                     "value" : [ "","define ","\"Low Density Lipoprotein Results\"",":\n  " ]
+                     "value" : [ "","define ","\"Alanine Aminotransferase (ALT), Bld/Ser/Plas\"",":\n  " ]
                   }, {
-                     "r" : "24",
+                     "r" : "418",
                      "s" : [ {
-                        "r" : "22",
+                        "r" : "409",
                         "s" : [ {
                            "value" : [ "DE" ]
                         } ]
                      }, {
                         "value" : [ "." ]
                      }, {
-                        "r" : "24",
+                        "r" : "418",
                         "s" : [ {
                            "value" : [ "SelectByStatus","(" ]
                         }, {
-                           "r" : "23",
+                           "r" : "413",
                            "s" : [ {
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Low Density Lipoprotein\"" ]
+                                 "value" : [ "Cx",".","\"Alanine Aminotransferase (ALT), Bld/Ser/Plas\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -349,81 +581,93 @@
                }
             } ],
             "resultTypeSpecifier" : {
+               "localId" : "7779",
                "type" : "ListTypeSpecifier",
                "elementType" : {
+                  "localId" : "7780",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "24",
-               "locator" : "59:3-59:64",
+               "localId" : "418",
+               "locator" : "139:3-139:85",
                "name" : "SelectByStatus",
                "libraryName" : "DE",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
+                  "localId" : "421",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
+                     "localId" : "422",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
+               "signature" : [ ],
                "operand" : [ {
-                  "localId" : "23",
-                  "locator" : "59:21-59:63",
+                  "localId" : "413",
+                  "locator" : "139:21-139:84",
                   "dataType" : "{http://hl7.org/fhir}Observation",
                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                   "codeProperty" : "code",
                   "codeComparator" : "in",
                   "type" : "Retrieve",
                   "resultTypeSpecifier" : {
+                     "localId" : "416",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
+                        "localId" : "417",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "codes" : {
-                     "locator" : "59:35-59:62",
+                     "localId" : "412",
+                     "locator" : "139:35-139:83",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "Low Density Lipoprotein",
+                     "name" : "Alanine Aminotransferase (ALT), Bld/Ser/Plas",
                      "libraryName" : "Cx",
                      "type" : "ValueSetRef"
-                  }
+                  },
+                  "include" : [ ],
+                  "codeFilter" : [ ],
+                  "dateFilter" : [ ],
+                  "otherFilter" : [ ]
                } ]
             }
          }, {
-            "localId" : "33",
-            "locator" : "61:1-62:72",
-            "name" : "Triglyceride Results",
+            "localId" : "502",
+            "locator" : "141:1-142:75",
+            "name" : "Albumin in Blood, Plasma, or Serum",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "33",
+                  "r" : "502",
                   "s" : [ {
-                     "value" : [ "","define ","\"Triglyceride Results\"",":\n  " ]
+                     "value" : [ "","define ","\"Albumin in Blood, Plasma, or Serum\"",":\n  " ]
                   }, {
-                     "r" : "32",
+                     "r" : "512",
                      "s" : [ {
-                        "r" : "30",
+                        "r" : "503",
                         "s" : [ {
                            "value" : [ "DE" ]
                         } ]
                      }, {
                         "value" : [ "." ]
                      }, {
-                        "r" : "32",
+                        "r" : "512",
                         "s" : [ {
                            "value" : [ "SelectByStatus","(" ]
                         }, {
-                           "r" : "31",
+                           "r" : "507",
                            "s" : [ {
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Triglyceride Blood Serum Plasma\"" ]
+                                 "value" : [ "Cx",".","\"Albumin in Blood, Plasma, or Serum\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -436,81 +680,93 @@
                }
             } ],
             "resultTypeSpecifier" : {
+               "localId" : "7781",
                "type" : "ListTypeSpecifier",
                "elementType" : {
+                  "localId" : "7782",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "32",
-               "locator" : "62:3-62:72",
+               "localId" : "512",
+               "locator" : "142:3-142:75",
                "name" : "SelectByStatus",
                "libraryName" : "DE",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
+                  "localId" : "515",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
+                     "localId" : "516",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
+               "signature" : [ ],
                "operand" : [ {
-                  "localId" : "31",
-                  "locator" : "62:21-62:71",
+                  "localId" : "507",
+                  "locator" : "142:21-142:74",
                   "dataType" : "{http://hl7.org/fhir}Observation",
                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                   "codeProperty" : "code",
                   "codeComparator" : "in",
                   "type" : "Retrieve",
                   "resultTypeSpecifier" : {
+                     "localId" : "510",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
+                        "localId" : "511",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "codes" : {
-                     "locator" : "62:35-62:70",
+                     "localId" : "506",
+                     "locator" : "142:35-142:73",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "Triglyceride Blood Serum Plasma",
+                     "name" : "Albumin in Blood, Plasma, or Serum",
                      "libraryName" : "Cx",
                      "type" : "ValueSetRef"
-                  }
+                  },
+                  "include" : [ ],
+                  "codeFilter" : [ ],
+                  "dateFilter" : [ ],
+                  "otherFilter" : [ ]
                } ]
             }
          }, {
-            "localId" : "41",
-            "locator" : "64:1-65:55",
-            "name" : "Hemoglobin A1C Results",
+            "localId" : "596",
+            "locator" : "144:1-145:64",
+            "name" : "Aldosterone/Renin Ratio",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "41",
+                  "r" : "596",
                   "s" : [ {
-                     "value" : [ "","define ","\"Hemoglobin A1C Results\"",":\n  " ]
+                     "value" : [ "","define ","\"Aldosterone/Renin Ratio\"",":\n  " ]
                   }, {
-                     "r" : "40",
+                     "r" : "606",
                      "s" : [ {
-                        "r" : "38",
+                        "r" : "597",
                         "s" : [ {
                            "value" : [ "DE" ]
                         } ]
                      }, {
                         "value" : [ "." ]
                      }, {
-                        "r" : "40",
+                        "r" : "606",
                         "s" : [ {
                            "value" : [ "SelectByStatus","(" ]
                         }, {
-                           "r" : "39",
+                           "r" : "601",
                            "s" : [ {
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Hemoglobin A1C\"" ]
+                                 "value" : [ "Cx",".","\"Aldosterone/Renin Ratio\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -523,81 +779,93 @@
                }
             } ],
             "resultTypeSpecifier" : {
+               "localId" : "7783",
                "type" : "ListTypeSpecifier",
                "elementType" : {
+                  "localId" : "7784",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "40",
-               "locator" : "65:3-65:55",
+               "localId" : "606",
+               "locator" : "145:3-145:64",
                "name" : "SelectByStatus",
                "libraryName" : "DE",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
+                  "localId" : "609",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
+                     "localId" : "610",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
+               "signature" : [ ],
                "operand" : [ {
-                  "localId" : "39",
-                  "locator" : "65:21-65:54",
+                  "localId" : "601",
+                  "locator" : "145:21-145:63",
                   "dataType" : "{http://hl7.org/fhir}Observation",
                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                   "codeProperty" : "code",
                   "codeComparator" : "in",
                   "type" : "Retrieve",
                   "resultTypeSpecifier" : {
+                     "localId" : "604",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
+                        "localId" : "605",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "codes" : {
-                     "locator" : "65:35-65:53",
+                     "localId" : "600",
+                     "locator" : "145:35-145:62",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "Hemoglobin A1C",
+                     "name" : "Aldosterone/Renin Ratio",
                      "libraryName" : "Cx",
                      "type" : "ValueSetRef"
-                  }
+                  },
+                  "include" : [ ],
+                  "codeFilter" : [ ],
+                  "dateFilter" : [ ],
+                  "otherFilter" : [ ]
                } ]
             }
          }, {
-            "localId" : "49",
-            "locator" : "67:1-68:77",
-            "name" : "eGFR Results",
+            "localId" : "690",
+            "locator" : "147:1-148:93",
+            "name" : "Alkaline Phosphatase (Alp) in Blood, Serum or Plasma",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "49",
+                  "r" : "690",
                   "s" : [ {
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-                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Total Cholesterol",
-                           "type" : "Literal"
+                           "value" : [ ")" ]
+                        } ]
+                     } ]
+                  } ]
+               }
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                         } ]
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-                                    "name" : "{urn:hl7-org:elm-types:r1}String",
-                                    "type" : "NamedTypeSpecifier"
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-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
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                            } ]
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-                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "HDL Cholesterol",
-                           "type" : "Literal"
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+                        } ]
+                     } ]
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-                                 "type" : "NamedTypeSpecifier"
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-                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "LDL Cholesterol",
-                           "type" : "Literal"
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-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
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                            } ]
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-                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Triglycerides",
-                           "type" : "Literal"
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                         } ]
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-                                 "type" : "NamedTypeSpecifier"
-                              }
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-                                    "name" : "{urn:hl7-org:elm-types:r1}String",
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-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
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-                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Hemoglobin A1c %",
-                           "type" : "Literal"
+                           "value" : [ ")" ]
                         } ]
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-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
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-                              }
+                              "s" : [ {
+                                 "value" : [ "Cx",".","\"Hemoglobin A1C\"" ]
+                              } ]
                            }, {
-                              "name" : "LearnMore",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
+                              "value" : [ "]" ]
                            } ]
-                        }
-                     },
-                     "element" : [ {
-                        "localId" : "86",
-                        "locator" : "27:5-27:53",
-                        "name" : "ReportMostRecentResult",
-                        "libraryName" : "DE",
-                        "type" : "FunctionRef",
-                        "resultTypeSpecifier" : {
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-                           "element" : [ {
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-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "ConceptName",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "Date",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "ResultText",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "ResultValue",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}Decimal",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "ResultUnits",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "ReferenceRange",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "Interpretation",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "Flag",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}Boolean",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "Performer",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "Notes",
-                              "elementType" : {
-                                 "type" : "ListTypeSpecifier",
-                                 "elementType" : {
-                                    "name" : "{urn:hl7-org:elm-types:r1}String",
-                                    "type" : "NamedTypeSpecifier"
-                                 }
-                              }
-                           }, {
-                              "name" : "LearnMore",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           } ]
-                        },
-                        "operand" : [ {
-                           "localId" : "84",
-                           "locator" : "27:31-27:44",
-                           "name" : "eGFR Results",
-                           "type" : "ExpressionRef",
-                           "resultTypeSpecifier" : {
-                              "type" : "ListTypeSpecifier",
-                              "elementType" : {
-                                 "name" : "{http://hl7.org/fhir}Observation",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }
                         }, {
-                           "localId" : "85",
-                           "locator" : "27:47-27:52",
-                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
-                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "eGFR",
-                           "type" : "Literal"
+                           "value" : [ ")" ]
+                        } ]
+                     } ]
+                  } ]
+               }
+            } ],
+            "resultTypeSpecifier" : {
+               "localId" : "7923",
+               "type" : "ListTypeSpecifier",
+               "elementType" : {
+                  "localId" : "7924",
+                  "name" : "{http://hl7.org/fhir}Observation",
+                  "type" : "NamedTypeSpecifier"
+               }
+            },
+            "expression" : {
+               "localId" : "3808",
+               "locator" : "259:3-259:55",
+               "name" : "SelectByStatus",
+               "libraryName" : "DE",
+               "type" : "FunctionRef",
+               "resultTypeSpecifier" : {
+                  "localId" : "3811",
+                  "type" : "ListTypeSpecifier",
+                  "elementType" : {
+                     "localId" : "3812",
+                     "name" : "{http://hl7.org/fhir}Observation",
+                     "type" : "NamedTypeSpecifier"
+                  }
+               },
+               "signature" : [ ],
+               "operand" : [ {
+                  "localId" : "3803",
+                  "locator" : "259:21-259:54",
+                  "dataType" : "{http://hl7.org/fhir}Observation",
+                  "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
+                  "codeProperty" : "code",
+                  "codeComparator" : "in",
+                  "type" : "Retrieve",
+                  "resultTypeSpecifier" : {
+                     "localId" : "3806",
+                     "type" : "ListTypeSpecifier",
+                     "elementType" : {
+                        "localId" : "3807",
+                        "name" : "{http://hl7.org/fhir}Observation",
+                        "type" : "NamedTypeSpecifier"
+                     }
+                  },
+                  "codes" : {
+                     "localId" : "3802",
+                     "locator" : "259:35-259:53",
+                     "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+                     "name" : "Hemoglobin A1C",
+                     "libraryName" : "Cx",
+                     "type" : "ValueSetRef"
+                  },
+                  "include" : [ ],
+                  "codeFilter" : [ ],
+                  "dateFilter" : [ ],
+                  "otherFilter" : [ ]
+               } ]
+            }
+         }, {
+            "localId" : "3892",
+            "locator" : "261:1-262:65",
+            "name" : "High Density Lipoprotein",
+            "context" : "Patient",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "3892",
+                  "s" : [ {
+                     "value" : [ "","define ","\"High Density Lipoprotein\"",":\n  " ]
+                  }, {
+                     "r" : "3902",
+                     "s" : [ {
+                        "r" : "3893",
+                        "s" : [ {
+                           "value" : [ "DE" ]
                         } ]
                      }, {
-                        "localId" : "90",
-                        "locator" : "28:5-28:84",
-                        "name" : "ReportMostRecentResult",
-                        "libraryName" : "DE",
-                        "type" : "FunctionRef",
-                        "resultTypeSpecifier" : {
-                           "type" : "TupleTypeSpecifier",
-                           "element" : [ {
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-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "ConceptName",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "Date",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "ResultText",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "ResultValue",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}Decimal",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "ResultUnits",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "ReferenceRange",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "Interpretation",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "Flag",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}Boolean",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "Performer",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
+                        "value" : [ "." ]
+                     }, {
+                        "r" : "3902",
+                        "s" : [ {
+                           "value" : [ "SelectByStatus","(" ]
+                        }, {
+                           "r" : "3897",
+                           "s" : [ {
+                              "value" : [ "[","Observation",": " ]
                            }, {
-                              "name" : "Notes",
-                              "elementType" : {
-                                 "type" : "ListTypeSpecifier",
-                                 "elementType" : {
-                                    "name" : "{urn:hl7-org:elm-types:r1}String",
-                                    "type" : "NamedTypeSpecifier"
-                                 }
-                              }
+                              "s" : [ {
+                                 "value" : [ "Cx",".","\"High Density Lipoprotein\"" ]
+                              } ]
                            }, {
-                              "name" : "LearnMore",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
+                              "value" : [ "]" ]
                            } ]
-                        },
-                        "operand" : [ {
-                           "localId" : "88",
-                           "locator" : "28:31-28:64",
-                           "name" : "High Density Lipoprotein Results",
-                           "type" : "ExpressionRef",
-                           "resultTypeSpecifier" : {
-                              "type" : "ListTypeSpecifier",
-                              "elementType" : {
-                                 "name" : "{http://hl7.org/fhir}Observation",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }
                         }, {
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-                           "locator" : "28:67-28:83",
-                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
-                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "HDL Cholesterol",
-                           "type" : "Literal"
+                           "value" : [ ")" ]
                         } ]
-                     }, {
-                        "localId" : "94",
-                        "locator" : "29:5-29:83",
-                        "name" : "ReportMostRecentResult",
-                        "libraryName" : "DE",
-                        "type" : "FunctionRef",
-                        "resultTypeSpecifier" : {
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-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "ConceptName",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "Date",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
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-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "ResultValue",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}Decimal",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "ResultUnits",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "ReferenceRange",
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-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
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-                              }
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-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
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-                                 "type" : "NamedTypeSpecifier"
-                              }
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-                                    "name" : "{urn:hl7-org:elm-types:r1}String",
-                                    "type" : "NamedTypeSpecifier"
-                                 }
-                              }
-                           }, {
-                              "name" : "LearnMore",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           } ]
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-                           "locator" : "29:31-29:63",
-                           "name" : "Low Density Lipoprotein Results",
-                           "type" : "ExpressionRef",
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-                              "elementType" : {
-                                 "name" : "{http://hl7.org/fhir}Observation",
-                                 "type" : "NamedTypeSpecifier"
-                              }
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-                        }, {
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-                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
-                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "LDL Cholesterol",
-                           "type" : "Literal"
+                     } ]
+                  } ]
+               }
+            } ],
+            "resultTypeSpecifier" : {
+               "localId" : "7925",
+               "type" : "ListTypeSpecifier",
+               "elementType" : {
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+                  "name" : "{http://hl7.org/fhir}Observation",
+                  "type" : "NamedTypeSpecifier"
+               }
+            },
+            "expression" : {
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+               "locator" : "262:3-262:65",
+               "name" : "SelectByStatus",
+               "libraryName" : "DE",
+               "type" : "FunctionRef",
+               "resultTypeSpecifier" : {
+                  "localId" : "3905",
+                  "type" : "ListTypeSpecifier",
+                  "elementType" : {
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+                     "name" : "{http://hl7.org/fhir}Observation",
+                     "type" : "NamedTypeSpecifier"
+                  }
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+                  "locator" : "262:21-262:64",
+                  "dataType" : "{http://hl7.org/fhir}Observation",
+                  "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
+                  "codeProperty" : "code",
+                  "codeComparator" : "in",
+                  "type" : "Retrieve",
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+                     "type" : "ListTypeSpecifier",
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+                        "localId" : "3901",
+                        "name" : "{http://hl7.org/fhir}Observation",
+                        "type" : "NamedTypeSpecifier"
+                     }
+                  },
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+                     "locator" : "262:35-262:63",
+                     "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
+                     "name" : "High Density Lipoprotein",
+                     "libraryName" : "Cx",
+                     "type" : "ValueSetRef"
+                  },
+                  "include" : [ ],
+                  "codeFilter" : [ ],
+                  "dateFilter" : [ ],
+                  "otherFilter" : [ ]
+               } ]
+            }
+         }, {
+            "localId" : "3986",
+            "locator" : "264:1-265:66",
+            "name" : "High Sensitivity Troponin",
+            "context" : "Patient",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "3986",
+                  "s" : [ {
+                     "value" : [ "","define ","\"High Sensitivity Troponin\"",":\n  " ]
+                  }, {
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+                     "s" : [ {
+                        "r" : "3987",
+                        "s" : [ {
+                           "value" : [ "DE" ]
                         } ]
                      }, {
-                        "localId" : "98",
-                        "locator" : "30:5-30:79",
-                        "name" : "ReportMostRecentResult",
-                        "libraryName" : "DE",
-                        "type" : "FunctionRef",
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-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
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-                              "elementType" : {
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-                              }
-                           }, {
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-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "ResultText",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
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-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}Decimal",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "ResultUnits",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
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-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
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-                              }
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-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
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-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
+                        "value" : [ "." ]
+                     }, {
+                        "r" : "3996",
+                        "s" : [ {
+                           "value" : [ "SelectByStatus","(" ]
+                        }, {
+                           "r" : "3991",
+                           "s" : [ {
+                              "value" : [ "[","Observation",": " ]
                            }, {
-                              "name" : "Notes",
-                              "elementType" : {
-                                 "type" : "ListTypeSpecifier",
-                                 "elementType" : {
-                                    "name" : "{urn:hl7-org:elm-types:r1}String",
-                                    "type" : "NamedTypeSpecifier"
-                                 }
-                              }
+                              "s" : [ {
+                                 "value" : [ "Cx",".","\"High Sensitivity Troponin\"" ]
+                              } ]
                            }, {
-                              "name" : "LearnMore",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
+                              "value" : [ "]" ]
                            } ]
-                        },
-                        "operand" : [ {
-                           "localId" : "96",
-                           "locator" : "30:31-30:44",
-                           "name" : "UACR Results",
-                           "type" : "ExpressionRef",
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                         }, {
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-                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
-                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Urine Albumin Creatinine Ratio",
-                           "type" : "Literal"
+                           "value" : [ ")" ]
                         } ]
                      } ]
-                  }
-               } ],
-               "relationship" : [ ],
-               "where" : {
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-                  "locator" : "31:13-31:36",
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+                                          "r" : "1838",
+                                          "s" : [ {
+                                             "value" : [ "'Cerebral Spinal Fluid (CSF) Analysis'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "1933",
+                                    "s" : [ {
+                                       "r" : "1910",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "1933",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "1929",
+                                          "s" : [ {
+                                             "value" : [ "\"Chloride in blood, serum or plasma\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "1932",
+                                          "s" : [ {
+                                             "value" : [ "'Chloride'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "2027",
+                                    "s" : [ {
+                                       "r" : "2004",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "2027",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "2023",
+                                          "s" : [ {
+                                             "value" : [ "\"Coagulation Assay (PT, aPTT, Fibrinogen)\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "2026",
+                                          "s" : [ {
+                                             "value" : [ "'Coagulation Assay'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    // DE.ReportMostRecentResult(\"Complete Blood Count (with Diff)\", 'Complete Blood Count'),\n    // DE.ReportMostRecentResult(\"Comprehensive Metabolic Panel (CMP)\", 'Comprehensive Metabolic Panel (CMP)'),\n    " ]
+                                 }, {
+                                    "r" : "2121",
+                                    "s" : [ {
+                                       "r" : "2098",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "2121",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "2117",
+                                          "s" : [ {
+                                             "value" : [ "\"Corrected Calcium\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "2120",
+                                          "s" : [ {
+                                             "value" : [ "'Calcium'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    // DE.ReportMostRecentResult(\"COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests\", 'COVID 19 Test'),\n    " ]
+                                 }, {
+                                    "r" : "2215",
+                                    "s" : [ {
+                                       "r" : "2192",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "2215",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "2211",
+                                          "s" : [ {
+                                             "value" : [ "\"Creatine Kinase (CK, CK MB) in Blood, Serum, or Plasma\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "2214",
+                                          "s" : [ {
+                                             "value" : [ "'Creatine Kinase (CK, CK MB)'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "2309",
+                                    "s" : [ {
+                                       "r" : "2286",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "2309",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "2305",
+                                          "s" : [ {
+                                             "value" : [ "\"Creatinine in blood, serum or plasma\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "2308",
+                                          "s" : [ {
+                                             "value" : [ "'Creatinine'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "2403",
+                                    "s" : [ {
+                                       "r" : "2380",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "2403",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "2399",
+                                          "s" : [ {
+                                             "value" : [ "\"Cystatin C\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "2402",
+                                          "s" : [ {
+                                             "value" : [ "'Cystatin C'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "2497",
+                                    "s" : [ {
+                                       "r" : "2474",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "2497",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "2493",
+                                          "s" : [ {
+                                             "value" : [ "\"D Dimer Test\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "2496",
+                                          "s" : [ {
+                                             "value" : [ "'D Dimer'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "2591",
+                                    "s" : [ {
+                                       "r" : "2568",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "2591",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "2587",
+                                          "s" : [ {
+                                             "value" : [ "\"Drugs of Abuse Screen\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "2590",
+                                          "s" : [ {
+                                             "value" : [ "'Drugs of Abuse Screen'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "2685",
+                                    "s" : [ {
+                                       "r" : "2662",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "2685",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "2681",
+                                          "s" : [ {
+                                             "value" : [ "\"Erythrocyte Distribution Width\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "2684",
+                                          "s" : [ {
+                                             "value" : [ "'Erythrocyte Distribution Width'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "2779",
+                                    "s" : [ {
+                                       "r" : "2756",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "2779",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "2775",
+                                          "s" : [ {
+                                             "value" : [ "\"Erythrocyte Sedimentation Rate (ESR), Blood\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "2778",
+                                          "s" : [ {
+                                             "value" : [ "'Erythrocyte Sedimentation Rate (ESR)'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "2873",
+                                    "s" : [ {
+                                       "r" : "2850",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "2873",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "2869",
+                                          "s" : [ {
+                                             "value" : [ "\"Estimated Average Glucose\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "2872",
+                                          "s" : [ {
+                                             "value" : [ "'Estimated Average Glucose'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "2967",
+                                    "s" : [ {
+                                       "r" : "2944",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "2967",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "2963",
+                                          "s" : [ {
+                                             "value" : [ "\"Estimated Glomerular Filtration Rate (eGFR)\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "2966",
+                                          "s" : [ {
+                                             "value" : [ "'eGFR'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "3061",
+                                    "s" : [ {
+                                       "r" : "3038",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "3061",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "3057",
+                                          "s" : [ {
+                                             "value" : [ "\"Fasting Blood Glucose\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "3060",
+                                          "s" : [ {
+                                             "value" : [ "'Fasting Blood Glucose'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "3161",
+                                    "s" : [ {
+                                       "r" : "3132",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "3161",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "3157",
+                                          "s" : [ {
+                                             "s" : [ {
+                                                "r" : "3133",
+                                                "s" : [ {
+                                                   "r" : "3152",
+                                                   "s" : [ {
+                                                      "s" : [ {
+                                                         "value" : [ "Ferritin" ]
+                                                      } ]
+                                                   } ]
+                                                }, {
+                                                   "value" : [ "\"\"" ]
+                                                } ]
+                                             } ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "3160",
+                                          "s" : [ {
+                                             "value" : [ "'Ferritin'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "3255",
+                                    "s" : [ {
+                                       "r" : "3232",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "3255",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "3251",
+                                          "s" : [ {
+                                             "value" : [ "\"Free T4 (Thyroxine) Test\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "3254",
+                                          "s" : [ {
+                                             "value" : [ "'Free T4 (Thyroxine)'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "3349",
+                                    "s" : [ {
+                                       "r" : "3326",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "3349",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "3345",
+                                          "s" : [ {
+                                             "value" : [ "\"Gamma Glutamyl Transpeptidase (Ggt) in blood, serum or plasma\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "3348",
+                                          "s" : [ {
+                                             "value" : [ "'Gamma Glutamyl Transpeptidase (Ggt)'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "3443",
+                                    "s" : [ {
+                                       "r" : "3420",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "3443",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "3439",
+                                          "s" : [ {
+                                             "value" : [ "\"Gastric Tissue Biopsy Report\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "3442",
+                                          "s" : [ {
+                                             "value" : [ "'Gastric Tissue Biopsy Report'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "3537",
+                                    "s" : [ {
+                                       "r" : "3514",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "3537",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "3533",
+                                          "s" : [ {
+                                             "value" : [ "\"Glucose Tolerance Test Results\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "3536",
+                                          "s" : [ {
+                                             "value" : [ "'Glucose Tolerance'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "3631",
+                                    "s" : [ {
+                                       "r" : "3608",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "3631",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "3627",
+                                          "s" : [ {
+                                             "value" : [ "\"Hematocrit\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "3630",
+                                          "s" : [ {
+                                             "value" : [ "'Hematocrit'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "3725",
+                                    "s" : [ {
+                                       "r" : "3702",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "3725",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "3721",
+                                          "s" : [ {
+                                             "value" : [ "\"Hemoglobin\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "3724",
+                                          "s" : [ {
+                                             "value" : [ "'Hemoglobin'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "3819",
+                                    "s" : [ {
+                                       "r" : "3796",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "3819",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "3815",
+                                          "s" : [ {
+                                             "value" : [ "\"Hemoglobin A1C\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "3818",
+                                          "s" : [ {
+                                             "value" : [ "'Hemoglobin A1c %'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "3913",
+                                    "s" : [ {
+                                       "r" : "3890",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "3913",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "3909",
+                                          "s" : [ {
+                                             "value" : [ "\"High Density Lipoprotein\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "3912",
+                                          "s" : [ {
+                                             "value" : [ "'HDL Cholesterol'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "4007",
+                                    "s" : [ {
+                                       "r" : "3984",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "4007",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "4003",
+                                          "s" : [ {
+                                             "value" : [ "\"High Sensitivity Troponin\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "4006",
+                                          "s" : [ {
+                                             "value" : [ "'High Sensitivity Troponin'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "4101",
+                                    "s" : [ {
+                                       "r" : "4078",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "4101",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "4097",
+                                          "s" : [ {
+                                             "value" : [ "\"INR\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "4100",
+                                          "s" : [ {
+                                             "value" : [ "'INR'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "4195",
+                                    "s" : [ {
+                                       "r" : "4172",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "4195",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "4191",
+                                          "s" : [ {
+                                             "value" : [ "\"Intact Parathyroid Hormone\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "4194",
+                                          "s" : [ {
+                                             "value" : [ "'Intact Parathyroid Hormone'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "4289",
+                                    "s" : [ {
+                                       "r" : "4266",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "4289",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "4285",
+                                          "s" : [ {
+                                             "value" : [ "\"Iron Saturation (Transferrin Saturation/TSAT)\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "4288",
+                                          "s" : [ {
+                                             "value" : [ "'Iron Saturation'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    // DE.ReportMostRecentResult(\"Kidney Biopsy Report\", 'Kidney Biopsy Report'),\n    " ]
+                                 }, {
+                                    "r" : "4383",
+                                    "s" : [ {
+                                       "r" : "4360",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "4383",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "4379",
+                                          "s" : [ {
+                                             "value" : [ "\"KT/V Hemodialysis Ratio\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "4382",
+                                          "s" : [ {
+                                             "value" : [ "'KT/V Hemodialysis Ratio'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "4477",
+                                    "s" : [ {
+                                       "r" : "4454",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "4477",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "4473",
+                                          "s" : [ {
+                                             "value" : [ "\"Low Density Lipoprotein\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "4476",
+                                          "s" : [ {
+                                             "value" : [ "'LDL Cholesterol'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "4571",
+                                    "s" : [ {
+                                       "r" : "4548",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "4571",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "4567",
+                                          "s" : [ {
+                                             "value" : [ "\"Mean Corpuscular Hemoglobin Concentration\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "4570",
+                                          "s" : [ {
+                                             "value" : [ "'Mean Corpuscular Hemoglobin Concentration'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "4665",
+                                    "s" : [ {
+                                       "r" : "4642",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "4665",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "4661",
+                                          "s" : [ {
+                                             "value" : [ "\"Mean Corpuscular Volume\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "4664",
+                                          "s" : [ {
+                                             "value" : [ "'Mean Corpuscular Volume'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "4759",
+                                    "s" : [ {
+                                       "r" : "4736",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "4759",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "4755",
+                                          "s" : [ {
+                                             "value" : [ "\"Microorganisms Detection by Blood Culture\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "4758",
+                                          "s" : [ {
+                                             "value" : [ "'Microorganisms Detection by Blood Culture'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "4853",
+                                    "s" : [ {
+                                       "r" : "4830",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "4853",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "4849",
+                                          "s" : [ {
+                                             "value" : [ "\"Microorganisms Detection by Sputum Culture\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "4852",
+                                          "s" : [ {
+                                             "value" : [ "'Microorganisms Detection by Sputum Culture'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    // DE.ReportMostRecentResult(\"Muscle Biopsy Report\", 'Muscle Biopsy Report'),\n    " ]
+                                 }, {
+                                    "r" : "4947",
+                                    "s" : [ {
+                                       "r" : "4924",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "4947",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "4943",
+                                          "s" : [ {
+                                             "value" : [ "\"N Terminal Pro_B_Type Natriuretic Peptide [Nt_Probnp] in blood, serum or plasma\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "4946",
+                                          "s" : [ {
+                                             "value" : [ "'N Terminal Pro_B_Type Natriuretic Peptide'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "5041",
+                                    "s" : [ {
+                                       "r" : "5018",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "5041",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "5037",
+                                          "s" : [ {
+                                             "value" : [ "\"Oxygen Saturation, Blood\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "5040",
+                                          "s" : [ {
+                                             "value" : [ "'Oxygen Saturation'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "5135",
+                                    "s" : [ {
+                                       "r" : "5112",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "5135",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "5131",
+                                          "s" : [ {
+                                             "value" : [ "\"Phosphorus in blood, serum or plasma\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "5134",
+                                          "s" : [ {
+                                             "value" : [ "'Phosphorus'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "5229",
+                                    "s" : [ {
+                                       "r" : "5206",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "5229",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "5225",
+                                          "s" : [ {
+                                             "value" : [ "\"Platelet Count\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "5228",
+                                          "s" : [ {
+                                             "value" : [ "'Platelet Count'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "5323",
+                                    "s" : [ {
+                                       "r" : "5300",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "5323",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "5319",
+                                          "s" : [ {
+                                             "value" : [ "\"Platelet Distribution Width\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "5322",
+                                          "s" : [ {
+                                             "value" : [ "'Platelet Distribution Width'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "5417",
+                                    "s" : [ {
+                                       "r" : "5394",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "5417",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "5413",
+                                          "s" : [ {
+                                             "value" : [ "\"Platelet Mean Volume\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "5416",
+                                          "s" : [ {
+                                             "value" : [ "'Platelet Mean Volume'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "5511",
+                                    "s" : [ {
+                                       "r" : "5488",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "5511",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "5507",
+                                          "s" : [ {
+                                             "value" : [ "\"Potassium in blood, serum or plasma\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "5510",
+                                          "s" : [ {
+                                             "value" : [ "'Potassium'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "5605",
+                                    "s" : [ {
+                                       "r" : "5582",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "5605",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "5601",
+                                          "s" : [ {
+                                             "value" : [ "\"Procalcitonin in Blood, Serum, or Plasma\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "5604",
+                                          "s" : [ {
+                                             "value" : [ "'Procalcitonin'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "5699",
+                                    "s" : [ {
+                                       "r" : "5676",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "5699",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "5695",
+                                          "s" : [ {
+                                             "value" : [ "\"Random Blood Glucose Test\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "5698",
+                                          "s" : [ {
+                                             "value" : [ "'Random Blood Glucose Test'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "5793",
+                                    "s" : [ {
+                                       "r" : "5770",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "5793",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "5789",
+                                          "s" : [ {
+                                             "value" : [ "\"Red Blood Cell Count (Erythrocytes)\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "5792",
+                                          "s" : [ {
+                                             "value" : [ "'Red Blood Cell Count (Erythrocytes)'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "5887",
+                                    "s" : [ {
+                                       "r" : "5864",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "5887",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "5883",
+                                          "s" : [ {
+                                             "value" : [ "\"Serum Rheumatoid Factor\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "5886",
+                                          "s" : [ {
+                                             "value" : [ "'Serum Rheumatoid Factor'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    // DE.ReportMostRecentResult(\"Skin Biopsy Report\", 'Skin Biopsy Report'),\n    " ]
+                                 }, {
+                                    "r" : "5981",
+                                    "s" : [ {
+                                       "r" : "5958",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "5981",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "5977",
+                                          "s" : [ {
+                                             "value" : [ "\"Sodium in blood, serum or plasma\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "5980",
+                                          "s" : [ {
+                                             "value" : [ "'Sodium'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "6075",
+                                    "s" : [ {
+                                       "r" : "6052",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "6075",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "6071",
+                                          "s" : [ {
+                                             "value" : [ "\"Thyroid Stimulating Hormone (TSH) Test\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "6074",
+                                          "s" : [ {
+                                             "value" : [ "'Thyroid Stimulating Hormone (TSH)'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "6169",
+                                    "s" : [ {
+                                       "r" : "6146",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "6169",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "6165",
+                                          "s" : [ {
+                                             "value" : [ "\"Total Carbon Dioxide or Bicarbonate in blood, serum or plasma\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "6168",
+                                          "s" : [ {
+                                             "value" : [ "'Total Carbon Dioxide or Bicarbonate'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "6263",
+                                    "s" : [ {
+                                       "r" : "6240",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "6263",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "6259",
+                                          "s" : [ {
+                                             "value" : [ "\"Total Cholesterol\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "6262",
+                                          "s" : [ {
+                                             "value" : [ "'Total Cholesterol'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "6357",
+                                    "s" : [ {
+                                       "r" : "6334",
+                                       "s" : [ {
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                         }, {
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+                                 "name" : "{urn:hl7-org:elm-types:r1}Decimal",
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+                              }
+                           }, {
+                              "localId" : "7344",
+                              "name" : "ResultUnits",
+                              "elementType" : {
+                                 "localId" : "7345",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "7346",
+                              "name" : "ReferenceRange",
+                              "elementType" : {
+                                 "localId" : "7347",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "7348",
+                              "name" : "Interpretation",
+                              "elementType" : {
+                                 "localId" : "7349",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "7350",
+                              "name" : "Flag",
+                              "elementType" : {
+                                 "localId" : "7351",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Boolean",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "7352",
+                              "name" : "Performer",
+                              "elementType" : {
+                                 "localId" : "7353",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "7354",
+                              "name" : "Notes",
+                              "elementType" : {
+                                 "localId" : "7355",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "7356",
+                                    "name" : "{urn:hl7-org:elm-types:r1}String",
+                                    "type" : "NamedTypeSpecifier"
+                                 }
+                              }
+                           }, {
+                              "localId" : "7357",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "7358",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "7359",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "7360",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "7361",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "7362",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    }, {
+                                       "localId" : "7363",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "7364",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "7365",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "7366",
+                              "name" : "LearnMore",
+                              "elementType" : {
+                                 "localId" : "7367",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           } ]
+                        },
+                        "signature" : [ ],
+                        "operand" : [ {
+                           "localId" : "7293",
+                           "locator" : "95:31-95:44",
+                           "name" : "Uroflowmetry",
+                           "type" : "ExpressionRef",
+                           "resultTypeSpecifier" : {
+                              "localId" : "7294",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
+                                 "localId" : "7295",
+                                 "name" : "{http://hl7.org/fhir}Observation",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }
+                        }, {
+                           "localId" : "7296",
+                           "locator" : "95:47-95:60",
+                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
+                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
+                           "value" : "Uroflowmetry",
+                           "type" : "Literal"
+                        } ]
+                     }, {
+                        "localId" : "7391",
+                        "locator" : "96:5-96:62",
+                        "name" : "ReportMostRecentResult",
+                        "libraryName" : "DE",
+                        "type" : "FunctionRef",
+                        "resultTypeSpecifier" : {
+                           "localId" : "7427",
+                           "type" : "TupleTypeSpecifier",
+                           "element" : [ {
+                              "localId" : "7428",
+                              "name" : "DisplayName",
+                              "elementType" : {
+                                 "localId" : "7429",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "7430",
+                              "name" : "ConceptName",
+                              "elementType" : {
+                                 "localId" : "7431",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "7432",
+                              "name" : "Date",
+                              "elementType" : {
+                                 "localId" : "7433",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "7434",
+                              "name" : "ResultText",
+                              "elementType" : {
+                                 "localId" : "7435",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "7436",
+                              "name" : "ResultValue",
+                              "elementType" : {
+                                 "localId" : "7437",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Decimal",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "7438",
+                              "name" : "ResultUnits",
+                              "elementType" : {
+                                 "localId" : "7439",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "7440",
+                              "name" : "ReferenceRange",
+                              "elementType" : {
+                                 "localId" : "7441",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "7442",
+                              "name" : "Interpretation",
+                              "elementType" : {
+                                 "localId" : "7443",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "7444",
+                              "name" : "Flag",
+                              "elementType" : {
+                                 "localId" : "7445",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Boolean",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "7446",
+                              "name" : "Performer",
+                              "elementType" : {
+                                 "localId" : "7447",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "7448",
+                              "name" : "Notes",
+                              "elementType" : {
+                                 "localId" : "7449",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "7450",
+                                    "name" : "{urn:hl7-org:elm-types:r1}String",
+                                    "type" : "NamedTypeSpecifier"
+                                 }
+                              }
+                           }, {
+                              "localId" : "7451",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "7452",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "7453",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "7454",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "7455",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "7456",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    }, {
+                                       "localId" : "7457",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "7458",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "7459",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "7460",
+                              "name" : "LearnMore",
+                              "elementType" : {
+                                 "localId" : "7461",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
+                           } ]
+                        },
+                        "signature" : [ ],
+                        "operand" : [ {
+                           "localId" : "7387",
+                           "locator" : "96:31-96:48",
+                           "name" : "Vitamin D Levels",
+                           "type" : "ExpressionRef",
+                           "resultTypeSpecifier" : {
+                              "localId" : "7388",
+                              "type" : "ListTypeSpecifier",
+                              "elementType" : {
+                                 "localId" : "7389",
+                                 "name" : "{http://hl7.org/fhir}Observation",
+                                 "type" : "NamedTypeSpecifier"
+                              }
                            }
                         }, {
-                           "name" : "LearnMore",
-                           "elementType" : {
-                              "name" : "{urn:hl7-org:elm-types:r1}String",
-                              "type" : "NamedTypeSpecifier"
-                           }
+                           "localId" : "7390",
+                           "locator" : "96:51-96:61",
+                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
+                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
+                           "value" : "Vitamin D",
+                           "type" : "Literal"
                         } ]
-                     }
-                  },
-                  "expression" : {
-                     "localId" : "131",
-                     "locator" : "41:3-44:4",
-                     "type" : "List",
-                     "resultTypeSpecifier" : {
-                        "type" : "ListTypeSpecifier",
-                        "elementType" : {
+                     }, {
+                        "localId" : "7485",
+                        "locator" : "97:5-97:107",
+                        "name" : "ReportMostRecentResult",
+                        "libraryName" : "DE",
+                        "type" : "FunctionRef",
+                        "resultTypeSpecifier" : {
+                           "localId" : "7521",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
+                              "localId" : "7522",
                               "name" : "DisplayName",
                               "elementType" : {
+                                 "localId" : "7523",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7524",
                               "name" : "ConceptName",
                               "elementType" : {
+                                 "localId" : "7525",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7526",
                               "name" : "Date",
                               "elementType" : {
+                                 "localId" : "7527",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7528",
                               "name" : "ResultText",
                               "elementType" : {
+                                 "localId" : "7529",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7530",
                               "name" : "ResultValue",
                               "elementType" : {
+                                 "localId" : "7531",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7532",
                               "name" : "ResultUnits",
                               "elementType" : {
+                                 "localId" : "7533",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7534",
                               "name" : "ReferenceRange",
                               "elementType" : {
+                                 "localId" : "7535",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7536",
                               "name" : "Interpretation",
                               "elementType" : {
+                                 "localId" : "7537",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7538",
                               "name" : "Flag",
                               "elementType" : {
+                                 "localId" : "7539",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7540",
                               "name" : "Performer",
                               "elementType" : {
+                                 "localId" : "7541",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7542",
                               "name" : "Notes",
                               "elementType" : {
+                                 "localId" : "7543",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
+                                    "localId" : "7544",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
+                              "localId" : "7545",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "7546",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "7547",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "7548",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "7549",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "7550",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    }, {
+                                       "localId" : "7551",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "7552",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "7553",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "7554",
                               "name" : "LearnMore",
                               "elementType" : {
+                                 "localId" : "7555",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            } ]
-                        }
-                     },
-                     "element" : [ {
-                        "localId" : "126",
-                        "locator" : "42:5-42:75",
-                        "name" : "ReportMostRecentResult",
-                        "libraryName" : "DE",
-                        "type" : "FunctionRef",
+                        },
+                        "signature" : [ ],
+                        "operand" : [ {
+                           "localId" : "7481",
+                           "locator" : "97:31-97:67",
+                           "name" : "White Blood Cell (Leukocytes) Count",
+                           "type" : "ExpressionRef",
+                           "resultTypeSpecifier" : {
+                              "localId" : "7482",
+                              "type" : "ListTypeSpecifier",
+                              "elementType" : {
+                                 "localId" : "7483",
+                                 "name" : "{http://hl7.org/fhir}Observation",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }
+                        }, {
+                           "localId" : "7484",
+                           "locator" : "97:70-97:106",
+                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
+                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
+                           "value" : "White Blood Cell (Leukocytes) Count",
+                           "type" : "Literal"
+                        } ]
+                     } ]
+                  }
+               } ],
+               "let" : [ ],
+               "relationship" : [ ],
+               "where" : {
+                  "localId" : "7701",
+                  "locator" : "100:13-100:36",
+                  "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
+                  "type" : "Not",
+                  "signature" : [ ],
+                  "operand" : {
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+                     "locator" : "100:19-100:36",
+                     "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
+                     "type" : "IsNull",
+                     "signature" : [ ],
+                     "operand" : {
+                        "localId" : "7664",
+                        "locator" : "100:19-100:24",
+                        "name" : "Result",
+                        "type" : "AliasRef",
                         "resultTypeSpecifier" : {
+                           "localId" : "7665",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
+                              "localId" : "7666",
                               "name" : "DisplayName",
                               "elementType" : {
+                                 "localId" : "7667",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7668",
                               "name" : "ConceptName",
                               "elementType" : {
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                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7670",
                               "name" : "Date",
                               "elementType" : {
+                                 "localId" : "7671",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7672",
                               "name" : "ResultText",
                               "elementType" : {
+                                 "localId" : "7673",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7674",
                               "name" : "ResultValue",
                               "elementType" : {
+                                 "localId" : "7675",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7676",
                               "name" : "ResultUnits",
                               "elementType" : {
+                                 "localId" : "7677",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7678",
                               "name" : "ReferenceRange",
                               "elementType" : {
+                                 "localId" : "7679",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7680",
                               "name" : "Interpretation",
                               "elementType" : {
+                                 "localId" : "7681",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7682",
                               "name" : "Flag",
                               "elementType" : {
+                                 "localId" : "7683",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
+                              "localId" : "7684",
                               "name" : "Performer",
                               "elementType" : {
+                                 "localId" : "7685",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "7686",
+                              "name" : "Notes",
+                              "elementType" : {
+                                 "localId" : "7687",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "7688",
+                                    "name" : "{urn:hl7-org:elm-types:r1}String",
+                                    "type" : "NamedTypeSpecifier"
+                                 }
+                              }
+                           }, {
+                              "localId" : "7689",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "7690",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "7691",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "7692",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "7693",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "7694",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    }, {
+                                       "localId" : "7695",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "7696",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "7697",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "7698",
+                              "name" : "LearnMore",
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                                  "name" : "{urn:hl7-org:elm-types:r1}String",
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-                           }, {
-                              "name" : "Interpretation",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "Flag",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}Boolean",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           }, {
-                              "name" : "Performer",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
+               },
+               "signature" : [ ],
+               "operand" : [ {
+                  "localId" : "7941",
+                  "locator" : "277:21-277:60",
+                  "dataType" : "{http://hl7.org/fhir}Observation",
+                  "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
+                  "codeProperty" : "code",
+                  "codeComparator" : "in",
+                  "type" : "Retrieve",
+                  "resultTypeSpecifier" : {
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+                     "type" : "ListTypeSpecifier",
+                     "elementType" : {
+                        "localId" : "7945",
+                        "name" : "{http://hl7.org/fhir}Observation",
+                        "type" : "NamedTypeSpecifier"
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+                  },
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+                  "codeFilter" : [ ],
+                  "dateFilter" : [ ],
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+                        "s" : [ {
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+                        }, {
+                           "r" : "7971",
+                           "s" : [ {
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                            }, {
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-                                    "name" : "{urn:hl7-org:elm-types:r1}String",
-                                    "type" : "NamedTypeSpecifier"
-                                 }
-                              }
+                              "s" : [ {
+                                 "value" : [ "Cx",".","\"Muscle Biopsy Report\"" ]
+                              } ]
                            }, {
-                              "name" : "LearnMore",
-                              "elementType" : {
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
+                              "value" : [ "]" ]
                            } ]
-                        }
-                     }
-                  }
+                        }, {
+                           "value" : [ ")" ]
+                        } ]
+                     } ]
+                  } ]
+               }
+            } ],
+            "resultTypeSpecifier" : {
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                }
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+                        "name" : "{http://hl7.org/fhir}Observation",
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+               } ]
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          }, {
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-            "locator" : "46:1-48:1",
-            "name" : "Chronic Pain Lab Result Summary",
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+            "locator" : "333:1-334:59",
+            "name" : "Skin Biopsy Report",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
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+                  "r" : "8006",
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+                     "value" : [ "","define ","\"Skin Biopsy Report\"",":\n  " ]
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+                        "value" : [ "." ]
+                     }, {
+                        "r" : "8016",
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+                        }, {
+                           "r" : "8011",
+                           "s" : [ {
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+                           }, {
+                              "s" : [ {
+                                 "value" : [ "Cx",".","\"Skin Biopsy Report\"" ]
+                              } ]
+                           }, {
+                              "value" : [ "]" ]
+                           } ]
+                        }, {
+                           "value" : [ ")" ]
+                        } ]
+                     } ]
                   } ]
                }
             } ],
             "resultTypeSpecifier" : {
+               "localId" : "8021",
                "type" : "ListTypeSpecifier",
                "elementType" : {
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+                  "localId" : "8022",
+                  "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "137",
-               "locator" : "46:43-48:1",
-               "type" : "List",
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                "resultTypeSpecifier" : {
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                   "type" : "ListTypeSpecifier",
                   "elementType" : {
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+                     "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
-               }
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+                  "codeProperty" : "code",
+                  "codeComparator" : "in",
+                  "type" : "Retrieve",
+                  "resultTypeSpecifier" : {
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+                     "type" : "ListTypeSpecifier",
+                     "elementType" : {
+                        "localId" : "8015",
+                        "name" : "{http://hl7.org/fhir}Observation",
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+                  },
+                  "codes" : {
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+                     "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
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+                  "include" : [ ],
+                  "codeFilter" : [ ],
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       }
diff --git a/src/data-services/cql/mcc/valueset-db.json b/src/data-services/cql/mcc/valueset-db.json
index a291963..a586931 100644
--- a/src/data-services/cql/mcc/valueset-db.json
+++ b/src/data-services/cql/mcc/valueset-db.json
@@ -1,720 +1,769 @@
 {
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         "code": "17531000119105",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "194809007",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
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         "code": "194856005",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "194857001",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "194858006",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "23311000119105",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
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       {
         "code": "233825009",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
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       {
         "code": "233826005",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "233827001",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
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       {
         "code": "233828006",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
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       {
         "code": "233829003",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
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       {
         "code": "233830008",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
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       {
         "code": "233831007",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
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         "code": "233832000",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
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         "code": "233833005",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
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         "code": "233834004",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "233835003",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
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         "code": "233836002",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "233837006",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "233838001",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "282006",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "285981000119103",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "30277009",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "304914007",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "307140009",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "314207007",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "401303003",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "401314000",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "410.00",
@@ -63933,261 +70643,271 @@
       {
         "code": "52035003",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
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       {
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         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
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         "code": "57054005",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "58612006",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "59063002",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "62695002",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "64627002",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "65547006",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "70211005",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
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       {
         "code": "703164000",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
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       {
         "code": "703165004",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "703209002",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "703210007",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "703211006",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "703213009",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "703251009",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "703252002",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "703253007",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "703360004",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "70422006",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "70998009",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "73795002",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "76593002",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "79009004",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "I21.01",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       },
       {
         "code": "I21.02",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       },
       {
         "code": "I21.09",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       },
       {
         "code": "I21.11",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       },
       {
         "code": "I21.19",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       },
       {
         "code": "I21.21",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       },
       {
         "code": "I21.29",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       },
       {
         "code": "I21.3",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       },
       {
         "code": "I21.4",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       },
       {
         "code": "I21.9",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       },
       {
         "code": "I21.A1",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       },
       {
         "code": "I21.A9",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
+      },
+      {
+        "code": "I21.B",
+        "system": "http://hl7.org/fhir/sid/icd-10-cm",
+        "version": "2025"
       },
       {
         "code": "I22.0",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       },
       {
         "code": "I22.1",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       },
       {
         "code": "I22.2",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       },
       {
         "code": "I22.8",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       },
       {
         "code": "I22.9",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       }
     ]
   },
   "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.67.1.101.1.254": {
     "Latest": [
+      {
+        "code": "1153575004",
+        "system": "http://snomed.info/sct",
+        "version": "2024-03"
+      },
       {
         "code": "19694002",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "2506003",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "3109008",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "36170009",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "38451003",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "67711008",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "78667006",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "83176005",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "85080004",
         "system": "http://snomed.info/sct",
-        "version": "2022-03"
+        "version": "2024-03"
       },
       {
         "code": "F34.1",
         "system": "http://hl7.org/fhir/sid/icd-10-cm",
-        "version": "2023"
+        "version": "2025"
       }
     ]
   },
@@ -64196,67 +70916,67 @@
       {
         "code": "13705-9",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "14585-4",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "14958-3",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "14959-1",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "30000-4",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "30001-2",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "32294-1",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "44292-1",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "59159-4",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "76401-9",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "77253-3",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "77254-1",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "9318-7",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       }
     ]
   },
@@ -64265,42 +70985,95 @@
       {
         "code": "48642-3",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "48643-1",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "50044-7",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "50210-4",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "62238-1",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "69405-9",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "70969-1",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
       },
       {
         "code": "77147-7",
         "system": "http://loinc.org",
-        "version": "2.72"
+        "version": "2.77"
+      },
+      {
+        "code": "88293-6",
+        "system": "http://loinc.org",
+        "version": "2.77"
+      },
+      {
+        "code": "88294-4",
+        "system": "http://loinc.org",
+        "version": "2.77"
+      },
+      {
+        "code": "94677-2",
+        "system": "http://loinc.org",
+        "version": "2.77"
+      },
+      {
+        "code": "98979-8",
+        "system": "http://loinc.org",
+        "version": "2.77"
+      },
+      {
+        "code": "98980-6",
+        "system": "http://loinc.org",
+        "version": "2.77"
+      }
+    ]
+  },
+  "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.7643.2.1019": {
+    "Latest": [
+      {
+        "code": "3024-7",
+        "system": "http://loinc.org",
+        "version": "2.77"
+      },
+      {
+        "code": "53349-7",
+        "system": "http://loinc.org",
+        "version": "2.77"
+      }
+    ]
+  },
+  "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.7643.3.1024": {
+    "Latest": [
+      {
+        "code": "3015-5",
+        "system": "http://loinc.org",
+        "version": "2.77"
+      },
+      {
+        "code": "3016-3",
+        "system": "http://loinc.org",
+        "version": "2.77"
       }
     ]
   }
diff --git a/src/data-services/fhirService.ts b/src/data-services/fhirService.ts
index cca7d92..aa4ae67 100644
--- a/src/data-services/fhirService.ts
+++ b/src/data-services/fhirService.ts
@@ -30,7 +30,8 @@ const oneDay = 24 * 3600 * 1000
 // const sixMonthsAgo = new Date(today.getTime() - (365/2 * oneDay))
 const oneYearAgo = new Date(today.getTime() - (365 * oneDay))
 const threeYearsAgo = new Date(today.getTime() - (365 * oneDay * 3))
-// const fiveYearsAgo = new Date(today.getTime() - (365 * oneDay * 5))
+const fiveYearsAgo = new Date(today.getTime() - (365 * oneDay * 5))
+// const tenYearsAgo = new Date(today.getTime() - (365 * oneDay * 10))
 
 const provenanceSearch = '&_revinclude=Provenance:target'
 
@@ -53,7 +54,7 @@ const problemListPath = 'Condition?category=problem-list-item&clinical-status=ac
 const healthConcernPath = 'Condition?category=health-concern&clinical-status=active' + provenanceSearch
 
 const immunizationsPath = 'Immunization?status=completed' + provenanceSearch
-const labResultsPath = 'Observation?category=laboratory&date=' + getDateParameter(threeYearsAgo) + provenanceSearch
+const labResultsPath = 'Observation?category=laboratory&date=' + getDateParameter(fiveYearsAgo) + provenanceSearch
 
 // Allscripts does not support both status and authoredon args
 // const medicationRequestPath = 'MedicationRequest?status=active&authoredon=' + getDateParameter(threeYearsAgo) + provenanceSearch

From 60d9d663fb47719dfb4da3e8810ff16ef4bf459c Mon Sep 17 00:00:00 2001
From: David Carlson <dcarlson@clinicalcloud.solutions>
Date: Mon, 22 Jul 2024 08:00:41 -0600
Subject: [PATCH 10/20] Consolidate from and source labels

---
 src/components/summaries/MedicationList.tsx | 29 +++++++++++----------
 1 file changed, 15 insertions(+), 14 deletions(-)

diff --git a/src/components/summaries/MedicationList.tsx b/src/components/summaries/MedicationList.tsx
index 04bb9db..3a4bd90 100644
--- a/src/components/summaries/MedicationList.tsx
+++ b/src/components/summaries/MedicationList.tsx
@@ -197,26 +197,27 @@ const buildRows = (med: MedicationSummary, theSource?: string): SummaryRowItems
     rows = rows.concat(notes);
   }
 
-  if (theSource) {
-    const source: SummaryRowItem = {
-      isHeader: false,
-      twoColumns: false,
-      data1: 'From ' + theSource,
-      data2: '',
-    };
-    rows.push(source);
-  }
-
   const provenance: SummaryRowItems | undefined = med.Provenance?.map((provenance) => (
     {
       isHeader: false,
-      twoColumns: true,
-      data1: 'Source: ' + (provenance.Transmitter ?? ''),
+      twoColumns: false,
+      data1: 'Source: ' + provenance.Transmitter ?? '',
       data2: provenance.Author ?? '',
     }
-  ));
+  ))
   if (provenance?.length) {
-    rows = rows.concat(provenance);
+    rows = rows.concat(provenance)
+  }
+
+  const hasProvenance = med.Provenance?.length ?? 0 > 0
+  if (theSource && !hasProvenance) {
+    const source: SummaryRowItem = {
+      isHeader: false,
+      twoColumns: false,
+      data1: 'Source: ' + theSource,
+      data2: '',
+    }
+    rows.push(source)
   }
 
   return rows;

From 5d2744c47150e4a2051cfd0bd8b394252c6433a6 Mon Sep 17 00:00:00 2001
From: David Carlson <dcarlson@clinicalcloud.solutions>
Date: Mon, 22 Jul 2024 12:26:54 -0600
Subject: [PATCH 11/20] Consolidate from and source labels

---
 src/components/summaries/ConditionList.tsx | 23 +++++++++++-----------
 1 file changed, 12 insertions(+), 11 deletions(-)

diff --git a/src/components/summaries/ConditionList.tsx b/src/components/summaries/ConditionList.tsx
index 24c8516..e62b853 100644
--- a/src/components/summaries/ConditionList.tsx
+++ b/src/components/summaries/ConditionList.tsx
@@ -228,20 +228,10 @@ const buildRows = (cond: ConditionSummary, theSource?: string): SummaryRowItems
     rows = rows.concat(notes)
   }
 
-  if (theSource) {
-    const source: SummaryRowItem = {
-      isHeader: false,
-      twoColumns: false,
-      data1: 'From ' + theSource,
-      data2: '',
-    }
-    rows.push(source)
-  }
-
   const provenance: SummaryRowItems | undefined = cond.Provenance?.map((provenance) => (
     {
       isHeader: false,
-      twoColumns: true,
+      twoColumns: false,
       data1: 'Source: ' + provenance.Transmitter ?? '',
       data2: provenance.Author ?? '',
     }
@@ -250,6 +240,17 @@ const buildRows = (cond: ConditionSummary, theSource?: string): SummaryRowItems
     rows = rows.concat(provenance)
   }
 
+  const hasProvenance = cond.Provenance?.length ?? 0 > 0
+  if (theSource && !hasProvenance) {
+    const source: SummaryRowItem = {
+      isHeader: false,
+      twoColumns: false,
+      data1: 'Source: ' + theSource,
+      data2: '',
+    }
+    rows.push(source)
+  }
+
   const categoryName: SummaryRowItem = {
     isHeader: false,
     twoColumns: true,

From ec6b389ff4a27bae310bd729e46bb3c0c2ce6df1 Mon Sep 17 00:00:00 2001
From: David Carlson <dcarlson@clinicalcloud.solutions>
Date: Mon, 22 Jul 2024 12:28:37 -0600
Subject: [PATCH 12/20] Catch error on CQL exec to prevent app crash. Improve
 Lab result view.

---
 src/components/summaries/LabResultList.tsx    |    12 +-
 .../cql/mcc/DataElementHelpers.cql            |    16 +-
 .../cql/mcc/DataElementHelpers.json           |  7625 +++++-----
 src/data-services/cql/mcc/MCCLabResults.cql   |    10 +-
 src/data-services/cql/mcc/MCCLabResults.json  | 12583 +++++++++-------
 src/data-services/mccCqlService.ts            |    30 +-
 6 files changed, 10614 insertions(+), 9662 deletions(-)

diff --git a/src/components/summaries/LabResultList.tsx b/src/components/summaries/LabResultList.tsx
index 908ae57..98f4208 100644
--- a/src/components/summaries/LabResultList.tsx
+++ b/src/components/summaries/LabResultList.tsx
@@ -177,13 +177,17 @@ const buildRows = (obs: ObservationSummary, theSource?: string): SummaryRowItems
       data1: obs.ResultText,
       data2: displayDate(obs.Date),
     },
-    {
+  ];
+
+  if (obs.ReferenceRange !== null) {
+    const row: SummaryRowItem = {
       isHeader: false,
       twoColumns: true,
-      data1: obs.ReferenceRange === null ? '' : 'Range: ' + obs.ReferenceRange,
+      data1: 'Range: ' + obs.ReferenceRange,
       data2: obs.Interpretation,
-    },
-  ];
+    }
+    rows.push(row)
+  }
 
   const notes: SummaryRowItems | undefined = obs.Notes?.map((note) => (
     {
diff --git a/src/data-services/cql/mcc/DataElementHelpers.cql b/src/data-services/cql/mcc/DataElementHelpers.cql
index ddae65a..7d39431 100644
--- a/src/data-services/cql/mcc/DataElementHelpers.cql
+++ b/src/data-services/cql/mcc/DataElementHelpers.cql
@@ -191,7 +191,7 @@ define function ReportObservation(o FHIR.Observation, displayName String):
       ResultUnits: (o.value as FHIR.Quantity).unit.value,
       ReferenceRange: ReferenceRange(o),
       Interpretation: Interpretation(o),
-      Flag: ReferenceRangeFlag(o),   // true if value out of range, else false
+      Flag: if (o.value is FHIR.Quantity) then ReferenceRangeFlag(o) else null,   // true if value out of range, else false
       Performer: First(o.performer).display.value,
       Notes: ToString(o.note),
       Provenance: ReportProvenance(o),
@@ -203,14 +203,12 @@ define function ResultText(o Observation):
   if o.code ~ "Blood pressure" then
     ToString(((singleton from (o.component C where (C.code ~ "Systolic blood pressure"))).value as FHIR.Quantity).value)
      + '/' + ToString(((singleton from (o.component C where (C.code ~ "Diastolic blood pressure"))).value as FHIR.Quantity).value) + ' mmHg'
-  else if o.value is FHIR.Quantity then
-    QuantityText(o.value as FHIR.Quantity)
-  else if o.value is CodeableConcept then
-    ConceptText(o.value as CodeableConcept)
-  else if o.value is FHIR.string then
-    o.value as FHIR.string
   else
-    null
+    Coalesce(
+      QuantityText(o.value as FHIR.Quantity),
+      ConceptText(o.value as CodeableConcept),
+      o.value as FHIR.string
+    )
 
 define function SelectByStatus(observations List<Observation>):
   observations Obs
@@ -253,7 +251,7 @@ define function ReferenceRangeFlag(o FHIR.Observation):
 define function Interpretation(o FHIR.Observation):
   if (o.interpretation is not null) then
     Coalesce(First(o.interpretation.text), First(First(o.interpretation).coding.display))
-  else if o.referenceRange is not null then
+  else if o.referenceRange is not null and (o.value is FHIR.Quantity) then
     // Derive interpretation from the reference range, return null if within normal range.
     if o.value.value < ReferenceRangeLow(o) then 'Low'
     else if o.value.value > ReferenceRangeHigh(o) then 'High'
diff --git a/src/data-services/cql/mcc/DataElementHelpers.json b/src/data-services/cql/mcc/DataElementHelpers.json
index d62925b..a2b8f83 100644
--- a/src/data-services/cql/mcc/DataElementHelpers.json
+++ b/src/data-services/cql/mcc/DataElementHelpers.json
@@ -176,6 +176,11 @@
          "errorType" : "semantic",
          "errorSeverity" : "warning",
          "type" : "CqlToElmError"
+      }, {
+         "message" : "The function FHIRHelpers.ToString has multiple overloads and due to the SignatureLevel setting (None), the overload signature is not being included in the output. This may result in ambiguous function resolution at runtime, consider setting the SignatureLevel to Overloads or All to ensure that the output includes sufficient information to support correct overload selection at runtime.",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
       }, {
          "message" : "An operand identifier [o] is hiding another identifier of the same name.",
          "errorType" : "semantic",
@@ -231,6 +236,11 @@
          "errorType" : "semantic",
          "errorSeverity" : "warning",
          "type" : "CqlToElmError"
+      }, {
+         "message" : "The function FHIRHelpers.ToString has multiple overloads and due to the SignatureLevel setting (None), the overload signature is not being included in the output. This may result in ambiguous function resolution at runtime, consider setting the SignatureLevel to Overloads or All to ensure that the output includes sufficient information to support correct overload selection at runtime.",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
       }, {
          "message" : "The function FHIRHelpers.ToDateTime has multiple overloads and due to the SignatureLevel setting (None), the overload signature is not being included in the output. This may result in ambiguous function resolution at runtime, consider setting the SignatureLevel to Overloads or All to ensure that the output includes sufficient information to support correct overload selection at runtime.",
          "errorType" : "semantic",
@@ -1464,7 +1474,7 @@
             } ]
          }, {
             "localId" : "241",
-            "locator" : "304:1-305:119",
+            "locator" : "302:1-303:119",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
             "name" : "ConceptText",
             "context" : "Unfiltered",
@@ -1477,24 +1487,24 @@
                   "s" : [ {
                      "value" : [ "// Returns the first-found display text for a CodeableConcept, looking first at the `text` attribute, then the\n// `display` on each `coding` until it finds a non-null value.\n// @param c - a FHIR CodeableConcept to get text from\n// @returns {System.String} the display text or null if none is found\n","define function ConceptText(c FHIR.CodeableConcept):\n  " ]
                   }, {
-                     "r" : "5154",
+                     "r" : "5104",
                      "s" : [ {
-                        "r" : "5154",
+                        "r" : "5104",
                         "s" : [ {
                            "value" : [ "Coalesce","(" ]
                         }, {
-                           "r" : "5105",
+                           "r" : "5055",
                            "s" : [ {
-                              "r" : "5104",
+                              "r" : "5054",
                               "s" : [ {
-                                 "r" : "5103",
+                                 "r" : "5053",
                                  "s" : [ {
                                     "value" : [ "c" ]
                                  } ]
                               }, {
                                  "value" : [ "." ]
                               }, {
-                                 "r" : "5104",
+                                 "r" : "5054",
                                  "s" : [ {
                                     "value" : [ "text" ]
                                  } ]
@@ -1502,7 +1512,7 @@
                            }, {
                               "value" : [ "." ]
                            }, {
-                              "r" : "5105",
+                              "r" : "5055",
                               "s" : [ {
                                  "value" : [ "value" ]
                               } ]
@@ -1510,29 +1520,29 @@
                         }, {
                            "value" : [ ", " ]
                         }, {
-                           "r" : "5128",
+                           "r" : "5078",
                            "s" : [ {
                               "value" : [ "Coalesce","(" ]
                            }, {
-                              "r" : "5123",
+                              "r" : "5073",
                               "s" : [ {
                                  "s" : [ {
-                                    "r" : "5106",
+                                    "r" : "5056",
                                     "s" : [ {
-                                       "r" : "5108",
+                                       "r" : "5058",
                                        "s" : [ {
                                           "value" : [ "(" ]
                                        }, {
-                                          "r" : "5108",
+                                          "r" : "5058",
                                           "s" : [ {
-                                             "r" : "5107",
+                                             "r" : "5057",
                                              "s" : [ {
                                                 "value" : [ "c" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "5108",
+                                             "r" : "5058",
                                              "s" : [ {
                                                 "value" : [ "coding" ]
                                              } ]
@@ -1547,22 +1557,22 @@
                               }, {
                                  "value" : [ " " ]
                               }, {
-                                 "r" : "5117",
+                                 "r" : "5067",
                                  "s" : [ {
                                     "value" : [ "return " ]
                                  }, {
-                                    "r" : "5120",
+                                    "r" : "5070",
                                     "s" : [ {
-                                       "r" : "5119",
+                                       "r" : "5069",
                                        "s" : [ {
-                                          "r" : "5118",
+                                          "r" : "5068",
                                           "s" : [ {
                                              "value" : [ "c2" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5119",
+                                          "r" : "5069",
                                           "s" : [ {
                                              "value" : [ "display" ]
                                           } ]
@@ -1570,7 +1580,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5120",
+                                       "r" : "5070",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -1583,29 +1593,29 @@
                         }, {
                            "value" : [ ", " ]
                         }, {
-                           "r" : "5151",
+                           "r" : "5101",
                            "s" : [ {
                               "value" : [ "Coalesce","(" ]
                            }, {
-                              "r" : "5146",
+                              "r" : "5096",
                               "s" : [ {
                                  "s" : [ {
-                                    "r" : "5129",
+                                    "r" : "5079",
                                     "s" : [ {
-                                       "r" : "5131",
+                                       "r" : "5081",
                                        "s" : [ {
                                           "value" : [ "(" ]
                                        }, {
-                                          "r" : "5131",
+                                          "r" : "5081",
                                           "s" : [ {
-                                             "r" : "5130",
+                                             "r" : "5080",
                                              "s" : [ {
                                                 "value" : [ "c" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "5131",
+                                             "r" : "5081",
                                              "s" : [ {
                                                 "value" : [ "coding" ]
                                              } ]
@@ -1620,22 +1630,22 @@
                               }, {
                                  "value" : [ " " ]
                               }, {
-                                 "r" : "5140",
+                                 "r" : "5090",
                                  "s" : [ {
                                     "value" : [ "return " ]
                                  }, {
-                                    "r" : "5143",
+                                    "r" : "5093",
                                     "s" : [ {
-                                       "r" : "5142",
+                                       "r" : "5092",
                                        "s" : [ {
-                                          "r" : "5141",
+                                          "r" : "5091",
                                           "s" : [ {
                                              "value" : [ "c3" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5142",
+                                          "r" : "5092",
                                           "s" : [ {
                                              "value" : [ "code" ]
                                           } ]
@@ -1643,7 +1653,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5143",
+                                       "r" : "5093",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -1661,80 +1671,80 @@
                }
             } ],
             "expression" : {
-               "localId" : "5154",
-               "locator" : "305:3-305:119",
+               "localId" : "5104",
+               "locator" : "303:3-303:119",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                "type" : "Coalesce",
                "signature" : [ ],
                "operand" : [ {
-                  "localId" : "5105",
-                  "locator" : "305:12-305:23",
+                  "localId" : "5055",
+                  "locator" : "303:12-303:23",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                   "path" : "value",
                   "type" : "Property",
                   "source" : {
-                     "localId" : "5104",
-                     "locator" : "305:12-305:17",
+                     "localId" : "5054",
+                     "locator" : "303:12-303:17",
                      "resultTypeName" : "{http://hl7.org/fhir}string",
                      "path" : "text",
                      "type" : "Property",
                      "source" : {
-                        "localId" : "5103",
-                        "locator" : "305:12",
+                        "localId" : "5053",
+                        "locator" : "303:12",
                         "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                         "name" : "c",
                         "type" : "OperandRef"
                      }
                   }
                }, {
-                  "localId" : "5128",
-                  "locator" : "305:26-305:72",
+                  "localId" : "5078",
+                  "locator" : "303:26-303:72",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                   "type" : "Coalesce",
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "5123",
-                     "locator" : "305:35-305:71",
+                     "localId" : "5073",
+                     "locator" : "303:35-303:71",
                      "type" : "Query",
                      "resultTypeSpecifier" : {
-                        "localId" : "5124",
+                        "localId" : "5074",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "5125",
+                           "localId" : "5075",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      },
                      "source" : [ {
-                        "localId" : "5106",
-                        "locator" : "305:35-305:47",
+                        "localId" : "5056",
+                        "locator" : "303:35-303:47",
                         "alias" : "c2",
                         "resultTypeSpecifier" : {
-                           "localId" : "5115",
+                           "localId" : "5065",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "5116",
+                              "localId" : "5066",
                               "name" : "{http://hl7.org/fhir}Coding",
                               "type" : "NamedTypeSpecifier"
                            }
                         },
                         "expression" : {
-                           "localId" : "5108",
-                           "locator" : "305:35-305:44",
+                           "localId" : "5058",
+                           "locator" : "303:35-303:44",
                            "path" : "coding",
                            "type" : "Property",
                            "resultTypeSpecifier" : {
-                              "localId" : "5113",
+                              "localId" : "5063",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "5114",
+                                 "localId" : "5064",
                                  "name" : "{http://hl7.org/fhir}Coding",
                                  "type" : "NamedTypeSpecifier"
                               }
                            },
                            "source" : {
-                              "localId" : "5107",
-                              "locator" : "305:36",
+                              "localId" : "5057",
+                              "locator" : "303:36",
                               "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                               "name" : "c",
                               "type" : "OperandRef"
@@ -1744,26 +1754,26 @@
                      "let" : [ ],
                      "relationship" : [ ],
                      "return" : {
-                        "localId" : "5117",
-                        "locator" : "305:49-305:71",
+                        "localId" : "5067",
+                        "locator" : "303:49-303:71",
                         "resultTypeSpecifier" : {
-                           "localId" : "5121",
+                           "localId" : "5071",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "5122",
+                              "localId" : "5072",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         },
                         "expression" : {
-                           "localId" : "5120",
-                           "locator" : "305:56-305:71",
+                           "localId" : "5070",
+                           "locator" : "303:56-303:71",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5119",
-                              "locator" : "305:56-305:65",
+                              "localId" : "5069",
+                              "locator" : "303:56-303:65",
                               "resultTypeName" : "{http://hl7.org/fhir}string",
                               "path" : "display",
                               "scope" : "c2",
@@ -1773,54 +1783,54 @@
                      }
                   } ]
                }, {
-                  "localId" : "5151",
-                  "locator" : "305:75-305:118",
+                  "localId" : "5101",
+                  "locator" : "303:75-303:118",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                   "type" : "Coalesce",
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "5146",
-                     "locator" : "305:84-305:117",
+                     "localId" : "5096",
+                     "locator" : "303:84-303:117",
                      "type" : "Query",
                      "resultTypeSpecifier" : {
-                        "localId" : "5147",
+                        "localId" : "5097",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "5148",
+                           "localId" : "5098",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      },
                      "source" : [ {
-                        "localId" : "5129",
-                        "locator" : "305:84-305:96",
+                        "localId" : "5079",
+                        "locator" : "303:84-303:96",
                         "alias" : "c3",
                         "resultTypeSpecifier" : {
-                           "localId" : "5138",
+                           "localId" : "5088",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "5139",
+                              "localId" : "5089",
                               "name" : "{http://hl7.org/fhir}Coding",
                               "type" : "NamedTypeSpecifier"
                            }
                         },
                         "expression" : {
-                           "localId" : "5131",
-                           "locator" : "305:84-305:93",
+                           "localId" : "5081",
+                           "locator" : "303:84-303:93",
                            "path" : "coding",
                            "type" : "Property",
                            "resultTypeSpecifier" : {
-                              "localId" : "5136",
+                              "localId" : "5086",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "5137",
+                                 "localId" : "5087",
                                  "name" : "{http://hl7.org/fhir}Coding",
                                  "type" : "NamedTypeSpecifier"
                               }
                            },
                            "source" : {
-                              "localId" : "5130",
-                              "locator" : "305:85",
+                              "localId" : "5080",
+                              "locator" : "303:85",
                               "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                               "name" : "c",
                               "type" : "OperandRef"
@@ -1830,26 +1840,26 @@
                      "let" : [ ],
                      "relationship" : [ ],
                      "return" : {
-                        "localId" : "5140",
-                        "locator" : "305:98-305:117",
+                        "localId" : "5090",
+                        "locator" : "303:98-303:117",
                         "resultTypeSpecifier" : {
-                           "localId" : "5144",
+                           "localId" : "5094",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "5145",
+                              "localId" : "5095",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         },
                         "expression" : {
-                           "localId" : "5143",
-                           "locator" : "305:105-305:117",
+                           "localId" : "5093",
+                           "locator" : "303:105-303:117",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5142",
-                              "locator" : "305:105-305:111",
+                              "localId" : "5092",
+                              "locator" : "303:105-303:111",
                               "resultTypeName" : "{http://hl7.org/fhir}code",
                               "path" : "code",
                               "scope" : "c3",
@@ -1865,7 +1875,7 @@
                "name" : "c",
                "operandTypeSpecifier" : {
                   "localId" : "242",
-                  "locator" : "304:31-304:50",
+                  "locator" : "302:31-302:50",
                   "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                   "name" : "{http://hl7.org/fhir}CodeableConcept",
                   "type" : "NamedTypeSpecifier"
@@ -2175,7 +2185,7 @@
             } ]
          }, {
             "localId" : "349",
-            "locator" : "280:1-285:3",
+            "locator" : "278:1-283:3",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
             "name" : "FindOnsetDate",
             "context" : "Unfiltered",
@@ -2188,30 +2198,30 @@
                   "s" : [ {
                      "value" : [ "","define function FindOnsetDate(Cond Condition):\n  " ]
                   }, {
-                     "r" : "5069",
+                     "r" : "5019",
                      "s" : [ {
-                        "r" : "5069",
+                        "r" : "5019",
                         "s" : [ {
                            "value" : [ "Coalesce","(\n    " ]
                         }, {
-                           "r" : "5030",
+                           "r" : "4980",
                            "s" : [ {
-                              "r" : "5014",
+                              "r" : "4964",
                               "s" : [ {
                                  "value" : [ "(" ]
                               }, {
-                                 "r" : "5014",
+                                 "r" : "4964",
                                  "s" : [ {
-                                    "r" : "5016",
+                                    "r" : "4966",
                                     "s" : [ {
-                                       "r" : "5015",
+                                       "r" : "4965",
                                        "s" : [ {
                                           "value" : [ "Cond" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5016",
+                                       "r" : "4966",
                                        "s" : [ {
                                           "value" : [ "onset" ]
                                        } ]
@@ -2219,7 +2229,7 @@
                                  }, {
                                     "value" : [ " as " ]
                                  }, {
-                                    "r" : "5029",
+                                    "r" : "4979",
                                     "s" : [ {
                                        "value" : [ "FHIR",".","dateTime" ]
                                     } ]
@@ -2230,7 +2240,7 @@
                            }, {
                               "value" : [ "." ]
                            }, {
-                              "r" : "5030",
+                              "r" : "4980",
                               "s" : [ {
                                  "value" : [ "value" ]
                               } ]
@@ -2238,26 +2248,26 @@
                         }, {
                            "value" : [ ",\n    " ]
                         }, {
-                           "r" : "5048",
+                           "r" : "4998",
                            "s" : [ {
-                              "r" : "5047",
+                              "r" : "4997",
                               "s" : [ {
-                                 "r" : "5031",
+                                 "r" : "4981",
                                  "s" : [ {
                                     "value" : [ "(" ]
                                  }, {
-                                    "r" : "5031",
+                                    "r" : "4981",
                                     "s" : [ {
-                                       "r" : "5033",
+                                       "r" : "4983",
                                        "s" : [ {
-                                          "r" : "5032",
+                                          "r" : "4982",
                                           "s" : [ {
                                              "value" : [ "Cond" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5033",
+                                          "r" : "4983",
                                           "s" : [ {
                                              "value" : [ "onset" ]
                                           } ]
@@ -2265,7 +2275,7 @@
                                     }, {
                                        "value" : [ " as " ]
                                     }, {
-                                       "r" : "5046",
+                                       "r" : "4996",
                                        "s" : [ {
                                           "value" : [ "FHIR",".","Period" ]
                                        } ]
@@ -2276,7 +2286,7 @@
                               }, {
                                  "value" : [ "." ]
                               }, {
-                                 "r" : "5047",
+                                 "r" : "4997",
                                  "s" : [ {
                                     "value" : [ "\"end\"" ]
                                  } ]
@@ -2284,7 +2294,7 @@
                            }, {
                               "value" : [ "." ]
                            }, {
-                              "r" : "5048",
+                              "r" : "4998",
                               "s" : [ {
                                  "value" : [ "value" ]
                               } ]
@@ -2292,26 +2302,26 @@
                         }, {
                            "value" : [ ",\n    " ]
                         }, {
-                           "r" : "5066",
+                           "r" : "5016",
                            "s" : [ {
-                              "r" : "5065",
+                              "r" : "5015",
                               "s" : [ {
-                                 "r" : "5049",
+                                 "r" : "4999",
                                  "s" : [ {
                                     "value" : [ "(" ]
                                  }, {
-                                    "r" : "5049",
+                                    "r" : "4999",
                                     "s" : [ {
-                                       "r" : "5051",
+                                       "r" : "5001",
                                        "s" : [ {
-                                          "r" : "5050",
+                                          "r" : "5000",
                                           "s" : [ {
                                              "value" : [ "Cond" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5051",
+                                          "r" : "5001",
                                           "s" : [ {
                                              "value" : [ "onset" ]
                                           } ]
@@ -2319,7 +2329,7 @@
                                     }, {
                                        "value" : [ " as " ]
                                     }, {
-                                       "r" : "5064",
+                                       "r" : "5014",
                                        "s" : [ {
                                           "value" : [ "FHIR",".","Period" ]
                                        } ]
@@ -2330,7 +2340,7 @@
                               }, {
                                  "value" : [ "." ]
                               }, {
-                                 "r" : "5065",
+                                 "r" : "5015",
                                  "s" : [ {
                                     "value" : [ "\"start\"" ]
                                  } ]
@@ -2338,7 +2348,7 @@
                            }, {
                               "value" : [ "." ]
                            }, {
-                              "r" : "5066",
+                              "r" : "5016",
                               "s" : [ {
                                  "value" : [ "value" ]
                               } ]
@@ -2351,132 +2361,132 @@
                }
             } ],
             "expression" : {
-               "localId" : "5069",
-               "locator" : "281:3-285:3",
+               "localId" : "5019",
+               "locator" : "279:3-283:3",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                "type" : "Coalesce",
                "signature" : [ ],
                "operand" : [ {
-                  "localId" : "5030",
-                  "locator" : "282:5-282:39",
+                  "localId" : "4980",
+                  "locator" : "280:5-280:39",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                   "path" : "value",
                   "type" : "Property",
                   "source" : {
-                     "localId" : "5014",
-                     "locator" : "282:5-282:33",
+                     "localId" : "4964",
+                     "locator" : "280:5-280:33",
                      "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                      "strict" : false,
                      "type" : "As",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "5016",
-                        "locator" : "282:6-282:15",
+                        "localId" : "4966",
+                        "locator" : "280:6-280:15",
                         "path" : "onset",
                         "type" : "Property",
                         "resultTypeSpecifier" : {
-                           "localId" : "5023",
+                           "localId" : "4973",
                            "type" : "ChoiceTypeSpecifier",
                            "type" : [ ],
                            "choice" : [ {
-                              "localId" : "5024",
+                              "localId" : "4974",
                               "name" : "{http://hl7.org/fhir}dateTime",
                               "type" : "NamedTypeSpecifier"
                            }, {
-                              "localId" : "5025",
+                              "localId" : "4975",
                               "name" : "{http://hl7.org/fhir}Age",
                               "type" : "NamedTypeSpecifier"
                            }, {
-                              "localId" : "5026",
+                              "localId" : "4976",
                               "name" : "{http://hl7.org/fhir}Period",
                               "type" : "NamedTypeSpecifier"
                            }, {
-                              "localId" : "5027",
+                              "localId" : "4977",
                               "name" : "{http://hl7.org/fhir}Range",
                               "type" : "NamedTypeSpecifier"
                            }, {
-                              "localId" : "5028",
+                              "localId" : "4978",
                               "name" : "{http://hl7.org/fhir}string",
                               "type" : "NamedTypeSpecifier"
                            } ]
                         },
                         "source" : {
-                           "localId" : "5015",
-                           "locator" : "282:6-282:9",
+                           "localId" : "4965",
+                           "locator" : "280:6-280:9",
                            "resultTypeName" : "{http://hl7.org/fhir}Condition",
                            "name" : "Cond",
                            "type" : "OperandRef"
                         }
                      },
                      "asTypeSpecifier" : {
-                        "localId" : "5029",
-                        "locator" : "282:20-282:32",
+                        "localId" : "4979",
+                        "locator" : "280:20-280:32",
                         "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                         "name" : "{http://hl7.org/fhir}dateTime",
                         "type" : "NamedTypeSpecifier"
                      }
                   }
                }, {
-                  "localId" : "5048",
-                  "locator" : "283:5-283:43",
+                  "localId" : "4998",
+                  "locator" : "281:5-281:43",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                   "path" : "value",
                   "type" : "Property",
                   "source" : {
-                     "localId" : "5047",
-                     "locator" : "283:5-283:37",
+                     "localId" : "4997",
+                     "locator" : "281:5-281:37",
                      "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                      "path" : "end",
                      "type" : "Property",
                      "source" : {
-                        "localId" : "5031",
-                        "locator" : "283:5-283:31",
+                        "localId" : "4981",
+                        "locator" : "281:5-281:31",
                         "resultTypeName" : "{http://hl7.org/fhir}Period",
                         "strict" : false,
                         "type" : "As",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "5033",
-                           "locator" : "283:6-283:15",
+                           "localId" : "4983",
+                           "locator" : "281:6-281:15",
                            "path" : "onset",
                            "type" : "Property",
                            "resultTypeSpecifier" : {
-                              "localId" : "5040",
+                              "localId" : "4990",
                               "type" : "ChoiceTypeSpecifier",
                               "type" : [ ],
                               "choice" : [ {
-                                 "localId" : "5041",
+                                 "localId" : "4991",
                                  "name" : "{http://hl7.org/fhir}dateTime",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "5042",
+                                 "localId" : "4992",
                                  "name" : "{http://hl7.org/fhir}Age",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "5043",
+                                 "localId" : "4993",
                                  "name" : "{http://hl7.org/fhir}Period",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "5044",
+                                 "localId" : "4994",
                                  "name" : "{http://hl7.org/fhir}Range",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "5045",
+                                 "localId" : "4995",
                                  "name" : "{http://hl7.org/fhir}string",
                                  "type" : "NamedTypeSpecifier"
                               } ]
                            },
                            "source" : {
-                              "localId" : "5032",
-                              "locator" : "283:6-283:9",
+                              "localId" : "4982",
+                              "locator" : "281:6-281:9",
                               "resultTypeName" : "{http://hl7.org/fhir}Condition",
                               "name" : "Cond",
                               "type" : "OperandRef"
                            }
                         },
                         "asTypeSpecifier" : {
-                           "localId" : "5046",
-                           "locator" : "283:20-283:30",
+                           "localId" : "4996",
+                           "locator" : "281:20-281:30",
                            "resultTypeName" : "{http://hl7.org/fhir}Period",
                            "name" : "{http://hl7.org/fhir}Period",
                            "type" : "NamedTypeSpecifier"
@@ -2484,66 +2494,66 @@
                      }
                   }
                }, {
-                  "localId" : "5066",
-                  "locator" : "284:5-284:45",
+                  "localId" : "5016",
+                  "locator" : "282:5-282:45",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                   "path" : "value",
                   "type" : "Property",
                   "source" : {
-                     "localId" : "5065",
-                     "locator" : "284:5-284:39",
+                     "localId" : "5015",
+                     "locator" : "282:5-282:39",
                      "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                      "path" : "start",
                      "type" : "Property",
                      "source" : {
-                        "localId" : "5049",
-                        "locator" : "284:5-284:31",
+                        "localId" : "4999",
+                        "locator" : "282:5-282:31",
                         "resultTypeName" : "{http://hl7.org/fhir}Period",
                         "strict" : false,
                         "type" : "As",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "5051",
-                           "locator" : "284:6-284:15",
+                           "localId" : "5001",
+                           "locator" : "282:6-282:15",
                            "path" : "onset",
                            "type" : "Property",
                            "resultTypeSpecifier" : {
-                              "localId" : "5058",
+                              "localId" : "5008",
                               "type" : "ChoiceTypeSpecifier",
                               "type" : [ ],
                               "choice" : [ {
-                                 "localId" : "5059",
+                                 "localId" : "5009",
                                  "name" : "{http://hl7.org/fhir}dateTime",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "5060",
+                                 "localId" : "5010",
                                  "name" : "{http://hl7.org/fhir}Age",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "5061",
+                                 "localId" : "5011",
                                  "name" : "{http://hl7.org/fhir}Period",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "5062",
+                                 "localId" : "5012",
                                  "name" : "{http://hl7.org/fhir}Range",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "5063",
+                                 "localId" : "5013",
                                  "name" : "{http://hl7.org/fhir}string",
                                  "type" : "NamedTypeSpecifier"
                               } ]
                            },
                            "source" : {
-                              "localId" : "5050",
-                              "locator" : "284:6-284:9",
+                              "localId" : "5000",
+                              "locator" : "282:6-282:9",
                               "resultTypeName" : "{http://hl7.org/fhir}Condition",
                               "name" : "Cond",
                               "type" : "OperandRef"
                            }
                         },
                         "asTypeSpecifier" : {
-                           "localId" : "5064",
-                           "locator" : "284:20-284:30",
+                           "localId" : "5014",
+                           "locator" : "282:20-282:30",
                            "resultTypeName" : "{http://hl7.org/fhir}Period",
                            "name" : "{http://hl7.org/fhir}Period",
                            "type" : "NamedTypeSpecifier"
@@ -2557,7 +2567,7 @@
                "name" : "Cond",
                "operandTypeSpecifier" : {
                   "localId" : "350",
-                  "locator" : "280:36-280:44",
+                  "locator" : "278:36-278:44",
                   "resultTypeName" : "{http://hl7.org/fhir}Condition",
                   "name" : "{http://hl7.org/fhir}Condition",
                   "type" : "NamedTypeSpecifier"
@@ -2565,7 +2575,7 @@
             } ]
          }, {
             "localId" : "425",
-            "locator" : "271:1-278:3",
+            "locator" : "269:1-276:3",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
             "name" : "FindDate",
             "context" : "Unfiltered",
@@ -2578,30 +2588,30 @@
                   "s" : [ {
                      "value" : [ "/**\n * Finds the first non-null meaningful date that can be associated with this Observation.  This will look through the\n * following fields in the following order: effectiveDateTime, effectiveInstant, effectivePeriod.end,\n * effectivePeriod.start, issued.\n * @param Obs - an Observation\n * @returns {System.DateTime} the first non-null meaningful date, or null if non is found\n */\n","define function FindDate(Obs Observation):\n  " ]
                   }, {
-                     "r" : "5013",
+                     "r" : "4963",
                      "s" : [ {
-                        "r" : "5013",
+                        "r" : "4963",
                         "s" : [ {
                            "value" : [ "Coalesce","(\n    " ]
                         }, {
-                           "r" : "4960",
+                           "r" : "4910",
                            "s" : [ {
-                              "r" : "4946",
+                              "r" : "4896",
                               "s" : [ {
                                  "value" : [ "(" ]
                               }, {
-                                 "r" : "4946",
+                                 "r" : "4896",
                                  "s" : [ {
-                                    "r" : "4948",
+                                    "r" : "4898",
                                     "s" : [ {
-                                       "r" : "4947",
+                                       "r" : "4897",
                                        "s" : [ {
                                           "value" : [ "Obs" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "4948",
+                                       "r" : "4898",
                                        "s" : [ {
                                           "value" : [ "effective" ]
                                        } ]
@@ -2609,7 +2619,7 @@
                                  }, {
                                     "value" : [ " as " ]
                                  }, {
-                                    "r" : "4959",
+                                    "r" : "4909",
                                     "s" : [ {
                                        "value" : [ "FHIR",".","dateTime" ]
                                     } ]
@@ -2620,7 +2630,7 @@
                            }, {
                               "value" : [ "." ]
                            }, {
-                              "r" : "4960",
+                              "r" : "4910",
                               "s" : [ {
                                  "value" : [ "value" ]
                               } ]
@@ -2628,24 +2638,24 @@
                         }, {
                            "value" : [ ",\n    " ]
                         }, {
-                           "r" : "4975",
+                           "r" : "4925",
                            "s" : [ {
-                              "r" : "4961",
+                              "r" : "4911",
                               "s" : [ {
                                  "value" : [ "(" ]
                               }, {
-                                 "r" : "4961",
+                                 "r" : "4911",
                                  "s" : [ {
-                                    "r" : "4963",
+                                    "r" : "4913",
                                     "s" : [ {
-                                       "r" : "4962",
+                                       "r" : "4912",
                                        "s" : [ {
                                           "value" : [ "Obs" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "4963",
+                                       "r" : "4913",
                                        "s" : [ {
                                           "value" : [ "effective" ]
                                        } ]
@@ -2653,7 +2663,7 @@
                                  }, {
                                     "value" : [ " as " ]
                                  }, {
-                                    "r" : "4974",
+                                    "r" : "4924",
                                     "s" : [ {
                                        "value" : [ "FHIR",".","instant" ]
                                     } ]
@@ -2664,7 +2674,7 @@
                            }, {
                               "value" : [ "." ]
                            }, {
-                              "r" : "4975",
+                              "r" : "4925",
                               "s" : [ {
                                  "value" : [ "value" ]
                               } ]
@@ -2672,26 +2682,26 @@
                         }, {
                            "value" : [ ",\n    " ]
                         }, {
-                           "r" : "4991",
+                           "r" : "4941",
                            "s" : [ {
-                              "r" : "4990",
+                              "r" : "4940",
                               "s" : [ {
-                                 "r" : "4976",
+                                 "r" : "4926",
                                  "s" : [ {
                                     "value" : [ "(" ]
                                  }, {
-                                    "r" : "4976",
+                                    "r" : "4926",
                                     "s" : [ {
-                                       "r" : "4978",
+                                       "r" : "4928",
                                        "s" : [ {
-                                          "r" : "4977",
+                                          "r" : "4927",
                                           "s" : [ {
                                              "value" : [ "Obs" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "4978",
+                                          "r" : "4928",
                                           "s" : [ {
                                              "value" : [ "effective" ]
                                           } ]
@@ -2699,7 +2709,7 @@
                                     }, {
                                        "value" : [ " as " ]
                                     }, {
-                                       "r" : "4989",
+                                       "r" : "4939",
                                        "s" : [ {
                                           "value" : [ "FHIR",".","Period" ]
                                        } ]
@@ -2710,7 +2720,7 @@
                               }, {
                                  "value" : [ "." ]
                               }, {
-                                 "r" : "4990",
+                                 "r" : "4940",
                                  "s" : [ {
                                     "value" : [ "\"end\"" ]
                                  } ]
@@ -2718,7 +2728,7 @@
                            }, {
                               "value" : [ "." ]
                            }, {
-                              "r" : "4991",
+                              "r" : "4941",
                               "s" : [ {
                                  "value" : [ "value" ]
                               } ]
@@ -2726,26 +2736,26 @@
                         }, {
                            "value" : [ ",\n    " ]
                         }, {
-                           "r" : "5007",
+                           "r" : "4957",
                            "s" : [ {
-                              "r" : "5006",
+                              "r" : "4956",
                               "s" : [ {
-                                 "r" : "4992",
+                                 "r" : "4942",
                                  "s" : [ {
                                     "value" : [ "(" ]
                                  }, {
-                                    "r" : "4992",
+                                    "r" : "4942",
                                     "s" : [ {
-                                       "r" : "4994",
+                                       "r" : "4944",
                                        "s" : [ {
-                                          "r" : "4993",
+                                          "r" : "4943",
                                           "s" : [ {
                                              "value" : [ "Obs" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "4994",
+                                          "r" : "4944",
                                           "s" : [ {
                                              "value" : [ "effective" ]
                                           } ]
@@ -2753,7 +2763,7 @@
                                     }, {
                                        "value" : [ " as " ]
                                     }, {
-                                       "r" : "5005",
+                                       "r" : "4955",
                                        "s" : [ {
                                           "value" : [ "FHIR",".","Period" ]
                                        } ]
@@ -2764,7 +2774,7 @@
                               }, {
                                  "value" : [ "." ]
                               }, {
-                                 "r" : "5006",
+                                 "r" : "4956",
                                  "s" : [ {
                                     "value" : [ "\"start\"" ]
                                  } ]
@@ -2772,7 +2782,7 @@
                            }, {
                               "value" : [ "." ]
                            }, {
-                              "r" : "5007",
+                              "r" : "4957",
                               "s" : [ {
                                  "value" : [ "value" ]
                               } ]
@@ -2780,18 +2790,18 @@
                         }, {
                            "value" : [ ",\n    " ]
                         }, {
-                           "r" : "5010",
+                           "r" : "4960",
                            "s" : [ {
-                              "r" : "5009",
+                              "r" : "4959",
                               "s" : [ {
-                                 "r" : "5008",
+                                 "r" : "4958",
                                  "s" : [ {
                                     "value" : [ "Obs" ]
                                  } ]
                               }, {
                                  "value" : [ "." ]
                               }, {
-                                 "r" : "5009",
+                                 "r" : "4959",
                                  "s" : [ {
                                     "value" : [ "issued" ]
                                  } ]
@@ -2799,7 +2809,7 @@
                            }, {
                               "value" : [ "." ]
                            }, {
-                              "r" : "5010",
+                              "r" : "4960",
                               "s" : [ {
                                  "value" : [ "value" ]
                               } ]
@@ -2812,180 +2822,180 @@
                }
             } ],
             "expression" : {
-               "localId" : "5013",
-               "locator" : "272:3-278:3",
+               "localId" : "4963",
+               "locator" : "270:3-276:3",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                "type" : "Coalesce",
                "signature" : [ ],
                "operand" : [ {
-                  "localId" : "4960",
-                  "locator" : "273:5-273:42",
+                  "localId" : "4910",
+                  "locator" : "271:5-271:42",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                   "path" : "value",
                   "type" : "Property",
                   "source" : {
-                     "localId" : "4946",
-                     "locator" : "273:5-273:36",
+                     "localId" : "4896",
+                     "locator" : "271:5-271:36",
                      "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                      "strict" : false,
                      "type" : "As",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "4948",
-                        "locator" : "273:6-273:18",
+                        "localId" : "4898",
+                        "locator" : "271:6-271:18",
                         "path" : "effective",
                         "type" : "Property",
                         "resultTypeSpecifier" : {
-                           "localId" : "4954",
+                           "localId" : "4904",
                            "type" : "ChoiceTypeSpecifier",
                            "type" : [ ],
                            "choice" : [ {
-                              "localId" : "4955",
+                              "localId" : "4905",
                               "name" : "{http://hl7.org/fhir}dateTime",
                               "type" : "NamedTypeSpecifier"
                            }, {
-                              "localId" : "4956",
+                              "localId" : "4906",
                               "name" : "{http://hl7.org/fhir}Period",
                               "type" : "NamedTypeSpecifier"
                            }, {
-                              "localId" : "4957",
+                              "localId" : "4907",
                               "name" : "{http://hl7.org/fhir}Timing",
                               "type" : "NamedTypeSpecifier"
                            }, {
-                              "localId" : "4958",
+                              "localId" : "4908",
                               "name" : "{http://hl7.org/fhir}instant",
                               "type" : "NamedTypeSpecifier"
                            } ]
                         },
                         "source" : {
-                           "localId" : "4947",
-                           "locator" : "273:6-273:8",
+                           "localId" : "4897",
+                           "locator" : "271:6-271:8",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "name" : "Obs",
                            "type" : "OperandRef"
                         }
                      },
                      "asTypeSpecifier" : {
-                        "localId" : "4959",
-                        "locator" : "273:23-273:35",
+                        "localId" : "4909",
+                        "locator" : "271:23-271:35",
                         "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                         "name" : "{http://hl7.org/fhir}dateTime",
                         "type" : "NamedTypeSpecifier"
                      }
                   }
                }, {
-                  "localId" : "4975",
-                  "locator" : "274:5-274:41",
+                  "localId" : "4925",
+                  "locator" : "272:5-272:41",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                   "path" : "value",
                   "type" : "Property",
                   "source" : {
-                     "localId" : "4961",
-                     "locator" : "274:5-274:35",
+                     "localId" : "4911",
+                     "locator" : "272:5-272:35",
                      "resultTypeName" : "{http://hl7.org/fhir}instant",
                      "strict" : false,
                      "type" : "As",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "4963",
-                        "locator" : "274:6-274:18",
+                        "localId" : "4913",
+                        "locator" : "272:6-272:18",
                         "path" : "effective",
                         "type" : "Property",
                         "resultTypeSpecifier" : {
-                           "localId" : "4969",
+                           "localId" : "4919",
                            "type" : "ChoiceTypeSpecifier",
                            "type" : [ ],
                            "choice" : [ {
-                              "localId" : "4970",
+                              "localId" : "4920",
                               "name" : "{http://hl7.org/fhir}dateTime",
                               "type" : "NamedTypeSpecifier"
                            }, {
-                              "localId" : "4971",
+                              "localId" : "4921",
                               "name" : "{http://hl7.org/fhir}Period",
                               "type" : "NamedTypeSpecifier"
                            }, {
-                              "localId" : "4972",
+                              "localId" : "4922",
                               "name" : "{http://hl7.org/fhir}Timing",
                               "type" : "NamedTypeSpecifier"
                            }, {
-                              "localId" : "4973",
+                              "localId" : "4923",
                               "name" : "{http://hl7.org/fhir}instant",
                               "type" : "NamedTypeSpecifier"
                            } ]
                         },
                         "source" : {
-                           "localId" : "4962",
-                           "locator" : "274:6-274:8",
+                           "localId" : "4912",
+                           "locator" : "272:6-272:8",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "name" : "Obs",
                            "type" : "OperandRef"
                         }
                      },
                      "asTypeSpecifier" : {
-                        "localId" : "4974",
-                        "locator" : "274:23-274:34",
+                        "localId" : "4924",
+                        "locator" : "272:23-272:34",
                         "resultTypeName" : "{http://hl7.org/fhir}instant",
                         "name" : "{http://hl7.org/fhir}instant",
                         "type" : "NamedTypeSpecifier"
                      }
                   }
                }, {
-                  "localId" : "4991",
-                  "locator" : "275:5-275:46",
+                  "localId" : "4941",
+                  "locator" : "273:5-273:46",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                   "path" : "value",
                   "type" : "Property",
                   "source" : {
-                     "localId" : "4990",
-                     "locator" : "275:5-275:40",
+                     "localId" : "4940",
+                     "locator" : "273:5-273:40",
                      "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                      "path" : "end",
                      "type" : "Property",
                      "source" : {
-                        "localId" : "4976",
-                        "locator" : "275:5-275:34",
+                        "localId" : "4926",
+                        "locator" : "273:5-273:34",
                         "resultTypeName" : "{http://hl7.org/fhir}Period",
                         "strict" : false,
                         "type" : "As",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "4978",
-                           "locator" : "275:6-275:18",
+                           "localId" : "4928",
+                           "locator" : "273:6-273:18",
                            "path" : "effective",
                            "type" : "Property",
                            "resultTypeSpecifier" : {
-                              "localId" : "4984",
+                              "localId" : "4934",
                               "type" : "ChoiceTypeSpecifier",
                               "type" : [ ],
                               "choice" : [ {
-                                 "localId" : "4985",
+                                 "localId" : "4935",
                                  "name" : "{http://hl7.org/fhir}dateTime",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4986",
+                                 "localId" : "4936",
                                  "name" : "{http://hl7.org/fhir}Period",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4987",
+                                 "localId" : "4937",
                                  "name" : "{http://hl7.org/fhir}Timing",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4988",
+                                 "localId" : "4938",
                                  "name" : "{http://hl7.org/fhir}instant",
                                  "type" : "NamedTypeSpecifier"
                               } ]
                            },
                            "source" : {
-                              "localId" : "4977",
-                              "locator" : "275:6-275:8",
+                              "localId" : "4927",
+                              "locator" : "273:6-273:8",
                               "resultTypeName" : "{http://hl7.org/fhir}Observation",
                               "name" : "Obs",
                               "type" : "OperandRef"
                            }
                         },
                         "asTypeSpecifier" : {
-                           "localId" : "4989",
-                           "locator" : "275:23-275:33",
+                           "localId" : "4939",
+                           "locator" : "273:23-273:33",
                            "resultTypeName" : "{http://hl7.org/fhir}Period",
                            "name" : "{http://hl7.org/fhir}Period",
                            "type" : "NamedTypeSpecifier"
@@ -2993,62 +3003,62 @@
                      }
                   }
                }, {
-                  "localId" : "5007",
-                  "locator" : "276:5-276:48",
+                  "localId" : "4957",
+                  "locator" : "274:5-274:48",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                   "path" : "value",
                   "type" : "Property",
                   "source" : {
-                     "localId" : "5006",
-                     "locator" : "276:5-276:42",
+                     "localId" : "4956",
+                     "locator" : "274:5-274:42",
                      "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                      "path" : "start",
                      "type" : "Property",
                      "source" : {
-                        "localId" : "4992",
-                        "locator" : "276:5-276:34",
+                        "localId" : "4942",
+                        "locator" : "274:5-274:34",
                         "resultTypeName" : "{http://hl7.org/fhir}Period",
                         "strict" : false,
                         "type" : "As",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "4994",
-                           "locator" : "276:6-276:18",
+                           "localId" : "4944",
+                           "locator" : "274:6-274:18",
                            "path" : "effective",
                            "type" : "Property",
                            "resultTypeSpecifier" : {
-                              "localId" : "5000",
+                              "localId" : "4950",
                               "type" : "ChoiceTypeSpecifier",
                               "type" : [ ],
                               "choice" : [ {
-                                 "localId" : "5001",
+                                 "localId" : "4951",
                                  "name" : "{http://hl7.org/fhir}dateTime",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "5002",
+                                 "localId" : "4952",
                                  "name" : "{http://hl7.org/fhir}Period",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "5003",
+                                 "localId" : "4953",
                                  "name" : "{http://hl7.org/fhir}Timing",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "5004",
+                                 "localId" : "4954",
                                  "name" : "{http://hl7.org/fhir}instant",
                                  "type" : "NamedTypeSpecifier"
                               } ]
                            },
                            "source" : {
-                              "localId" : "4993",
-                              "locator" : "276:6-276:8",
+                              "localId" : "4943",
+                              "locator" : "274:6-274:8",
                               "resultTypeName" : "{http://hl7.org/fhir}Observation",
                               "name" : "Obs",
                               "type" : "OperandRef"
                            }
                         },
                         "asTypeSpecifier" : {
-                           "localId" : "5005",
-                           "locator" : "276:23-276:33",
+                           "localId" : "4955",
+                           "locator" : "274:23-274:33",
                            "resultTypeName" : "{http://hl7.org/fhir}Period",
                            "name" : "{http://hl7.org/fhir}Period",
                            "type" : "NamedTypeSpecifier"
@@ -3056,20 +3066,20 @@
                      }
                   }
                }, {
-                  "localId" : "5010",
-                  "locator" : "277:5-277:20",
+                  "localId" : "4960",
+                  "locator" : "275:5-275:20",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                   "path" : "value",
                   "type" : "Property",
                   "source" : {
-                     "localId" : "5009",
-                     "locator" : "277:5-277:14",
+                     "localId" : "4959",
+                     "locator" : "275:5-275:14",
                      "resultTypeName" : "{http://hl7.org/fhir}instant",
                      "path" : "issued",
                      "type" : "Property",
                      "source" : {
-                        "localId" : "5008",
-                        "locator" : "277:5-277:7",
+                        "localId" : "4958",
+                        "locator" : "275:5-275:7",
                         "resultTypeName" : "{http://hl7.org/fhir}Observation",
                         "name" : "Obs",
                         "type" : "OperandRef"
@@ -3082,7 +3092,7 @@
                "name" : "Obs",
                "operandTypeSpecifier" : {
                   "localId" : "426",
-                  "locator" : "271:30-271:40",
+                  "locator" : "269:30-269:40",
                   "resultTypeName" : "{http://hl7.org/fhir}Observation",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
@@ -3928,7 +3938,7 @@
             } ]
          }, {
             "localId" : "728",
-            "locator" : "291:1-292:23",
+            "locator" : "289:1-290:23",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
             "name" : "GetId",
             "context" : "Unfiltered",
@@ -3941,24 +3951,24 @@
                   "s" : [ {
                      "value" : [ "/*\n * General FHIR data helpers.\n */\n\n","define function GetId(uri String ):\n  " ]
                   }, {
-                     "r" : "5079",
+                     "r" : "5029",
                      "s" : [ {
-                        "r" : "5079",
+                        "r" : "5029",
                         "s" : [ {
                            "value" : [ "Last","(" ]
                         }, {
-                           "r" : "5074",
+                           "r" : "5024",
                            "s" : [ {
                               "value" : [ "Split","(" ]
                            }, {
-                              "r" : "5070",
+                              "r" : "5020",
                               "s" : [ {
                                  "value" : [ "uri" ]
                               } ]
                            }, {
                               "value" : [ ", " ]
                            }, {
-                              "r" : "5071",
+                              "r" : "5021",
                               "s" : [ {
                                  "value" : [ "'/'" ]
                               } ]
@@ -3973,35 +3983,35 @@
                }
             } ],
             "expression" : {
-               "localId" : "5079",
-               "locator" : "292:3-292:23",
+               "localId" : "5029",
+               "locator" : "290:3-290:23",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                "type" : "Last",
                "signature" : [ ],
                "source" : {
-                  "localId" : "5074",
-                  "locator" : "292:8-292:22",
+                  "localId" : "5024",
+                  "locator" : "290:8-290:22",
                   "type" : "Split",
                   "resultTypeSpecifier" : {
-                     "localId" : "5075",
+                     "localId" : "5025",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "5076",
+                        "localId" : "5026",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "signature" : [ ],
                   "stringToSplit" : {
-                     "localId" : "5070",
-                     "locator" : "292:14-292:16",
+                     "localId" : "5020",
+                     "locator" : "290:14-290:16",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                      "name" : "uri",
                      "type" : "OperandRef"
                   },
                   "separator" : {
-                     "localId" : "5071",
-                     "locator" : "292:19-292:21",
+                     "localId" : "5021",
+                     "locator" : "290:19-290:21",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                      "valueType" : "{urn:hl7-org:elm-types:r1}String",
                      "value" : "/",
@@ -4014,7 +4024,7 @@
                "name" : "uri",
                "operandTypeSpecifier" : {
                   "localId" : "729",
-                  "locator" : "291:27-291:32",
+                  "locator" : "289:27-289:32",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                   "name" : "{urn:hl7-org:elm-types:r1}String",
                   "type" : "NamedTypeSpecifier"
@@ -6799,7 +6809,7 @@
             } ]
          }, {
             "localId" : "1019",
-            "locator" : "295:1-298:23",
+            "locator" : "293:1-296:23",
             "name" : "ToString",
             "context" : "Unfiltered",
             "accessLevel" : "Public",
@@ -6811,14 +6821,14 @@
                   "s" : [ {
                      "value" : [ "/// Returns an array of strings\n","define function ToString(notes List<Annotation>):\n  " ]
                   }, {
-                     "r" : "5096",
+                     "r" : "5046",
                      "s" : [ {
-                        "r" : "5096",
+                        "r" : "5046",
                         "s" : [ {
                            "s" : [ {
-                              "r" : "5080",
+                              "r" : "5030",
                               "s" : [ {
-                                 "r" : "5081",
+                                 "r" : "5031",
                                  "s" : [ {
                                     "s" : [ {
                                        "value" : [ "notes" ]
@@ -6831,22 +6841,22 @@
                         }, {
                            "value" : [ " \n    " ]
                         }, {
-                           "r" : "5089",
+                           "r" : "5039",
                            "s" : [ {
                               "value" : [ "where " ]
                            }, {
-                              "r" : "5089",
+                              "r" : "5039",
                               "s" : [ {
-                                 "r" : "5087",
+                                 "r" : "5037",
                                  "s" : [ {
-                                    "r" : "5086",
+                                    "r" : "5036",
                                     "s" : [ {
                                        "value" : [ "N" ]
                                     } ]
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "5087",
+                                    "r" : "5037",
                                     "s" : [ {
                                        "value" : [ "text" ]
                                     } ]
@@ -6858,22 +6868,22 @@
                         }, {
                            "value" : [ "\n    " ]
                         }, {
-                           "r" : "5090",
+                           "r" : "5040",
                            "s" : [ {
                               "value" : [ "return " ]
                            }, {
-                              "r" : "5093",
+                              "r" : "5043",
                               "s" : [ {
-                                 "r" : "5092",
+                                 "r" : "5042",
                                  "s" : [ {
-                                    "r" : "5091",
+                                    "r" : "5041",
                                     "s" : [ {
                                        "value" : [ "N" ]
                                     } ]
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "5092",
+                                    "r" : "5042",
                                     "s" : [ {
                                        "value" : [ "text" ]
                                     } ]
@@ -6881,7 +6891,7 @@
                               }, {
                                  "value" : [ "." ]
                               }, {
-                                 "r" : "5093",
+                                 "r" : "5043",
                                  "s" : [ {
                                     "value" : [ "value" ]
                                  } ]
@@ -6893,50 +6903,50 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "5101",
+               "localId" : "5051",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "5102",
+                  "localId" : "5052",
                   "name" : "{urn:hl7-org:elm-types:r1}String",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "5096",
-               "locator" : "296:3-298:23",
+               "localId" : "5046",
+               "locator" : "294:3-296:23",
                "type" : "Query",
                "resultTypeSpecifier" : {
-                  "localId" : "5099",
+                  "localId" : "5049",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
-                     "localId" : "5100",
+                     "localId" : "5050",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                },
                "source" : [ {
-                  "localId" : "5080",
-                  "locator" : "296:3-296:9",
+                  "localId" : "5030",
+                  "locator" : "294:3-294:9",
                   "alias" : "N",
                   "resultTypeSpecifier" : {
-                     "localId" : "5084",
+                     "localId" : "5034",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "5085",
+                        "localId" : "5035",
                         "name" : "{http://hl7.org/fhir}Annotation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "expression" : {
-                     "localId" : "5081",
-                     "locator" : "296:3-296:7",
+                     "localId" : "5031",
+                     "locator" : "294:3-294:7",
                      "name" : "notes",
                      "type" : "OperandRef",
                      "resultTypeSpecifier" : {
-                        "localId" : "5082",
+                        "localId" : "5032",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "5083",
+                           "localId" : "5033",
                            "name" : "{http://hl7.org/fhir}Annotation",
                            "type" : "NamedTypeSpecifier"
                         }
@@ -6946,20 +6956,20 @@
                "let" : [ ],
                "relationship" : [ ],
                "where" : {
-                  "localId" : "5089",
-                  "locator" : "297:5-297:28",
+                  "localId" : "5039",
+                  "locator" : "295:5-295:28",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "type" : "Not",
                   "signature" : [ ],
                   "operand" : {
-                     "localId" : "5088",
-                     "locator" : "297:11-297:28",
+                     "localId" : "5038",
+                     "locator" : "295:11-295:28",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "IsNull",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "5087",
-                        "locator" : "297:11-297:16",
+                        "localId" : "5037",
+                        "locator" : "295:11-295:16",
                         "resultTypeName" : "{http://hl7.org/fhir}markdown",
                         "path" : "text",
                         "scope" : "N",
@@ -6968,26 +6978,26 @@
                   }
                },
                "return" : {
-                  "localId" : "5090",
-                  "locator" : "298:5-298:23",
+                  "localId" : "5040",
+                  "locator" : "296:5-296:23",
                   "resultTypeSpecifier" : {
-                     "localId" : "5094",
+                     "localId" : "5044",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "5095",
+                        "localId" : "5045",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "expression" : {
-                     "localId" : "5093",
-                     "locator" : "298:12-298:23",
+                     "localId" : "5043",
+                     "locator" : "296:12-296:23",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                      "path" : "value",
                      "type" : "Property",
                      "source" : {
-                        "localId" : "5092",
-                        "locator" : "298:12-298:17",
+                        "localId" : "5042",
+                        "locator" : "296:12-296:17",
                         "resultTypeName" : "{http://hl7.org/fhir}markdown",
                         "path" : "text",
                         "scope" : "N",
@@ -7001,7 +7011,7 @@
                "name" : "notes",
                "operandTypeSpecifier" : {
                   "localId" : "1020",
-                  "locator" : "295:32-295:47",
+                  "locator" : "293:32-293:47",
                   "type" : "ListTypeSpecifier",
                   "resultTypeSpecifier" : {
                      "localId" : "1022",
@@ -7014,7 +7024,7 @@
                   },
                   "elementType" : {
                      "localId" : "1021",
-                     "locator" : "295:37-295:46",
+                     "locator" : "293:37-293:46",
                      "resultTypeName" : "{http://hl7.org/fhir}Annotation",
                      "name" : "{http://hl7.org/fhir}Annotation",
                      "type" : "NamedTypeSpecifier"
@@ -7023,7 +7033,7 @@
             } ]
          }, {
             "localId" : "1086",
-            "locator" : "334:1-340:8",
+            "locator" : "332:1-338:8",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
             "name" : "LearnMoreURL",
             "context" : "Unfiltered",
@@ -7036,19 +7046,19 @@
                   "s" : [ {
                      "value" : [ "/*\n  Helper functions to construct URLs for MedLindPlus content.\n*/\n\n/// Returns web URL for MedlinePlus content using resource system/code\n","define function LearnMoreURL(concept FHIR.CodeableConcept):\n  " ]
                   }, {
-                     "r" : "5323",
+                     "r" : "5273",
                      "s" : [ {
-                        "r" : "5323",
+                        "r" : "5273",
                         "s" : [ {
                            "value" : [ "if " ]
                         }, {
-                           "r" : "5327",
+                           "r" : "5277",
                            "s" : [ {
-                              "r" : "5325",
+                              "r" : "5275",
                               "s" : [ {
                                  "value" : [ "LearnMoreCode","(" ]
                               }, {
-                                 "r" : "5324",
+                                 "r" : "5274",
                                  "s" : [ {
                                     "value" : [ "concept" ]
                                  } ]
@@ -7061,22 +7071,22 @@
                         }, {
                            "value" : [ " then\n    " ]
                         }, {
-                           "r" : "5344",
+                           "r" : "5294",
                            "s" : [ {
-                              "r" : "5340",
+                              "r" : "5290",
                               "s" : [ {
-                                 "r" : "5338",
+                                 "r" : "5288",
                                  "s" : [ {
-                                    "r" : "5334",
+                                    "r" : "5284",
                                     "s" : [ {
-                                       "r" : "5332",
+                                       "r" : "5282",
                                        "s" : [ {
                                           "value" : [ "'https://connect.medlineplus.gov/application?'" ]
                                        } ]
                                     }, {
                                        "value" : [ "\n      + " ]
                                     }, {
-                                       "r" : "5333",
+                                       "r" : "5283",
                                        "s" : [ {
                                           "value" : [ "'mainSearchCriteria.v.cs='" ]
                                        } ]
@@ -7084,13 +7094,13 @@
                                  }, {
                                     "value" : [ " + " ]
                                  }, {
-                                    "r" : "5337",
+                                    "r" : "5287",
                                     "s" : [ {
-                                       "r" : "5336",
+                                       "r" : "5286",
                                        "s" : [ {
                                           "value" : [ "LearnMoreCode","(" ]
                                        }, {
-                                          "r" : "5335",
+                                          "r" : "5285",
                                           "s" : [ {
                                              "value" : [ "concept" ]
                                           } ]
@@ -7100,7 +7110,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5337",
+                                       "r" : "5287",
                                        "s" : [ {
                                           "value" : [ "system" ]
                                        } ]
@@ -7109,7 +7119,7 @@
                               }, {
                                  "value" : [ "\n      + " ]
                               }, {
-                                 "r" : "5339",
+                                 "r" : "5289",
                                  "s" : [ {
                                     "value" : [ "'&mainSearchCriteria.v.c='" ]
                                  } ]
@@ -7117,13 +7127,13 @@
                            }, {
                               "value" : [ " + " ]
                            }, {
-                              "r" : "5343",
+                              "r" : "5293",
                               "s" : [ {
-                                 "r" : "5342",
+                                 "r" : "5292",
                                  "s" : [ {
                                     "value" : [ "LearnMoreCode","(" ]
                                  }, {
-                                    "r" : "5341",
+                                    "r" : "5291",
                                     "s" : [ {
                                        "value" : [ "concept" ]
                                     } ]
@@ -7133,14 +7143,14 @@
                               }, {
                                  "value" : [ "." ]
                               }, {
-                                 "r" : "5343",
+                                 "r" : "5293",
                                  "s" : [ {
                                     "value" : [ "code" ]
                                  } ]
                               } ]
                            } ]
                         }, {
-                           "r" : "5345",
+                           "r" : "5295",
                            "value" : [ "\n  else\n    ","null" ]
                         } ]
                      } ]
@@ -7148,32 +7158,32 @@
                }
             } ],
             "expression" : {
-               "localId" : "5323",
-               "locator" : "335:3-340:8",
+               "localId" : "5273",
+               "locator" : "333:3-338:8",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                "type" : "If",
                "condition" : {
-                  "localId" : "5327",
-                  "locator" : "335:6-335:39",
+                  "localId" : "5277",
+                  "locator" : "333:6-333:39",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "type" : "Not",
                   "signature" : [ ],
                   "operand" : {
-                     "localId" : "5326",
-                     "locator" : "335:6-335:39",
+                     "localId" : "5276",
+                     "locator" : "333:6-333:39",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "IsNull",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "5325",
-                        "locator" : "335:6-335:27",
+                        "localId" : "5275",
+                        "locator" : "333:6-333:27",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                         "name" : "LearnMoreCode",
                         "type" : "FunctionRef",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5324",
-                           "locator" : "335:20-335:26",
+                           "localId" : "5274",
+                           "locator" : "333:20-333:26",
                            "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                            "name" : "concept",
                            "type" : "OperandRef"
@@ -7182,60 +7192,60 @@
                   }
                },
                "then" : {
-                  "localId" : "5344",
-                  "locator" : "336:5-338:64",
+                  "localId" : "5294",
+                  "locator" : "334:5-336:64",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                   "type" : "Concatenate",
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "5340",
-                     "locator" : "336:5-338:34",
+                     "localId" : "5290",
+                     "locator" : "334:5-336:34",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "Concatenate",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "5338",
-                        "locator" : "336:5-337:66",
+                        "localId" : "5288",
+                        "locator" : "334:5-335:66",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "Concatenate",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5334",
-                           "locator" : "336:5-337:34",
+                           "localId" : "5284",
+                           "locator" : "334:5-335:34",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "Concatenate",
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "5332",
-                              "locator" : "336:5-336:50",
+                              "localId" : "5282",
+                              "locator" : "334:5-334:50",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                               "valueType" : "{urn:hl7-org:elm-types:r1}String",
                               "value" : "https://connect.medlineplus.gov/application?",
                               "type" : "Literal"
                            }, {
-                              "localId" : "5333",
-                              "locator" : "337:9-337:34",
+                              "localId" : "5283",
+                              "locator" : "335:9-335:34",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                               "valueType" : "{urn:hl7-org:elm-types:r1}String",
                               "value" : "mainSearchCriteria.v.cs=",
                               "type" : "Literal"
                            } ]
                         }, {
-                           "localId" : "5337",
-                           "locator" : "337:38-337:66",
+                           "localId" : "5287",
+                           "locator" : "335:38-335:66",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "system",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5336",
-                              "locator" : "337:38-337:59",
+                              "localId" : "5286",
+                              "locator" : "335:38-335:59",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                               "name" : "LearnMoreCode",
                               "type" : "FunctionRef",
                               "signature" : [ ],
                               "operand" : [ {
-                                 "localId" : "5335",
-                                 "locator" : "337:52-337:58",
+                                 "localId" : "5285",
+                                 "locator" : "335:52-335:58",
                                  "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                                  "name" : "concept",
                                  "type" : "OperandRef"
@@ -7243,29 +7253,29 @@
                            }
                         } ]
                      }, {
-                        "localId" : "5339",
-                        "locator" : "338:9-338:34",
+                        "localId" : "5289",
+                        "locator" : "336:9-336:34",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "valueType" : "{urn:hl7-org:elm-types:r1}String",
                         "value" : "&mainSearchCriteria.v.c=",
                         "type" : "Literal"
                      } ]
                   }, {
-                     "localId" : "5343",
-                     "locator" : "338:38-338:64",
+                     "localId" : "5293",
+                     "locator" : "336:38-336:64",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                      "path" : "code",
                      "type" : "Property",
                      "source" : {
-                        "localId" : "5342",
-                        "locator" : "338:38-338:59",
+                        "localId" : "5292",
+                        "locator" : "336:38-336:59",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                         "name" : "LearnMoreCode",
                         "type" : "FunctionRef",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5341",
-                           "locator" : "338:52-338:58",
+                           "localId" : "5291",
+                           "locator" : "336:52-336:58",
                            "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                            "name" : "concept",
                            "type" : "OperandRef"
@@ -7274,13 +7284,13 @@
                   } ]
                },
                "else" : {
-                  "localId" : "5346",
+                  "localId" : "5296",
                   "asType" : "{urn:hl7-org:elm-types:r1}String",
                   "type" : "As",
                   "signature" : [ ],
                   "operand" : {
-                     "localId" : "5345",
-                     "locator" : "340:5-340:8",
+                     "localId" : "5295",
+                     "locator" : "338:5-338:8",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                      "type" : "Null"
                   }
@@ -7291,7 +7301,7 @@
                "name" : "concept",
                "operandTypeSpecifier" : {
                   "localId" : "1087",
-                  "locator" : "334:38-334:57",
+                  "locator" : "332:38-332:57",
                   "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                   "name" : "{http://hl7.org/fhir}CodeableConcept",
                   "type" : "NamedTypeSpecifier"
@@ -7299,7 +7309,7 @@
             } ]
          }, {
             "localId" : "1092",
-            "locator" : "343:1-349:3",
+            "locator" : "341:1-347:3",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "LearnMoreCode",
             "context" : "Unfiltered",
@@ -7312,18 +7322,18 @@
                   "s" : [ {
                      "value" : [ "// Returns a System.Code with sytem and code parameters for querying MedlinePlus\n","define function LearnMoreCode(concept FHIR.CodeableConcept):\n  " ]
                   }, {
-                     "r" : "5369",
+                     "r" : "5319",
                      "s" : [ {
-                        "r" : "5369",
+                        "r" : "5319",
                         "s" : [ {
                            "value" : [ "First","(\n    " ]
                         }, {
-                           "r" : "5364",
+                           "r" : "5314",
                            "s" : [ {
                               "s" : [ {
-                                 "r" : "5347",
+                                 "r" : "5297",
                                  "s" : [ {
-                                    "r" : "5349",
+                                    "r" : "5299",
                                     "s" : [ {
                                        "s" : [ {
                                           "value" : [ "concept",".","coding" ]
@@ -7339,15 +7349,15 @@
                               "s" : [ {
                                  "value" : [ "let " ]
                               }, {
-                                 "r" : "5354",
+                                 "r" : "5304",
                                  "s" : [ {
                                     "value" : [ "medlineCode",": " ]
                                  }, {
-                                    "r" : "5356",
+                                    "r" : "5306",
                                     "s" : [ {
                                        "value" : [ "MedlinePlusCode","(" ]
                                     }, {
-                                       "r" : "5355",
+                                       "r" : "5305",
                                        "s" : [ {
                                           "value" : [ "c" ]
                                        } ]
@@ -7359,13 +7369,13 @@
                            }, {
                               "value" : [ "\n      " ]
                            }, {
-                              "r" : "5359",
+                              "r" : "5309",
                               "s" : [ {
                                  "value" : [ "where " ]
                               }, {
-                                 "r" : "5359",
+                                 "r" : "5309",
                                  "s" : [ {
-                                    "r" : "5357",
+                                    "r" : "5307",
                                     "s" : [ {
                                        "value" : [ "medlineCode" ]
                                     } ]
@@ -7376,11 +7386,11 @@
                            }, {
                               "value" : [ "\n      " ]
                            }, {
-                              "r" : "5360",
+                              "r" : "5310",
                               "s" : [ {
                                  "value" : [ "return " ]
                               }, {
-                                 "r" : "5361",
+                                 "r" : "5311",
                                  "s" : [ {
                                     "value" : [ "medlineCode" ]
                                  } ]
@@ -7394,73 +7404,73 @@
                }
             } ],
             "expression" : {
-               "localId" : "5369",
-               "locator" : "344:3-349:3",
+               "localId" : "5319",
+               "locator" : "342:3-347:3",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                "type" : "First",
                "signature" : [ ],
                "source" : {
-                  "localId" : "5364",
-                  "locator" : "345:5-348:24",
+                  "localId" : "5314",
+                  "locator" : "343:5-346:24",
                   "type" : "Query",
                   "resultTypeSpecifier" : {
-                     "localId" : "5365",
+                     "localId" : "5315",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "5366",
+                        "localId" : "5316",
                         "name" : "{urn:hl7-org:elm-types:r1}Code",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "source" : [ {
-                     "localId" : "5347",
-                     "locator" : "345:5-345:20",
+                     "localId" : "5297",
+                     "locator" : "343:5-343:20",
                      "alias" : "c",
                      "resultTypeSpecifier" : {
-                        "localId" : "5352",
+                        "localId" : "5302",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "5353",
+                           "localId" : "5303",
                            "name" : "{http://hl7.org/fhir}Coding",
                            "type" : "NamedTypeSpecifier"
                         }
                      },
                      "expression" : {
-                        "localId" : "5349",
-                        "locator" : "345:5-345:18",
+                        "localId" : "5299",
+                        "locator" : "343:5-343:18",
                         "path" : "coding",
                         "type" : "Property",
                         "resultTypeSpecifier" : {
-                           "localId" : "5350",
+                           "localId" : "5300",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "5351",
+                              "localId" : "5301",
                               "name" : "{http://hl7.org/fhir}Coding",
                               "type" : "NamedTypeSpecifier"
                            }
                         },
                         "source" : {
-                           "localId" : "5348",
+                           "localId" : "5298",
                            "name" : "concept",
                            "type" : "OperandRef"
                         }
                      }
                   } ],
                   "let" : [ {
-                     "localId" : "5354",
-                     "locator" : "346:11-346:41",
+                     "localId" : "5304",
+                     "locator" : "344:11-344:41",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                      "identifier" : "medlineCode",
                      "expression" : {
-                        "localId" : "5356",
-                        "locator" : "346:24-346:41",
+                        "localId" : "5306",
+                        "locator" : "344:24-344:41",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                         "name" : "MedlinePlusCode",
                         "type" : "FunctionRef",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5355",
-                           "locator" : "346:40",
+                           "localId" : "5305",
+                           "locator" : "344:40",
                            "resultTypeName" : "{http://hl7.org/fhir}Coding",
                            "name" : "c",
                            "type" : "AliasRef"
@@ -7469,20 +7479,20 @@
                   } ],
                   "relationship" : [ ],
                   "where" : {
-                     "localId" : "5359",
-                     "locator" : "347:7-347:35",
+                     "localId" : "5309",
+                     "locator" : "345:7-345:35",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "Not",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "5358",
-                        "locator" : "347:13-347:35",
+                        "localId" : "5308",
+                        "locator" : "345:13-345:35",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "IsNull",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "5357",
-                           "locator" : "347:13-347:23",
+                           "localId" : "5307",
+                           "locator" : "345:13-345:23",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                            "name" : "medlineCode",
                            "type" : "QueryLetRef"
@@ -7490,20 +7500,20 @@
                      }
                   },
                   "return" : {
-                     "localId" : "5360",
-                     "locator" : "348:7-348:24",
+                     "localId" : "5310",
+                     "locator" : "346:7-346:24",
                      "resultTypeSpecifier" : {
-                        "localId" : "5362",
+                        "localId" : "5312",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "5363",
+                           "localId" : "5313",
                            "name" : "{urn:hl7-org:elm-types:r1}Code",
                            "type" : "NamedTypeSpecifier"
                         }
                      },
                      "expression" : {
-                        "localId" : "5361",
-                        "locator" : "348:14-348:24",
+                        "localId" : "5311",
+                        "locator" : "346:14-346:24",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                         "name" : "medlineCode",
                         "type" : "QueryLetRef"
@@ -7516,7 +7526,7 @@
                "name" : "concept",
                "operandTypeSpecifier" : {
                   "localId" : "1093",
-                  "locator" : "343:39-343:58",
+                  "locator" : "341:39-341:58",
                   "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                   "name" : "{http://hl7.org/fhir}CodeableConcept",
                   "type" : "NamedTypeSpecifier"
@@ -7524,7 +7534,7 @@
             } ]
          }, {
             "localId" : "1105",
-            "locator" : "351:1-367:5",
+            "locator" : "349:1-365:5",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "MedlinePlusCode",
             "context" : "Unfiltered",
@@ -7537,32 +7547,32 @@
                   "s" : [ {
                      "value" : [ "","define function MedlinePlusCode(c FHIR.Coding):\n  " ]
                   }, {
-                     "r" : "5370",
+                     "r" : "5320",
                      "s" : [ {
-                        "r" : "5370",
+                        "r" : "5320",
                         "s" : [ {
                            "value" : [ "case\n    " ]
                         }, {
-                           "r" : "5371",
+                           "r" : "5321",
                            "s" : [ {
                               "value" : [ "when " ]
                            }, {
-                              "r" : "5372",
+                              "r" : "5322",
                               "s" : [ {
-                                 "r" : "5373",
+                                 "r" : "5323",
                                  "s" : [ {
-                                    "r" : "5376",
+                                    "r" : "5326",
                                     "s" : [ {
-                                       "r" : "5375",
+                                       "r" : "5325",
                                        "s" : [ {
-                                          "r" : "5374",
+                                          "r" : "5324",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5375",
+                                          "r" : "5325",
                                           "s" : [ {
                                              "value" : [ "system" ]
                                           } ]
@@ -7570,7 +7580,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5376",
+                                       "r" : "5326",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -7578,7 +7588,7 @@
                                  }, {
                                     "value" : [ " ","="," " ]
                                  }, {
-                                    "r" : "5377",
+                                    "r" : "5327",
                                     "s" : [ {
                                        "value" : [ "'http://loinc.org'" ]
                                     } ]
@@ -7586,20 +7596,20 @@
                               }, {
                                  "value" : [ " or " ]
                               }, {
-                                 "r" : "5378",
+                                 "r" : "5328",
                                  "s" : [ {
-                                    "r" : "5381",
+                                    "r" : "5331",
                                     "s" : [ {
-                                       "r" : "5380",
+                                       "r" : "5330",
                                        "s" : [ {
-                                          "r" : "5379",
+                                          "r" : "5329",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5380",
+                                          "r" : "5330",
                                           "s" : [ {
                                              "value" : [ "system" ]
                                           } ]
@@ -7607,7 +7617,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5381",
+                                       "r" : "5331",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -7615,7 +7625,7 @@
                                  }, {
                                     "value" : [ " ","="," " ]
                                  }, {
-                                    "r" : "5382",
+                                    "r" : "5332",
                                     "s" : [ {
                                        "value" : [ "'urn:oid:2.16.840.1.113883.6.1'" ]
                                     } ]
@@ -7624,14 +7634,14 @@
                            }, {
                               "value" : [ " then\n      " ]
                            }, {
-                              "r" : "5383",
+                              "r" : "5333",
                               "s" : [ {
                                  "value" : [ "System",".","Code"," { " ]
                               }, {
                                  "s" : [ {
                                     "value" : [ "system",": " ]
                                  }, {
-                                    "r" : "5385",
+                                    "r" : "5335",
                                     "s" : [ {
                                        "value" : [ "'2.16.840.1.113883.6.1'" ]
                                     } ]
@@ -7642,18 +7652,18 @@
                                  "s" : [ {
                                     "value" : [ "code",": " ]
                                  }, {
-                                    "r" : "5388",
+                                    "r" : "5338",
                                     "s" : [ {
-                                       "r" : "5387",
+                                       "r" : "5337",
                                        "s" : [ {
-                                          "r" : "5386",
+                                          "r" : "5336",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5387",
+                                          "r" : "5337",
                                           "s" : [ {
                                              "value" : [ "code" ]
                                           } ]
@@ -7661,7 +7671,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5388",
+                                       "r" : "5338",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -7673,18 +7683,18 @@
                                  "s" : [ {
                                     "value" : [ "display",": " ]
                                  }, {
-                                    "r" : "5391",
+                                    "r" : "5341",
                                     "s" : [ {
-                                       "r" : "5390",
+                                       "r" : "5340",
                                        "s" : [ {
-                                          "r" : "5389",
+                                          "r" : "5339",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5390",
+                                          "r" : "5340",
                                           "s" : [ {
                                              "value" : [ "display" ]
                                           } ]
@@ -7692,7 +7702,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5391",
+                                       "r" : "5341",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -7705,26 +7715,26 @@
                         }, {
                            "value" : [ "\n    " ]
                         }, {
-                           "r" : "5392",
+                           "r" : "5342",
                            "s" : [ {
                               "value" : [ "when " ]
                            }, {
-                              "r" : "5393",
+                              "r" : "5343",
                               "s" : [ {
-                                 "r" : "5394",
+                                 "r" : "5344",
                                  "s" : [ {
-                                    "r" : "5397",
+                                    "r" : "5347",
                                     "s" : [ {
-                                       "r" : "5396",
+                                       "r" : "5346",
                                        "s" : [ {
-                                          "r" : "5395",
+                                          "r" : "5345",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5396",
+                                          "r" : "5346",
                                           "s" : [ {
                                              "value" : [ "system" ]
                                           } ]
@@ -7732,7 +7742,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5397",
+                                       "r" : "5347",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -7740,7 +7750,7 @@
                                  }, {
                                     "value" : [ " ","="," " ]
                                  }, {
-                                    "r" : "5398",
+                                    "r" : "5348",
                                     "s" : [ {
                                        "value" : [ "'http://snomed.info/sct'" ]
                                     } ]
@@ -7748,20 +7758,20 @@
                               }, {
                                  "value" : [ " or " ]
                               }, {
-                                 "r" : "5399",
+                                 "r" : "5349",
                                  "s" : [ {
-                                    "r" : "5402",
+                                    "r" : "5352",
                                     "s" : [ {
-                                       "r" : "5401",
+                                       "r" : "5351",
                                        "s" : [ {
-                                          "r" : "5400",
+                                          "r" : "5350",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5401",
+                                          "r" : "5351",
                                           "s" : [ {
                                              "value" : [ "system" ]
                                           } ]
@@ -7769,7 +7779,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5402",
+                                       "r" : "5352",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -7777,7 +7787,7 @@
                                  }, {
                                     "value" : [ " ","="," " ]
                                  }, {
-                                    "r" : "5403",
+                                    "r" : "5353",
                                     "s" : [ {
                                        "value" : [ "'urn:oid:2.16.840.1.113883.6.96'" ]
                                     } ]
@@ -7786,14 +7796,14 @@
                            }, {
                               "value" : [ " then\n      " ]
                            }, {
-                              "r" : "5404",
+                              "r" : "5354",
                               "s" : [ {
                                  "value" : [ "System",".","Code"," { " ]
                               }, {
                                  "s" : [ {
                                     "value" : [ "system",": " ]
                                  }, {
-                                    "r" : "5406",
+                                    "r" : "5356",
                                     "s" : [ {
                                        "value" : [ "'2.16.840.1.113883.6.96'" ]
                                     } ]
@@ -7804,18 +7814,18 @@
                                  "s" : [ {
                                     "value" : [ "code",": " ]
                                  }, {
-                                    "r" : "5409",
+                                    "r" : "5359",
                                     "s" : [ {
-                                       "r" : "5408",
+                                       "r" : "5358",
                                        "s" : [ {
-                                          "r" : "5407",
+                                          "r" : "5357",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5408",
+                                          "r" : "5358",
                                           "s" : [ {
                                              "value" : [ "code" ]
                                           } ]
@@ -7823,7 +7833,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5409",
+                                       "r" : "5359",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -7835,18 +7845,18 @@
                                  "s" : [ {
                                     "value" : [ "display",": " ]
                                  }, {
-                                    "r" : "5412",
+                                    "r" : "5362",
                                     "s" : [ {
-                                       "r" : "5411",
+                                       "r" : "5361",
                                        "s" : [ {
-                                          "r" : "5410",
+                                          "r" : "5360",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5411",
+                                          "r" : "5361",
                                           "s" : [ {
                                              "value" : [ "display" ]
                                           } ]
@@ -7854,7 +7864,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5412",
+                                       "r" : "5362",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -7867,26 +7877,26 @@
                         }, {
                            "value" : [ "\n    " ]
                         }, {
-                           "r" : "5413",
+                           "r" : "5363",
                            "s" : [ {
                               "value" : [ "when " ]
                            }, {
-                              "r" : "5414",
+                              "r" : "5364",
                               "s" : [ {
-                                 "r" : "5415",
+                                 "r" : "5365",
                                  "s" : [ {
-                                    "r" : "5418",
+                                    "r" : "5368",
                                     "s" : [ {
-                                       "r" : "5417",
+                                       "r" : "5367",
                                        "s" : [ {
-                                          "r" : "5416",
+                                          "r" : "5366",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5417",
+                                          "r" : "5367",
                                           "s" : [ {
                                              "value" : [ "system" ]
                                           } ]
@@ -7894,7 +7904,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5418",
+                                       "r" : "5368",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -7902,7 +7912,7 @@
                                  }, {
                                     "value" : [ " ","="," " ]
                                  }, {
-                                    "r" : "5419",
+                                    "r" : "5369",
                                     "s" : [ {
                                        "value" : [ "'http://hl7.org/fhir/sid/icd-10-cm'" ]
                                     } ]
@@ -7910,20 +7920,20 @@
                               }, {
                                  "value" : [ " or " ]
                               }, {
-                                 "r" : "5420",
+                                 "r" : "5370",
                                  "s" : [ {
-                                    "r" : "5423",
+                                    "r" : "5373",
                                     "s" : [ {
-                                       "r" : "5422",
+                                       "r" : "5372",
                                        "s" : [ {
-                                          "r" : "5421",
+                                          "r" : "5371",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5422",
+                                          "r" : "5372",
                                           "s" : [ {
                                              "value" : [ "system" ]
                                           } ]
@@ -7931,7 +7941,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5423",
+                                       "r" : "5373",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -7939,7 +7949,7 @@
                                  }, {
                                     "value" : [ " ","="," " ]
                                  }, {
-                                    "r" : "5424",
+                                    "r" : "5374",
                                     "s" : [ {
                                        "value" : [ "'urn:oid:2.16.840.1.113883.6.90'" ]
                                     } ]
@@ -7948,14 +7958,14 @@
                            }, {
                               "value" : [ " then\n      " ]
                            }, {
-                              "r" : "5425",
+                              "r" : "5375",
                               "s" : [ {
                                  "value" : [ "System",".","Code"," { " ]
                               }, {
                                  "s" : [ {
                                     "value" : [ "system",": " ]
                                  }, {
-                                    "r" : "5427",
+                                    "r" : "5377",
                                     "s" : [ {
                                        "value" : [ "'2.16.840.1.113883.6.90'" ]
                                     } ]
@@ -7966,18 +7976,18 @@
                                  "s" : [ {
                                     "value" : [ "code",": " ]
                                  }, {
-                                    "r" : "5430",
+                                    "r" : "5380",
                                     "s" : [ {
-                                       "r" : "5429",
+                                       "r" : "5379",
                                        "s" : [ {
-                                          "r" : "5428",
+                                          "r" : "5378",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5429",
+                                          "r" : "5379",
                                           "s" : [ {
                                              "value" : [ "code" ]
                                           } ]
@@ -7985,7 +7995,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5430",
+                                       "r" : "5380",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -7997,18 +8007,18 @@
                                  "s" : [ {
                                     "value" : [ "display",": " ]
                                  }, {
-                                    "r" : "5433",
+                                    "r" : "5383",
                                     "s" : [ {
-                                       "r" : "5432",
+                                       "r" : "5382",
                                        "s" : [ {
-                                          "r" : "5431",
+                                          "r" : "5381",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5432",
+                                          "r" : "5382",
                                           "s" : [ {
                                              "value" : [ "display" ]
                                           } ]
@@ -8016,7 +8026,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5433",
+                                       "r" : "5383",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -8029,26 +8039,26 @@
                         }, {
                            "value" : [ "\n    " ]
                         }, {
-                           "r" : "5434",
+                           "r" : "5384",
                            "s" : [ {
                               "value" : [ "when " ]
                            }, {
-                              "r" : "5435",
+                              "r" : "5385",
                               "s" : [ {
-                                 "r" : "5436",
+                                 "r" : "5386",
                                  "s" : [ {
-                                    "r" : "5439",
+                                    "r" : "5389",
                                     "s" : [ {
-                                       "r" : "5438",
+                                       "r" : "5388",
                                        "s" : [ {
-                                          "r" : "5437",
+                                          "r" : "5387",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5438",
+                                          "r" : "5388",
                                           "s" : [ {
                                              "value" : [ "system" ]
                                           } ]
@@ -8056,7 +8066,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5439",
+                                       "r" : "5389",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -8064,7 +8074,7 @@
                                  }, {
                                     "value" : [ " ","="," " ]
                                  }, {
-                                    "r" : "5440",
+                                    "r" : "5390",
                                     "s" : [ {
                                        "value" : [ "'http://www.nlm.nih.gov/research/umls/rxnorm'" ]
                                     } ]
@@ -8072,20 +8082,20 @@
                               }, {
                                  "value" : [ " or " ]
                               }, {
-                                 "r" : "5441",
+                                 "r" : "5391",
                                  "s" : [ {
-                                    "r" : "5444",
+                                    "r" : "5394",
                                     "s" : [ {
-                                       "r" : "5443",
+                                       "r" : "5393",
                                        "s" : [ {
-                                          "r" : "5442",
+                                          "r" : "5392",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5443",
+                                          "r" : "5393",
                                           "s" : [ {
                                              "value" : [ "system" ]
                                           } ]
@@ -8093,7 +8103,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5444",
+                                       "r" : "5394",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -8101,7 +8111,7 @@
                                  }, {
                                     "value" : [ " ","="," " ]
                                  }, {
-                                    "r" : "5445",
+                                    "r" : "5395",
                                     "s" : [ {
                                        "value" : [ "'urn:oid:2.16.840.1.113883.6.88'" ]
                                     } ]
@@ -8110,14 +8120,14 @@
                            }, {
                               "value" : [ " then\n      " ]
                            }, {
-                              "r" : "5446",
+                              "r" : "5396",
                               "s" : [ {
                                  "value" : [ "System",".","Code"," { " ]
                               }, {
                                  "s" : [ {
                                     "value" : [ "system",": " ]
                                  }, {
-                                    "r" : "5448",
+                                    "r" : "5398",
                                     "s" : [ {
                                        "value" : [ "'2.16.840.1.113883.6.88'" ]
                                     } ]
@@ -8128,18 +8138,18 @@
                                  "s" : [ {
                                     "value" : [ "code",": " ]
                                  }, {
-                                    "r" : "5451",
+                                    "r" : "5401",
                                     "s" : [ {
-                                       "r" : "5450",
+                                       "r" : "5400",
                                        "s" : [ {
-                                          "r" : "5449",
+                                          "r" : "5399",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5450",
+                                          "r" : "5400",
                                           "s" : [ {
                                              "value" : [ "code" ]
                                           } ]
@@ -8147,7 +8157,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5451",
+                                       "r" : "5401",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -8159,18 +8169,18 @@
                                  "s" : [ {
                                     "value" : [ "display",": " ]
                                  }, {
-                                    "r" : "5454",
+                                    "r" : "5404",
                                     "s" : [ {
-                                       "r" : "5453",
+                                       "r" : "5403",
                                        "s" : [ {
-                                          "r" : "5452",
+                                          "r" : "5402",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5453",
+                                          "r" : "5403",
                                           "s" : [ {
                                              "value" : [ "display" ]
                                           } ]
@@ -8178,7 +8188,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5454",
+                                       "r" : "5404",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -8191,26 +8201,26 @@
                         }, {
                            "value" : [ "\n    " ]
                         }, {
-                           "r" : "5455",
+                           "r" : "5405",
                            "s" : [ {
                               "value" : [ "when " ]
                            }, {
-                              "r" : "5456",
+                              "r" : "5406",
                               "s" : [ {
-                                 "r" : "5457",
+                                 "r" : "5407",
                                  "s" : [ {
-                                    "r" : "5460",
+                                    "r" : "5410",
                                     "s" : [ {
-                                       "r" : "5459",
+                                       "r" : "5409",
                                        "s" : [ {
-                                          "r" : "5458",
+                                          "r" : "5408",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5459",
+                                          "r" : "5409",
                                           "s" : [ {
                                              "value" : [ "system" ]
                                           } ]
@@ -8218,7 +8228,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5460",
+                                       "r" : "5410",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -8226,7 +8236,7 @@
                                  }, {
                                     "value" : [ " ","="," " ]
                                  }, {
-                                    "r" : "5461",
+                                    "r" : "5411",
                                     "s" : [ {
                                        "value" : [ "'http://hl7.org/fhir/sid/ndc'" ]
                                     } ]
@@ -8234,20 +8244,20 @@
                               }, {
                                  "value" : [ " or " ]
                               }, {
-                                 "r" : "5462",
+                                 "r" : "5412",
                                  "s" : [ {
-                                    "r" : "5465",
+                                    "r" : "5415",
                                     "s" : [ {
-                                       "r" : "5464",
+                                       "r" : "5414",
                                        "s" : [ {
-                                          "r" : "5463",
+                                          "r" : "5413",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5464",
+                                          "r" : "5414",
                                           "s" : [ {
                                              "value" : [ "system" ]
                                           } ]
@@ -8255,7 +8265,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5465",
+                                       "r" : "5415",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -8263,7 +8273,7 @@
                                  }, {
                                     "value" : [ " ","="," " ]
                                  }, {
-                                    "r" : "5466",
+                                    "r" : "5416",
                                     "s" : [ {
                                        "value" : [ "'urn:oid:2.16.840.1.113883.6.69'" ]
                                     } ]
@@ -8272,14 +8282,14 @@
                            }, {
                               "value" : [ " then\n      " ]
                            }, {
-                              "r" : "5467",
+                              "r" : "5417",
                               "s" : [ {
                                  "value" : [ "System",".","Code"," { " ]
                               }, {
                                  "s" : [ {
                                     "value" : [ "system",": " ]
                                  }, {
-                                    "r" : "5469",
+                                    "r" : "5419",
                                     "s" : [ {
                                        "value" : [ "'2.16.840.1.113883.6.69'" ]
                                     } ]
@@ -8290,18 +8300,18 @@
                                  "s" : [ {
                                     "value" : [ "code",": " ]
                                  }, {
-                                    "r" : "5472",
+                                    "r" : "5422",
                                     "s" : [ {
-                                       "r" : "5471",
+                                       "r" : "5421",
                                        "s" : [ {
-                                          "r" : "5470",
+                                          "r" : "5420",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5471",
+                                          "r" : "5421",
                                           "s" : [ {
                                              "value" : [ "code" ]
                                           } ]
@@ -8309,7 +8319,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5472",
+                                       "r" : "5422",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -8321,18 +8331,18 @@
                                  "s" : [ {
                                     "value" : [ "display",": " ]
                                  }, {
-                                    "r" : "5475",
+                                    "r" : "5425",
                                     "s" : [ {
-                                       "r" : "5474",
+                                       "r" : "5424",
                                        "s" : [ {
-                                          "r" : "5473",
+                                          "r" : "5423",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5474",
+                                          "r" : "5424",
                                           "s" : [ {
                                              "value" : [ "display" ]
                                           } ]
@@ -8340,7 +8350,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5475",
+                                       "r" : "5425",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -8353,26 +8363,26 @@
                         }, {
                            "value" : [ "\n    " ]
                         }, {
-                           "r" : "5476",
+                           "r" : "5426",
                            "s" : [ {
                               "value" : [ "when " ]
                            }, {
-                              "r" : "5477",
+                              "r" : "5427",
                               "s" : [ {
-                                 "r" : "5478",
+                                 "r" : "5428",
                                  "s" : [ {
-                                    "r" : "5481",
+                                    "r" : "5431",
                                     "s" : [ {
-                                       "r" : "5480",
+                                       "r" : "5430",
                                        "s" : [ {
-                                          "r" : "5479",
+                                          "r" : "5429",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5480",
+                                          "r" : "5430",
                                           "s" : [ {
                                              "value" : [ "system" ]
                                           } ]
@@ -8380,7 +8390,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5481",
+                                       "r" : "5431",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -8388,7 +8398,7 @@
                                  }, {
                                     "value" : [ " ","="," " ]
                                  }, {
-                                    "r" : "5482",
+                                    "r" : "5432",
                                     "s" : [ {
                                        "value" : [ "'http://www.ama-assn.org/go/cpt'" ]
                                     } ]
@@ -8396,20 +8406,20 @@
                               }, {
                                  "value" : [ " or " ]
                               }, {
-                                 "r" : "5483",
+                                 "r" : "5433",
                                  "s" : [ {
-                                    "r" : "5486",
+                                    "r" : "5436",
                                     "s" : [ {
-                                       "r" : "5485",
+                                       "r" : "5435",
                                        "s" : [ {
-                                          "r" : "5484",
+                                          "r" : "5434",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5485",
+                                          "r" : "5435",
                                           "s" : [ {
                                              "value" : [ "system" ]
                                           } ]
@@ -8417,7 +8427,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5486",
+                                       "r" : "5436",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -8425,7 +8435,7 @@
                                  }, {
                                     "value" : [ " ","="," " ]
                                  }, {
-                                    "r" : "5487",
+                                    "r" : "5437",
                                     "s" : [ {
                                        "value" : [ "'urn:oid:2.16.840.1.113883.6.12'" ]
                                     } ]
@@ -8434,14 +8444,14 @@
                            }, {
                               "value" : [ " then\n      " ]
                            }, {
-                              "r" : "5488",
+                              "r" : "5438",
                               "s" : [ {
                                  "value" : [ "System",".","Code"," { " ]
                               }, {
                                  "s" : [ {
                                     "value" : [ "system",": " ]
                                  }, {
-                                    "r" : "5490",
+                                    "r" : "5440",
                                     "s" : [ {
                                        "value" : [ "'2.16.840.1.113883.6.12'" ]
                                     } ]
@@ -8452,18 +8462,18 @@
                                  "s" : [ {
                                     "value" : [ "code",": " ]
                                  }, {
-                                    "r" : "5493",
+                                    "r" : "5443",
                                     "s" : [ {
-                                       "r" : "5492",
+                                       "r" : "5442",
                                        "s" : [ {
-                                          "r" : "5491",
+                                          "r" : "5441",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5492",
+                                          "r" : "5442",
                                           "s" : [ {
                                              "value" : [ "code" ]
                                           } ]
@@ -8471,7 +8481,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5493",
+                                       "r" : "5443",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -8483,18 +8493,18 @@
                                  "s" : [ {
                                     "value" : [ "display",": " ]
                                  }, {
-                                    "r" : "5496",
+                                    "r" : "5446",
                                     "s" : [ {
-                                       "r" : "5495",
+                                       "r" : "5445",
                                        "s" : [ {
-                                          "r" : "5494",
+                                          "r" : "5444",
                                           "s" : [ {
                                              "value" : [ "c" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5495",
+                                          "r" : "5445",
                                           "s" : [ {
                                              "value" : [ "display" ]
                                           } ]
@@ -8502,7 +8512,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5496",
+                                       "r" : "5446",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -8513,7 +8523,7 @@
                               } ]
                            } ]
                         }, {
-                           "r" : "5497",
+                           "r" : "5447",
                            "value" : [ "\n    else\n      ","null","\n  end" ]
                         } ]
                      } ]
@@ -8521,82 +8531,82 @@
                }
             } ],
             "expression" : {
-               "localId" : "5370",
-               "locator" : "352:3-367:5",
+               "localId" : "5320",
+               "locator" : "350:3-365:5",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                "type" : "Case",
                "caseItem" : [ {
-                  "localId" : "5371",
-                  "locator" : "353:5-354:99",
+                  "localId" : "5321",
+                  "locator" : "351:5-352:99",
                   "when" : {
-                     "localId" : "5372",
-                     "locator" : "353:10-353:96",
+                     "localId" : "5322",
+                     "locator" : "351:10-351:96",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "Or",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "5373",
-                        "locator" : "353:10-353:44",
+                        "localId" : "5323",
+                        "locator" : "351:10-351:44",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Equal",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5376",
-                           "locator" : "353:10-353:23",
+                           "localId" : "5326",
+                           "locator" : "351:10-351:23",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5375",
-                              "locator" : "353:10-353:17",
+                              "localId" : "5325",
+                              "locator" : "351:10-351:17",
                               "resultTypeName" : "{http://hl7.org/fhir}uri",
                               "path" : "system",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5374",
-                                 "locator" : "353:10",
+                                 "localId" : "5324",
+                                 "locator" : "351:10",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
                               }
                            }
                         }, {
-                           "localId" : "5377",
-                           "locator" : "353:27-353:44",
+                           "localId" : "5327",
+                           "locator" : "351:27-351:44",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "http://loinc.org",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5378",
-                        "locator" : "353:49-353:96",
+                        "localId" : "5328",
+                        "locator" : "351:49-351:96",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Equal",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5381",
-                           "locator" : "353:49-353:62",
+                           "localId" : "5331",
+                           "locator" : "351:49-351:62",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5380",
-                              "locator" : "353:49-353:56",
+                              "localId" : "5330",
+                              "locator" : "351:49-351:56",
                               "resultTypeName" : "{http://hl7.org/fhir}uri",
                               "path" : "system",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5379",
-                                 "locator" : "353:49",
+                                 "localId" : "5329",
+                                 "locator" : "351:49",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
                               }
                            }
                         }, {
-                           "localId" : "5382",
-                           "locator" : "353:66-353:96",
+                           "localId" : "5332",
+                           "locator" : "351:66-351:96",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "urn:oid:2.16.840.1.113883.6.1",
@@ -8605,16 +8615,16 @@
                      } ]
                   },
                   "then" : {
-                     "localId" : "5383",
-                     "locator" : "354:7-354:99",
+                     "localId" : "5333",
+                     "locator" : "352:7-352:99",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                      "classType" : "{urn:hl7-org:elm-types:r1}Code",
                      "type" : "Instance",
                      "element" : [ {
                         "name" : "system",
                         "value" : {
-                           "localId" : "5385",
-                           "locator" : "354:29-354:51",
+                           "localId" : "5335",
+                           "locator" : "352:29-352:51",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "2.16.840.1.113883.6.1",
@@ -8623,20 +8633,20 @@
                      }, {
                         "name" : "code",
                         "value" : {
-                           "localId" : "5388",
-                           "locator" : "354:60-354:71",
+                           "localId" : "5338",
+                           "locator" : "352:60-352:71",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5387",
-                              "locator" : "354:60-354:65",
+                              "localId" : "5337",
+                              "locator" : "352:60-352:65",
                               "resultTypeName" : "{http://hl7.org/fhir}code",
                               "path" : "code",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5386",
-                                 "locator" : "354:60",
+                                 "localId" : "5336",
+                                 "locator" : "352:60",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
@@ -8646,20 +8656,20 @@
                      }, {
                         "name" : "display",
                         "value" : {
-                           "localId" : "5391",
-                           "locator" : "354:83-354:97",
+                           "localId" : "5341",
+                           "locator" : "352:83-352:97",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5390",
-                              "locator" : "354:83-354:91",
+                              "localId" : "5340",
+                              "locator" : "352:83-352:91",
                               "resultTypeName" : "{http://hl7.org/fhir}string",
                               "path" : "display",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5389",
-                                 "locator" : "354:83",
+                                 "localId" : "5339",
+                                 "locator" : "352:83",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
@@ -8669,77 +8679,77 @@
                      } ]
                   }
                }, {
-                  "localId" : "5392",
-                  "locator" : "355:5-356:100",
+                  "localId" : "5342",
+                  "locator" : "353:5-354:100",
                   "when" : {
-                     "localId" : "5393",
-                     "locator" : "355:10-355:103",
+                     "localId" : "5343",
+                     "locator" : "353:10-353:103",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "Or",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "5394",
-                        "locator" : "355:10-355:50",
+                        "localId" : "5344",
+                        "locator" : "353:10-353:50",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Equal",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5397",
-                           "locator" : "355:10-355:23",
+                           "localId" : "5347",
+                           "locator" : "353:10-353:23",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5396",
-                              "locator" : "355:10-355:17",
+                              "localId" : "5346",
+                              "locator" : "353:10-353:17",
                               "resultTypeName" : "{http://hl7.org/fhir}uri",
                               "path" : "system",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5395",
-                                 "locator" : "355:10",
+                                 "localId" : "5345",
+                                 "locator" : "353:10",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
                               }
                            }
                         }, {
-                           "localId" : "5398",
-                           "locator" : "355:27-355:50",
+                           "localId" : "5348",
+                           "locator" : "353:27-353:50",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "http://snomed.info/sct",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5399",
-                        "locator" : "355:55-355:103",
+                        "localId" : "5349",
+                        "locator" : "353:55-353:103",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Equal",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5402",
-                           "locator" : "355:55-355:68",
+                           "localId" : "5352",
+                           "locator" : "353:55-353:68",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5401",
-                              "locator" : "355:55-355:62",
+                              "localId" : "5351",
+                              "locator" : "353:55-353:62",
                               "resultTypeName" : "{http://hl7.org/fhir}uri",
                               "path" : "system",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5400",
-                                 "locator" : "355:55",
+                                 "localId" : "5350",
+                                 "locator" : "353:55",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
                               }
                            }
                         }, {
-                           "localId" : "5403",
-                           "locator" : "355:72-355:103",
+                           "localId" : "5353",
+                           "locator" : "353:72-353:103",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "urn:oid:2.16.840.1.113883.6.96",
@@ -8748,16 +8758,16 @@
                      } ]
                   },
                   "then" : {
-                     "localId" : "5404",
-                     "locator" : "356:7-356:100",
+                     "localId" : "5354",
+                     "locator" : "354:7-354:100",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                      "classType" : "{urn:hl7-org:elm-types:r1}Code",
                      "type" : "Instance",
                      "element" : [ {
                         "name" : "system",
                         "value" : {
-                           "localId" : "5406",
-                           "locator" : "356:29-356:52",
+                           "localId" : "5356",
+                           "locator" : "354:29-354:52",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "2.16.840.1.113883.6.96",
@@ -8766,20 +8776,20 @@
                      }, {
                         "name" : "code",
                         "value" : {
-                           "localId" : "5409",
-                           "locator" : "356:61-356:72",
+                           "localId" : "5359",
+                           "locator" : "354:61-354:72",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5408",
-                              "locator" : "356:61-356:66",
+                              "localId" : "5358",
+                              "locator" : "354:61-354:66",
                               "resultTypeName" : "{http://hl7.org/fhir}code",
                               "path" : "code",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5407",
-                                 "locator" : "356:61",
+                                 "localId" : "5357",
+                                 "locator" : "354:61",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
@@ -8789,20 +8799,20 @@
                      }, {
                         "name" : "display",
                         "value" : {
-                           "localId" : "5412",
-                           "locator" : "356:84-356:98",
+                           "localId" : "5362",
+                           "locator" : "354:84-354:98",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5411",
-                              "locator" : "356:84-356:92",
+                              "localId" : "5361",
+                              "locator" : "354:84-354:92",
                               "resultTypeName" : "{http://hl7.org/fhir}string",
                               "path" : "display",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5410",
-                                 "locator" : "356:84",
+                                 "localId" : "5360",
+                                 "locator" : "354:84",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
@@ -8812,77 +8822,77 @@
                      } ]
                   }
                }, {
-                  "localId" : "5413",
-                  "locator" : "357:5-358:100",
+                  "localId" : "5363",
+                  "locator" : "355:5-356:100",
                   "when" : {
-                     "localId" : "5414",
-                     "locator" : "357:10-357:114",
+                     "localId" : "5364",
+                     "locator" : "355:10-355:114",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "Or",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "5415",
-                        "locator" : "357:10-357:61",
+                        "localId" : "5365",
+                        "locator" : "355:10-355:61",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Equal",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5418",
-                           "locator" : "357:10-357:23",
+                           "localId" : "5368",
+                           "locator" : "355:10-355:23",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5417",
-                              "locator" : "357:10-357:17",
+                              "localId" : "5367",
+                              "locator" : "355:10-355:17",
                               "resultTypeName" : "{http://hl7.org/fhir}uri",
                               "path" : "system",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5416",
-                                 "locator" : "357:10",
+                                 "localId" : "5366",
+                                 "locator" : "355:10",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
                               }
                            }
                         }, {
-                           "localId" : "5419",
-                           "locator" : "357:27-357:61",
+                           "localId" : "5369",
+                           "locator" : "355:27-355:61",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "http://hl7.org/fhir/sid/icd-10-cm",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5420",
-                        "locator" : "357:66-357:114",
+                        "localId" : "5370",
+                        "locator" : "355:66-355:114",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Equal",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5423",
-                           "locator" : "357:66-357:79",
+                           "localId" : "5373",
+                           "locator" : "355:66-355:79",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5422",
-                              "locator" : "357:66-357:73",
+                              "localId" : "5372",
+                              "locator" : "355:66-355:73",
                               "resultTypeName" : "{http://hl7.org/fhir}uri",
                               "path" : "system",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5421",
-                                 "locator" : "357:66",
+                                 "localId" : "5371",
+                                 "locator" : "355:66",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
                               }
                            }
                         }, {
-                           "localId" : "5424",
-                           "locator" : "357:83-357:114",
+                           "localId" : "5374",
+                           "locator" : "355:83-355:114",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "urn:oid:2.16.840.1.113883.6.90",
@@ -8891,16 +8901,16 @@
                      } ]
                   },
                   "then" : {
-                     "localId" : "5425",
-                     "locator" : "358:7-358:100",
+                     "localId" : "5375",
+                     "locator" : "356:7-356:100",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                      "classType" : "{urn:hl7-org:elm-types:r1}Code",
                      "type" : "Instance",
                      "element" : [ {
                         "name" : "system",
                         "value" : {
-                           "localId" : "5427",
-                           "locator" : "358:29-358:52",
+                           "localId" : "5377",
+                           "locator" : "356:29-356:52",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "2.16.840.1.113883.6.90",
@@ -8909,20 +8919,20 @@
                      }, {
                         "name" : "code",
                         "value" : {
-                           "localId" : "5430",
-                           "locator" : "358:61-358:72",
+                           "localId" : "5380",
+                           "locator" : "356:61-356:72",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5429",
-                              "locator" : "358:61-358:66",
+                              "localId" : "5379",
+                              "locator" : "356:61-356:66",
                               "resultTypeName" : "{http://hl7.org/fhir}code",
                               "path" : "code",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5428",
-                                 "locator" : "358:61",
+                                 "localId" : "5378",
+                                 "locator" : "356:61",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
@@ -8932,20 +8942,20 @@
                      }, {
                         "name" : "display",
                         "value" : {
-                           "localId" : "5433",
-                           "locator" : "358:84-358:98",
+                           "localId" : "5383",
+                           "locator" : "356:84-356:98",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5432",
-                              "locator" : "358:84-358:92",
+                              "localId" : "5382",
+                              "locator" : "356:84-356:92",
                               "resultTypeName" : "{http://hl7.org/fhir}string",
                               "path" : "display",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5431",
-                                 "locator" : "358:84",
+                                 "localId" : "5381",
+                                 "locator" : "356:84",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
@@ -8955,77 +8965,77 @@
                      } ]
                   }
                }, {
-                  "localId" : "5434",
-                  "locator" : "359:5-360:100",
+                  "localId" : "5384",
+                  "locator" : "357:5-358:100",
                   "when" : {
-                     "localId" : "5435",
-                     "locator" : "359:10-359:124",
+                     "localId" : "5385",
+                     "locator" : "357:10-357:124",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "Or",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "5436",
-                        "locator" : "359:10-359:71",
+                        "localId" : "5386",
+                        "locator" : "357:10-357:71",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Equal",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5439",
-                           "locator" : "359:10-359:23",
+                           "localId" : "5389",
+                           "locator" : "357:10-357:23",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5438",
-                              "locator" : "359:10-359:17",
+                              "localId" : "5388",
+                              "locator" : "357:10-357:17",
                               "resultTypeName" : "{http://hl7.org/fhir}uri",
                               "path" : "system",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5437",
-                                 "locator" : "359:10",
+                                 "localId" : "5387",
+                                 "locator" : "357:10",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
                               }
                            }
                         }, {
-                           "localId" : "5440",
-                           "locator" : "359:27-359:71",
+                           "localId" : "5390",
+                           "locator" : "357:27-357:71",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "http://www.nlm.nih.gov/research/umls/rxnorm",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5441",
-                        "locator" : "359:76-359:124",
+                        "localId" : "5391",
+                        "locator" : "357:76-357:124",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Equal",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5444",
-                           "locator" : "359:76-359:89",
+                           "localId" : "5394",
+                           "locator" : "357:76-357:89",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5443",
-                              "locator" : "359:76-359:83",
+                              "localId" : "5393",
+                              "locator" : "357:76-357:83",
                               "resultTypeName" : "{http://hl7.org/fhir}uri",
                               "path" : "system",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5442",
-                                 "locator" : "359:76",
+                                 "localId" : "5392",
+                                 "locator" : "357:76",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
                               }
                            }
                         }, {
-                           "localId" : "5445",
-                           "locator" : "359:93-359:124",
+                           "localId" : "5395",
+                           "locator" : "357:93-357:124",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "urn:oid:2.16.840.1.113883.6.88",
@@ -9034,16 +9044,16 @@
                      } ]
                   },
                   "then" : {
-                     "localId" : "5446",
-                     "locator" : "360:7-360:100",
+                     "localId" : "5396",
+                     "locator" : "358:7-358:100",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                      "classType" : "{urn:hl7-org:elm-types:r1}Code",
                      "type" : "Instance",
                      "element" : [ {
                         "name" : "system",
                         "value" : {
-                           "localId" : "5448",
-                           "locator" : "360:29-360:52",
+                           "localId" : "5398",
+                           "locator" : "358:29-358:52",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "2.16.840.1.113883.6.88",
@@ -9052,20 +9062,20 @@
                      }, {
                         "name" : "code",
                         "value" : {
-                           "localId" : "5451",
-                           "locator" : "360:61-360:72",
+                           "localId" : "5401",
+                           "locator" : "358:61-358:72",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5450",
-                              "locator" : "360:61-360:66",
+                              "localId" : "5400",
+                              "locator" : "358:61-358:66",
                               "resultTypeName" : "{http://hl7.org/fhir}code",
                               "path" : "code",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5449",
-                                 "locator" : "360:61",
+                                 "localId" : "5399",
+                                 "locator" : "358:61",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
@@ -9075,20 +9085,20 @@
                      }, {
                         "name" : "display",
                         "value" : {
-                           "localId" : "5454",
-                           "locator" : "360:84-360:98",
+                           "localId" : "5404",
+                           "locator" : "358:84-358:98",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5453",
-                              "locator" : "360:84-360:92",
+                              "localId" : "5403",
+                              "locator" : "358:84-358:92",
                               "resultTypeName" : "{http://hl7.org/fhir}string",
                               "path" : "display",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5452",
-                                 "locator" : "360:84",
+                                 "localId" : "5402",
+                                 "locator" : "358:84",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
@@ -9098,77 +9108,77 @@
                      } ]
                   }
                }, {
-                  "localId" : "5455",
-                  "locator" : "361:5-362:100",
+                  "localId" : "5405",
+                  "locator" : "359:5-360:100",
                   "when" : {
-                     "localId" : "5456",
-                     "locator" : "361:10-361:108",
+                     "localId" : "5406",
+                     "locator" : "359:10-359:108",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "Or",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "5457",
-                        "locator" : "361:10-361:55",
+                        "localId" : "5407",
+                        "locator" : "359:10-359:55",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Equal",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5460",
-                           "locator" : "361:10-361:23",
+                           "localId" : "5410",
+                           "locator" : "359:10-359:23",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5459",
-                              "locator" : "361:10-361:17",
+                              "localId" : "5409",
+                              "locator" : "359:10-359:17",
                               "resultTypeName" : "{http://hl7.org/fhir}uri",
                               "path" : "system",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5458",
-                                 "locator" : "361:10",
+                                 "localId" : "5408",
+                                 "locator" : "359:10",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
                               }
                            }
                         }, {
-                           "localId" : "5461",
-                           "locator" : "361:27-361:55",
+                           "localId" : "5411",
+                           "locator" : "359:27-359:55",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "http://hl7.org/fhir/sid/ndc",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5462",
-                        "locator" : "361:60-361:108",
+                        "localId" : "5412",
+                        "locator" : "359:60-359:108",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Equal",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5465",
-                           "locator" : "361:60-361:73",
+                           "localId" : "5415",
+                           "locator" : "359:60-359:73",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5464",
-                              "locator" : "361:60-361:67",
+                              "localId" : "5414",
+                              "locator" : "359:60-359:67",
                               "resultTypeName" : "{http://hl7.org/fhir}uri",
                               "path" : "system",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5463",
-                                 "locator" : "361:60",
+                                 "localId" : "5413",
+                                 "locator" : "359:60",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
                               }
                            }
                         }, {
-                           "localId" : "5466",
-                           "locator" : "361:77-361:108",
+                           "localId" : "5416",
+                           "locator" : "359:77-359:108",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "urn:oid:2.16.840.1.113883.6.69",
@@ -9177,16 +9187,16 @@
                      } ]
                   },
                   "then" : {
-                     "localId" : "5467",
-                     "locator" : "362:7-362:100",
+                     "localId" : "5417",
+                     "locator" : "360:7-360:100",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                      "classType" : "{urn:hl7-org:elm-types:r1}Code",
                      "type" : "Instance",
                      "element" : [ {
                         "name" : "system",
                         "value" : {
-                           "localId" : "5469",
-                           "locator" : "362:29-362:52",
+                           "localId" : "5419",
+                           "locator" : "360:29-360:52",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "2.16.840.1.113883.6.69",
@@ -9195,20 +9205,20 @@
                      }, {
                         "name" : "code",
                         "value" : {
-                           "localId" : "5472",
-                           "locator" : "362:61-362:72",
+                           "localId" : "5422",
+                           "locator" : "360:61-360:72",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5471",
-                              "locator" : "362:61-362:66",
+                              "localId" : "5421",
+                              "locator" : "360:61-360:66",
                               "resultTypeName" : "{http://hl7.org/fhir}code",
                               "path" : "code",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5470",
-                                 "locator" : "362:61",
+                                 "localId" : "5420",
+                                 "locator" : "360:61",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
@@ -9218,20 +9228,20 @@
                      }, {
                         "name" : "display",
                         "value" : {
-                           "localId" : "5475",
-                           "locator" : "362:84-362:98",
+                           "localId" : "5425",
+                           "locator" : "360:84-360:98",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5474",
-                              "locator" : "362:84-362:92",
+                              "localId" : "5424",
+                              "locator" : "360:84-360:92",
                               "resultTypeName" : "{http://hl7.org/fhir}string",
                               "path" : "display",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5473",
-                                 "locator" : "362:84",
+                                 "localId" : "5423",
+                                 "locator" : "360:84",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
@@ -9241,77 +9251,77 @@
                      } ]
                   }
                }, {
-                  "localId" : "5476",
-                  "locator" : "363:5-364:100",
+                  "localId" : "5426",
+                  "locator" : "361:5-362:100",
                   "when" : {
-                     "localId" : "5477",
-                     "locator" : "363:10-363:111",
+                     "localId" : "5427",
+                     "locator" : "361:10-361:111",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "Or",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "5478",
-                        "locator" : "363:10-363:58",
+                        "localId" : "5428",
+                        "locator" : "361:10-361:58",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Equal",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5481",
-                           "locator" : "363:10-363:23",
+                           "localId" : "5431",
+                           "locator" : "361:10-361:23",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5480",
-                              "locator" : "363:10-363:17",
+                              "localId" : "5430",
+                              "locator" : "361:10-361:17",
                               "resultTypeName" : "{http://hl7.org/fhir}uri",
                               "path" : "system",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5479",
-                                 "locator" : "363:10",
+                                 "localId" : "5429",
+                                 "locator" : "361:10",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
                               }
                            }
                         }, {
-                           "localId" : "5482",
-                           "locator" : "363:27-363:58",
+                           "localId" : "5432",
+                           "locator" : "361:27-361:58",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "http://www.ama-assn.org/go/cpt",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5483",
-                        "locator" : "363:63-363:111",
+                        "localId" : "5433",
+                        "locator" : "361:63-361:111",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Equal",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5486",
-                           "locator" : "363:63-363:76",
+                           "localId" : "5436",
+                           "locator" : "361:63-361:76",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5485",
-                              "locator" : "363:63-363:70",
+                              "localId" : "5435",
+                              "locator" : "361:63-361:70",
                               "resultTypeName" : "{http://hl7.org/fhir}uri",
                               "path" : "system",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5484",
-                                 "locator" : "363:63",
+                                 "localId" : "5434",
+                                 "locator" : "361:63",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
                               }
                            }
                         }, {
-                           "localId" : "5487",
-                           "locator" : "363:80-363:111",
+                           "localId" : "5437",
+                           "locator" : "361:80-361:111",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "urn:oid:2.16.840.1.113883.6.12",
@@ -9320,16 +9330,16 @@
                      } ]
                   },
                   "then" : {
-                     "localId" : "5488",
-                     "locator" : "364:7-364:100",
+                     "localId" : "5438",
+                     "locator" : "362:7-362:100",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                      "classType" : "{urn:hl7-org:elm-types:r1}Code",
                      "type" : "Instance",
                      "element" : [ {
                         "name" : "system",
                         "value" : {
-                           "localId" : "5490",
-                           "locator" : "364:29-364:52",
+                           "localId" : "5440",
+                           "locator" : "362:29-362:52",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "2.16.840.1.113883.6.12",
@@ -9338,20 +9348,20 @@
                      }, {
                         "name" : "code",
                         "value" : {
-                           "localId" : "5493",
-                           "locator" : "364:61-364:72",
+                           "localId" : "5443",
+                           "locator" : "362:61-362:72",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5492",
-                              "locator" : "364:61-364:66",
+                              "localId" : "5442",
+                              "locator" : "362:61-362:66",
                               "resultTypeName" : "{http://hl7.org/fhir}code",
                               "path" : "code",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5491",
-                                 "locator" : "364:61",
+                                 "localId" : "5441",
+                                 "locator" : "362:61",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
@@ -9361,20 +9371,20 @@
                      }, {
                         "name" : "display",
                         "value" : {
-                           "localId" : "5496",
-                           "locator" : "364:84-364:98",
+                           "localId" : "5446",
+                           "locator" : "362:84-362:98",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5495",
-                              "locator" : "364:84-364:92",
+                              "localId" : "5445",
+                              "locator" : "362:84-362:92",
                               "resultTypeName" : "{http://hl7.org/fhir}string",
                               "path" : "display",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5494",
-                                 "locator" : "364:84",
+                                 "localId" : "5444",
+                                 "locator" : "362:84",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "name" : "c",
                                  "type" : "OperandRef"
@@ -9385,13 +9395,13 @@
                   }
                } ],
                "else" : {
-                  "localId" : "5498",
+                  "localId" : "5448",
                   "asType" : "{urn:hl7-org:elm-types:r1}Code",
                   "type" : "As",
                   "signature" : [ ],
                   "operand" : {
-                     "localId" : "5497",
-                     "locator" : "366:7-366:10",
+                     "localId" : "5447",
+                     "locator" : "364:7-364:10",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                      "type" : "Null"
                   }
@@ -9402,7 +9412,7 @@
                "name" : "c",
                "operandTypeSpecifier" : {
                   "localId" : "1106",
-                  "locator" : "351:35-351:45",
+                  "locator" : "349:35-349:45",
                   "resultTypeName" : "{http://hl7.org/fhir}Coding",
                   "name" : "{http://hl7.org/fhir}Coding",
                   "type" : "NamedTypeSpecifier"
@@ -11249,129 +11259,129 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "3426",
+               "localId" : "3401",
                "type" : "TupleTypeSpecifier",
                "element" : [ {
-                  "localId" : "3427",
+                  "localId" : "3402",
                   "name" : "DisplayName",
                   "elementType" : {
-                     "localId" : "3428",
+                     "localId" : "3403",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3429",
+                  "localId" : "3404",
                   "name" : "ConceptName",
                   "elementType" : {
-                     "localId" : "3430",
+                     "localId" : "3405",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3431",
+                  "localId" : "3406",
                   "name" : "Date",
                   "elementType" : {
-                     "localId" : "3432",
+                     "localId" : "3407",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3433",
+                  "localId" : "3408",
                   "name" : "ResultText",
                   "elementType" : {
-                     "localId" : "3434",
+                     "localId" : "3409",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3435",
+                  "localId" : "3410",
                   "name" : "ResultValue",
                   "elementType" : {
-                     "localId" : "3436",
+                     "localId" : "3411",
                      "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3437",
+                  "localId" : "3412",
                   "name" : "ResultUnits",
                   "elementType" : {
-                     "localId" : "3438",
+                     "localId" : "3413",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3439",
+                  "localId" : "3414",
                   "name" : "ReferenceRange",
                   "elementType" : {
-                     "localId" : "3440",
+                     "localId" : "3415",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3441",
+                  "localId" : "3416",
                   "name" : "Interpretation",
                   "elementType" : {
-                     "localId" : "3442",
+                     "localId" : "3417",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3443",
+                  "localId" : "3418",
                   "name" : "Flag",
                   "elementType" : {
-                     "localId" : "3444",
+                     "localId" : "3419",
                      "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3445",
+                  "localId" : "3420",
                   "name" : "Performer",
                   "elementType" : {
-                     "localId" : "3446",
+                     "localId" : "3421",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3447",
+                  "localId" : "3422",
                   "name" : "Notes",
                   "elementType" : {
-                     "localId" : "3448",
+                     "localId" : "3423",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "3449",
+                        "localId" : "3424",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }
                }, {
-                  "localId" : "3450",
+                  "localId" : "3425",
                   "name" : "Provenance",
                   "elementType" : {
-                     "localId" : "3451",
+                     "localId" : "3426",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "3452",
+                        "localId" : "3427",
                         "type" : "TupleTypeSpecifier",
                         "element" : [ {
-                           "localId" : "3453",
+                           "localId" : "3428",
                            "name" : "Transmitter",
                            "elementType" : {
-                              "localId" : "3454",
+                              "localId" : "3429",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "3455",
+                                 "localId" : "3430",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "3456",
+                           "localId" : "3431",
                            "name" : "Author",
                            "elementType" : {
-                              "localId" : "3457",
+                              "localId" : "3432",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "3458",
+                                 "localId" : "3433",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -11380,10 +11390,10 @@
                      }
                   }
                }, {
-                  "localId" : "3459",
+                  "localId" : "3434",
                   "name" : "LearnMore",
                   "elementType" : {
-                     "localId" : "3460",
+                     "localId" : "3435",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
@@ -11395,129 +11405,129 @@
                "name" : "ReportObservation",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
-                  "localId" : "3391",
+                  "localId" : "3366",
                   "type" : "TupleTypeSpecifier",
                   "element" : [ {
-                     "localId" : "3392",
+                     "localId" : "3367",
                      "name" : "DisplayName",
                      "elementType" : {
-                        "localId" : "3393",
+                        "localId" : "3368",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3394",
+                     "localId" : "3369",
                      "name" : "ConceptName",
                      "elementType" : {
-                        "localId" : "3395",
+                        "localId" : "3370",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3396",
+                     "localId" : "3371",
                      "name" : "Date",
                      "elementType" : {
-                        "localId" : "3397",
+                        "localId" : "3372",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3398",
+                     "localId" : "3373",
                      "name" : "ResultText",
                      "elementType" : {
-                        "localId" : "3399",
+                        "localId" : "3374",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3400",
+                     "localId" : "3375",
                      "name" : "ResultValue",
                      "elementType" : {
-                        "localId" : "3401",
+                        "localId" : "3376",
                         "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3402",
+                     "localId" : "3377",
                      "name" : "ResultUnits",
                      "elementType" : {
-                        "localId" : "3403",
+                        "localId" : "3378",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3404",
+                     "localId" : "3379",
                      "name" : "ReferenceRange",
                      "elementType" : {
-                        "localId" : "3405",
+                        "localId" : "3380",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3406",
+                     "localId" : "3381",
                      "name" : "Interpretation",
                      "elementType" : {
-                        "localId" : "3407",
+                        "localId" : "3382",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3408",
+                     "localId" : "3383",
                      "name" : "Flag",
                      "elementType" : {
-                        "localId" : "3409",
+                        "localId" : "3384",
                         "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3410",
+                     "localId" : "3385",
                      "name" : "Performer",
                      "elementType" : {
-                        "localId" : "3411",
+                        "localId" : "3386",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3412",
+                     "localId" : "3387",
                      "name" : "Notes",
                      "elementType" : {
-                        "localId" : "3413",
+                        "localId" : "3388",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "3414",
+                           "localId" : "3389",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }
                   }, {
-                     "localId" : "3415",
+                     "localId" : "3390",
                      "name" : "Provenance",
                      "elementType" : {
-                        "localId" : "3416",
+                        "localId" : "3391",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "3417",
+                           "localId" : "3392",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "3418",
+                              "localId" : "3393",
                               "name" : "Transmitter",
                               "elementType" : {
-                                 "localId" : "3419",
+                                 "localId" : "3394",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3420",
+                                    "localId" : "3395",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "3421",
+                              "localId" : "3396",
                               "name" : "Author",
                               "elementType" : {
-                                 "localId" : "3422",
+                                 "localId" : "3397",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3423",
+                                    "localId" : "3398",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
@@ -11526,10 +11536,10 @@
                         }
                      }
                   }, {
-                     "localId" : "3424",
+                     "localId" : "3399",
                      "name" : "LearnMore",
                      "elementType" : {
-                        "localId" : "3425",
+                        "localId" : "3400",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
@@ -11598,7 +11608,7 @@
             } ]
          }, {
             "localId" : "2173",
-            "locator" : "219:1-229:3",
+            "locator" : "217:1-227:3",
             "resultTypeName" : "{http://hl7.org/fhir}Observation",
             "name" : "MostRecent",
             "context" : "Unfiltered",
@@ -11611,18 +11621,18 @@
                   "s" : [ {
                      "value" : [ "","define function MostRecent(observations List<Observation>):\n  " ]
                   }, {
-                     "r" : "4526",
+                     "r" : "4447",
                      "s" : [ {
-                        "r" : "4526",
+                        "r" : "4447",
                         "s" : [ {
                            "value" : [ "First","(\n    " ]
                         }, {
-                           "r" : "4521",
+                           "r" : "4442",
                            "s" : [ {
                               "s" : [ {
-                                 "r" : "4424",
+                                 "r" : "4345",
                                  "s" : [ {
-                                    "r" : "4425",
+                                    "r" : "4346",
                                     "s" : [ {
                                        "s" : [ {
                                           "value" : [ "observations" ]
@@ -11635,32 +11645,32 @@
                            }, {
                               "value" : [ "\n      // Note: Cannot use FindDate() because execution engine cannot sort by result of a function.\n      " ]
                            }, {
-                              "r" : "4517",
+                              "r" : "4438",
                               "s" : [ {
                                  "value" : [ "sort by " ]
                               }, {
-                                 "r" : "4516",
+                                 "r" : "4437",
                                  "s" : [ {
-                                    "r" : "4515",
+                                    "r" : "4436",
                                     "s" : [ {
                                        "value" : [ "Coalesce","(\n        " ]
                                     }, {
-                                       "r" : "4481",
+                                       "r" : "4402",
                                        "s" : [ {
-                                          "r" : "4473",
+                                          "r" : "4394",
                                           "s" : [ {
                                              "value" : [ "(" ]
                                           }, {
-                                             "r" : "4473",
+                                             "r" : "4394",
                                              "s" : [ {
-                                                "r" : "4474",
+                                                "r" : "4395",
                                                 "s" : [ {
                                                    "value" : [ "effective" ]
                                                 } ]
                                              }, {
                                                 "value" : [ " as " ]
                                              }, {
-                                                "r" : "4480",
+                                                "r" : "4401",
                                                 "s" : [ {
                                                    "value" : [ "FHIR",".","dateTime" ]
                                                 } ]
@@ -11671,7 +11681,7 @@
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "4481",
+                                          "r" : "4402",
                                           "s" : [ {
                                              "value" : [ "value" ]
                                           } ]
@@ -11679,22 +11689,22 @@
                                     }, {
                                        "value" : [ ",\n        " ]
                                     }, {
-                                       "r" : "4490",
+                                       "r" : "4411",
                                        "s" : [ {
-                                          "r" : "4482",
+                                          "r" : "4403",
                                           "s" : [ {
                                              "value" : [ "(" ]
                                           }, {
-                                             "r" : "4482",
+                                             "r" : "4403",
                                              "s" : [ {
-                                                "r" : "4483",
+                                                "r" : "4404",
                                                 "s" : [ {
                                                    "value" : [ "effective" ]
                                                 } ]
                                              }, {
                                                 "value" : [ " as " ]
                                              }, {
-                                                "r" : "4489",
+                                                "r" : "4410",
                                                 "s" : [ {
                                                    "value" : [ "FHIR",".","instant" ]
                                                 } ]
@@ -11705,7 +11715,7 @@
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "4490",
+                                          "r" : "4411",
                                           "s" : [ {
                                              "value" : [ "value" ]
                                           } ]
@@ -11713,24 +11723,24 @@
                                     }, {
                                        "value" : [ ",\n        " ]
                                     }, {
-                                       "r" : "4500",
+                                       "r" : "4421",
                                        "s" : [ {
-                                          "r" : "4499",
+                                          "r" : "4420",
                                           "s" : [ {
-                                             "r" : "4491",
+                                             "r" : "4412",
                                              "s" : [ {
                                                 "value" : [ "(" ]
                                              }, {
-                                                "r" : "4491",
+                                                "r" : "4412",
                                                 "s" : [ {
-                                                   "r" : "4492",
+                                                   "r" : "4413",
                                                    "s" : [ {
                                                       "value" : [ "effective" ]
                                                    } ]
                                                 }, {
                                                    "value" : [ " as " ]
                                                 }, {
-                                                   "r" : "4498",
+                                                   "r" : "4419",
                                                    "s" : [ {
                                                       "value" : [ "FHIR",".","Period" ]
                                                    } ]
@@ -11741,7 +11751,7 @@
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "4499",
+                                             "r" : "4420",
                                              "s" : [ {
                                                 "value" : [ "\"end\"" ]
                                              } ]
@@ -11749,7 +11759,7 @@
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "4500",
+                                          "r" : "4421",
                                           "s" : [ {
                                              "value" : [ "value" ]
                                           } ]
@@ -11757,24 +11767,24 @@
                                     }, {
                                        "value" : [ ",\n        " ]
                                     }, {
-                                       "r" : "4510",
+                                       "r" : "4431",
                                        "s" : [ {
-                                          "r" : "4509",
+                                          "r" : "4430",
                                           "s" : [ {
-                                             "r" : "4501",
+                                             "r" : "4422",
                                              "s" : [ {
                                                 "value" : [ "(" ]
                                              }, {
-                                                "r" : "4501",
+                                                "r" : "4422",
                                                 "s" : [ {
-                                                   "r" : "4502",
+                                                   "r" : "4423",
                                                    "s" : [ {
                                                       "value" : [ "effective" ]
                                                    } ]
                                                 }, {
                                                    "value" : [ " as " ]
                                                 }, {
-                                                   "r" : "4508",
+                                                   "r" : "4429",
                                                    "s" : [ {
                                                       "value" : [ "FHIR",".","Period" ]
                                                    } ]
@@ -11785,7 +11795,7 @@
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "4509",
+                                             "r" : "4430",
                                              "s" : [ {
                                                 "value" : [ "\"start\"" ]
                                              } ]
@@ -11793,7 +11803,7 @@
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "4510",
+                                          "r" : "4431",
                                           "s" : [ {
                                              "value" : [ "value" ]
                                           } ]
@@ -11801,16 +11811,16 @@
                                     }, {
                                        "value" : [ ",\n        " ]
                                     }, {
-                                       "r" : "4512",
+                                       "r" : "4433",
                                        "s" : [ {
-                                          "r" : "4511",
+                                          "r" : "4432",
                                           "s" : [ {
                                              "value" : [ "issued" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "4512",
+                                          "r" : "4433",
                                           "s" : [ {
                                              "value" : [ "value" ]
                                           } ]
@@ -11831,47 +11841,47 @@
                }
             } ],
             "expression" : {
-               "localId" : "4526",
-               "locator" : "220:3-229:3",
+               "localId" : "4447",
+               "locator" : "218:3-227:3",
                "resultTypeName" : "{http://hl7.org/fhir}Observation",
                "type" : "First",
                "signature" : [ ],
                "source" : {
-                  "localId" : "4521",
-                  "locator" : "221:5-228:32",
+                  "localId" : "4442",
+                  "locator" : "219:5-226:32",
                   "type" : "Query",
                   "resultTypeSpecifier" : {
-                     "localId" : "4522",
+                     "localId" : "4443",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "4523",
+                        "localId" : "4444",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "source" : [ {
-                     "localId" : "4424",
-                     "locator" : "221:5-221:18",
+                     "localId" : "4345",
+                     "locator" : "219:5-219:18",
                      "alias" : "O",
                      "resultTypeSpecifier" : {
-                        "localId" : "4428",
+                        "localId" : "4349",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "4429",
+                           "localId" : "4350",
                            "name" : "{http://hl7.org/fhir}Observation",
                            "type" : "NamedTypeSpecifier"
                         }
                      },
                      "expression" : {
-                        "localId" : "4425",
-                        "locator" : "221:5-221:16",
+                        "localId" : "4346",
+                        "locator" : "219:5-219:16",
                         "name" : "observations",
                         "type" : "OperandRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "4426",
+                           "localId" : "4347",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "4427",
+                              "localId" : "4348",
                               "name" : "{http://hl7.org/fhir}Observation",
                               "type" : "NamedTypeSpecifier"
                            }
@@ -11881,168 +11891,168 @@
                   "let" : [ ],
                   "relationship" : [ ],
                   "sort" : {
-                     "localId" : "4517",
-                     "locator" : "223:7-228:32",
+                     "localId" : "4438",
+                     "locator" : "221:7-226:32",
                      "by" : [ {
-                        "localId" : "4516",
-                        "locator" : "223:15-228:32",
+                        "localId" : "4437",
+                        "locator" : "221:15-226:32",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                         "direction" : "descending",
                         "type" : "ByExpression",
                         "expression" : {
-                           "localId" : "4515",
-                           "locator" : "223:15-228:21",
+                           "localId" : "4436",
+                           "locator" : "221:15-226:21",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                            "type" : "Coalesce",
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "4481",
-                              "locator" : "224:9-224:42",
+                              "localId" : "4402",
+                              "locator" : "222:9-222:42",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                               "path" : "value",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "4473",
-                                 "locator" : "224:9-224:36",
+                                 "localId" : "4394",
+                                 "locator" : "222:9-222:36",
                                  "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                                  "strict" : false,
                                  "type" : "As",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "4474",
-                                    "locator" : "224:10-224:18",
+                                    "localId" : "4395",
+                                    "locator" : "222:10-222:18",
                                     "name" : "effective",
                                     "type" : "IdentifierRef",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "4475",
+                                       "localId" : "4396",
                                        "type" : "ChoiceTypeSpecifier",
                                        "type" : [ ],
                                        "choice" : [ {
-                                          "localId" : "4476",
+                                          "localId" : "4397",
                                           "name" : "{http://hl7.org/fhir}dateTime",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4477",
+                                          "localId" : "4398",
                                           "name" : "{http://hl7.org/fhir}Period",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4478",
+                                          "localId" : "4399",
                                           "name" : "{http://hl7.org/fhir}Timing",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4479",
+                                          "localId" : "4400",
                                           "name" : "{http://hl7.org/fhir}instant",
                                           "type" : "NamedTypeSpecifier"
                                        } ]
                                     }
                                  },
                                  "asTypeSpecifier" : {
-                                    "localId" : "4480",
-                                    "locator" : "224:23-224:35",
+                                    "localId" : "4401",
+                                    "locator" : "222:23-222:35",
                                     "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                                     "name" : "{http://hl7.org/fhir}dateTime",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "4490",
-                              "locator" : "225:9-225:41",
+                              "localId" : "4411",
+                              "locator" : "223:9-223:41",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                               "path" : "value",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "4482",
-                                 "locator" : "225:9-225:35",
+                                 "localId" : "4403",
+                                 "locator" : "223:9-223:35",
                                  "resultTypeName" : "{http://hl7.org/fhir}instant",
                                  "strict" : false,
                                  "type" : "As",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "4483",
-                                    "locator" : "225:10-225:18",
+                                    "localId" : "4404",
+                                    "locator" : "223:10-223:18",
                                     "name" : "effective",
                                     "type" : "IdentifierRef",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "4484",
+                                       "localId" : "4405",
                                        "type" : "ChoiceTypeSpecifier",
                                        "type" : [ ],
                                        "choice" : [ {
-                                          "localId" : "4485",
+                                          "localId" : "4406",
                                           "name" : "{http://hl7.org/fhir}dateTime",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4486",
+                                          "localId" : "4407",
                                           "name" : "{http://hl7.org/fhir}Period",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4487",
+                                          "localId" : "4408",
                                           "name" : "{http://hl7.org/fhir}Timing",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4488",
+                                          "localId" : "4409",
                                           "name" : "{http://hl7.org/fhir}instant",
                                           "type" : "NamedTypeSpecifier"
                                        } ]
                                     }
                                  },
                                  "asTypeSpecifier" : {
-                                    "localId" : "4489",
-                                    "locator" : "225:23-225:34",
+                                    "localId" : "4410",
+                                    "locator" : "223:23-223:34",
                                     "resultTypeName" : "{http://hl7.org/fhir}instant",
                                     "name" : "{http://hl7.org/fhir}instant",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "4500",
-                              "locator" : "226:9-226:46",
+                              "localId" : "4421",
+                              "locator" : "224:9-224:46",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                               "path" : "value",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "4499",
-                                 "locator" : "226:9-226:40",
+                                 "localId" : "4420",
+                                 "locator" : "224:9-224:40",
                                  "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                                  "path" : "end",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "4491",
-                                    "locator" : "226:9-226:34",
+                                    "localId" : "4412",
+                                    "locator" : "224:9-224:34",
                                     "resultTypeName" : "{http://hl7.org/fhir}Period",
                                     "strict" : false,
                                     "type" : "As",
                                     "signature" : [ ],
                                     "operand" : {
-                                       "localId" : "4492",
-                                       "locator" : "226:10-226:18",
+                                       "localId" : "4413",
+                                       "locator" : "224:10-224:18",
                                        "name" : "effective",
                                        "type" : "IdentifierRef",
                                        "resultTypeSpecifier" : {
-                                          "localId" : "4493",
+                                          "localId" : "4414",
                                           "type" : "ChoiceTypeSpecifier",
                                           "type" : [ ],
                                           "choice" : [ {
-                                             "localId" : "4494",
+                                             "localId" : "4415",
                                              "name" : "{http://hl7.org/fhir}dateTime",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4495",
+                                             "localId" : "4416",
                                              "name" : "{http://hl7.org/fhir}Period",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4496",
+                                             "localId" : "4417",
                                              "name" : "{http://hl7.org/fhir}Timing",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4497",
+                                             "localId" : "4418",
                                              "name" : "{http://hl7.org/fhir}instant",
                                              "type" : "NamedTypeSpecifier"
                                           } ]
                                        }
                                     },
                                     "asTypeSpecifier" : {
-                                       "localId" : "4498",
-                                       "locator" : "226:23-226:33",
+                                       "localId" : "4419",
+                                       "locator" : "224:23-224:33",
                                        "resultTypeName" : "{http://hl7.org/fhir}Period",
                                        "name" : "{http://hl7.org/fhir}Period",
                                        "type" : "NamedTypeSpecifier"
@@ -12050,55 +12060,55 @@
                                  }
                               }
                            }, {
-                              "localId" : "4510",
-                              "locator" : "227:9-227:48",
+                              "localId" : "4431",
+                              "locator" : "225:9-225:48",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                               "path" : "value",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "4509",
-                                 "locator" : "227:9-227:42",
+                                 "localId" : "4430",
+                                 "locator" : "225:9-225:42",
                                  "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                                  "path" : "start",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "4501",
-                                    "locator" : "227:9-227:34",
+                                    "localId" : "4422",
+                                    "locator" : "225:9-225:34",
                                     "resultTypeName" : "{http://hl7.org/fhir}Period",
                                     "strict" : false,
                                     "type" : "As",
                                     "signature" : [ ],
                                     "operand" : {
-                                       "localId" : "4502",
-                                       "locator" : "227:10-227:18",
+                                       "localId" : "4423",
+                                       "locator" : "225:10-225:18",
                                        "name" : "effective",
                                        "type" : "IdentifierRef",
                                        "resultTypeSpecifier" : {
-                                          "localId" : "4503",
+                                          "localId" : "4424",
                                           "type" : "ChoiceTypeSpecifier",
                                           "type" : [ ],
                                           "choice" : [ {
-                                             "localId" : "4504",
+                                             "localId" : "4425",
                                              "name" : "{http://hl7.org/fhir}dateTime",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4505",
+                                             "localId" : "4426",
                                              "name" : "{http://hl7.org/fhir}Period",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4506",
+                                             "localId" : "4427",
                                              "name" : "{http://hl7.org/fhir}Timing",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4507",
+                                             "localId" : "4428",
                                              "name" : "{http://hl7.org/fhir}instant",
                                              "type" : "NamedTypeSpecifier"
                                           } ]
                                        }
                                     },
                                     "asTypeSpecifier" : {
-                                       "localId" : "4508",
-                                       "locator" : "227:23-227:33",
+                                       "localId" : "4429",
+                                       "locator" : "225:23-225:33",
                                        "resultTypeName" : "{http://hl7.org/fhir}Period",
                                        "name" : "{http://hl7.org/fhir}Period",
                                        "type" : "NamedTypeSpecifier"
@@ -12106,14 +12116,14 @@
                                  }
                               }
                            }, {
-                              "localId" : "4512",
-                              "locator" : "228:9-228:20",
+                              "localId" : "4433",
+                              "locator" : "226:9-226:20",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                               "path" : "value",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "4511",
-                                 "locator" : "228:9-228:14",
+                                 "localId" : "4432",
+                                 "locator" : "226:9-226:14",
                                  "resultTypeName" : "{http://hl7.org/fhir}instant",
                                  "name" : "issued",
                                  "type" : "IdentifierRef"
@@ -12129,7 +12139,7 @@
                "name" : "observations",
                "operandTypeSpecifier" : {
                   "localId" : "2174",
-                  "locator" : "219:41-219:57",
+                  "locator" : "217:41-217:57",
                   "type" : "ListTypeSpecifier",
                   "resultTypeSpecifier" : {
                      "localId" : "2176",
@@ -12142,7 +12152,7 @@
                   },
                   "elementType" : {
                      "localId" : "2175",
-                     "locator" : "219:46-219:56",
+                     "locator" : "217:46-217:56",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
@@ -12163,15 +12173,15 @@
                   "s" : [ {
                      "value" : [ "","define function ReportObservation(o FHIR.Observation, displayName String):\n  " ]
                   }, {
-                     "r" : "3769",
+                     "r" : "3744",
                      "s" : [ {
-                        "r" : "3769",
+                        "r" : "3744",
                         "s" : [ {
                            "value" : [ "if " ]
                         }, {
-                           "r" : "3771",
+                           "r" : "3746",
                            "s" : [ {
-                              "r" : "3770",
+                              "r" : "3745",
                               "s" : [ {
                                  "value" : [ "o" ]
                               } ]
@@ -12179,17 +12189,17 @@
                               "value" : [ " is null" ]
                            } ]
                         }, {
-                           "r" : "3772",
+                           "r" : "3747",
                            "value" : [ " then ","null","\n  else\n    " ]
                         }, {
-                           "r" : "3773",
+                           "r" : "3748",
                            "s" : [ {
                               "value" : [ "{\n      " ]
                            }, {
                               "s" : [ {
                                  "value" : [ "DisplayName",": " ]
                               }, {
-                                 "r" : "3774",
+                                 "r" : "3749",
                                  "s" : [ {
                                     "value" : [ "displayName" ]
                                  } ]
@@ -12200,20 +12210,20 @@
                               "s" : [ {
                                  "value" : [ "ConceptName",":   " ]
                               }, {
-                                 "r" : "3777",
+                                 "r" : "3752",
                                  "s" : [ {
                                     "value" : [ "ConceptText","(" ]
                                  }, {
-                                    "r" : "3776",
+                                    "r" : "3751",
                                     "s" : [ {
-                                       "r" : "3775",
+                                       "r" : "3750",
                                        "s" : [ {
                                           "value" : [ "o" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "3776",
+                                       "r" : "3751",
                                        "s" : [ {
                                           "value" : [ "code" ]
                                        } ]
@@ -12228,15 +12238,15 @@
                               "s" : [ {
                                  "value" : [ "Date",":   " ]
                               }, {
-                                 "r" : "3782",
+                                 "r" : "3757",
                                  "s" : [ {
                                     "value" : [ "ToString","(" ]
                                  }, {
-                                    "r" : "3779",
+                                    "r" : "3754",
                                     "s" : [ {
                                        "value" : [ "FindDate","(" ]
                                     }, {
-                                       "r" : "3778",
+                                       "r" : "3753",
                                        "s" : [ {
                                           "value" : [ "o" ]
                                        } ]
@@ -12253,11 +12263,11 @@
                               "s" : [ {
                                  "value" : [ "ResultText",": " ]
                               }, {
-                                 "r" : "3784",
+                                 "r" : "3759",
                                  "s" : [ {
                                     "value" : [ "ResultText","(" ]
                                  }, {
-                                    "r" : "3783",
+                                    "r" : "3758",
                                     "s" : [ {
                                        "value" : [ "o" ]
                                     } ]
@@ -12271,28 +12281,28 @@
                               "s" : [ {
                                  "value" : [ "ResultValue",": " ]
                               }, {
-                                 "r" : "3785",
+                                 "r" : "3760",
                                  "s" : [ {
                                     "value" : [ "if " ]
                                  }, {
-                                    "r" : "3815",
+                                    "r" : "3790",
                                     "s" : [ {
-                                       "r" : "3786",
+                                       "r" : "3761",
                                        "s" : [ {
                                           "value" : [ "(" ]
                                        }, {
-                                          "r" : "3786",
+                                          "r" : "3761",
                                           "s" : [ {
-                                             "r" : "3788",
+                                             "r" : "3763",
                                              "s" : [ {
-                                                "r" : "3787",
+                                                "r" : "3762",
                                                 "s" : [ {
                                                    "value" : [ "o" ]
                                                 } ]
                                              }, {
                                                 "value" : [ "." ]
                                              }, {
-                                                "r" : "3788",
+                                                "r" : "3763",
                                                 "s" : [ {
                                                    "value" : [ "value" ]
                                                 } ]
@@ -12300,7 +12310,7 @@
                                           }, {
                                              "value" : [ " as " ]
                                           }, {
-                                             "r" : "3813",
+                                             "r" : "3788",
                                              "s" : [ {
                                                 "value" : [ "FHIR",".","Quantity" ]
                                              } ]
@@ -12314,33 +12324,33 @@
                                  }, {
                                     "value" : [ " then " ]
                                  }, {
-                                    "r" : "3848",
+                                    "r" : "3823",
                                     "s" : [ {
-                                       "r" : "3816",
+                                       "r" : "3791",
                                        "s" : [ {
                                           "value" : [ "System",".","Quantity"," { " ]
                                        }, {
                                           "s" : [ {
                                              "value" : [ "value",": " ]
                                           }, {
-                                             "r" : "3846",
+                                             "r" : "3821",
                                              "s" : [ {
-                                                "r" : "3818",
+                                                "r" : "3793",
                                                 "s" : [ {
                                                    "value" : [ "(" ]
                                                 }, {
-                                                   "r" : "3818",
+                                                   "r" : "3793",
                                                    "s" : [ {
-                                                      "r" : "3820",
+                                                      "r" : "3795",
                                                       "s" : [ {
-                                                         "r" : "3819",
+                                                         "r" : "3794",
                                                          "s" : [ {
                                                             "value" : [ "o" ]
                                                          } ]
                                                       }, {
                                                          "value" : [ "." ]
                                                       }, {
-                                                         "r" : "3820",
+                                                         "r" : "3795",
                                                          "s" : [ {
                                                             "value" : [ "value" ]
                                                          } ]
@@ -12348,7 +12358,7 @@
                                                    }, {
                                                       "value" : [ " as " ]
                                                    }, {
-                                                      "r" : "3845",
+                                                      "r" : "3820",
                                                       "s" : [ {
                                                          "value" : [ "FHIR",".","Quantity" ]
                                                       } ]
@@ -12359,7 +12369,7 @@
                                              }, {
                                                 "value" : [ "." ]
                                              }, {
-                                                "r" : "3846",
+                                                "r" : "3821",
                                                 "s" : [ {
                                                    "value" : [ "value" ]
                                                 } ]
@@ -12371,13 +12381,13 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "3848",
+                                       "r" : "3823",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
                                     } ]
                                  }, {
-                                    "r" : "3849",
+                                    "r" : "3824",
                                     "value" : [ " else ","null" ]
                                  } ]
                               } ]
@@ -12387,26 +12397,26 @@
                               "s" : [ {
                                  "value" : [ "ResultUnits",": " ]
                               }, {
-                                 "r" : "3880",
+                                 "r" : "3855",
                                  "s" : [ {
-                                    "r" : "3879",
+                                    "r" : "3854",
                                     "s" : [ {
-                                       "r" : "3851",
+                                       "r" : "3826",
                                        "s" : [ {
                                           "value" : [ "(" ]
                                        }, {
-                                          "r" : "3851",
+                                          "r" : "3826",
                                           "s" : [ {
-                                             "r" : "3853",
+                                             "r" : "3828",
                                              "s" : [ {
-                                                "r" : "3852",
+                                                "r" : "3827",
                                                 "s" : [ {
                                                    "value" : [ "o" ]
                                                 } ]
                                              }, {
                                                 "value" : [ "." ]
                                              }, {
-                                                "r" : "3853",
+                                                "r" : "3828",
                                                 "s" : [ {
                                                    "value" : [ "value" ]
                                                 } ]
@@ -12414,7 +12424,7 @@
                                           }, {
                                              "value" : [ " as " ]
                                           }, {
-                                             "r" : "3878",
+                                             "r" : "3853",
                                              "s" : [ {
                                                 "value" : [ "FHIR",".","Quantity" ]
                                              } ]
@@ -12425,7 +12435,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "3879",
+                                       "r" : "3854",
                                        "s" : [ {
                                           "value" : [ "unit" ]
                                        } ]
@@ -12433,7 +12443,7 @@
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "3880",
+                                    "r" : "3855",
                                     "s" : [ {
                                        "value" : [ "value" ]
                                     } ]
@@ -12445,11 +12455,11 @@
                               "s" : [ {
                                  "value" : [ "ReferenceRange",": " ]
                               }, {
-                                 "r" : "3882",
+                                 "r" : "3857",
                                  "s" : [ {
                                     "value" : [ "ReferenceRange","(" ]
                                  }, {
-                                    "r" : "3881",
+                                    "r" : "3856",
                                     "s" : [ {
                                        "value" : [ "o" ]
                                     } ]
@@ -12463,11 +12473,11 @@
                               "s" : [ {
                                  "value" : [ "Interpretation",": " ]
                               }, {
-                                 "r" : "3884",
+                                 "r" : "3859",
                                  "s" : [ {
                                     "value" : [ "Interpretation","(" ]
                                  }, {
-                                    "r" : "3883",
+                                    "r" : "3858",
                                     "s" : [ {
                                        "value" : [ "o" ]
                                     } ]
@@ -12481,53 +12491,95 @@
                               "s" : [ {
                                  "value" : [ "Flag",": " ]
                               }, {
-                                 "r" : "3886",
+                                 "r" : "3860",
                                  "s" : [ {
-                                    "value" : [ "ReferenceRangeFlag","(" ]
-                                 }, {
-                                    "r" : "3885",
-                                    "s" : [ {
-                                       "value" : [ "o" ]
-                                    } ]
+                                    "value" : [ "if " ]
                                  }, {
-                                    "value" : [ ")" ]
-                                 } ]
-                              } ]
-                           }, {
-                              "value" : [ ",   // true if value out of range, else false\n      " ]
-                           }, {
-                              "s" : [ {
-                                 "value" : [ "Performer",": " ]
-                              }, {
-                                 "r" : "3897",
-                                 "s" : [ {
-                                    "r" : "3896",
+                                    "r" : "3861",
                                     "s" : [ {
-                                       "r" : "3895",
+                                       "value" : [ "(" ]
+                                    }, {
+                                       "r" : "3861",
                                        "s" : [ {
-                                          "value" : [ "First","(" ]
-                                       }, {
-                                          "r" : "3888",
+                                          "r" : "3863",
                                           "s" : [ {
-                                             "r" : "3887",
+                                             "r" : "3862",
                                              "s" : [ {
                                                 "value" : [ "o" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "3888",
+                                             "r" : "3863",
                                              "s" : [ {
-                                                "value" : [ "performer" ]
+                                                "value" : [ "value" ]
                                              } ]
                                           } ]
                                        }, {
-                                          "value" : [ ")" ]
+                                          "value" : [ " is " ]
+                                       }, {
+                                          "r" : "3888",
+                                          "s" : [ {
+                                             "value" : [ "FHIR",".","Quantity" ]
+                                          } ]
                                        } ]
                                     }, {
-                                       "value" : [ "." ]
-                                    }, {
-                                       "r" : "3896",
+                                       "value" : [ ")" ]
+                                    } ]
+                                 }, {
+                                    "value" : [ " then " ]
+                                 }, {
+                                    "r" : "3890",
+                                    "s" : [ {
+                                       "value" : [ "ReferenceRangeFlag","(" ]
+                                    }, {
+                                       "r" : "3889",
+                                       "s" : [ {
+                                          "value" : [ "o" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ ")" ]
+                                    } ]
+                                 }, {
+                                    "r" : "3891",
+                                    "value" : [ " else ","null" ]
+                                 } ]
+                              } ]
+                           }, {
+                              "value" : [ ",   // true if value out of range, else false\n      " ]
+                           }, {
+                              "s" : [ {
+                                 "value" : [ "Performer",": " ]
+                              }, {
+                                 "r" : "3903",
+                                 "s" : [ {
+                                    "r" : "3902",
+                                    "s" : [ {
+                                       "r" : "3901",
+                                       "s" : [ {
+                                          "value" : [ "First","(" ]
+                                       }, {
+                                          "r" : "3894",
+                                          "s" : [ {
+                                             "r" : "3893",
+                                             "s" : [ {
+                                                "value" : [ "o" ]
+                                             } ]
+                                          }, {
+                                             "value" : [ "." ]
+                                          }, {
+                                             "r" : "3894",
+                                             "s" : [ {
+                                                "value" : [ "performer" ]
+                                             } ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "3902",
                                        "s" : [ {
                                           "value" : [ "display" ]
                                        } ]
@@ -12535,7 +12587,7 @@
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "3897",
+                                    "r" : "3903",
                                     "s" : [ {
                                        "value" : [ "value" ]
                                     } ]
@@ -12547,20 +12599,20 @@
                               "s" : [ {
                                  "value" : [ "Notes",": " ]
                               }, {
-                                 "r" : "3904",
+                                 "r" : "3910",
                                  "s" : [ {
                                     "value" : [ "ToString","(" ]
                                  }, {
-                                    "r" : "3899",
+                                    "r" : "3905",
                                     "s" : [ {
-                                       "r" : "3898",
+                                       "r" : "3904",
                                        "s" : [ {
                                           "value" : [ "o" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "3899",
+                                       "r" : "3905",
                                        "s" : [ {
                                           "value" : [ "note" ]
                                        } ]
@@ -12575,11 +12627,11 @@
                               "s" : [ {
                                  "value" : [ "Provenance",": " ]
                               }, {
-                                 "r" : "3908",
+                                 "r" : "3914",
                                  "s" : [ {
                                     "value" : [ "ReportProvenance","(" ]
                                  }, {
-                                    "r" : "3907",
+                                    "r" : "3913",
                                     "s" : [ {
                                        "value" : [ "o" ]
                                     } ]
@@ -12593,20 +12645,20 @@
                               "s" : [ {
                                  "value" : [ "LearnMore",": " ]
                               }, {
-                                 "r" : "3919",
+                                 "r" : "3925",
                                  "s" : [ {
                                     "value" : [ "LearnMoreURL","(" ]
                                  }, {
-                                    "r" : "3918",
+                                    "r" : "3924",
                                     "s" : [ {
-                                       "r" : "3917",
+                                       "r" : "3923",
                                        "s" : [ {
                                           "value" : [ "o" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "3918",
+                                       "r" : "3924",
                                        "s" : [ {
                                           "value" : [ "code" ]
                                        } ]
@@ -12624,129 +12676,129 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "4061",
+               "localId" : "4067",
                "type" : "TupleTypeSpecifier",
                "element" : [ {
-                  "localId" : "4062",
+                  "localId" : "4068",
                   "name" : "DisplayName",
                   "elementType" : {
-                     "localId" : "4063",
+                     "localId" : "4069",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "4064",
+                  "localId" : "4070",
                   "name" : "ConceptName",
                   "elementType" : {
-                     "localId" : "4065",
+                     "localId" : "4071",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "4066",
+                  "localId" : "4072",
                   "name" : "Date",
                   "elementType" : {
-                     "localId" : "4067",
+                     "localId" : "4073",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "4068",
+                  "localId" : "4074",
                   "name" : "ResultText",
                   "elementType" : {
-                     "localId" : "4069",
+                     "localId" : "4075",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "4070",
+                  "localId" : "4076",
                   "name" : "ResultValue",
                   "elementType" : {
-                     "localId" : "4071",
+                     "localId" : "4077",
                      "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "4072",
+                  "localId" : "4078",
                   "name" : "ResultUnits",
                   "elementType" : {
-                     "localId" : "4073",
+                     "localId" : "4079",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "4074",
+                  "localId" : "4080",
                   "name" : "ReferenceRange",
                   "elementType" : {
-                     "localId" : "4075",
+                     "localId" : "4081",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "4076",
+                  "localId" : "4082",
                   "name" : "Interpretation",
                   "elementType" : {
-                     "localId" : "4077",
+                     "localId" : "4083",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "4078",
+                  "localId" : "4084",
                   "name" : "Flag",
                   "elementType" : {
-                     "localId" : "4079",
+                     "localId" : "4085",
                      "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "4080",
+                  "localId" : "4086",
                   "name" : "Performer",
                   "elementType" : {
-                     "localId" : "4081",
+                     "localId" : "4087",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "4082",
+                  "localId" : "4088",
                   "name" : "Notes",
                   "elementType" : {
-                     "localId" : "4083",
+                     "localId" : "4089",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "4084",
+                        "localId" : "4090",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }
                }, {
-                  "localId" : "4085",
+                  "localId" : "4091",
                   "name" : "Provenance",
                   "elementType" : {
-                     "localId" : "4086",
+                     "localId" : "4092",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "4087",
+                        "localId" : "4093",
                         "type" : "TupleTypeSpecifier",
                         "element" : [ {
-                           "localId" : "4088",
+                           "localId" : "4094",
                            "name" : "Transmitter",
                            "elementType" : {
-                              "localId" : "4089",
+                              "localId" : "4095",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "4090",
+                                 "localId" : "4096",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "4091",
+                           "localId" : "4097",
                            "name" : "Author",
                            "elementType" : {
-                              "localId" : "4092",
+                              "localId" : "4098",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "4093",
+                                 "localId" : "4099",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -12755,143 +12807,143 @@
                      }
                   }
                }, {
-                  "localId" : "4094",
+                  "localId" : "4100",
                   "name" : "LearnMore",
                   "elementType" : {
-                     "localId" : "4095",
+                     "localId" : "4101",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                } ]
             },
             "expression" : {
-               "localId" : "3769",
+               "localId" : "3744",
                "locator" : "183:3-199:5",
                "type" : "If",
                "resultTypeSpecifier" : {
-                  "localId" : "4026",
+                  "localId" : "4032",
                   "type" : "TupleTypeSpecifier",
                   "element" : [ {
-                     "localId" : "4027",
+                     "localId" : "4033",
                      "name" : "DisplayName",
                      "elementType" : {
-                        "localId" : "4028",
+                        "localId" : "4034",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "4029",
+                     "localId" : "4035",
                      "name" : "ConceptName",
                      "elementType" : {
-                        "localId" : "4030",
+                        "localId" : "4036",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "4031",
+                     "localId" : "4037",
                      "name" : "Date",
                      "elementType" : {
-                        "localId" : "4032",
+                        "localId" : "4038",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "4033",
+                     "localId" : "4039",
                      "name" : "ResultText",
                      "elementType" : {
-                        "localId" : "4034",
+                        "localId" : "4040",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "4035",
+                     "localId" : "4041",
                      "name" : "ResultValue",
                      "elementType" : {
-                        "localId" : "4036",
+                        "localId" : "4042",
                         "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "4037",
+                     "localId" : "4043",
                      "name" : "ResultUnits",
                      "elementType" : {
-                        "localId" : "4038",
+                        "localId" : "4044",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "4039",
+                     "localId" : "4045",
                      "name" : "ReferenceRange",
                      "elementType" : {
-                        "localId" : "4040",
+                        "localId" : "4046",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "4041",
+                     "localId" : "4047",
                      "name" : "Interpretation",
                      "elementType" : {
-                        "localId" : "4042",
+                        "localId" : "4048",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "4043",
+                     "localId" : "4049",
                      "name" : "Flag",
                      "elementType" : {
-                        "localId" : "4044",
+                        "localId" : "4050",
                         "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "4045",
+                     "localId" : "4051",
                      "name" : "Performer",
                      "elementType" : {
-                        "localId" : "4046",
+                        "localId" : "4052",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "4047",
+                     "localId" : "4053",
                      "name" : "Notes",
                      "elementType" : {
-                        "localId" : "4048",
+                        "localId" : "4054",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "4049",
+                           "localId" : "4055",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }
                   }, {
-                     "localId" : "4050",
+                     "localId" : "4056",
                      "name" : "Provenance",
                      "elementType" : {
-                        "localId" : "4051",
+                        "localId" : "4057",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "4052",
+                           "localId" : "4058",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "4053",
+                              "localId" : "4059",
                               "name" : "Transmitter",
                               "elementType" : {
-                                 "localId" : "4054",
+                                 "localId" : "4060",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4055",
+                                    "localId" : "4061",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "4056",
+                              "localId" : "4062",
                               "name" : "Author",
                               "elementType" : {
-                                 "localId" : "4057",
+                                 "localId" : "4063",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4058",
+                                    "localId" : "4064",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
@@ -12900,23 +12952,23 @@
                         }
                      }
                   }, {
-                     "localId" : "4059",
+                     "localId" : "4065",
                      "name" : "LearnMore",
                      "elementType" : {
-                        "localId" : "4060",
+                        "localId" : "4066",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   } ]
                },
                "condition" : {
-                  "localId" : "3771",
+                  "localId" : "3746",
                   "locator" : "183:6-183:14",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "type" : "IsNull",
                   "signature" : [ ],
                   "operand" : {
-                     "localId" : "3770",
+                     "localId" : "3745",
                      "locator" : "183:6",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation",
                      "name" : "o",
@@ -12924,139 +12976,139 @@
                   }
                },
                "then" : {
-                  "localId" : "3955",
+                  "localId" : "3961",
                   "type" : "As",
                   "signature" : [ ],
                   "operand" : {
-                     "localId" : "3772",
+                     "localId" : "3747",
                      "locator" : "183:21-183:24",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                      "type" : "Null"
                   },
                   "asTypeSpecifier" : {
-                     "localId" : "3956",
+                     "localId" : "3962",
                      "type" : "TupleTypeSpecifier",
                      "element" : [ {
-                        "localId" : "3957",
+                        "localId" : "3963",
                         "name" : "DisplayName",
                         "elementType" : {
-                           "localId" : "3958",
+                           "localId" : "3964",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3959",
+                        "localId" : "3965",
                         "name" : "ConceptName",
                         "elementType" : {
-                           "localId" : "3960",
+                           "localId" : "3966",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3961",
+                        "localId" : "3967",
                         "name" : "Date",
                         "elementType" : {
-                           "localId" : "3962",
+                           "localId" : "3968",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3963",
+                        "localId" : "3969",
                         "name" : "ResultText",
                         "elementType" : {
-                           "localId" : "3964",
+                           "localId" : "3970",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3965",
+                        "localId" : "3971",
                         "name" : "ResultValue",
                         "elementType" : {
-                           "localId" : "3966",
+                           "localId" : "3972",
                            "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3967",
+                        "localId" : "3973",
                         "name" : "ResultUnits",
                         "elementType" : {
-                           "localId" : "3968",
+                           "localId" : "3974",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3969",
+                        "localId" : "3975",
                         "name" : "ReferenceRange",
                         "elementType" : {
-                           "localId" : "3970",
+                           "localId" : "3976",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3971",
+                        "localId" : "3977",
                         "name" : "Interpretation",
                         "elementType" : {
-                           "localId" : "3972",
+                           "localId" : "3978",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3973",
+                        "localId" : "3979",
                         "name" : "Flag",
                         "elementType" : {
-                           "localId" : "3974",
+                           "localId" : "3980",
                            "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3975",
+                        "localId" : "3981",
                         "name" : "Performer",
                         "elementType" : {
-                           "localId" : "3976",
+                           "localId" : "3982",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3977",
+                        "localId" : "3983",
                         "name" : "Notes",
                         "elementType" : {
-                           "localId" : "3978",
+                           "localId" : "3984",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "3979",
+                              "localId" : "3985",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }
                      }, {
-                        "localId" : "3980",
+                        "localId" : "3986",
                         "name" : "Provenance",
                         "elementType" : {
-                           "localId" : "3981",
+                           "localId" : "3987",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "3982",
+                              "localId" : "3988",
                               "type" : "TupleTypeSpecifier",
                               "element" : [ {
-                                 "localId" : "3983",
+                                 "localId" : "3989",
                                  "name" : "Transmitter",
                                  "elementType" : {
-                                    "localId" : "3984",
+                                    "localId" : "3990",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "3985",
+                                       "localId" : "3991",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }
                               }, {
-                                 "localId" : "3986",
+                                 "localId" : "3992",
                                  "name" : "Author",
                                  "elementType" : {
-                                    "localId" : "3987",
+                                    "localId" : "3993",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "3988",
+                                       "localId" : "3994",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -13065,10 +13117,10 @@
                            }
                         }
                      }, {
-                        "localId" : "3989",
+                        "localId" : "3995",
                         "name" : "LearnMore",
                         "elementType" : {
-                           "localId" : "3990",
+                           "localId" : "3996",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
@@ -13076,133 +13128,133 @@
                   }
                },
                "else" : {
-                  "localId" : "3773",
+                  "localId" : "3748",
                   "locator" : "185:5-199:5",
                   "type" : "Tuple",
                   "resultTypeSpecifier" : {
-                     "localId" : "3920",
+                     "localId" : "3926",
                      "type" : "TupleTypeSpecifier",
                      "element" : [ {
-                        "localId" : "3921",
+                        "localId" : "3927",
                         "name" : "DisplayName",
                         "elementType" : {
-                           "localId" : "3922",
+                           "localId" : "3928",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3923",
+                        "localId" : "3929",
                         "name" : "ConceptName",
                         "elementType" : {
-                           "localId" : "3924",
+                           "localId" : "3930",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3925",
+                        "localId" : "3931",
                         "name" : "Date",
                         "elementType" : {
-                           "localId" : "3926",
+                           "localId" : "3932",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3927",
+                        "localId" : "3933",
                         "name" : "ResultText",
                         "elementType" : {
-                           "localId" : "3928",
+                           "localId" : "3934",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3929",
+                        "localId" : "3935",
                         "name" : "ResultValue",
                         "elementType" : {
-                           "localId" : "3930",
+                           "localId" : "3936",
                            "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3931",
+                        "localId" : "3937",
                         "name" : "ResultUnits",
                         "elementType" : {
-                           "localId" : "3932",
+                           "localId" : "3938",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3933",
+                        "localId" : "3939",
                         "name" : "ReferenceRange",
                         "elementType" : {
-                           "localId" : "3934",
+                           "localId" : "3940",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3935",
+                        "localId" : "3941",
                         "name" : "Interpretation",
                         "elementType" : {
-                           "localId" : "3936",
+                           "localId" : "3942",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3937",
+                        "localId" : "3943",
                         "name" : "Flag",
                         "elementType" : {
-                           "localId" : "3938",
+                           "localId" : "3944",
                            "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3939",
+                        "localId" : "3945",
                         "name" : "Performer",
                         "elementType" : {
-                           "localId" : "3940",
+                           "localId" : "3946",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "3941",
+                        "localId" : "3947",
                         "name" : "Notes",
                         "elementType" : {
-                           "localId" : "3942",
+                           "localId" : "3948",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "3943",
+                              "localId" : "3949",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }
                      }, {
-                        "localId" : "3944",
+                        "localId" : "3950",
                         "name" : "Provenance",
                         "elementType" : {
-                           "localId" : "3945",
+                           "localId" : "3951",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "3946",
+                              "localId" : "3952",
                               "type" : "TupleTypeSpecifier",
                               "element" : [ {
-                                 "localId" : "3947",
+                                 "localId" : "3953",
                                  "name" : "Transmitter",
                                  "elementType" : {
-                                    "localId" : "3948",
+                                    "localId" : "3954",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "3949",
+                                       "localId" : "3955",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }
                               }, {
-                                 "localId" : "3950",
+                                 "localId" : "3956",
                                  "name" : "Author",
                                  "elementType" : {
-                                    "localId" : "3951",
+                                    "localId" : "3957",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "3952",
+                                       "localId" : "3958",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -13211,10 +13263,10 @@
                            }
                         }
                      }, {
-                        "localId" : "3953",
+                        "localId" : "3959",
                         "name" : "LearnMore",
                         "elementType" : {
-                           "localId" : "3954",
+                           "localId" : "3960",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
@@ -13223,7 +13275,7 @@
                   "element" : [ {
                      "name" : "DisplayName",
                      "value" : {
-                        "localId" : "3774",
+                        "localId" : "3749",
                         "locator" : "186:20-186:30",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "name" : "displayName",
@@ -13232,20 +13284,20 @@
                   }, {
                      "name" : "ConceptName",
                      "value" : {
-                        "localId" : "3777",
+                        "localId" : "3752",
                         "locator" : "187:22-187:40",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "name" : "ConceptText",
                         "type" : "FunctionRef",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3776",
+                           "localId" : "3751",
                            "locator" : "187:34-187:39",
                            "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                            "path" : "code",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "3775",
+                              "localId" : "3750",
                               "locator" : "187:34",
                               "resultTypeName" : "{http://hl7.org/fhir}Observation",
                               "name" : "o",
@@ -13256,20 +13308,20 @@
                   }, {
                      "name" : "Date",
                      "value" : {
-                        "localId" : "3782",
+                        "localId" : "3757",
                         "locator" : "188:15-188:35",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "ToString",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "3779",
+                           "localId" : "3754",
                            "locator" : "188:24-188:34",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                            "name" : "FindDate",
                            "type" : "FunctionRef",
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "3778",
+                              "localId" : "3753",
                               "locator" : "188:33",
                               "resultTypeName" : "{http://hl7.org/fhir}Observation",
                               "name" : "o",
@@ -13280,14 +13332,14 @@
                   }, {
                      "name" : "ResultText",
                      "value" : {
-                        "localId" : "3784",
+                        "localId" : "3759",
                         "locator" : "189:19-189:31",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "name" : "ResultText",
                         "type" : "FunctionRef",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3783",
+                           "localId" : "3758",
                            "locator" : "189:30",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "name" : "o",
@@ -13297,86 +13349,86 @@
                   }, {
                      "name" : "ResultValue",
                      "value" : {
-                        "localId" : "3785",
+                        "localId" : "3760",
                         "locator" : "190:20-190:140",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                         "type" : "If",
                         "condition" : {
-                           "localId" : "3815",
+                           "localId" : "3790",
                            "locator" : "190:23-190:60",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                            "type" : "Not",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "3814",
+                              "localId" : "3789",
                               "locator" : "190:23-190:60",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                               "type" : "IsNull",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "3786",
+                                 "localId" : "3761",
                                  "locator" : "190:23-190:48",
                                  "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                  "strict" : false,
                                  "type" : "As",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "3788",
+                                    "localId" : "3763",
                                     "locator" : "190:24-190:30",
                                     "path" : "value",
                                     "type" : "Property",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "3801",
+                                       "localId" : "3776",
                                        "type" : "ChoiceTypeSpecifier",
                                        "type" : [ ],
                                        "choice" : [ {
-                                          "localId" : "3802",
+                                          "localId" : "3777",
                                           "name" : "{http://hl7.org/fhir}Quantity",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "3803",
+                                          "localId" : "3778",
                                           "name" : "{http://hl7.org/fhir}CodeableConcept",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "3804",
+                                          "localId" : "3779",
                                           "name" : "{http://hl7.org/fhir}string",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "3805",
+                                          "localId" : "3780",
                                           "name" : "{http://hl7.org/fhir}boolean",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "3806",
+                                          "localId" : "3781",
                                           "name" : "{http://hl7.org/fhir}integer",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "3807",
+                                          "localId" : "3782",
                                           "name" : "{http://hl7.org/fhir}Range",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "3808",
+                                          "localId" : "3783",
                                           "name" : "{http://hl7.org/fhir}Ratio",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "3809",
+                                          "localId" : "3784",
                                           "name" : "{http://hl7.org/fhir}SampledData",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "3810",
+                                          "localId" : "3785",
                                           "name" : "{http://hl7.org/fhir}time",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "3811",
+                                          "localId" : "3786",
                                           "name" : "{http://hl7.org/fhir}dateTime",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "3812",
+                                          "localId" : "3787",
                                           "name" : "{http://hl7.org/fhir}Period",
                                           "type" : "NamedTypeSpecifier"
                                        } ]
                                     },
                                     "source" : {
-                                       "localId" : "3787",
+                                       "localId" : "3762",
                                        "locator" : "190:24",
                                        "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                        "name" : "o",
@@ -13384,7 +13436,7 @@
                                     }
                                  },
                                  "asTypeSpecifier" : {
-                                    "localId" : "3813",
+                                    "localId" : "3788",
                                     "locator" : "190:35-190:47",
                                     "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                     "name" : "{http://hl7.org/fhir}Quantity",
@@ -13394,13 +13446,13 @@
                            }
                         },
                         "then" : {
-                           "localId" : "3848",
+                           "localId" : "3823",
                            "locator" : "190:67-190:130",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "3816",
+                              "localId" : "3791",
                               "locator" : "190:67-190:124",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Quantity",
                               "classType" : "{urn:hl7-org:elm-types:r1}Quantity",
@@ -13408,81 +13460,81 @@
                               "element" : [ {
                                  "name" : "value",
                                  "value" : {
-                                    "localId" : "3847",
+                                    "localId" : "3822",
                                     "name" : "ToDecimal",
                                     "libraryName" : "FHIRHelpers",
                                     "type" : "FunctionRef",
                                     "signature" : [ ],
                                     "operand" : [ {
-                                       "localId" : "3846",
+                                       "localId" : "3821",
                                        "locator" : "190:92-190:123",
                                        "resultTypeName" : "{http://hl7.org/fhir}decimal",
                                        "path" : "value",
                                        "type" : "Property",
                                        "source" : {
-                                          "localId" : "3818",
+                                          "localId" : "3793",
                                           "locator" : "190:92-190:117",
                                           "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                           "strict" : false,
                                           "type" : "As",
                                           "signature" : [ ],
                                           "operand" : {
-                                             "localId" : "3820",
+                                             "localId" : "3795",
                                              "locator" : "190:93-190:99",
                                              "path" : "value",
                                              "type" : "Property",
                                              "resultTypeSpecifier" : {
-                                                "localId" : "3833",
+                                                "localId" : "3808",
                                                 "type" : "ChoiceTypeSpecifier",
                                                 "type" : [ ],
                                                 "choice" : [ {
-                                                   "localId" : "3834",
+                                                   "localId" : "3809",
                                                    "name" : "{http://hl7.org/fhir}Quantity",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "3835",
+                                                   "localId" : "3810",
                                                    "name" : "{http://hl7.org/fhir}CodeableConcept",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "3836",
+                                                   "localId" : "3811",
                                                    "name" : "{http://hl7.org/fhir}string",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "3837",
+                                                   "localId" : "3812",
                                                    "name" : "{http://hl7.org/fhir}boolean",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "3838",
+                                                   "localId" : "3813",
                                                    "name" : "{http://hl7.org/fhir}integer",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "3839",
+                                                   "localId" : "3814",
                                                    "name" : "{http://hl7.org/fhir}Range",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "3840",
+                                                   "localId" : "3815",
                                                    "name" : "{http://hl7.org/fhir}Ratio",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "3841",
+                                                   "localId" : "3816",
                                                    "name" : "{http://hl7.org/fhir}SampledData",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "3842",
+                                                   "localId" : "3817",
                                                    "name" : "{http://hl7.org/fhir}time",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "3843",
+                                                   "localId" : "3818",
                                                    "name" : "{http://hl7.org/fhir}dateTime",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "3844",
+                                                   "localId" : "3819",
                                                    "name" : "{http://hl7.org/fhir}Period",
                                                    "type" : "NamedTypeSpecifier"
                                                 } ]
                                              },
                                              "source" : {
-                                                "localId" : "3819",
+                                                "localId" : "3794",
                                                 "locator" : "190:93",
                                                 "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                                 "name" : "o",
@@ -13490,7 +13542,7 @@
                                              }
                                           },
                                           "asTypeSpecifier" : {
-                                             "localId" : "3845",
+                                             "localId" : "3820",
                                              "locator" : "190:104-190:116",
                                              "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                              "name" : "{http://hl7.org/fhir}Quantity",
@@ -13503,12 +13555,12 @@
                            }
                         },
                         "else" : {
-                           "localId" : "3850",
+                           "localId" : "3825",
                            "asType" : "{urn:hl7-org:elm-types:r1}Decimal",
                            "type" : "As",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "3849",
+                              "localId" : "3824",
                               "locator" : "190:137-190:140",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "Null"
@@ -13518,81 +13570,81 @@
                   }, {
                      "name" : "ResultUnits",
                      "value" : {
-                        "localId" : "3880",
+                        "localId" : "3855",
                         "locator" : "191:20-191:56",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "path" : "value",
                         "type" : "Property",
                         "source" : {
-                           "localId" : "3879",
+                           "localId" : "3854",
                            "locator" : "191:20-191:50",
                            "resultTypeName" : "{http://hl7.org/fhir}string",
                            "path" : "unit",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "3851",
+                              "localId" : "3826",
                               "locator" : "191:20-191:45",
                               "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                               "strict" : false,
                               "type" : "As",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "3853",
+                                 "localId" : "3828",
                                  "locator" : "191:21-191:27",
                                  "path" : "value",
                                  "type" : "Property",
                                  "resultTypeSpecifier" : {
-                                    "localId" : "3866",
+                                    "localId" : "3841",
                                     "type" : "ChoiceTypeSpecifier",
                                     "type" : [ ],
                                     "choice" : [ {
-                                       "localId" : "3867",
+                                       "localId" : "3842",
                                        "name" : "{http://hl7.org/fhir}Quantity",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "3868",
+                                       "localId" : "3843",
                                        "name" : "{http://hl7.org/fhir}CodeableConcept",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "3869",
+                                       "localId" : "3844",
                                        "name" : "{http://hl7.org/fhir}string",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "3870",
+                                       "localId" : "3845",
                                        "name" : "{http://hl7.org/fhir}boolean",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "3871",
+                                       "localId" : "3846",
                                        "name" : "{http://hl7.org/fhir}integer",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "3872",
+                                       "localId" : "3847",
                                        "name" : "{http://hl7.org/fhir}Range",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "3873",
+                                       "localId" : "3848",
                                        "name" : "{http://hl7.org/fhir}Ratio",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "3874",
+                                       "localId" : "3849",
                                        "name" : "{http://hl7.org/fhir}SampledData",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "3875",
+                                       "localId" : "3850",
                                        "name" : "{http://hl7.org/fhir}time",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "3876",
+                                       "localId" : "3851",
                                        "name" : "{http://hl7.org/fhir}dateTime",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "3877",
+                                       "localId" : "3852",
                                        "name" : "{http://hl7.org/fhir}Period",
                                        "type" : "NamedTypeSpecifier"
                                     } ]
                                  },
                                  "source" : {
-                                    "localId" : "3852",
+                                    "localId" : "3827",
                                     "locator" : "191:21",
                                     "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                     "name" : "o",
@@ -13600,7 +13652,7 @@
                                  }
                               },
                               "asTypeSpecifier" : {
-                                 "localId" : "3878",
+                                 "localId" : "3853",
                                  "locator" : "191:32-191:44",
                                  "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                  "name" : "{http://hl7.org/fhir}Quantity",
@@ -13612,14 +13664,14 @@
                   }, {
                      "name" : "ReferenceRange",
                      "value" : {
-                        "localId" : "3882",
+                        "localId" : "3857",
                         "locator" : "192:23-192:39",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "name" : "ReferenceRange",
                         "type" : "FunctionRef",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3881",
+                           "localId" : "3856",
                            "locator" : "192:38",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "name" : "o",
@@ -13629,14 +13681,14 @@
                   }, {
                      "name" : "Interpretation",
                      "value" : {
-                        "localId" : "3884",
+                        "localId" : "3859",
                         "locator" : "193:23-193:39",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "name" : "Interpretation",
                         "type" : "FunctionRef",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3883",
+                           "localId" : "3858",
                            "locator" : "193:38",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "name" : "o",
@@ -13646,98 +13698,193 @@
                   }, {
                      "name" : "Flag",
                      "value" : {
-                        "localId" : "3886",
-                        "locator" : "194:13-194:33",
+                        "localId" : "3860",
+                        "locator" : "194:13-194:78",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
-                        "name" : "ReferenceRangeFlag",
-                        "type" : "FunctionRef",
-                        "signature" : [ ],
-                        "operand" : [ {
-                           "localId" : "3885",
-                           "locator" : "194:32",
-                           "resultTypeName" : "{http://hl7.org/fhir}Observation",
-                           "name" : "o",
-                           "type" : "OperandRef"
-                        } ]
-                     }
-                  }, {
-                     "name" : "Performer",
-                     "value" : {
-                        "localId" : "3897",
-                        "locator" : "195:18-195:49",
-                        "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
-                        "path" : "value",
-                        "type" : "Property",
-                        "source" : {
-                           "localId" : "3896",
-                           "locator" : "195:18-195:43",
-                           "resultTypeName" : "{http://hl7.org/fhir}string",
-                           "path" : "display",
-                           "type" : "Property",
-                           "source" : {
-                              "localId" : "3895",
-                              "locator" : "195:18-195:35",
-                              "resultTypeName" : "{http://hl7.org/fhir}Reference",
-                              "type" : "First",
-                              "signature" : [ ],
-                              "source" : {
-                                 "localId" : "3888",
-                                 "locator" : "195:24-195:34",
-                                 "path" : "performer",
-                                 "type" : "Property",
-                                 "resultTypeSpecifier" : {
-                                    "localId" : "3891",
-                                    "type" : "ListTypeSpecifier",
-                                    "elementType" : {
-                                       "localId" : "3892",
-                                       "name" : "{http://hl7.org/fhir}Reference",
-                                       "type" : "NamedTypeSpecifier"
-                                    }
-                                 },
-                                 "source" : {
-                                    "localId" : "3887",
-                                    "locator" : "195:24",
-                                    "resultTypeName" : "{http://hl7.org/fhir}Observation",
-                                    "name" : "o",
-                                    "type" : "OperandRef"
-                                 }
-                              }
-                           }
-                        }
-                     }
-                  }, {
-                     "name" : "Notes",
-                     "value" : {
-                        "localId" : "3904",
-                        "locator" : "196:14-196:29",
-                        "name" : "ToString",
-                        "type" : "FunctionRef",
-                        "resultTypeSpecifier" : {
-                           "localId" : "3905",
-                           "type" : "ListTypeSpecifier",
-                           "elementType" : {
-                              "localId" : "3906",
-                              "name" : "{urn:hl7-org:elm-types:r1}String",
-                              "type" : "NamedTypeSpecifier"
-                           }
-                        },
-                        "signature" : [ ],
-                        "operand" : [ {
-                           "localId" : "3899",
-                           "locator" : "196:23-196:28",
+                        "type" : "If",
+                        "condition" : {
+                           "localId" : "3861",
+                           "locator" : "194:16-194:41",
+                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
+                           "type" : "Is",
+                           "signature" : [ ],
+                           "operand" : {
+                              "localId" : "3863",
+                              "locator" : "194:17-194:23",
+                              "path" : "value",
+                              "type" : "Property",
+                              "resultTypeSpecifier" : {
+                                 "localId" : "3876",
+                                 "type" : "ChoiceTypeSpecifier",
+                                 "type" : [ ],
+                                 "choice" : [ {
+                                    "localId" : "3877",
+                                    "name" : "{http://hl7.org/fhir}Quantity",
+                                    "type" : "NamedTypeSpecifier"
+                                 }, {
+                                    "localId" : "3878",
+                                    "name" : "{http://hl7.org/fhir}CodeableConcept",
+                                    "type" : "NamedTypeSpecifier"
+                                 }, {
+                                    "localId" : "3879",
+                                    "name" : "{http://hl7.org/fhir}string",
+                                    "type" : "NamedTypeSpecifier"
+                                 }, {
+                                    "localId" : "3880",
+                                    "name" : "{http://hl7.org/fhir}boolean",
+                                    "type" : "NamedTypeSpecifier"
+                                 }, {
+                                    "localId" : "3881",
+                                    "name" : "{http://hl7.org/fhir}integer",
+                                    "type" : "NamedTypeSpecifier"
+                                 }, {
+                                    "localId" : "3882",
+                                    "name" : "{http://hl7.org/fhir}Range",
+                                    "type" : "NamedTypeSpecifier"
+                                 }, {
+                                    "localId" : "3883",
+                                    "name" : "{http://hl7.org/fhir}Ratio",
+                                    "type" : "NamedTypeSpecifier"
+                                 }, {
+                                    "localId" : "3884",
+                                    "name" : "{http://hl7.org/fhir}SampledData",
+                                    "type" : "NamedTypeSpecifier"
+                                 }, {
+                                    "localId" : "3885",
+                                    "name" : "{http://hl7.org/fhir}time",
+                                    "type" : "NamedTypeSpecifier"
+                                 }, {
+                                    "localId" : "3886",
+                                    "name" : "{http://hl7.org/fhir}dateTime",
+                                    "type" : "NamedTypeSpecifier"
+                                 }, {
+                                    "localId" : "3887",
+                                    "name" : "{http://hl7.org/fhir}Period",
+                                    "type" : "NamedTypeSpecifier"
+                                 } ]
+                              },
+                              "source" : {
+                                 "localId" : "3862",
+                                 "locator" : "194:17",
+                                 "resultTypeName" : "{http://hl7.org/fhir}Observation",
+                                 "name" : "o",
+                                 "type" : "OperandRef"
+                              }
+                           },
+                           "isTypeSpecifier" : {
+                              "localId" : "3888",
+                              "locator" : "194:28-194:40",
+                              "resultTypeName" : "{http://hl7.org/fhir}Quantity",
+                              "name" : "{http://hl7.org/fhir}Quantity",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        },
+                        "then" : {
+                           "localId" : "3890",
+                           "locator" : "194:48-194:68",
+                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
+                           "name" : "ReferenceRangeFlag",
+                           "type" : "FunctionRef",
+                           "signature" : [ ],
+                           "operand" : [ {
+                              "localId" : "3889",
+                              "locator" : "194:67",
+                              "resultTypeName" : "{http://hl7.org/fhir}Observation",
+                              "name" : "o",
+                              "type" : "OperandRef"
+                           } ]
+                        },
+                        "else" : {
+                           "localId" : "3892",
+                           "asType" : "{urn:hl7-org:elm-types:r1}Boolean",
+                           "type" : "As",
+                           "signature" : [ ],
+                           "operand" : {
+                              "localId" : "3891",
+                              "locator" : "194:75-194:78",
+                              "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
+                              "type" : "Null"
+                           }
+                        }
+                     }
+                  }, {
+                     "name" : "Performer",
+                     "value" : {
+                        "localId" : "3903",
+                        "locator" : "195:18-195:49",
+                        "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
+                        "path" : "value",
+                        "type" : "Property",
+                        "source" : {
+                           "localId" : "3902",
+                           "locator" : "195:18-195:43",
+                           "resultTypeName" : "{http://hl7.org/fhir}string",
+                           "path" : "display",
+                           "type" : "Property",
+                           "source" : {
+                              "localId" : "3901",
+                              "locator" : "195:18-195:35",
+                              "resultTypeName" : "{http://hl7.org/fhir}Reference",
+                              "type" : "First",
+                              "signature" : [ ],
+                              "source" : {
+                                 "localId" : "3894",
+                                 "locator" : "195:24-195:34",
+                                 "path" : "performer",
+                                 "type" : "Property",
+                                 "resultTypeSpecifier" : {
+                                    "localId" : "3897",
+                                    "type" : "ListTypeSpecifier",
+                                    "elementType" : {
+                                       "localId" : "3898",
+                                       "name" : "{http://hl7.org/fhir}Reference",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 },
+                                 "source" : {
+                                    "localId" : "3893",
+                                    "locator" : "195:24",
+                                    "resultTypeName" : "{http://hl7.org/fhir}Observation",
+                                    "name" : "o",
+                                    "type" : "OperandRef"
+                                 }
+                              }
+                           }
+                        }
+                     }
+                  }, {
+                     "name" : "Notes",
+                     "value" : {
+                        "localId" : "3910",
+                        "locator" : "196:14-196:29",
+                        "name" : "ToString",
+                        "type" : "FunctionRef",
+                        "resultTypeSpecifier" : {
+                           "localId" : "3911",
+                           "type" : "ListTypeSpecifier",
+                           "elementType" : {
+                              "localId" : "3912",
+                              "name" : "{urn:hl7-org:elm-types:r1}String",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        },
+                        "signature" : [ ],
+                        "operand" : [ {
+                           "localId" : "3905",
+                           "locator" : "196:23-196:28",
                            "path" : "note",
                            "type" : "Property",
                            "resultTypeSpecifier" : {
-                              "localId" : "3902",
+                              "localId" : "3908",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "3903",
+                                 "localId" : "3909",
                                  "name" : "{http://hl7.org/fhir}Annotation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            },
                            "source" : {
-                              "localId" : "3898",
+                              "localId" : "3904",
                               "locator" : "196:23",
                               "resultTypeName" : "{http://hl7.org/fhir}Observation",
                               "name" : "o",
@@ -13748,36 +13895,36 @@
                   }, {
                      "name" : "Provenance",
                      "value" : {
-                        "localId" : "3908",
+                        "localId" : "3914",
                         "locator" : "197:19-197:37",
                         "name" : "ReportProvenance",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "3909",
+                           "localId" : "3915",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "3910",
+                              "localId" : "3916",
                               "type" : "TupleTypeSpecifier",
                               "element" : [ {
-                                 "localId" : "3911",
+                                 "localId" : "3917",
                                  "name" : "Transmitter",
                                  "elementType" : {
-                                    "localId" : "3912",
+                                    "localId" : "3918",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "3913",
+                                       "localId" : "3919",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }
                               }, {
-                                 "localId" : "3914",
+                                 "localId" : "3920",
                                  "name" : "Author",
                                  "elementType" : {
-                                    "localId" : "3915",
+                                    "localId" : "3921",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "3916",
+                                       "localId" : "3922",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -13787,7 +13934,7 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3907",
+                           "localId" : "3913",
                            "locator" : "197:36",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "name" : "o",
@@ -13797,20 +13944,20 @@
                   }, {
                      "name" : "LearnMore",
                      "value" : {
-                        "localId" : "3919",
+                        "localId" : "3925",
                         "locator" : "198:18-198:37",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "name" : "LearnMoreURL",
                         "type" : "FunctionRef",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3918",
+                           "localId" : "3924",
                            "locator" : "198:31-198:36",
                            "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                            "path" : "code",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "3917",
+                              "localId" : "3923",
                               "locator" : "198:31",
                               "resultTypeName" : "{http://hl7.org/fhir}Observation",
                               "name" : "o",
@@ -13844,7 +13991,7 @@
             } ]
          }, {
             "localId" : "2306",
-            "locator" : "201:1-213:8",
+            "locator" : "201:1-211:5",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
             "name" : "ResultText",
             "context" : "Unfiltered",
@@ -13857,24 +14004,24 @@
                   "s" : [ {
                      "value" : [ "","define function ResultText(o Observation):\n  // If Blood pressure observation, then extract component values.\n  " ]
                   }, {
-                     "r" : "4096",
+                     "r" : "4102",
                      "s" : [ {
-                        "r" : "4096",
+                        "r" : "4102",
                         "s" : [ {
                            "value" : [ "if " ]
                         }, {
-                           "r" : "4097",
+                           "r" : "4103",
                            "s" : [ {
-                              "r" : "4099",
+                              "r" : "4105",
                               "s" : [ {
-                                 "r" : "4098",
+                                 "r" : "4104",
                                  "s" : [ {
                                     "value" : [ "o" ]
                                  } ]
                               }, {
                                  "value" : [ "." ]
                               }, {
-                                 "r" : "4099",
+                                 "r" : "4105",
                                  "s" : [ {
                                     "value" : [ "code" ]
                                  } ]
@@ -13882,7 +14029,7 @@
                            }, {
                               "value" : [ " ","~"," " ]
                            }, {
-                              "r" : "4100",
+                              "r" : "4106",
                               "s" : [ {
                                  "value" : [ "\"Blood pressure\"" ]
                               } ]
@@ -13890,44 +14037,44 @@
                         }, {
                            "value" : [ " then\n    " ]
                         }, {
-                           "r" : "4217",
+                           "r" : "4223",
                            "s" : [ {
-                              "r" : "4215",
+                              "r" : "4221",
                               "s" : [ {
-                                 "r" : "4161",
+                                 "r" : "4167",
                                  "s" : [ {
-                                    "r" : "4158",
+                                    "r" : "4164",
                                     "s" : [ {
                                        "value" : [ "ToString","(" ]
                                     }, {
-                                       "r" : "4154",
+                                       "r" : "4160",
                                        "s" : [ {
-                                          "r" : "4107",
+                                          "r" : "4113",
                                           "s" : [ {
                                              "value" : [ "(" ]
                                           }, {
-                                             "r" : "4107",
+                                             "r" : "4113",
                                              "s" : [ {
-                                                "r" : "4128",
+                                                "r" : "4134",
                                                 "s" : [ {
-                                                   "r" : "4108",
+                                                   "r" : "4114",
                                                    "s" : [ {
                                                       "value" : [ "(" ]
                                                    }, {
-                                                      "r" : "4108",
+                                                      "r" : "4114",
                                                       "s" : [ {
                                                          "value" : [ "singleton from " ]
                                                       }, {
-                                                         "r" : "4123",
+                                                         "r" : "4129",
                                                          "s" : [ {
                                                             "value" : [ "(" ]
                                                          }, {
-                                                            "r" : "4123",
+                                                            "r" : "4129",
                                                             "s" : [ {
                                                                "s" : [ {
-                                                                  "r" : "4109",
+                                                                  "r" : "4115",
                                                                   "s" : [ {
-                                                                     "r" : "4111",
+                                                                     "r" : "4117",
                                                                      "s" : [ {
                                                                         "s" : [ {
                                                                            "value" : [ "o",".","component" ]
@@ -13940,26 +14087,26 @@
                                                             }, {
                                                                "value" : [ " " ]
                                                             }, {
-                                                               "r" : "4116",
+                                                               "r" : "4122",
                                                                "s" : [ {
                                                                   "value" : [ "where " ]
                                                                }, {
-                                                                  "r" : "4116",
+                                                                  "r" : "4122",
                                                                   "s" : [ {
                                                                      "value" : [ "(" ]
                                                                   }, {
-                                                                     "r" : "4116",
+                                                                     "r" : "4122",
                                                                      "s" : [ {
-                                                                        "r" : "4118",
+                                                                        "r" : "4124",
                                                                         "s" : [ {
-                                                                           "r" : "4117",
+                                                                           "r" : "4123",
                                                                            "s" : [ {
                                                                               "value" : [ "C" ]
                                                                            } ]
                                                                         }, {
                                                                            "value" : [ "." ]
                                                                         }, {
-                                                                           "r" : "4118",
+                                                                           "r" : "4124",
                                                                            "s" : [ {
                                                                               "value" : [ "code" ]
                                                                            } ]
@@ -13967,7 +14114,7 @@
                                                                      }, {
                                                                         "value" : [ " ","~"," " ]
                                                                      }, {
-                                                                        "r" : "4119",
+                                                                        "r" : "4125",
                                                                         "s" : [ {
                                                                            "value" : [ "\"Systolic blood pressure\"" ]
                                                                         } ]
@@ -13987,7 +14134,7 @@
                                                 }, {
                                                    "value" : [ "." ]
                                                 }, {
-                                                   "r" : "4128",
+                                                   "r" : "4134",
                                                    "s" : [ {
                                                       "value" : [ "value" ]
                                                    } ]
@@ -13995,7 +14142,7 @@
                                              }, {
                                                 "value" : [ " as " ]
                                              }, {
-                                                "r" : "4153",
+                                                "r" : "4159",
                                                 "s" : [ {
                                                    "value" : [ "FHIR",".","Quantity" ]
                                                 } ]
@@ -14006,7 +14153,7 @@
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "4154",
+                                          "r" : "4160",
                                           "s" : [ {
                                              "value" : [ "value" ]
                                           } ]
@@ -14017,7 +14164,7 @@
                                  }, {
                                     "value" : [ "\n     + " ]
                                  }, {
-                                    "r" : "4160",
+                                    "r" : "4166",
                                     "s" : [ {
                                        "value" : [ "'/'" ]
                                     } ]
@@ -14025,38 +14172,38 @@
                               }, {
                                  "value" : [ " + " ]
                               }, {
-                                 "r" : "4213",
+                                 "r" : "4219",
                                  "s" : [ {
                                     "value" : [ "ToString","(" ]
                                  }, {
-                                    "r" : "4209",
+                                    "r" : "4215",
                                     "s" : [ {
-                                       "r" : "4162",
+                                       "r" : "4168",
                                        "s" : [ {
                                           "value" : [ "(" ]
                                        }, {
-                                          "r" : "4162",
+                                          "r" : "4168",
                                           "s" : [ {
-                                             "r" : "4183",
+                                             "r" : "4189",
                                              "s" : [ {
-                                                "r" : "4163",
+                                                "r" : "4169",
                                                 "s" : [ {
                                                    "value" : [ "(" ]
                                                 }, {
-                                                   "r" : "4163",
+                                                   "r" : "4169",
                                                    "s" : [ {
                                                       "value" : [ "singleton from " ]
                                                    }, {
-                                                      "r" : "4178",
+                                                      "r" : "4184",
                                                       "s" : [ {
                                                          "value" : [ "(" ]
                                                       }, {
-                                                         "r" : "4178",
+                                                         "r" : "4184",
                                                          "s" : [ {
                                                             "s" : [ {
-                                                               "r" : "4164",
+                                                               "r" : "4170",
                                                                "s" : [ {
-                                                                  "r" : "4166",
+                                                                  "r" : "4172",
                                                                   "s" : [ {
                                                                      "s" : [ {
                                                                         "value" : [ "o",".","component" ]
@@ -14069,26 +14216,26 @@
                                                          }, {
                                                             "value" : [ " " ]
                                                          }, {
-                                                            "r" : "4171",
+                                                            "r" : "4177",
                                                             "s" : [ {
                                                                "value" : [ "where " ]
                                                             }, {
-                                                               "r" : "4171",
+                                                               "r" : "4177",
                                                                "s" : [ {
                                                                   "value" : [ "(" ]
                                                                }, {
-                                                                  "r" : "4171",
+                                                                  "r" : "4177",
                                                                   "s" : [ {
-                                                                     "r" : "4173",
+                                                                     "r" : "4179",
                                                                      "s" : [ {
-                                                                        "r" : "4172",
+                                                                        "r" : "4178",
                                                                         "s" : [ {
                                                                            "value" : [ "C" ]
                                                                         } ]
                                                                      }, {
                                                                         "value" : [ "." ]
                                                                      }, {
-                                                                        "r" : "4173",
+                                                                        "r" : "4179",
                                                                         "s" : [ {
                                                                            "value" : [ "code" ]
                                                                         } ]
@@ -14096,7 +14243,7 @@
                                                                   }, {
                                                                      "value" : [ " ","~"," " ]
                                                                   }, {
-                                                                     "r" : "4174",
+                                                                     "r" : "4180",
                                                                      "s" : [ {
                                                                         "value" : [ "\"Diastolic blood pressure\"" ]
                                                                      } ]
@@ -14116,7 +14263,7 @@
                                              }, {
                                                 "value" : [ "." ]
                                              }, {
-                                                "r" : "4183",
+                                                "r" : "4189",
                                                 "s" : [ {
                                                    "value" : [ "value" ]
                                                 } ]
@@ -14124,7 +14271,7 @@
                                           }, {
                                              "value" : [ " as " ]
                                           }, {
-                                             "r" : "4208",
+                                             "r" : "4214",
                                              "s" : [ {
                                                 "value" : [ "FHIR",".","Quantity" ]
                                              } ]
@@ -14135,7 +14282,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "4209",
+                                       "r" : "4215",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -14147,61 +14294,34 @@
                            }, {
                               "value" : [ " + " ]
                            }, {
-                              "r" : "4216",
+                              "r" : "4222",
                               "s" : [ {
                                  "value" : [ "' mmHg'" ]
                               } ]
                            } ]
                         }, {
-                           "value" : [ "\n  else " ]
+                           "value" : [ "\n  else\n    " ]
                         }, {
-                           "r" : "4218",
+                           "r" : "4313",
                            "s" : [ {
-                              "value" : [ "if " ]
-                           }, {
-                              "r" : "4219",
-                              "s" : [ {
-                                 "r" : "4221",
-                                 "s" : [ {
-                                    "r" : "4220",
-                                    "s" : [ {
-                                       "value" : [ "o" ]
-                                    } ]
-                                 }, {
-                                    "value" : [ "." ]
-                                 }, {
-                                    "r" : "4221",
-                                    "s" : [ {
-                                       "value" : [ "value" ]
-                                    } ]
-                                 } ]
-                              }, {
-                                 "value" : [ " is " ]
-                              }, {
-                                 "r" : "4246",
-                                 "s" : [ {
-                                    "value" : [ "FHIR",".","Quantity" ]
-                                 } ]
-                              } ]
-                           }, {
-                              "value" : [ " then\n    " ]
+                              "value" : [ "Coalesce","(\n      " ]
                            }, {
-                              "r" : "4275",
+                              "r" : "4252",
                               "s" : [ {
                                  "value" : [ "QuantityText","(" ]
                               }, {
-                                 "r" : "4247",
+                                 "r" : "4224",
                                  "s" : [ {
-                                    "r" : "4249",
+                                    "r" : "4226",
                                     "s" : [ {
-                                       "r" : "4248",
+                                       "r" : "4225",
                                        "s" : [ {
                                           "value" : [ "o" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "4249",
+                                       "r" : "4226",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -14209,7 +14329,7 @@
                                  }, {
                                     "value" : [ " as " ]
                                  }, {
-                                    "r" : "4274",
+                                    "r" : "4251",
                                     "s" : [ {
                                        "value" : [ "FHIR",".","Quantity" ]
                                     } ]
@@ -14218,133 +14338,68 @@
                                  "value" : [ ")" ]
                               } ]
                            }, {
-                              "value" : [ "\n  else " ]
+                              "value" : [ ",\n      " ]
                            }, {
-                              "r" : "4276",
+                              "r" : "4281",
                               "s" : [ {
-                                 "value" : [ "if " ]
+                                 "value" : [ "ConceptText","(" ]
                               }, {
-                                 "r" : "4277",
+                                 "r" : "4253",
                                  "s" : [ {
-                                    "r" : "4279",
+                                    "r" : "4255",
                                     "s" : [ {
-                                       "r" : "4278",
+                                       "r" : "4254",
                                        "s" : [ {
                                           "value" : [ "o" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "4279",
+                                       "r" : "4255",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
                                     } ]
                                  }, {
-                                    "value" : [ " is " ]
+                                    "value" : [ " as " ]
                                  }, {
-                                    "r" : "4304",
+                                    "r" : "4280",
                                     "s" : [ {
                                        "value" : [ "CodeableConcept" ]
                                     } ]
                                  } ]
                               }, {
-                                 "value" : [ " then\n    " ]
-                              }, {
-                                 "r" : "4333",
+                                 "value" : [ ")" ]
+                              } ]
+                           }, {
+                              "value" : [ ",\n      " ]
+                           }, {
+                              "r" : "4282",
+                              "s" : [ {
+                                 "r" : "4284",
                                  "s" : [ {
-                                    "value" : [ "ConceptText","(" ]
-                                 }, {
-                                    "r" : "4305",
+                                    "r" : "4283",
                                     "s" : [ {
-                                       "r" : "4307",
-                                       "s" : [ {
-                                          "r" : "4306",
-                                          "s" : [ {
-                                             "value" : [ "o" ]
-                                          } ]
-                                       }, {
-                                          "value" : [ "." ]
-                                       }, {
-                                          "r" : "4307",
-                                          "s" : [ {
-                                             "value" : [ "value" ]
-                                          } ]
-                                       } ]
-                                    }, {
-                                       "value" : [ " as " ]
-                                    }, {
-                                       "r" : "4332",
-                                       "s" : [ {
-                                          "value" : [ "CodeableConcept" ]
-                                       } ]
+                                       "value" : [ "o" ]
                                     } ]
                                  }, {
-                                    "value" : [ ")" ]
+                                    "value" : [ "." ]
+                                 }, {
+                                    "r" : "4284",
+                                    "s" : [ {
+                                       "value" : [ "value" ]
+                                    } ]
                                  } ]
                               }, {
-                                 "value" : [ "\n  else " ]
+                                 "value" : [ " as " ]
                               }, {
-                                 "r" : "4334",
+                                 "r" : "4309",
                                  "s" : [ {
-                                    "value" : [ "if " ]
-                                 }, {
-                                    "r" : "4335",
-                                    "s" : [ {
-                                       "r" : "4337",
-                                       "s" : [ {
-                                          "r" : "4336",
-                                          "s" : [ {
-                                             "value" : [ "o" ]
-                                          } ]
-                                       }, {
-                                          "value" : [ "." ]
-                                       }, {
-                                          "r" : "4337",
-                                          "s" : [ {
-                                             "value" : [ "value" ]
-                                          } ]
-                                       } ]
-                                    }, {
-                                       "value" : [ " is " ]
-                                    }, {
-                                       "r" : "4362",
-                                       "s" : [ {
-                                          "value" : [ "FHIR",".","string" ]
-                                       } ]
-                                    } ]
-                                 }, {
-                                    "value" : [ " then\n    " ]
-                                 }, {
-                                    "r" : "4363",
-                                    "s" : [ {
-                                       "r" : "4365",
-                                       "s" : [ {
-                                          "r" : "4364",
-                                          "s" : [ {
-                                             "value" : [ "o" ]
-                                          } ]
-                                       }, {
-                                          "value" : [ "." ]
-                                       }, {
-                                          "r" : "4365",
-                                          "s" : [ {
-                                             "value" : [ "value" ]
-                                          } ]
-                                       } ]
-                                    }, {
-                                       "value" : [ " as " ]
-                                    }, {
-                                       "r" : "4390",
-                                       "s" : [ {
-                                          "value" : [ "FHIR",".","string" ]
-                                       } ]
-                                    } ]
-                                 }, {
-                                    "r" : "4391",
-                                    "value" : [ "\n  else\n    ","null" ]
+                                    "value" : [ "FHIR",".","string" ]
                                  } ]
                               } ]
+                           }, {
+                              "value" : [ "\n    )" ]
                            } ]
                         } ]
                      } ]
@@ -14352,30 +14407,30 @@
                }
             } ],
             "expression" : {
-               "localId" : "4096",
-               "locator" : "203:3-213:8",
+               "localId" : "4102",
+               "locator" : "203:3-211:5",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                "type" : "If",
                "condition" : {
-                  "localId" : "4097",
+                  "localId" : "4103",
                   "locator" : "203:6-203:30",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "type" : "Equivalent",
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "4101",
+                     "localId" : "4107",
                      "name" : "ToConcept",
                      "libraryName" : "FHIRHelpers",
                      "type" : "FunctionRef",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "4099",
+                        "localId" : "4105",
                         "locator" : "203:6-203:11",
                         "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                         "path" : "code",
                         "type" : "Property",
                         "source" : {
-                           "localId" : "4098",
+                           "localId" : "4104",
                            "locator" : "203:6",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "name" : "o",
@@ -14383,11 +14438,11 @@
                         }
                      } ]
                   }, {
-                     "localId" : "4103",
+                     "localId" : "4109",
                      "type" : "ToConcept",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "4100",
+                        "localId" : "4106",
                         "locator" : "203:15-203:30",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                         "name" : "Blood pressure",
@@ -14396,151 +14451,151 @@
                   } ]
                },
                "then" : {
-                  "localId" : "4217",
+                  "localId" : "4223",
                   "locator" : "204:5-205:140",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                   "type" : "Concatenate",
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "4215",
+                     "localId" : "4221",
                      "locator" : "204:5-205:130",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "Concatenate",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "4161",
+                        "localId" : "4167",
                         "locator" : "204:5-205:10",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "Concatenate",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "4158",
+                           "localId" : "4164",
                            "locator" : "204:5-204:120",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "ToString",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "4159",
+                              "localId" : "4165",
                               "name" : "ToDecimal",
                               "libraryName" : "FHIRHelpers",
                               "type" : "FunctionRef",
                               "signature" : [ ],
                               "operand" : [ {
-                                 "localId" : "4154",
+                                 "localId" : "4160",
                                  "locator" : "204:14-204:119",
                                  "resultTypeName" : "{http://hl7.org/fhir}decimal",
                                  "path" : "value",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "4107",
+                                    "localId" : "4113",
                                     "locator" : "204:14-204:113",
                                     "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                     "strict" : false,
                                     "type" : "As",
                                     "signature" : [ ],
                                     "operand" : {
-                                       "localId" : "4128",
+                                       "localId" : "4134",
                                        "locator" : "204:15-204:95",
                                        "path" : "value",
                                        "type" : "Property",
                                        "resultTypeSpecifier" : {
-                                          "localId" : "4141",
+                                          "localId" : "4147",
                                           "type" : "ChoiceTypeSpecifier",
                                           "type" : [ ],
                                           "choice" : [ {
-                                             "localId" : "4142",
+                                             "localId" : "4148",
                                              "name" : "{http://hl7.org/fhir}Quantity",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4143",
+                                             "localId" : "4149",
                                              "name" : "{http://hl7.org/fhir}CodeableConcept",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4144",
+                                             "localId" : "4150",
                                              "name" : "{http://hl7.org/fhir}string",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4145",
+                                             "localId" : "4151",
                                              "name" : "{http://hl7.org/fhir}boolean",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4146",
+                                             "localId" : "4152",
                                              "name" : "{http://hl7.org/fhir}integer",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4147",
+                                             "localId" : "4153",
                                              "name" : "{http://hl7.org/fhir}Range",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4148",
+                                             "localId" : "4154",
                                              "name" : "{http://hl7.org/fhir}Ratio",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4149",
+                                             "localId" : "4155",
                                              "name" : "{http://hl7.org/fhir}SampledData",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4150",
+                                             "localId" : "4156",
                                              "name" : "{http://hl7.org/fhir}time",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4151",
+                                             "localId" : "4157",
                                              "name" : "{http://hl7.org/fhir}dateTime",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4152",
+                                             "localId" : "4158",
                                              "name" : "{http://hl7.org/fhir}Period",
                                              "type" : "NamedTypeSpecifier"
                                           } ]
                                        },
                                        "source" : {
-                                          "localId" : "4108",
+                                          "localId" : "4114",
                                           "locator" : "204:15-204:89",
                                           "resultTypeName" : "{http://hl7.org/fhir}Observation.Component",
                                           "type" : "SingletonFrom",
                                           "signature" : [ ],
                                           "operand" : {
-                                             "localId" : "4123",
+                                             "localId" : "4129",
                                              "locator" : "204:31-204:88",
                                              "type" : "Query",
                                              "resultTypeSpecifier" : {
-                                                "localId" : "4126",
+                                                "localId" : "4132",
                                                 "type" : "ListTypeSpecifier",
                                                 "elementType" : {
-                                                   "localId" : "4127",
+                                                   "localId" : "4133",
                                                    "name" : "{http://hl7.org/fhir}Observation.Component",
                                                    "type" : "NamedTypeSpecifier"
                                                 }
                                              },
                                              "source" : [ {
-                                                "localId" : "4109",
+                                                "localId" : "4115",
                                                 "locator" : "204:32-204:44",
                                                 "alias" : "C",
                                                 "resultTypeSpecifier" : {
-                                                   "localId" : "4114",
+                                                   "localId" : "4120",
                                                    "type" : "ListTypeSpecifier",
                                                    "elementType" : {
-                                                      "localId" : "4115",
+                                                      "localId" : "4121",
                                                       "name" : "{http://hl7.org/fhir}Observation.Component",
                                                       "type" : "NamedTypeSpecifier"
                                                    }
                                                 },
                                                 "expression" : {
-                                                   "localId" : "4111",
+                                                   "localId" : "4117",
                                                    "locator" : "204:32-204:42",
                                                    "path" : "component",
                                                    "type" : "Property",
                                                    "resultTypeSpecifier" : {
-                                                      "localId" : "4112",
+                                                      "localId" : "4118",
                                                       "type" : "ListTypeSpecifier",
                                                       "elementType" : {
-                                                         "localId" : "4113",
+                                                         "localId" : "4119",
                                                          "name" : "{http://hl7.org/fhir}Observation.Component",
                                                          "type" : "NamedTypeSpecifier"
                                                       }
                                                    },
                                                    "source" : {
-                                                      "localId" : "4110",
+                                                      "localId" : "4116",
                                                       "name" : "o",
                                                       "type" : "OperandRef"
                                                    }
@@ -14549,19 +14604,19 @@
                                              "let" : [ ],
                                              "relationship" : [ ],
                                              "where" : {
-                                                "localId" : "4116",
+                                                "localId" : "4122",
                                                 "locator" : "204:46-204:87",
                                                 "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                                                 "type" : "Equivalent",
                                                 "signature" : [ ],
                                                 "operand" : [ {
-                                                   "localId" : "4120",
+                                                   "localId" : "4126",
                                                    "name" : "ToConcept",
                                                    "libraryName" : "FHIRHelpers",
                                                    "type" : "FunctionRef",
                                                    "signature" : [ ],
                                                    "operand" : [ {
-                                                      "localId" : "4118",
+                                                      "localId" : "4124",
                                                       "locator" : "204:53-204:58",
                                                       "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                                                       "path" : "code",
@@ -14569,11 +14624,11 @@
                                                       "type" : "Property"
                                                    } ]
                                                 }, {
-                                                   "localId" : "4122",
+                                                   "localId" : "4128",
                                                    "type" : "ToConcept",
                                                    "signature" : [ ],
                                                    "operand" : {
-                                                      "localId" : "4119",
+                                                      "localId" : "4125",
                                                       "locator" : "204:62-204:86",
                                                       "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                                                       "name" : "Systolic blood pressure",
@@ -14585,7 +14640,7 @@
                                        }
                                     },
                                     "asTypeSpecifier" : {
-                                       "localId" : "4153",
+                                       "localId" : "4159",
                                        "locator" : "204:100-204:112",
                                        "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                        "name" : "{http://hl7.org/fhir}Quantity",
@@ -14595,7 +14650,7 @@
                               } ]
                            }
                         }, {
-                           "localId" : "4160",
+                           "localId" : "4166",
                            "locator" : "205:8-205:10",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -14603,133 +14658,133 @@
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "4213",
+                        "localId" : "4219",
                         "locator" : "205:14-205:130",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "ToString",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "4214",
+                           "localId" : "4220",
                            "name" : "ToDecimal",
                            "libraryName" : "FHIRHelpers",
                            "type" : "FunctionRef",
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "4209",
+                              "localId" : "4215",
                               "locator" : "205:23-205:129",
                               "resultTypeName" : "{http://hl7.org/fhir}decimal",
                               "path" : "value",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "4162",
+                                 "localId" : "4168",
                                  "locator" : "205:23-205:123",
                                  "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                  "strict" : false,
                                  "type" : "As",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "4183",
+                                    "localId" : "4189",
                                     "locator" : "205:24-205:105",
                                     "path" : "value",
                                     "type" : "Property",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "4196",
+                                       "localId" : "4202",
                                        "type" : "ChoiceTypeSpecifier",
                                        "type" : [ ],
                                        "choice" : [ {
-                                          "localId" : "4197",
+                                          "localId" : "4203",
                                           "name" : "{http://hl7.org/fhir}Quantity",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4198",
+                                          "localId" : "4204",
                                           "name" : "{http://hl7.org/fhir}CodeableConcept",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4199",
+                                          "localId" : "4205",
                                           "name" : "{http://hl7.org/fhir}string",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4200",
+                                          "localId" : "4206",
                                           "name" : "{http://hl7.org/fhir}boolean",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4201",
+                                          "localId" : "4207",
                                           "name" : "{http://hl7.org/fhir}integer",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4202",
+                                          "localId" : "4208",
                                           "name" : "{http://hl7.org/fhir}Range",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4203",
+                                          "localId" : "4209",
                                           "name" : "{http://hl7.org/fhir}Ratio",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4204",
+                                          "localId" : "4210",
                                           "name" : "{http://hl7.org/fhir}SampledData",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4205",
+                                          "localId" : "4211",
                                           "name" : "{http://hl7.org/fhir}time",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4206",
+                                          "localId" : "4212",
                                           "name" : "{http://hl7.org/fhir}dateTime",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4207",
+                                          "localId" : "4213",
                                           "name" : "{http://hl7.org/fhir}Period",
                                           "type" : "NamedTypeSpecifier"
                                        } ]
                                     },
                                     "source" : {
-                                       "localId" : "4163",
+                                       "localId" : "4169",
                                        "locator" : "205:24-205:99",
                                        "resultTypeName" : "{http://hl7.org/fhir}Observation.Component",
                                        "type" : "SingletonFrom",
                                        "signature" : [ ],
                                        "operand" : {
-                                          "localId" : "4178",
+                                          "localId" : "4184",
                                           "locator" : "205:40-205:98",
                                           "type" : "Query",
                                           "resultTypeSpecifier" : {
-                                             "localId" : "4181",
+                                             "localId" : "4187",
                                              "type" : "ListTypeSpecifier",
                                              "elementType" : {
-                                                "localId" : "4182",
+                                                "localId" : "4188",
                                                 "name" : "{http://hl7.org/fhir}Observation.Component",
                                                 "type" : "NamedTypeSpecifier"
                                              }
                                           },
                                           "source" : [ {
-                                             "localId" : "4164",
+                                             "localId" : "4170",
                                              "locator" : "205:41-205:53",
                                              "alias" : "C",
                                              "resultTypeSpecifier" : {
-                                                "localId" : "4169",
+                                                "localId" : "4175",
                                                 "type" : "ListTypeSpecifier",
                                                 "elementType" : {
-                                                   "localId" : "4170",
+                                                   "localId" : "4176",
                                                    "name" : "{http://hl7.org/fhir}Observation.Component",
                                                    "type" : "NamedTypeSpecifier"
                                                 }
                                              },
                                              "expression" : {
-                                                "localId" : "4166",
+                                                "localId" : "4172",
                                                 "locator" : "205:41-205:51",
                                                 "path" : "component",
                                                 "type" : "Property",
                                                 "resultTypeSpecifier" : {
-                                                   "localId" : "4167",
+                                                   "localId" : "4173",
                                                    "type" : "ListTypeSpecifier",
                                                    "elementType" : {
-                                                      "localId" : "4168",
+                                                      "localId" : "4174",
                                                       "name" : "{http://hl7.org/fhir}Observation.Component",
                                                       "type" : "NamedTypeSpecifier"
                                                    }
                                                 },
                                                 "source" : {
-                                                   "localId" : "4165",
+                                                   "localId" : "4171",
                                                    "name" : "o",
                                                    "type" : "OperandRef"
                                                 }
@@ -14738,19 +14793,19 @@
                                           "let" : [ ],
                                           "relationship" : [ ],
                                           "where" : {
-                                             "localId" : "4171",
+                                             "localId" : "4177",
                                              "locator" : "205:55-205:97",
                                              "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                                              "type" : "Equivalent",
                                              "signature" : [ ],
                                              "operand" : [ {
-                                                "localId" : "4175",
+                                                "localId" : "4181",
                                                 "name" : "ToConcept",
                                                 "libraryName" : "FHIRHelpers",
                                                 "type" : "FunctionRef",
                                                 "signature" : [ ],
                                                 "operand" : [ {
-                                                   "localId" : "4173",
+                                                   "localId" : "4179",
                                                    "locator" : "205:62-205:67",
                                                    "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                                                    "path" : "code",
@@ -14758,11 +14813,11 @@
                                                    "type" : "Property"
                                                 } ]
                                              }, {
-                                                "localId" : "4177",
+                                                "localId" : "4183",
                                                 "type" : "ToConcept",
                                                 "signature" : [ ],
                                                 "operand" : {
-                                                   "localId" : "4174",
+                                                   "localId" : "4180",
                                                    "locator" : "205:71-205:96",
                                                    "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                                                    "name" : "Diastolic blood pressure",
@@ -14774,7 +14829,7 @@
                                     }
                                  },
                                  "asTypeSpecifier" : {
-                                    "localId" : "4208",
+                                    "localId" : "4214",
                                     "locator" : "205:110-205:122",
                                     "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                     "name" : "{http://hl7.org/fhir}Quantity",
@@ -14785,7 +14840,7 @@
                         }
                      } ]
                   }, {
-                     "localId" : "4216",
+                     "localId" : "4222",
                      "locator" : "205:134-205:140",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                      "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -14794,522 +14849,266 @@
                   } ]
                },
                "else" : {
-                  "localId" : "4218",
-                  "locator" : "206:8-213:8",
+                  "localId" : "4313",
+                  "locator" : "207:5-211:5",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
-                  "type" : "If",
-                  "condition" : {
-                     "localId" : "4219",
-                     "locator" : "206:11-206:34",
-                     "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
-                     "type" : "Is",
-                     "signature" : [ ],
-                     "operand" : {
-                        "localId" : "4221",
-                        "locator" : "206:11-206:17",
-                        "path" : "value",
-                        "type" : "Property",
-                        "resultTypeSpecifier" : {
-                           "localId" : "4234",
-                           "type" : "ChoiceTypeSpecifier",
-                           "type" : [ ],
-                           "choice" : [ {
-                              "localId" : "4235",
-                              "name" : "{http://hl7.org/fhir}Quantity",
-                              "type" : "NamedTypeSpecifier"
-                           }, {
-                              "localId" : "4236",
-                              "name" : "{http://hl7.org/fhir}CodeableConcept",
-                              "type" : "NamedTypeSpecifier"
-                           }, {
-                              "localId" : "4237",
-                              "name" : "{http://hl7.org/fhir}string",
-                              "type" : "NamedTypeSpecifier"
-                           }, {
-                              "localId" : "4238",
-                              "name" : "{http://hl7.org/fhir}boolean",
-                              "type" : "NamedTypeSpecifier"
-                           }, {
-                              "localId" : "4239",
-                              "name" : "{http://hl7.org/fhir}integer",
-                              "type" : "NamedTypeSpecifier"
-                           }, {
-                              "localId" : "4240",
-                              "name" : "{http://hl7.org/fhir}Range",
-                              "type" : "NamedTypeSpecifier"
-                           }, {
-                              "localId" : "4241",
-                              "name" : "{http://hl7.org/fhir}Ratio",
-                              "type" : "NamedTypeSpecifier"
-                           }, {
-                              "localId" : "4242",
-                              "name" : "{http://hl7.org/fhir}SampledData",
-                              "type" : "NamedTypeSpecifier"
-                           }, {
-                              "localId" : "4243",
-                              "name" : "{http://hl7.org/fhir}time",
-                              "type" : "NamedTypeSpecifier"
-                           }, {
-                              "localId" : "4244",
-                              "name" : "{http://hl7.org/fhir}dateTime",
-                              "type" : "NamedTypeSpecifier"
-                           }, {
-                              "localId" : "4245",
-                              "name" : "{http://hl7.org/fhir}Period",
-                              "type" : "NamedTypeSpecifier"
-                           } ]
-                        },
-                        "source" : {
-                           "localId" : "4220",
-                           "locator" : "206:11",
-                           "resultTypeName" : "{http://hl7.org/fhir}Observation",
-                           "name" : "o",
-                           "type" : "OperandRef"
-                        }
-                     },
-                     "isTypeSpecifier" : {
-                        "localId" : "4246",
-                        "locator" : "206:22-206:34",
-                        "resultTypeName" : "{http://hl7.org/fhir}Quantity",
-                        "name" : "{http://hl7.org/fhir}Quantity",
-                        "type" : "NamedTypeSpecifier"
-                     }
-                  },
-                  "then" : {
-                     "localId" : "4275",
-                     "locator" : "207:5-207:42",
+                  "type" : "Coalesce",
+                  "signature" : [ ],
+                  "operand" : [ {
+                     "localId" : "4252",
+                     "locator" : "208:7-208:44",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                      "name" : "QuantityText",
                      "type" : "FunctionRef",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "4247",
-                        "locator" : "207:18-207:41",
+                        "localId" : "4224",
+                        "locator" : "208:20-208:43",
                         "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                         "strict" : false,
                         "type" : "As",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "4249",
-                           "locator" : "207:18-207:24",
+                           "localId" : "4226",
+                           "locator" : "208:20-208:26",
                            "path" : "value",
                            "type" : "Property",
                            "resultTypeSpecifier" : {
-                              "localId" : "4262",
+                              "localId" : "4239",
                               "type" : "ChoiceTypeSpecifier",
                               "type" : [ ],
                               "choice" : [ {
-                                 "localId" : "4263",
+                                 "localId" : "4240",
                                  "name" : "{http://hl7.org/fhir}Quantity",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4264",
+                                 "localId" : "4241",
                                  "name" : "{http://hl7.org/fhir}CodeableConcept",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4265",
+                                 "localId" : "4242",
                                  "name" : "{http://hl7.org/fhir}string",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4266",
+                                 "localId" : "4243",
                                  "name" : "{http://hl7.org/fhir}boolean",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4267",
+                                 "localId" : "4244",
                                  "name" : "{http://hl7.org/fhir}integer",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4268",
+                                 "localId" : "4245",
                                  "name" : "{http://hl7.org/fhir}Range",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4269",
+                                 "localId" : "4246",
                                  "name" : "{http://hl7.org/fhir}Ratio",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4270",
+                                 "localId" : "4247",
                                  "name" : "{http://hl7.org/fhir}SampledData",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4271",
+                                 "localId" : "4248",
                                  "name" : "{http://hl7.org/fhir}time",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4272",
+                                 "localId" : "4249",
                                  "name" : "{http://hl7.org/fhir}dateTime",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4273",
+                                 "localId" : "4250",
                                  "name" : "{http://hl7.org/fhir}Period",
                                  "type" : "NamedTypeSpecifier"
                               } ]
                            },
                            "source" : {
-                              "localId" : "4248",
-                              "locator" : "207:18",
+                              "localId" : "4225",
+                              "locator" : "208:20",
                               "resultTypeName" : "{http://hl7.org/fhir}Observation",
                               "name" : "o",
                               "type" : "OperandRef"
                            }
                         },
                         "asTypeSpecifier" : {
-                           "localId" : "4274",
-                           "locator" : "207:29-207:41",
+                           "localId" : "4251",
+                           "locator" : "208:31-208:43",
                            "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                            "name" : "{http://hl7.org/fhir}Quantity",
                            "type" : "NamedTypeSpecifier"
                         }
                      } ]
-                  },
-                  "else" : {
-                     "localId" : "4276",
-                     "locator" : "208:8-213:8",
+                  }, {
+                     "localId" : "4281",
+                     "locator" : "209:7-209:45",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
-                     "type" : "If",
-                     "condition" : {
-                        "localId" : "4277",
-                        "locator" : "208:11-208:36",
-                        "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
-                        "type" : "Is",
+                     "name" : "ConceptText",
+                     "type" : "FunctionRef",
+                     "signature" : [ ],
+                     "operand" : [ {
+                        "localId" : "4253",
+                        "locator" : "209:19-209:44",
+                        "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
+                        "strict" : false,
+                        "type" : "As",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "4279",
-                           "locator" : "208:11-208:17",
+                           "localId" : "4255",
+                           "locator" : "209:19-209:25",
                            "path" : "value",
                            "type" : "Property",
                            "resultTypeSpecifier" : {
-                              "localId" : "4292",
+                              "localId" : "4268",
                               "type" : "ChoiceTypeSpecifier",
                               "type" : [ ],
                               "choice" : [ {
-                                 "localId" : "4293",
+                                 "localId" : "4269",
                                  "name" : "{http://hl7.org/fhir}Quantity",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4294",
+                                 "localId" : "4270",
+                                 "name" : "{http://hl7.org/fhir}CodeableConcept",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4271",
+                                 "name" : "{http://hl7.org/fhir}string",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4272",
+                                 "name" : "{http://hl7.org/fhir}boolean",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4273",
+                                 "name" : "{http://hl7.org/fhir}integer",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4274",
+                                 "name" : "{http://hl7.org/fhir}Range",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4275",
+                                 "name" : "{http://hl7.org/fhir}Ratio",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4276",
+                                 "name" : "{http://hl7.org/fhir}SampledData",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4277",
+                                 "name" : "{http://hl7.org/fhir}time",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4278",
+                                 "name" : "{http://hl7.org/fhir}dateTime",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4279",
+                                 "name" : "{http://hl7.org/fhir}Period",
+                                 "type" : "NamedTypeSpecifier"
+                              } ]
+                           },
+                           "source" : {
+                              "localId" : "4254",
+                              "locator" : "209:19",
+                              "resultTypeName" : "{http://hl7.org/fhir}Observation",
+                              "name" : "o",
+                              "type" : "OperandRef"
+                           }
+                        },
+                        "asTypeSpecifier" : {
+                           "localId" : "4280",
+                           "locator" : "209:30-209:44",
+                           "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
+                           "name" : "{http://hl7.org/fhir}CodeableConcept",
+                           "type" : "NamedTypeSpecifier"
+                        }
+                     } ]
+                  }, {
+                     "localId" : "4314",
+                     "name" : "ToString",
+                     "libraryName" : "FHIRHelpers",
+                     "type" : "FunctionRef",
+                     "signature" : [ ],
+                     "operand" : [ {
+                        "localId" : "4282",
+                        "locator" : "210:7-210:28",
+                        "resultTypeName" : "{http://hl7.org/fhir}string",
+                        "strict" : false,
+                        "type" : "As",
+                        "signature" : [ ],
+                        "operand" : {
+                           "localId" : "4284",
+                           "locator" : "210:7-210:13",
+                           "path" : "value",
+                           "type" : "Property",
+                           "resultTypeSpecifier" : {
+                              "localId" : "4297",
+                              "type" : "ChoiceTypeSpecifier",
+                              "type" : [ ],
+                              "choice" : [ {
+                                 "localId" : "4298",
+                                 "name" : "{http://hl7.org/fhir}Quantity",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4299",
                                  "name" : "{http://hl7.org/fhir}CodeableConcept",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4295",
+                                 "localId" : "4300",
                                  "name" : "{http://hl7.org/fhir}string",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4296",
+                                 "localId" : "4301",
                                  "name" : "{http://hl7.org/fhir}boolean",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4297",
+                                 "localId" : "4302",
                                  "name" : "{http://hl7.org/fhir}integer",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4298",
+                                 "localId" : "4303",
                                  "name" : "{http://hl7.org/fhir}Range",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4299",
+                                 "localId" : "4304",
                                  "name" : "{http://hl7.org/fhir}Ratio",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4300",
+                                 "localId" : "4305",
                                  "name" : "{http://hl7.org/fhir}SampledData",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4301",
+                                 "localId" : "4306",
                                  "name" : "{http://hl7.org/fhir}time",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4302",
+                                 "localId" : "4307",
                                  "name" : "{http://hl7.org/fhir}dateTime",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "4303",
+                                 "localId" : "4308",
                                  "name" : "{http://hl7.org/fhir}Period",
                                  "type" : "NamedTypeSpecifier"
                               } ]
                            },
                            "source" : {
-                              "localId" : "4278",
-                              "locator" : "208:11",
+                              "localId" : "4283",
+                              "locator" : "210:7",
                               "resultTypeName" : "{http://hl7.org/fhir}Observation",
                               "name" : "o",
                               "type" : "OperandRef"
                            }
                         },
-                        "isTypeSpecifier" : {
-                           "localId" : "4304",
-                           "locator" : "208:22-208:36",
-                           "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
-                           "name" : "{http://hl7.org/fhir}CodeableConcept",
+                        "asTypeSpecifier" : {
+                           "localId" : "4309",
+                           "locator" : "210:18-210:28",
+                           "resultTypeName" : "{http://hl7.org/fhir}string",
+                           "name" : "{http://hl7.org/fhir}string",
                            "type" : "NamedTypeSpecifier"
                         }
-                     },
-                     "then" : {
-                        "localId" : "4333",
-                        "locator" : "209:5-209:43",
-                        "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
-                        "name" : "ConceptText",
-                        "type" : "FunctionRef",
-                        "signature" : [ ],
-                        "operand" : [ {
-                           "localId" : "4305",
-                           "locator" : "209:17-209:42",
-                           "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
-                           "strict" : false,
-                           "type" : "As",
-                           "signature" : [ ],
-                           "operand" : {
-                              "localId" : "4307",
-                              "locator" : "209:17-209:23",
-                              "path" : "value",
-                              "type" : "Property",
-                              "resultTypeSpecifier" : {
-                                 "localId" : "4320",
-                                 "type" : "ChoiceTypeSpecifier",
-                                 "type" : [ ],
-                                 "choice" : [ {
-                                    "localId" : "4321",
-                                    "name" : "{http://hl7.org/fhir}Quantity",
-                                    "type" : "NamedTypeSpecifier"
-                                 }, {
-                                    "localId" : "4322",
-                                    "name" : "{http://hl7.org/fhir}CodeableConcept",
-                                    "type" : "NamedTypeSpecifier"
-                                 }, {
-                                    "localId" : "4323",
-                                    "name" : "{http://hl7.org/fhir}string",
-                                    "type" : "NamedTypeSpecifier"
-                                 }, {
-                                    "localId" : "4324",
-                                    "name" : "{http://hl7.org/fhir}boolean",
-                                    "type" : "NamedTypeSpecifier"
-                                 }, {
-                                    "localId" : "4325",
-                                    "name" : "{http://hl7.org/fhir}integer",
-                                    "type" : "NamedTypeSpecifier"
-                                 }, {
-                                    "localId" : "4326",
-                                    "name" : "{http://hl7.org/fhir}Range",
-                                    "type" : "NamedTypeSpecifier"
-                                 }, {
-                                    "localId" : "4327",
-                                    "name" : "{http://hl7.org/fhir}Ratio",
-                                    "type" : "NamedTypeSpecifier"
-                                 }, {
-                                    "localId" : "4328",
-                                    "name" : "{http://hl7.org/fhir}SampledData",
-                                    "type" : "NamedTypeSpecifier"
-                                 }, {
-                                    "localId" : "4329",
-                                    "name" : "{http://hl7.org/fhir}time",
-                                    "type" : "NamedTypeSpecifier"
-                                 }, {
-                                    "localId" : "4330",
-                                    "name" : "{http://hl7.org/fhir}dateTime",
-                                    "type" : "NamedTypeSpecifier"
-                                 }, {
-                                    "localId" : "4331",
-                                    "name" : "{http://hl7.org/fhir}Period",
-                                    "type" : "NamedTypeSpecifier"
-                                 } ]
-                              },
-                              "source" : {
-                                 "localId" : "4306",
-                                 "locator" : "209:17",
-                                 "resultTypeName" : "{http://hl7.org/fhir}Observation",
-                                 "name" : "o",
-                                 "type" : "OperandRef"
-                              }
-                           },
-                           "asTypeSpecifier" : {
-                              "localId" : "4332",
-                              "locator" : "209:28-209:42",
-                              "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
-                              "name" : "{http://hl7.org/fhir}CodeableConcept",
-                              "type" : "NamedTypeSpecifier"
-                           }
-                        } ]
-                     },
-                     "else" : {
-                        "localId" : "4393",
-                        "name" : "ToString",
-                        "libraryName" : "FHIRHelpers",
-                        "type" : "FunctionRef",
-                        "signature" : [ ],
-                        "operand" : [ {
-                           "localId" : "4334",
-                           "locator" : "210:8-213:8",
-                           "resultTypeName" : "{http://hl7.org/fhir}string",
-                           "type" : "If",
-                           "condition" : {
-                              "localId" : "4335",
-                              "locator" : "210:11-210:32",
-                              "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
-                              "type" : "Is",
-                              "signature" : [ ],
-                              "operand" : {
-                                 "localId" : "4337",
-                                 "locator" : "210:11-210:17",
-                                 "path" : "value",
-                                 "type" : "Property",
-                                 "resultTypeSpecifier" : {
-                                    "localId" : "4350",
-                                    "type" : "ChoiceTypeSpecifier",
-                                    "type" : [ ],
-                                    "choice" : [ {
-                                       "localId" : "4351",
-                                       "name" : "{http://hl7.org/fhir}Quantity",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4352",
-                                       "name" : "{http://hl7.org/fhir}CodeableConcept",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4353",
-                                       "name" : "{http://hl7.org/fhir}string",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4354",
-                                       "name" : "{http://hl7.org/fhir}boolean",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4355",
-                                       "name" : "{http://hl7.org/fhir}integer",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4356",
-                                       "name" : "{http://hl7.org/fhir}Range",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4357",
-                                       "name" : "{http://hl7.org/fhir}Ratio",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4358",
-                                       "name" : "{http://hl7.org/fhir}SampledData",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4359",
-                                       "name" : "{http://hl7.org/fhir}time",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4360",
-                                       "name" : "{http://hl7.org/fhir}dateTime",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4361",
-                                       "name" : "{http://hl7.org/fhir}Period",
-                                       "type" : "NamedTypeSpecifier"
-                                    } ]
-                                 },
-                                 "source" : {
-                                    "localId" : "4336",
-                                    "locator" : "210:11",
-                                    "resultTypeName" : "{http://hl7.org/fhir}Observation",
-                                    "name" : "o",
-                                    "type" : "OperandRef"
-                                 }
-                              },
-                              "isTypeSpecifier" : {
-                                 "localId" : "4362",
-                                 "locator" : "210:22-210:32",
-                                 "resultTypeName" : "{http://hl7.org/fhir}string",
-                                 "name" : "{http://hl7.org/fhir}string",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           },
-                           "then" : {
-                              "localId" : "4363",
-                              "locator" : "211:5-211:26",
-                              "resultTypeName" : "{http://hl7.org/fhir}string",
-                              "strict" : false,
-                              "type" : "As",
-                              "signature" : [ ],
-                              "operand" : {
-                                 "localId" : "4365",
-                                 "locator" : "211:5-211:11",
-                                 "path" : "value",
-                                 "type" : "Property",
-                                 "resultTypeSpecifier" : {
-                                    "localId" : "4378",
-                                    "type" : "ChoiceTypeSpecifier",
-                                    "type" : [ ],
-                                    "choice" : [ {
-                                       "localId" : "4379",
-                                       "name" : "{http://hl7.org/fhir}Quantity",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4380",
-                                       "name" : "{http://hl7.org/fhir}CodeableConcept",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4381",
-                                       "name" : "{http://hl7.org/fhir}string",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4382",
-                                       "name" : "{http://hl7.org/fhir}boolean",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4383",
-                                       "name" : "{http://hl7.org/fhir}integer",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4384",
-                                       "name" : "{http://hl7.org/fhir}Range",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4385",
-                                       "name" : "{http://hl7.org/fhir}Ratio",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4386",
-                                       "name" : "{http://hl7.org/fhir}SampledData",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4387",
-                                       "name" : "{http://hl7.org/fhir}time",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4388",
-                                       "name" : "{http://hl7.org/fhir}dateTime",
-                                       "type" : "NamedTypeSpecifier"
-                                    }, {
-                                       "localId" : "4389",
-                                       "name" : "{http://hl7.org/fhir}Period",
-                                       "type" : "NamedTypeSpecifier"
-                                    } ]
-                                 },
-                                 "source" : {
-                                    "localId" : "4364",
-                                    "locator" : "211:5",
-                                    "resultTypeName" : "{http://hl7.org/fhir}Observation",
-                                    "name" : "o",
-                                    "type" : "OperandRef"
-                                 }
-                              },
-                              "asTypeSpecifier" : {
-                                 "localId" : "4390",
-                                 "locator" : "211:16-211:26",
-                                 "resultTypeName" : "{http://hl7.org/fhir}string",
-                                 "name" : "{http://hl7.org/fhir}string",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           },
-                           "else" : {
-                              "localId" : "4392",
-                              "asType" : "{http://hl7.org/fhir}string",
-                              "type" : "As",
-                              "signature" : [ ],
-                              "operand" : {
-                                 "localId" : "4391",
-                                 "locator" : "213:5-213:8",
-                                 "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
-                                 "type" : "Null"
-                              }
-                           }
-                        } ]
-                     }
-                  }
+                     } ]
+                  } ]
                }
             },
             "operand" : [ {
@@ -15324,8 +15123,8 @@
                }
             } ]
          }, {
-            "localId" : "2489",
-            "locator" : "311:1-315:30",
+            "localId" : "2460",
+            "locator" : "309:1-313:30",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
             "name" : "QuantityText",
             "context" : "Unfiltered",
@@ -15334,23 +15133,23 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "2489",
+                  "r" : "2460",
                   "s" : [ {
                      "value" : [ "// Returns a text representation of a Quantity with the Quantity's value and unit.\n// If the unit is {score}, then omit it (as it is not useful to display)\n// @param q - a FHIR Quantity to get text for\n// @returns {System.String} the text representation of the Quantity\n","define function QuantityText(q FHIR.Quantity):\n  " ]
                   }, {
-                     "r" : "5155",
+                     "r" : "5105",
                      "s" : [ {
-                        "r" : "5155",
+                        "r" : "5105",
                         "s" : [ {
                            "value" : [ "if " ]
                         }, {
-                           "r" : "5157",
+                           "r" : "5107",
                            "s" : [ {
                               "value" : [ "(" ]
                            }, {
-                              "r" : "5157",
+                              "r" : "5107",
                               "s" : [ {
-                                 "r" : "5156",
+                                 "r" : "5106",
                                  "s" : [ {
                                     "value" : [ "q" ]
                                  } ]
@@ -15361,31 +15160,31 @@
                               "value" : [ ")" ]
                            } ]
                         }, {
-                           "r" : "5158",
+                           "r" : "5108",
                            "value" : [ " then ","null","\n  else " ]
                         }, {
-                           "r" : "5159",
+                           "r" : "5109",
                            "s" : [ {
                               "value" : [ "if " ]
                            }, {
-                              "r" : "5160",
+                              "r" : "5110",
                               "s" : [ {
                                  "value" : [ "(" ]
                               }, {
-                                 "r" : "5160",
+                                 "r" : "5110",
                                  "s" : [ {
-                                    "r" : "5164",
+                                    "r" : "5114",
                                     "s" : [ {
-                                       "r" : "5162",
+                                       "r" : "5112",
                                        "s" : [ {
-                                          "r" : "5161",
+                                          "r" : "5111",
                                           "s" : [ {
                                              "value" : [ "q" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5162",
+                                          "r" : "5112",
                                           "s" : [ {
                                              "value" : [ "unit" ]
                                           } ]
@@ -15396,20 +15195,20 @@
                                  }, {
                                     "value" : [ " and " ]
                                  }, {
-                                    "r" : "5170",
+                                    "r" : "5120",
                                     "s" : [ {
-                                       "r" : "5168",
+                                       "r" : "5118",
                                        "s" : [ {
-                                          "r" : "5167",
+                                          "r" : "5117",
                                           "s" : [ {
-                                             "r" : "5166",
+                                             "r" : "5116",
                                              "s" : [ {
                                                 "value" : [ "q" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "5167",
+                                             "r" : "5117",
                                              "s" : [ {
                                                 "value" : [ "unit" ]
                                              } ]
@@ -15417,7 +15216,7 @@
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5168",
+                                          "r" : "5118",
                                           "s" : [ {
                                              "value" : [ "value" ]
                                           } ]
@@ -15425,7 +15224,7 @@
                                     }, {
                                        "value" : [ " ","!="," " ]
                                     }, {
-                                       "r" : "5169",
+                                       "r" : "5119",
                                        "s" : [ {
                                           "value" : [ "'{score}'" ]
                                        } ]
@@ -15437,26 +15236,26 @@
                            }, {
                               "value" : [ " then " ]
                            }, {
-                              "r" : "5184",
+                              "r" : "5134",
                               "s" : [ {
-                                 "r" : "5180",
+                                 "r" : "5130",
                                  "s" : [ {
-                                    "r" : "5178",
+                                    "r" : "5128",
                                     "s" : [ {
                                        "value" : [ "ToString","(" ]
                                     }, {
-                                       "r" : "5175",
+                                       "r" : "5125",
                                        "s" : [ {
-                                          "r" : "5174",
+                                          "r" : "5124",
                                           "s" : [ {
-                                             "r" : "5173",
+                                             "r" : "5123",
                                              "s" : [ {
                                                 "value" : [ "q" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "5174",
+                                             "r" : "5124",
                                              "s" : [ {
                                                 "value" : [ "value" ]
                                              } ]
@@ -15464,7 +15263,7 @@
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5175",
+                                          "r" : "5125",
                                           "s" : [ {
                                              "value" : [ "value" ]
                                           } ]
@@ -15475,7 +15274,7 @@
                                  }, {
                                     "value" : [ " + " ]
                                  }, {
-                                    "r" : "5179",
+                                    "r" : "5129",
                                     "s" : [ {
                                        "value" : [ "' '" ]
                                     } ]
@@ -15483,18 +15282,18 @@
                               }, {
                                  "value" : [ " + " ]
                               }, {
-                                 "r" : "5183",
+                                 "r" : "5133",
                                  "s" : [ {
-                                    "r" : "5182",
+                                    "r" : "5132",
                                     "s" : [ {
-                                       "r" : "5181",
+                                       "r" : "5131",
                                        "s" : [ {
                                           "value" : [ "q" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5182",
+                                       "r" : "5132",
                                        "s" : [ {
                                           "value" : [ "unit" ]
                                        } ]
@@ -15502,7 +15301,7 @@
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "5183",
+                                    "r" : "5133",
                                     "s" : [ {
                                        "value" : [ "value" ]
                                     } ]
@@ -15511,28 +15310,28 @@
                            }, {
                               "value" : [ "\n  else " ]
                            }, {
-                              "r" : "5185",
+                              "r" : "5135",
                               "s" : [ {
                                  "value" : [ "if " ]
                               }, {
-                                 "r" : "5186",
+                                 "r" : "5136",
                                  "s" : [ {
                                     "value" : [ "(" ]
                                  }, {
-                                    "r" : "5186",
+                                    "r" : "5136",
                                     "s" : [ {
-                                       "r" : "5190",
+                                       "r" : "5140",
                                        "s" : [ {
-                                          "r" : "5188",
+                                          "r" : "5138",
                                           "s" : [ {
-                                             "r" : "5187",
+                                             "r" : "5137",
                                              "s" : [ {
                                                 "value" : [ "q" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "5188",
+                                             "r" : "5138",
                                              "s" : [ {
                                                 "value" : [ "code" ]
                                              } ]
@@ -15543,20 +15342,20 @@
                                     }, {
                                        "value" : [ " and " ]
                                     }, {
-                                       "r" : "5196",
+                                       "r" : "5146",
                                        "s" : [ {
-                                          "r" : "5194",
+                                          "r" : "5144",
                                           "s" : [ {
-                                             "r" : "5193",
+                                             "r" : "5143",
                                              "s" : [ {
-                                                "r" : "5192",
+                                                "r" : "5142",
                                                 "s" : [ {
                                                    "value" : [ "q" ]
                                                 } ]
                                              }, {
                                                 "value" : [ "." ]
                                              }, {
-                                                "r" : "5193",
+                                                "r" : "5143",
                                                 "s" : [ {
                                                    "value" : [ "code" ]
                                                 } ]
@@ -15564,7 +15363,7 @@
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "5194",
+                                             "r" : "5144",
                                              "s" : [ {
                                                 "value" : [ "value" ]
                                              } ]
@@ -15572,7 +15371,7 @@
                                        }, {
                                           "value" : [ " ","!="," " ]
                                        }, {
-                                          "r" : "5195",
+                                          "r" : "5145",
                                           "s" : [ {
                                              "value" : [ "'{score}'" ]
                                           } ]
@@ -15584,26 +15383,26 @@
                               }, {
                                  "value" : [ " then " ]
                               }, {
-                                 "r" : "5210",
+                                 "r" : "5160",
                                  "s" : [ {
-                                    "r" : "5206",
+                                    "r" : "5156",
                                     "s" : [ {
-                                       "r" : "5204",
+                                       "r" : "5154",
                                        "s" : [ {
                                           "value" : [ "ToString","(" ]
                                        }, {
-                                          "r" : "5201",
+                                          "r" : "5151",
                                           "s" : [ {
-                                             "r" : "5200",
+                                             "r" : "5150",
                                              "s" : [ {
-                                                "r" : "5199",
+                                                "r" : "5149",
                                                 "s" : [ {
                                                    "value" : [ "q" ]
                                                 } ]
                                              }, {
                                                 "value" : [ "." ]
                                              }, {
-                                                "r" : "5200",
+                                                "r" : "5150",
                                                 "s" : [ {
                                                    "value" : [ "value" ]
                                                 } ]
@@ -15611,7 +15410,7 @@
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "5201",
+                                             "r" : "5151",
                                              "s" : [ {
                                                 "value" : [ "value" ]
                                              } ]
@@ -15622,7 +15421,7 @@
                                     }, {
                                        "value" : [ " + " ]
                                     }, {
-                                       "r" : "5205",
+                                       "r" : "5155",
                                        "s" : [ {
                                           "value" : [ "' '" ]
                                        } ]
@@ -15630,18 +15429,18 @@
                                  }, {
                                     "value" : [ " + " ]
                                  }, {
-                                    "r" : "5209",
+                                    "r" : "5159",
                                     "s" : [ {
-                                       "r" : "5208",
+                                       "r" : "5158",
                                        "s" : [ {
-                                          "r" : "5207",
+                                          "r" : "5157",
                                           "s" : [ {
                                              "value" : [ "q" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5208",
+                                          "r" : "5158",
                                           "s" : [ {
                                              "value" : [ "code" ]
                                           } ]
@@ -15649,7 +15448,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5209",
+                                       "r" : "5159",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -15658,22 +15457,22 @@
                               }, {
                                  "value" : [ "\n  else " ]
                               }, {
-                                 "r" : "5216",
+                                 "r" : "5166",
                                  "s" : [ {
                                     "value" : [ "ToString","(" ]
                                  }, {
-                                    "r" : "5213",
+                                    "r" : "5163",
                                     "s" : [ {
-                                       "r" : "5212",
+                                       "r" : "5162",
                                        "s" : [ {
-                                          "r" : "5211",
+                                          "r" : "5161",
                                           "s" : [ {
                                              "value" : [ "q" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5212",
+                                          "r" : "5162",
                                           "s" : [ {
                                              "value" : [ "value" ]
                                           } ]
@@ -15681,7 +15480,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5213",
+                                       "r" : "5163",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -15697,68 +15496,68 @@
                }
             } ],
             "expression" : {
-               "localId" : "5155",
-               "locator" : "312:3-315:30",
+               "localId" : "5105",
+               "locator" : "310:3-313:30",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                "type" : "If",
                "condition" : {
-                  "localId" : "5157",
-                  "locator" : "312:6-312:16",
+                  "localId" : "5107",
+                  "locator" : "310:6-310:16",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "type" : "IsNull",
                   "signature" : [ ],
                   "operand" : {
-                     "localId" : "5156",
-                     "locator" : "312:7",
+                     "localId" : "5106",
+                     "locator" : "310:7",
                      "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                      "name" : "q",
                      "type" : "OperandRef"
                   }
                },
                "then" : {
-                  "localId" : "5217",
+                  "localId" : "5167",
                   "asType" : "{urn:hl7-org:elm-types:r1}String",
                   "type" : "As",
                   "signature" : [ ],
                   "operand" : {
-                     "localId" : "5158",
-                     "locator" : "312:23-312:26",
+                     "localId" : "5108",
+                     "locator" : "310:23-310:26",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                      "type" : "Null"
                   }
                },
                "else" : {
-                  "localId" : "5159",
-                  "locator" : "313:8-315:30",
+                  "localId" : "5109",
+                  "locator" : "311:8-313:30",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                   "type" : "If",
                   "condition" : {
-                     "localId" : "5160",
-                     "locator" : "313:11-313:60",
+                     "localId" : "5110",
+                     "locator" : "311:11-311:60",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "And",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "5164",
-                        "locator" : "313:12-313:29",
+                        "localId" : "5114",
+                        "locator" : "311:12-311:29",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Not",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "5163",
-                           "locator" : "313:12-313:29",
+                           "localId" : "5113",
+                           "locator" : "311:12-311:29",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                            "type" : "IsNull",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "5162",
-                              "locator" : "313:12-313:17",
+                              "localId" : "5112",
+                              "locator" : "311:12-311:17",
                               "resultTypeName" : "{http://hl7.org/fhir}string",
                               "path" : "unit",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5161",
-                                 "locator" : "313:12",
+                                 "localId" : "5111",
+                                 "locator" : "311:12",
                                  "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                  "name" : "q",
                                  "type" : "OperandRef"
@@ -15766,40 +15565,40 @@
                            }
                         }
                      }, {
-                        "localId" : "5170",
-                        "locator" : "313:35-313:59",
+                        "localId" : "5120",
+                        "locator" : "311:35-311:59",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Not",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "5165",
-                           "locator" : "313:35-313:59",
+                           "localId" : "5115",
+                           "locator" : "311:35-311:59",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                            "type" : "Equal",
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "5168",
-                              "locator" : "313:35-313:46",
+                              "localId" : "5118",
+                              "locator" : "311:35-311:46",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                               "path" : "value",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5167",
-                                 "locator" : "313:35-313:40",
+                                 "localId" : "5117",
+                                 "locator" : "311:35-311:40",
                                  "resultTypeName" : "{http://hl7.org/fhir}string",
                                  "path" : "unit",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "5166",
-                                    "locator" : "313:35",
+                                    "localId" : "5116",
+                                    "locator" : "311:35",
                                     "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                     "name" : "q",
                                     "type" : "OperandRef"
                                  }
                               }
                            }, {
-                              "localId" : "5169",
-                              "locator" : "313:51-313:59",
+                              "localId" : "5119",
+                              "locator" : "311:51-311:59",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                               "valueType" : "{urn:hl7-org:elm-types:r1}String",
                               "value" : "{score}",
@@ -15809,38 +15608,38 @@
                      } ]
                   },
                   "then" : {
-                     "localId" : "5184",
-                     "locator" : "313:67-313:110",
+                     "localId" : "5134",
+                     "locator" : "311:67-311:110",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "Concatenate",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "5180",
-                        "locator" : "313:67-313:95",
+                        "localId" : "5130",
+                        "locator" : "311:67-311:95",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "Concatenate",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5178",
-                           "locator" : "313:67-313:89",
+                           "localId" : "5128",
+                           "locator" : "311:67-311:89",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "ToString",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "5175",
-                              "locator" : "313:76-313:88",
+                              "localId" : "5125",
+                              "locator" : "311:76-311:88",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                               "path" : "value",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5174",
-                                 "locator" : "313:76-313:82",
+                                 "localId" : "5124",
+                                 "locator" : "311:76-311:82",
                                  "resultTypeName" : "{http://hl7.org/fhir}decimal",
                                  "path" : "value",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "5173",
-                                    "locator" : "313:76",
+                                    "localId" : "5123",
+                                    "locator" : "311:76",
                                     "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                     "name" : "q",
                                     "type" : "OperandRef"
@@ -15848,28 +15647,28 @@
                               }
                            }
                         }, {
-                           "localId" : "5179",
-                           "locator" : "313:93-313:95",
+                           "localId" : "5129",
+                           "locator" : "311:93-311:95",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : " ",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5183",
-                        "locator" : "313:99-313:110",
+                        "localId" : "5133",
+                        "locator" : "311:99-311:110",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "path" : "value",
                         "type" : "Property",
                         "source" : {
-                           "localId" : "5182",
-                           "locator" : "313:99-313:104",
+                           "localId" : "5132",
+                           "locator" : "311:99-311:104",
                            "resultTypeName" : "{http://hl7.org/fhir}string",
                            "path" : "unit",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5181",
-                              "locator" : "313:99",
+                              "localId" : "5131",
+                              "locator" : "311:99",
                               "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                               "name" : "q",
                               "type" : "OperandRef"
@@ -15878,37 +15677,37 @@
                      } ]
                   },
                   "else" : {
-                     "localId" : "5185",
-                     "locator" : "314:8-315:30",
+                     "localId" : "5135",
+                     "locator" : "312:8-313:30",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "If",
                      "condition" : {
-                        "localId" : "5186",
-                        "locator" : "314:11-314:60",
+                        "localId" : "5136",
+                        "locator" : "312:11-312:60",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "And",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5190",
-                           "locator" : "314:12-314:29",
+                           "localId" : "5140",
+                           "locator" : "312:12-312:29",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                            "type" : "Not",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "5189",
-                              "locator" : "314:12-314:29",
+                              "localId" : "5139",
+                              "locator" : "312:12-312:29",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                               "type" : "IsNull",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "5188",
-                                 "locator" : "314:12-314:17",
+                                 "localId" : "5138",
+                                 "locator" : "312:12-312:17",
                                  "resultTypeName" : "{http://hl7.org/fhir}code",
                                  "path" : "code",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "5187",
-                                    "locator" : "314:12",
+                                    "localId" : "5137",
+                                    "locator" : "312:12",
                                     "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                     "name" : "q",
                                     "type" : "OperandRef"
@@ -15916,40 +15715,40 @@
                               }
                            }
                         }, {
-                           "localId" : "5196",
-                           "locator" : "314:35-314:59",
+                           "localId" : "5146",
+                           "locator" : "312:35-312:59",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                            "type" : "Not",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "5191",
-                              "locator" : "314:35-314:59",
+                              "localId" : "5141",
+                              "locator" : "312:35-312:59",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                               "type" : "Equal",
                               "signature" : [ ],
                               "operand" : [ {
-                                 "localId" : "5194",
-                                 "locator" : "314:35-314:46",
+                                 "localId" : "5144",
+                                 "locator" : "312:35-312:46",
                                  "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                                  "path" : "value",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "5193",
-                                    "locator" : "314:35-314:40",
+                                    "localId" : "5143",
+                                    "locator" : "312:35-312:40",
                                     "resultTypeName" : "{http://hl7.org/fhir}code",
                                     "path" : "code",
                                     "type" : "Property",
                                     "source" : {
-                                       "localId" : "5192",
-                                       "locator" : "314:35",
+                                       "localId" : "5142",
+                                       "locator" : "312:35",
                                        "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                        "name" : "q",
                                        "type" : "OperandRef"
                                     }
                                  }
                               }, {
-                                 "localId" : "5195",
-                                 "locator" : "314:51-314:59",
+                                 "localId" : "5145",
+                                 "locator" : "312:51-312:59",
                                  "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                                  "valueType" : "{urn:hl7-org:elm-types:r1}String",
                                  "value" : "{score}",
@@ -15959,38 +15758,38 @@
                         } ]
                      },
                      "then" : {
-                        "localId" : "5210",
-                        "locator" : "314:67-314:110",
+                        "localId" : "5160",
+                        "locator" : "312:67-312:110",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "Concatenate",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5206",
-                           "locator" : "314:67-314:95",
+                           "localId" : "5156",
+                           "locator" : "312:67-312:95",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "Concatenate",
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "5204",
-                              "locator" : "314:67-314:89",
+                              "localId" : "5154",
+                              "locator" : "312:67-312:89",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "ToString",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "5201",
-                                 "locator" : "314:76-314:88",
+                                 "localId" : "5151",
+                                 "locator" : "312:76-312:88",
                                  "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "path" : "value",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "5200",
-                                    "locator" : "314:76-314:82",
+                                    "localId" : "5150",
+                                    "locator" : "312:76-312:82",
                                     "resultTypeName" : "{http://hl7.org/fhir}decimal",
                                     "path" : "value",
                                     "type" : "Property",
                                     "source" : {
-                                       "localId" : "5199",
-                                       "locator" : "314:76",
+                                       "localId" : "5149",
+                                       "locator" : "312:76",
                                        "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                        "name" : "q",
                                        "type" : "OperandRef"
@@ -15998,28 +15797,28 @@
                                  }
                               }
                            }, {
-                              "localId" : "5205",
-                              "locator" : "314:93-314:95",
+                              "localId" : "5155",
+                              "locator" : "312:93-312:95",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                               "valueType" : "{urn:hl7-org:elm-types:r1}String",
                               "value" : " ",
                               "type" : "Literal"
                            } ]
                         }, {
-                           "localId" : "5209",
-                           "locator" : "314:99-314:110",
+                           "localId" : "5159",
+                           "locator" : "312:99-312:110",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5208",
-                              "locator" : "314:99-314:104",
+                              "localId" : "5158",
+                              "locator" : "312:99-312:104",
                               "resultTypeName" : "{http://hl7.org/fhir}code",
                               "path" : "code",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5207",
-                                 "locator" : "314:99",
+                                 "localId" : "5157",
+                                 "locator" : "312:99",
                                  "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                  "name" : "q",
                                  "type" : "OperandRef"
@@ -16028,26 +15827,26 @@
                         } ]
                      },
                      "else" : {
-                        "localId" : "5216",
-                        "locator" : "315:8-315:30",
+                        "localId" : "5166",
+                        "locator" : "313:8-313:30",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "ToString",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "5213",
-                           "locator" : "315:17-315:29",
+                           "localId" : "5163",
+                           "locator" : "313:17-313:29",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5212",
-                              "locator" : "315:17-315:23",
+                              "localId" : "5162",
+                              "locator" : "313:17-313:23",
                               "resultTypeName" : "{http://hl7.org/fhir}decimal",
                               "path" : "value",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5211",
-                                 "locator" : "315:17",
+                                 "localId" : "5161",
+                                 "locator" : "313:17",
                                  "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                  "name" : "q",
                                  "type" : "OperandRef"
@@ -16059,19 +15858,19 @@
                }
             },
             "operand" : [ {
-               "localId" : "2491",
+               "localId" : "2462",
                "name" : "q",
                "operandTypeSpecifier" : {
-                  "localId" : "2490",
-                  "locator" : "311:32-311:44",
+                  "localId" : "2461",
+                  "locator" : "309:32-309:44",
                   "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                   "name" : "{http://hl7.org/fhir}Quantity",
                   "type" : "NamedTypeSpecifier"
                }
             } ]
          }, {
-            "localId" : "2771",
-            "locator" : "235:1-240:5",
+            "localId" : "2686",
+            "locator" : "233:1-238:5",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
             "name" : "ReferenceRange",
             "context" : "Unfiltered",
@@ -16080,25 +15879,25 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "2771",
+                  "r" : "2686",
                   "s" : [ {
                      "value" : [ "","define function ReferenceRange(o FHIR.Observation):\n  " ]
                   }, {
-                     "r" : "4555",
+                     "r" : "4476",
                      "s" : [ {
-                        "r" : "4555",
+                        "r" : "4476",
                         "s" : [ {
                            "value" : [ "if " ]
                         }, {
-                           "r" : "4556",
+                           "r" : "4477",
                            "s" : [ {
                               "value" : [ "(" ]
                            }, {
-                              "r" : "4556",
+                              "r" : "4477",
                               "s" : [ {
-                                 "r" : "4558",
+                                 "r" : "4479",
                                  "s" : [ {
-                                    "r" : "4557",
+                                    "r" : "4478",
                                     "s" : [ {
                                        "value" : [ "o" ]
                                     } ]
@@ -16108,18 +15907,18 @@
                               }, {
                                  "value" : [ " or " ]
                               }, {
-                                 "r" : "4565",
+                                 "r" : "4486",
                                  "s" : [ {
-                                    "r" : "4560",
+                                    "r" : "4481",
                                     "s" : [ {
-                                       "r" : "4559",
+                                       "r" : "4480",
                                        "s" : [ {
                                           "value" : [ "o" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "4560",
+                                       "r" : "4481",
                                        "s" : [ {
                                           "value" : [ "referenceRange" ]
                                        } ]
@@ -16132,29 +15931,29 @@
                               "value" : [ ")" ]
                            } ]
                         }, {
-                           "r" : "4566",
+                           "r" : "4487",
                            "value" : [ " then ","null","\n  else\n    " ]
                         }, {
-                           "r" : "4611",
+                           "r" : "4532",
                            "s" : [ {
                               "value" : [ "Coalesce","(" ]
                            }, {
-                              "r" : "4588",
+                              "r" : "4509",
                               "s" : [ {
                                  "value" : [ "First","(" ]
                               }, {
-                                 "r" : "4580",
+                                 "r" : "4501",
                                  "s" : [ {
-                                    "r" : "4568",
+                                    "r" : "4489",
                                     "s" : [ {
-                                       "r" : "4567",
+                                       "r" : "4488",
                                        "s" : [ {
                                           "value" : [ "o" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "4568",
+                                       "r" : "4489",
                                        "s" : [ {
                                           "value" : [ "referenceRange" ]
                                        } ]
@@ -16162,7 +15961,7 @@
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "4580",
+                                    "r" : "4501",
                                     "s" : [ {
                                        "value" : [ "text" ]
                                     } ]
@@ -16173,19 +15972,19 @@
                            }, {
                               "value" : [ ",\n      " ]
                            }, {
-                              "r" : "4607",
+                              "r" : "4528",
                               "s" : [ {
-                                 "r" : "4599",
+                                 "r" : "4520",
                                  "s" : [ {
-                                    "r" : "4596",
+                                    "r" : "4517",
                                     "s" : [ {
                                        "value" : [ "ToString","(" ]
                                     }, {
-                                       "r" : "4592",
+                                       "r" : "4513",
                                        "s" : [ {
                                           "value" : [ "ReferenceRangeLow","(" ]
                                        }, {
-                                          "r" : "4591",
+                                          "r" : "4512",
                                           "s" : [ {
                                              "value" : [ "o" ]
                                           } ]
@@ -16198,7 +15997,7 @@
                                  }, {
                                     "value" : [ " + " ]
                                  }, {
-                                    "r" : "4598",
+                                    "r" : "4519",
                                     "s" : [ {
                                        "value" : [ "' - '" ]
                                     } ]
@@ -16206,15 +16005,15 @@
                               }, {
                                  "value" : [ " + " ]
                               }, {
-                                 "r" : "4605",
+                                 "r" : "4526",
                                  "s" : [ {
                                     "value" : [ "ToString","(" ]
                                  }, {
-                                    "r" : "4601",
+                                    "r" : "4522",
                                     "s" : [ {
                                        "value" : [ "ReferenceRangeHigh","(" ]
                                     }, {
-                                       "r" : "4600",
+                                       "r" : "4521",
                                        "s" : [ {
                                           "value" : [ "o" ]
                                        } ]
@@ -16234,52 +16033,52 @@
                }
             } ],
             "expression" : {
-               "localId" : "4555",
-               "locator" : "236:3-240:5",
+               "localId" : "4476",
+               "locator" : "234:3-238:5",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                "type" : "If",
                "condition" : {
-                  "localId" : "4556",
-                  "locator" : "236:6-236:44",
+                  "localId" : "4477",
+                  "locator" : "234:6-234:44",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "type" : "Or",
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "4558",
-                     "locator" : "236:7-236:15",
+                     "localId" : "4479",
+                     "locator" : "234:7-234:15",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "IsNull",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "4557",
-                        "locator" : "236:7",
+                        "localId" : "4478",
+                        "locator" : "234:7",
                         "resultTypeName" : "{http://hl7.org/fhir}Observation",
                         "name" : "o",
                         "type" : "OperandRef"
                      }
                   }, {
-                     "localId" : "4565",
-                     "locator" : "236:20-236:43",
+                     "localId" : "4486",
+                     "locator" : "234:20-234:43",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "IsNull",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "4560",
-                        "locator" : "236:20-236:35",
+                        "localId" : "4481",
+                        "locator" : "234:20-234:35",
                         "path" : "referenceRange",
                         "type" : "Property",
                         "resultTypeSpecifier" : {
-                           "localId" : "4563",
+                           "localId" : "4484",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "4564",
+                              "localId" : "4485",
                               "name" : "{http://hl7.org/fhir}Observation.ReferenceRange",
                               "type" : "NamedTypeSpecifier"
                            }
                         },
                         "source" : {
-                           "localId" : "4559",
-                           "locator" : "236:20",
+                           "localId" : "4480",
+                           "locator" : "234:20",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "name" : "o",
                            "type" : "OperandRef"
@@ -16288,68 +16087,68 @@
                   } ]
                },
                "then" : {
-                  "localId" : "4613",
+                  "localId" : "4534",
                   "asType" : "{urn:hl7-org:elm-types:r1}String",
                   "type" : "As",
                   "signature" : [ ],
                   "operand" : {
-                     "localId" : "4566",
-                     "locator" : "236:51-236:54",
+                     "localId" : "4487",
+                     "locator" : "234:51-234:54",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                      "type" : "Null"
                   }
                },
                "else" : {
-                  "localId" : "4611",
-                  "locator" : "238:5-240:5",
+                  "localId" : "4532",
+                  "locator" : "236:5-238:5",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                   "type" : "Coalesce",
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "4612",
+                     "localId" : "4533",
                      "name" : "ToString",
                      "libraryName" : "FHIRHelpers",
                      "type" : "FunctionRef",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "4588",
-                        "locator" : "238:14-238:41",
+                        "localId" : "4509",
+                        "locator" : "236:14-236:41",
                         "resultTypeName" : "{http://hl7.org/fhir}string",
                         "type" : "First",
                         "signature" : [ ],
                         "source" : {
-                           "localId" : "4580",
-                           "locator" : "238:20-238:40",
+                           "localId" : "4501",
+                           "locator" : "236:20-236:40",
                            "type" : "Query",
                            "resultTypeSpecifier" : {
-                              "localId" : "4584",
+                              "localId" : "4505",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "4585",
+                                 "localId" : "4506",
                                  "name" : "{http://hl7.org/fhir}string",
                                  "type" : "NamedTypeSpecifier"
                               }
                            },
                            "source" : [ {
-                              "localId" : "4579",
+                              "localId" : "4500",
                               "alias" : "$this",
                               "expression" : {
-                                 "localId" : "4568",
-                                 "locator" : "238:20-238:35",
+                                 "localId" : "4489",
+                                 "locator" : "236:20-236:35",
                                  "path" : "referenceRange",
                                  "type" : "Property",
                                  "resultTypeSpecifier" : {
-                                    "localId" : "4571",
+                                    "localId" : "4492",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "4572",
+                                       "localId" : "4493",
                                        "name" : "{http://hl7.org/fhir}Observation.ReferenceRange",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  },
                                  "source" : {
-                                    "localId" : "4567",
-                                    "locator" : "238:20",
+                                    "localId" : "4488",
+                                    "locator" : "236:20",
                                     "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                     "name" : "o",
                                     "type" : "OperandRef"
@@ -16359,19 +16158,19 @@
                            "let" : [ ],
                            "relationship" : [ ],
                            "where" : {
-                              "localId" : "4576",
+                              "localId" : "4497",
                               "type" : "Not",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "4575",
+                                 "localId" : "4496",
                                  "type" : "IsNull",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "4574",
+                                    "localId" : "4495",
                                     "path" : "text",
                                     "type" : "Property",
                                     "source" : {
-                                       "localId" : "4573",
+                                       "localId" : "4494",
                                        "name" : "$this",
                                        "type" : "AliasRef"
                                     }
@@ -16379,14 +16178,14 @@
                               }
                            },
                            "return" : {
-                              "localId" : "4581",
+                              "localId" : "4502",
                               "distinct" : false,
                               "expression" : {
-                                 "localId" : "4578",
+                                 "localId" : "4499",
                                  "path" : "text",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "4577",
+                                    "localId" : "4498",
                                     "name" : "$this",
                                     "type" : "AliasRef"
                                  }
@@ -16395,39 +16194,39 @@
                         }
                      } ]
                   }, {
-                     "localId" : "4607",
-                     "locator" : "239:7-239:78",
+                     "localId" : "4528",
+                     "locator" : "237:7-237:78",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "Concatenate",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "4599",
-                        "locator" : "239:7-239:44",
+                        "localId" : "4520",
+                        "locator" : "237:7-237:44",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "Concatenate",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "4596",
-                           "locator" : "239:7-239:36",
+                           "localId" : "4517",
+                           "locator" : "237:7-237:36",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "ToString",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "4597",
+                              "localId" : "4518",
                               "name" : "ToDecimal",
                               "libraryName" : "FHIRHelpers",
                               "type" : "FunctionRef",
                               "signature" : [ ],
                               "operand" : [ {
-                                 "localId" : "4592",
-                                 "locator" : "239:16-239:35",
+                                 "localId" : "4513",
+                                 "locator" : "237:16-237:35",
                                  "resultTypeName" : "{http://hl7.org/fhir}decimal",
                                  "name" : "ReferenceRangeLow",
                                  "type" : "FunctionRef",
                                  "signature" : [ ],
                                  "operand" : [ {
-                                    "localId" : "4591",
-                                    "locator" : "239:34",
+                                    "localId" : "4512",
+                                    "locator" : "237:34",
                                     "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                     "name" : "o",
                                     "type" : "OperandRef"
@@ -16435,35 +16234,35 @@
                               } ]
                            }
                         }, {
-                           "localId" : "4598",
-                           "locator" : "239:40-239:44",
+                           "localId" : "4519",
+                           "locator" : "237:40-237:44",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : " - ",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "4605",
-                        "locator" : "239:48-239:78",
+                        "localId" : "4526",
+                        "locator" : "237:48-237:78",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "ToString",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "4606",
+                           "localId" : "4527",
                            "name" : "ToDecimal",
                            "libraryName" : "FHIRHelpers",
                            "type" : "FunctionRef",
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "4601",
-                              "locator" : "239:57-239:77",
+                              "localId" : "4522",
+                              "locator" : "237:57-237:77",
                               "resultTypeName" : "{http://hl7.org/fhir}decimal",
                               "name" : "ReferenceRangeHigh",
                               "type" : "FunctionRef",
                               "signature" : [ ],
                               "operand" : [ {
-                                 "localId" : "4600",
-                                 "locator" : "239:76",
+                                 "localId" : "4521",
+                                 "locator" : "237:76",
                                  "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                  "name" : "o",
                                  "type" : "OperandRef"
@@ -16475,19 +16274,19 @@
                }
             },
             "operand" : [ {
-               "localId" : "2773",
+               "localId" : "2688",
                "name" : "o",
                "operandTypeSpecifier" : {
-                  "localId" : "2772",
-                  "locator" : "235:34-235:49",
+                  "localId" : "2687",
+                  "locator" : "233:34-233:49",
                   "resultTypeName" : "{http://hl7.org/fhir}Observation",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             } ]
          }, {
-            "localId" : "2812",
-            "locator" : "242:1-243:35",
+            "localId" : "2727",
+            "locator" : "240:1-241:35",
             "resultTypeName" : "{http://hl7.org/fhir}decimal",
             "name" : "ReferenceRangeLow",
             "context" : "Unfiltered",
@@ -16496,30 +16295,30 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "2812",
+                  "r" : "2727",
                   "s" : [ {
                      "value" : [ "","define function ReferenceRangeLow(o FHIR.Observation):\n  " ]
                   }, {
-                     "r" : "4624",
+                     "r" : "4545",
                      "s" : [ {
-                        "r" : "4624",
+                        "r" : "4545",
                         "s" : [ {
-                           "r" : "4623",
+                           "r" : "4544",
                            "s" : [ {
-                              "r" : "4622",
+                              "r" : "4543",
                               "s" : [ {
                                  "value" : [ "First","(" ]
                               }, {
-                                 "r" : "4615",
+                                 "r" : "4536",
                                  "s" : [ {
-                                    "r" : "4614",
+                                    "r" : "4535",
                                     "s" : [ {
                                        "value" : [ "o" ]
                                     } ]
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "4615",
+                                    "r" : "4536",
                                     "s" : [ {
                                        "value" : [ "referenceRange" ]
                                     } ]
@@ -16530,7 +16329,7 @@
                            }, {
                               "value" : [ "." ]
                            }, {
-                              "r" : "4623",
+                              "r" : "4544",
                               "s" : [ {
                                  "value" : [ "low" ]
                               } ]
@@ -16538,7 +16337,7 @@
                         }, {
                            "value" : [ "." ]
                         }, {
-                           "r" : "4624",
+                           "r" : "4545",
                            "s" : [ {
                               "value" : [ "value" ]
                            } ]
@@ -16548,40 +16347,40 @@
                }
             } ],
             "expression" : {
-               "localId" : "4624",
-               "locator" : "243:3-243:35",
+               "localId" : "4545",
+               "locator" : "241:3-241:35",
                "resultTypeName" : "{http://hl7.org/fhir}decimal",
                "path" : "value",
                "type" : "Property",
                "source" : {
-                  "localId" : "4623",
-                  "locator" : "243:3-243:29",
+                  "localId" : "4544",
+                  "locator" : "241:3-241:29",
                   "resultTypeName" : "{http://hl7.org/fhir}SimpleQuantity",
                   "path" : "low",
                   "type" : "Property",
                   "source" : {
-                     "localId" : "4622",
-                     "locator" : "243:3-243:25",
+                     "localId" : "4543",
+                     "locator" : "241:3-241:25",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation.ReferenceRange",
                      "type" : "First",
                      "signature" : [ ],
                      "source" : {
-                        "localId" : "4615",
-                        "locator" : "243:9-243:24",
+                        "localId" : "4536",
+                        "locator" : "241:9-241:24",
                         "path" : "referenceRange",
                         "type" : "Property",
                         "resultTypeSpecifier" : {
-                           "localId" : "4618",
+                           "localId" : "4539",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "4619",
+                              "localId" : "4540",
                               "name" : "{http://hl7.org/fhir}Observation.ReferenceRange",
                               "type" : "NamedTypeSpecifier"
                            }
                         },
                         "source" : {
-                           "localId" : "4614",
-                           "locator" : "243:9",
+                           "localId" : "4535",
+                           "locator" : "241:9",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "name" : "o",
                            "type" : "OperandRef"
@@ -16591,19 +16390,19 @@
                }
             },
             "operand" : [ {
-               "localId" : "2814",
+               "localId" : "2729",
                "name" : "o",
                "operandTypeSpecifier" : {
-                  "localId" : "2813",
-                  "locator" : "242:37-242:52",
+                  "localId" : "2728",
+                  "locator" : "240:37-240:52",
                   "resultTypeName" : "{http://hl7.org/fhir}Observation",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             } ]
          }, {
-            "localId" : "2835",
-            "locator" : "245:1-246:36",
+            "localId" : "2750",
+            "locator" : "243:1-244:36",
             "resultTypeName" : "{http://hl7.org/fhir}decimal",
             "name" : "ReferenceRangeHigh",
             "context" : "Unfiltered",
@@ -16612,30 +16411,30 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "2835",
+                  "r" : "2750",
                   "s" : [ {
                      "value" : [ "","define function ReferenceRangeHigh(o FHIR.Observation):\n  " ]
                   }, {
-                     "r" : "4635",
+                     "r" : "4556",
                      "s" : [ {
-                        "r" : "4635",
+                        "r" : "4556",
                         "s" : [ {
-                           "r" : "4634",
+                           "r" : "4555",
                            "s" : [ {
-                              "r" : "4633",
+                              "r" : "4554",
                               "s" : [ {
                                  "value" : [ "First","(" ]
                               }, {
-                                 "r" : "4626",
+                                 "r" : "4547",
                                  "s" : [ {
-                                    "r" : "4625",
+                                    "r" : "4546",
                                     "s" : [ {
                                        "value" : [ "o" ]
                                     } ]
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "4626",
+                                    "r" : "4547",
                                     "s" : [ {
                                        "value" : [ "referenceRange" ]
                                     } ]
@@ -16646,7 +16445,7 @@
                            }, {
                               "value" : [ "." ]
                            }, {
-                              "r" : "4634",
+                              "r" : "4555",
                               "s" : [ {
                                  "value" : [ "high" ]
                               } ]
@@ -16654,7 +16453,7 @@
                         }, {
                            "value" : [ "." ]
                         }, {
-                           "r" : "4635",
+                           "r" : "4556",
                            "s" : [ {
                               "value" : [ "value" ]
                            } ]
@@ -16664,40 +16463,40 @@
                }
             } ],
             "expression" : {
-               "localId" : "4635",
-               "locator" : "246:3-246:36",
+               "localId" : "4556",
+               "locator" : "244:3-244:36",
                "resultTypeName" : "{http://hl7.org/fhir}decimal",
                "path" : "value",
                "type" : "Property",
                "source" : {
-                  "localId" : "4634",
-                  "locator" : "246:3-246:30",
+                  "localId" : "4555",
+                  "locator" : "244:3-244:30",
                   "resultTypeName" : "{http://hl7.org/fhir}SimpleQuantity",
                   "path" : "high",
                   "type" : "Property",
                   "source" : {
-                     "localId" : "4633",
-                     "locator" : "246:3-246:25",
+                     "localId" : "4554",
+                     "locator" : "244:3-244:25",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation.ReferenceRange",
                      "type" : "First",
                      "signature" : [ ],
                      "source" : {
-                        "localId" : "4626",
-                        "locator" : "246:9-246:24",
+                        "localId" : "4547",
+                        "locator" : "244:9-244:24",
                         "path" : "referenceRange",
                         "type" : "Property",
                         "resultTypeSpecifier" : {
-                           "localId" : "4629",
+                           "localId" : "4550",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "4630",
+                              "localId" : "4551",
                               "name" : "{http://hl7.org/fhir}Observation.ReferenceRange",
                               "type" : "NamedTypeSpecifier"
                            }
                         },
                         "source" : {
-                           "localId" : "4625",
-                           "locator" : "246:9",
+                           "localId" : "4546",
+                           "locator" : "244:9",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "name" : "o",
                            "type" : "OperandRef"
@@ -16707,19 +16506,19 @@
                }
             },
             "operand" : [ {
-               "localId" : "2837",
+               "localId" : "2752",
                "name" : "o",
                "operandTypeSpecifier" : {
-                  "localId" : "2836",
-                  "locator" : "245:38-245:53",
+                  "localId" : "2751",
+                  "locator" : "243:38-243:53",
                   "resultTypeName" : "{http://hl7.org/fhir}Observation",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             } ]
          }, {
-            "localId" : "2863",
-            "locator" : "253:1-262:8",
+            "localId" : "2778",
+            "locator" : "251:1-260:8",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
             "name" : "Interpretation",
             "context" : "Unfiltered",
@@ -16728,32 +16527,32 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "2863",
+                  "r" : "2778",
                   "s" : [ {
                      "value" : [ "","define function Interpretation(o FHIR.Observation):\n  " ]
                   }, {
-                     "r" : "4752",
+                     "r" : "4673",
                      "s" : [ {
-                        "r" : "4752",
+                        "r" : "4673",
                         "s" : [ {
                            "value" : [ "if " ]
                         }, {
-                           "r" : "4760",
+                           "r" : "4681",
                            "s" : [ {
                               "value" : [ "(" ]
                            }, {
-                              "r" : "4760",
+                              "r" : "4681",
                               "s" : [ {
-                                 "r" : "4754",
+                                 "r" : "4675",
                                  "s" : [ {
-                                    "r" : "4753",
+                                    "r" : "4674",
                                     "s" : [ {
                                        "value" : [ "o" ]
                                     } ]
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "4754",
+                                    "r" : "4675",
                                     "s" : [ {
                                        "value" : [ "interpretation" ]
                                     } ]
@@ -16767,26 +16566,26 @@
                         }, {
                            "value" : [ " then\n    " ]
                         }, {
-                           "r" : "4815",
+                           "r" : "4736",
                            "s" : [ {
                               "value" : [ "Coalesce","(" ]
                            }, {
-                              "r" : "4782",
+                              "r" : "4703",
                               "s" : [ {
                                  "value" : [ "First","(" ]
                               }, {
-                                 "r" : "4774",
+                                 "r" : "4695",
                                  "s" : [ {
-                                    "r" : "4762",
+                                    "r" : "4683",
                                     "s" : [ {
-                                       "r" : "4761",
+                                       "r" : "4682",
                                        "s" : [ {
                                           "value" : [ "o" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "4762",
+                                       "r" : "4683",
                                        "s" : [ {
                                           "value" : [ "interpretation" ]
                                        } ]
@@ -16794,7 +16593,7 @@
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "4774",
+                                    "r" : "4695",
                                     "s" : [ {
                                        "value" : [ "text" ]
                                     } ]
@@ -16805,28 +16604,28 @@
                            }, {
                               "value" : [ ", " ]
                            }, {
-                              "r" : "4812",
+                              "r" : "4733",
                               "s" : [ {
                                  "value" : [ "First","(" ]
                               }, {
-                                 "r" : "4804",
+                                 "r" : "4725",
                                  "s" : [ {
-                                    "r" : "4792",
+                                    "r" : "4713",
                                     "s" : [ {
-                                       "r" : "4791",
+                                       "r" : "4712",
                                        "s" : [ {
                                           "value" : [ "First","(" ]
                                        }, {
-                                          "r" : "4784",
+                                          "r" : "4705",
                                           "s" : [ {
-                                             "r" : "4783",
+                                             "r" : "4704",
                                              "s" : [ {
                                                 "value" : [ "o" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "4784",
+                                             "r" : "4705",
                                              "s" : [ {
                                                 "value" : [ "interpretation" ]
                                              } ]
@@ -16837,7 +16636,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "4792",
+                                       "r" : "4713",
                                        "s" : [ {
                                           "value" : [ "coding" ]
                                        } ]
@@ -16845,7 +16644,7 @@
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "4804",
+                                    "r" : "4725",
                                     "s" : [ {
                                        "value" : [ "display" ]
                                     } ]
@@ -16859,50 +16658,87 @@
                         }, {
                            "value" : [ "\n  else " ]
                         }, {
-                           "r" : "4816",
+                           "r" : "4737",
                            "s" : [ {
                               "value" : [ "if " ]
                            }, {
-                              "r" : "4824",
+                              "r" : "4738",
                               "s" : [ {
-                                 "r" : "4818",
+                                 "r" : "4746",
                                  "s" : [ {
-                                    "r" : "4817",
+                                    "r" : "4740",
                                     "s" : [ {
-                                       "value" : [ "o" ]
+                                       "r" : "4739",
+                                       "s" : [ {
+                                          "value" : [ "o" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "4740",
+                                       "s" : [ {
+                                          "value" : [ "referenceRange" ]
+                                       } ]
                                     } ]
                                  }, {
-                                    "value" : [ "." ]
+                                    "value" : [ " is not null" ]
+                                 } ]
+                              }, {
+                                 "value" : [ " and " ]
+                              }, {
+                                 "r" : "4747",
+                                 "s" : [ {
+                                    "value" : [ "(" ]
                                  }, {
-                                    "r" : "4818",
+                                    "r" : "4747",
                                     "s" : [ {
-                                       "value" : [ "referenceRange" ]
+                                       "r" : "4749",
+                                       "s" : [ {
+                                          "r" : "4748",
+                                          "s" : [ {
+                                             "value" : [ "o" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ "." ]
+                                       }, {
+                                          "r" : "4749",
+                                          "s" : [ {
+                                             "value" : [ "value" ]
+                                          } ]
+                                       } ]
+                                    }, {
+                                       "value" : [ " is " ]
+                                    }, {
+                                       "r" : "4774",
+                                       "s" : [ {
+                                          "value" : [ "FHIR",".","Quantity" ]
+                                       } ]
                                     } ]
+                                 }, {
+                                    "value" : [ ")" ]
                                  } ]
-                              }, {
-                                 "value" : [ " is not null" ]
                               } ]
                            }, {
                               "value" : [ " then\n    // Derive interpretation from the reference range, return null if within normal range.\n    " ]
                            }, {
-                              "r" : "4825",
+                              "r" : "4775",
                               "s" : [ {
                                  "value" : [ "if " ]
                               }, {
-                                 "r" : "4826",
+                                 "r" : "4776",
                                  "s" : [ {
-                                    "r" : "4853",
+                                    "r" : "4803",
                                     "s" : [ {
-                                       "r" : "4828",
+                                       "r" : "4778",
                                        "s" : [ {
-                                          "r" : "4827",
+                                          "r" : "4777",
                                           "s" : [ {
                                              "value" : [ "o" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "4828",
+                                          "r" : "4778",
                                           "s" : [ {
                                              "value" : [ "value" ]
                                           } ]
@@ -16910,7 +16746,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "4853",
+                                       "r" : "4803",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -16918,11 +16754,11 @@
                                  }, {
                                     "value" : [ " ","<"," " ]
                                  }, {
-                                    "r" : "4869",
+                                    "r" : "4819",
                                     "s" : [ {
                                        "value" : [ "ReferenceRangeLow","(" ]
                                     }, {
-                                       "r" : "4868",
+                                       "r" : "4818",
                                        "s" : [ {
                                           "value" : [ "o" ]
                                        } ]
@@ -16933,31 +16769,31 @@
                               }, {
                                  "value" : [ " then " ]
                               }, {
-                                 "r" : "4882",
+                                 "r" : "4832",
                                  "s" : [ {
                                     "value" : [ "'Low'" ]
                                  } ]
                               }, {
                                  "value" : [ "\n    else " ]
                               }, {
-                                 "r" : "4883",
+                                 "r" : "4833",
                                  "s" : [ {
                                     "value" : [ "if " ]
                                  }, {
-                                    "r" : "4884",
+                                    "r" : "4834",
                                     "s" : [ {
-                                       "r" : "4911",
+                                       "r" : "4861",
                                        "s" : [ {
-                                          "r" : "4886",
+                                          "r" : "4836",
                                           "s" : [ {
-                                             "r" : "4885",
+                                             "r" : "4835",
                                              "s" : [ {
                                                 "value" : [ "o" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "4886",
+                                             "r" : "4836",
                                              "s" : [ {
                                                 "value" : [ "value" ]
                                              } ]
@@ -16965,7 +16801,7 @@
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "4911",
+                                          "r" : "4861",
                                           "s" : [ {
                                              "value" : [ "value" ]
                                           } ]
@@ -16973,11 +16809,11 @@
                                     }, {
                                        "value" : [ " ",">"," " ]
                                     }, {
-                                       "r" : "4927",
+                                       "r" : "4877",
                                        "s" : [ {
                                           "value" : [ "ReferenceRangeHigh","(" ]
                                        }, {
-                                          "r" : "4926",
+                                          "r" : "4876",
                                           "s" : [ {
                                              "value" : [ "o" ]
                                           } ]
@@ -16988,17 +16824,17 @@
                                  }, {
                                     "value" : [ " then " ]
                                  }, {
-                                    "r" : "4940",
+                                    "r" : "4890",
                                     "s" : [ {
                                        "value" : [ "'High'" ]
                                     } ]
                                  }, {
-                                    "r" : "4941",
+                                    "r" : "4891",
                                     "value" : [ "\n    else ","null" ]
                                  } ]
                               } ]
                            }, {
-                              "r" : "4943",
+                              "r" : "4893",
                               "value" : [ "\n  else\n    ","null" ]
                            } ]
                         } ]
@@ -17007,39 +16843,39 @@
                }
             } ],
             "expression" : {
-               "localId" : "4752",
-               "locator" : "254:3-262:8",
+               "localId" : "4673",
+               "locator" : "252:3-260:8",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                "type" : "If",
                "condition" : {
-                  "localId" : "4760",
-                  "locator" : "254:6-254:35",
+                  "localId" : "4681",
+                  "locator" : "252:6-252:35",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "type" : "Not",
                   "signature" : [ ],
                   "operand" : {
-                     "localId" : "4759",
-                     "locator" : "254:7-254:34",
+                     "localId" : "4680",
+                     "locator" : "252:7-252:34",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "IsNull",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "4754",
-                        "locator" : "254:7-254:22",
+                        "localId" : "4675",
+                        "locator" : "252:7-252:22",
                         "path" : "interpretation",
                         "type" : "Property",
                         "resultTypeSpecifier" : {
-                           "localId" : "4757",
+                           "localId" : "4678",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "4758",
+                              "localId" : "4679",
                               "name" : "{http://hl7.org/fhir}CodeableConcept",
                               "type" : "NamedTypeSpecifier"
                            }
                         },
                         "source" : {
-                           "localId" : "4753",
-                           "locator" : "254:7",
+                           "localId" : "4674",
+                           "locator" : "252:7",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "name" : "o",
                            "type" : "OperandRef"
@@ -17048,56 +16884,56 @@
                   }
                },
                "then" : {
-                  "localId" : "4945",
+                  "localId" : "4895",
                   "name" : "ToString",
                   "libraryName" : "FHIRHelpers",
                   "type" : "FunctionRef",
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "4815",
-                     "locator" : "255:5-255:89",
+                     "localId" : "4736",
+                     "locator" : "253:5-253:89",
                      "resultTypeName" : "{http://hl7.org/fhir}string",
                      "type" : "Coalesce",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "4782",
-                        "locator" : "255:14-255:41",
+                        "localId" : "4703",
+                        "locator" : "253:14-253:41",
                         "resultTypeName" : "{http://hl7.org/fhir}string",
                         "type" : "First",
                         "signature" : [ ],
                         "source" : {
-                           "localId" : "4774",
-                           "locator" : "255:20-255:40",
+                           "localId" : "4695",
+                           "locator" : "253:20-253:40",
                            "type" : "Query",
                            "resultTypeSpecifier" : {
-                              "localId" : "4778",
+                              "localId" : "4699",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "4779",
+                                 "localId" : "4700",
                                  "name" : "{http://hl7.org/fhir}string",
                                  "type" : "NamedTypeSpecifier"
                               }
                            },
                            "source" : [ {
-                              "localId" : "4773",
+                              "localId" : "4694",
                               "alias" : "$this",
                               "expression" : {
-                                 "localId" : "4762",
-                                 "locator" : "255:20-255:35",
+                                 "localId" : "4683",
+                                 "locator" : "253:20-253:35",
                                  "path" : "interpretation",
                                  "type" : "Property",
                                  "resultTypeSpecifier" : {
-                                    "localId" : "4765",
+                                    "localId" : "4686",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "4766",
+                                       "localId" : "4687",
                                        "name" : "{http://hl7.org/fhir}CodeableConcept",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  },
                                  "source" : {
-                                    "localId" : "4761",
-                                    "locator" : "255:20",
+                                    "localId" : "4682",
+                                    "locator" : "253:20",
                                     "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                     "name" : "o",
                                     "type" : "OperandRef"
@@ -17107,19 +16943,19 @@
                            "let" : [ ],
                            "relationship" : [ ],
                            "where" : {
-                              "localId" : "4770",
+                              "localId" : "4691",
                               "type" : "Not",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "4769",
+                                 "localId" : "4690",
                                  "type" : "IsNull",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "4768",
+                                    "localId" : "4689",
                                     "path" : "text",
                                     "type" : "Property",
                                     "source" : {
-                                       "localId" : "4767",
+                                       "localId" : "4688",
                                        "name" : "$this",
                                        "type" : "AliasRef"
                                     }
@@ -17127,14 +16963,14 @@
                               }
                            },
                            "return" : {
-                              "localId" : "4775",
+                              "localId" : "4696",
                               "distinct" : false,
                               "expression" : {
-                                 "localId" : "4772",
+                                 "localId" : "4693",
                                  "path" : "text",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "4771",
+                                    "localId" : "4692",
                                     "name" : "$this",
                                     "type" : "AliasRef"
                                  }
@@ -17142,64 +16978,64 @@
                            }
                         }
                      }, {
-                        "localId" : "4812",
-                        "locator" : "255:44-255:88",
+                        "localId" : "4733",
+                        "locator" : "253:44-253:88",
                         "resultTypeName" : "{http://hl7.org/fhir}string",
                         "type" : "First",
                         "signature" : [ ],
                         "source" : {
-                           "localId" : "4804",
-                           "locator" : "255:50-255:87",
+                           "localId" : "4725",
+                           "locator" : "253:50-253:87",
                            "type" : "Query",
                            "resultTypeSpecifier" : {
-                              "localId" : "4808",
+                              "localId" : "4729",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "4809",
+                                 "localId" : "4730",
                                  "name" : "{http://hl7.org/fhir}string",
                                  "type" : "NamedTypeSpecifier"
                               }
                            },
                            "source" : [ {
-                              "localId" : "4803",
+                              "localId" : "4724",
                               "alias" : "$this",
                               "expression" : {
-                                 "localId" : "4792",
-                                 "locator" : "255:50-255:79",
+                                 "localId" : "4713",
+                                 "locator" : "253:50-253:79",
                                  "path" : "coding",
                                  "type" : "Property",
                                  "resultTypeSpecifier" : {
-                                    "localId" : "4795",
+                                    "localId" : "4716",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "4796",
+                                       "localId" : "4717",
                                        "name" : "{http://hl7.org/fhir}Coding",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  },
                                  "source" : {
-                                    "localId" : "4791",
-                                    "locator" : "255:50-255:72",
+                                    "localId" : "4712",
+                                    "locator" : "253:50-253:72",
                                     "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                                     "type" : "First",
                                     "signature" : [ ],
                                     "source" : {
-                                       "localId" : "4784",
-                                       "locator" : "255:56-255:71",
+                                       "localId" : "4705",
+                                       "locator" : "253:56-253:71",
                                        "path" : "interpretation",
                                        "type" : "Property",
                                        "resultTypeSpecifier" : {
-                                          "localId" : "4787",
+                                          "localId" : "4708",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4788",
+                                             "localId" : "4709",
                                              "name" : "{http://hl7.org/fhir}CodeableConcept",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        },
                                        "source" : {
-                                          "localId" : "4783",
-                                          "locator" : "255:56",
+                                          "localId" : "4704",
+                                          "locator" : "253:56",
                                           "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                           "name" : "o",
                                           "type" : "OperandRef"
@@ -17211,19 +17047,19 @@
                            "let" : [ ],
                            "relationship" : [ ],
                            "where" : {
-                              "localId" : "4800",
+                              "localId" : "4721",
                               "type" : "Not",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "4799",
+                                 "localId" : "4720",
                                  "type" : "IsNull",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "4798",
+                                    "localId" : "4719",
                                     "path" : "display",
                                     "type" : "Property",
                                     "source" : {
-                                       "localId" : "4797",
+                                       "localId" : "4718",
                                        "name" : "$this",
                                        "type" : "AliasRef"
                                     }
@@ -17231,14 +17067,14 @@
                               }
                            },
                            "return" : {
-                              "localId" : "4805",
+                              "localId" : "4726",
                               "distinct" : false,
                               "expression" : {
-                                 "localId" : "4802",
+                                 "localId" : "4723",
                                  "path" : "display",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "4801",
+                                    "localId" : "4722",
                                     "name" : "$this",
                                     "type" : "AliasRef"
                                  }
@@ -17249,160 +17085,243 @@
                   } ]
                },
                "else" : {
-                  "localId" : "4816",
-                  "locator" : "256:8-262:8",
+                  "localId" : "4737",
+                  "locator" : "254:8-260:8",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                   "type" : "If",
                   "condition" : {
-                     "localId" : "4824",
-                     "locator" : "256:11-256:38",
+                     "localId" : "4738",
+                     "locator" : "254:11-254:69",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
-                     "type" : "Not",
+                     "type" : "And",
                      "signature" : [ ],
-                     "operand" : {
-                        "localId" : "4823",
-                        "locator" : "256:11-256:38",
+                     "operand" : [ {
+                        "localId" : "4746",
+                        "locator" : "254:11-254:38",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
-                        "type" : "IsNull",
+                        "type" : "Not",
+                        "signature" : [ ],
+                        "operand" : {
+                           "localId" : "4745",
+                           "locator" : "254:11-254:38",
+                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
+                           "type" : "IsNull",
+                           "signature" : [ ],
+                           "operand" : {
+                              "localId" : "4740",
+                              "locator" : "254:11-254:26",
+                              "path" : "referenceRange",
+                              "type" : "Property",
+                              "resultTypeSpecifier" : {
+                                 "localId" : "4743",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "4744",
+                                    "name" : "{http://hl7.org/fhir}Observation.ReferenceRange",
+                                    "type" : "NamedTypeSpecifier"
+                                 }
+                              },
+                              "source" : {
+                                 "localId" : "4739",
+                                 "locator" : "254:11",
+                                 "resultTypeName" : "{http://hl7.org/fhir}Observation",
+                                 "name" : "o",
+                                 "type" : "OperandRef"
+                              }
+                           }
+                        }
+                     }, {
+                        "localId" : "4747",
+                        "locator" : "254:44-254:69",
+                        "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
+                        "type" : "Is",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "4818",
-                           "locator" : "256:11-256:26",
-                           "path" : "referenceRange",
+                           "localId" : "4749",
+                           "locator" : "254:45-254:51",
+                           "path" : "value",
                            "type" : "Property",
                            "resultTypeSpecifier" : {
-                              "localId" : "4821",
-                              "type" : "ListTypeSpecifier",
-                              "elementType" : {
-                                 "localId" : "4822",
-                                 "name" : "{http://hl7.org/fhir}Observation.ReferenceRange",
+                              "localId" : "4762",
+                              "type" : "ChoiceTypeSpecifier",
+                              "type" : [ ],
+                              "choice" : [ {
+                                 "localId" : "4763",
+                                 "name" : "{http://hl7.org/fhir}Quantity",
                                  "type" : "NamedTypeSpecifier"
-                              }
+                              }, {
+                                 "localId" : "4764",
+                                 "name" : "{http://hl7.org/fhir}CodeableConcept",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4765",
+                                 "name" : "{http://hl7.org/fhir}string",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4766",
+                                 "name" : "{http://hl7.org/fhir}boolean",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4767",
+                                 "name" : "{http://hl7.org/fhir}integer",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4768",
+                                 "name" : "{http://hl7.org/fhir}Range",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4769",
+                                 "name" : "{http://hl7.org/fhir}Ratio",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4770",
+                                 "name" : "{http://hl7.org/fhir}SampledData",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4771",
+                                 "name" : "{http://hl7.org/fhir}time",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4772",
+                                 "name" : "{http://hl7.org/fhir}dateTime",
+                                 "type" : "NamedTypeSpecifier"
+                              }, {
+                                 "localId" : "4773",
+                                 "name" : "{http://hl7.org/fhir}Period",
+                                 "type" : "NamedTypeSpecifier"
+                              } ]
                            },
                            "source" : {
-                              "localId" : "4817",
-                              "locator" : "256:11",
+                              "localId" : "4748",
+                              "locator" : "254:45",
                               "resultTypeName" : "{http://hl7.org/fhir}Observation",
                               "name" : "o",
                               "type" : "OperandRef"
                            }
+                        },
+                        "isTypeSpecifier" : {
+                           "localId" : "4774",
+                           "locator" : "254:56-254:68",
+                           "resultTypeName" : "{http://hl7.org/fhir}Quantity",
+                           "name" : "{http://hl7.org/fhir}Quantity",
+                           "type" : "NamedTypeSpecifier"
                         }
-                     }
+                     } ]
                   },
                   "then" : {
-                     "localId" : "4825",
-                     "locator" : "258:5-260:13",
+                     "localId" : "4775",
+                     "locator" : "256:5-258:13",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "If",
                      "condition" : {
-                        "localId" : "4826",
-                        "locator" : "258:8-258:43",
+                        "localId" : "4776",
+                        "locator" : "256:8-256:43",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Less",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "4873",
+                           "localId" : "4823",
                            "type" : "Case",
                            "caseItem" : [ {
-                              "localId" : "4874",
+                              "localId" : "4824",
                               "when" : {
-                                 "localId" : "4875",
+                                 "localId" : "4825",
                                  "isType" : "{urn:hl7-org:elm-types:r1}Integer",
                                  "type" : "Is",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "4853",
-                                    "locator" : "258:8-258:20",
+                                    "localId" : "4803",
+                                    "locator" : "256:8-256:20",
                                     "path" : "value",
                                     "type" : "Property",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "4861",
+                                       "localId" : "4811",
                                        "type" : "ChoiceTypeSpecifier",
                                        "type" : [ ],
                                        "choice" : [ {
-                                          "localId" : "4862",
+                                          "localId" : "4812",
                                           "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4863",
+                                          "localId" : "4813",
                                           "name" : "{urn:hl7-org:elm-types:r1}Time",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4864",
+                                          "localId" : "4814",
                                           "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4865",
+                                          "localId" : "4815",
                                           "name" : "{urn:hl7-org:elm-types:r1}Integer",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4866",
+                                          "localId" : "4816",
                                           "name" : "{http://hl7.org/fhir}decimal",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4867",
+                                          "localId" : "4817",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        } ]
                                     },
                                     "source" : {
-                                       "localId" : "4828",
-                                       "locator" : "258:8-258:14",
+                                       "localId" : "4778",
+                                       "locator" : "256:8-256:14",
                                        "path" : "value",
                                        "type" : "Property",
                                        "resultTypeSpecifier" : {
-                                          "localId" : "4841",
+                                          "localId" : "4791",
                                           "type" : "ChoiceTypeSpecifier",
                                           "type" : [ ],
                                           "choice" : [ {
-                                             "localId" : "4842",
+                                             "localId" : "4792",
                                              "name" : "{http://hl7.org/fhir}Quantity",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4843",
+                                             "localId" : "4793",
                                              "name" : "{http://hl7.org/fhir}CodeableConcept",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4844",
+                                             "localId" : "4794",
                                              "name" : "{http://hl7.org/fhir}string",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4845",
+                                             "localId" : "4795",
                                              "name" : "{http://hl7.org/fhir}boolean",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4846",
+                                             "localId" : "4796",
                                              "name" : "{http://hl7.org/fhir}integer",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4847",
+                                             "localId" : "4797",
                                              "name" : "{http://hl7.org/fhir}Range",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4848",
+                                             "localId" : "4798",
                                              "name" : "{http://hl7.org/fhir}Ratio",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4849",
+                                             "localId" : "4799",
                                              "name" : "{http://hl7.org/fhir}SampledData",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4850",
+                                             "localId" : "4800",
                                              "name" : "{http://hl7.org/fhir}time",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4851",
+                                             "localId" : "4801",
                                              "name" : "{http://hl7.org/fhir}dateTime",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4852",
+                                             "localId" : "4802",
                                              "name" : "{http://hl7.org/fhir}Period",
                                              "type" : "NamedTypeSpecifier"
                                           } ]
                                        },
                                        "source" : {
-                                          "localId" : "4827",
-                                          "locator" : "258:8",
+                                          "localId" : "4777",
+                                          "locator" : "256:8",
                                           "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                           "name" : "o",
                                           "type" : "OperandRef"
@@ -17411,107 +17330,107 @@
                                  }
                               },
                               "then" : {
-                                 "localId" : "4872",
+                                 "localId" : "4822",
                                  "type" : "ToDecimal",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "4870",
+                                    "localId" : "4820",
                                     "asType" : "{urn:hl7-org:elm-types:r1}Integer",
                                     "type" : "As",
                                     "signature" : [ ],
                                     "operand" : {
-                                       "localId" : "4853",
-                                       "locator" : "258:8-258:20",
+                                       "localId" : "4803",
+                                       "locator" : "256:8-256:20",
                                        "path" : "value",
                                        "type" : "Property",
                                        "resultTypeSpecifier" : {
-                                          "localId" : "4861",
+                                          "localId" : "4811",
                                           "type" : "ChoiceTypeSpecifier",
                                           "type" : [ ],
                                           "choice" : [ {
-                                             "localId" : "4862",
+                                             "localId" : "4812",
                                              "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4863",
+                                             "localId" : "4813",
                                              "name" : "{urn:hl7-org:elm-types:r1}Time",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4864",
+                                             "localId" : "4814",
                                              "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4865",
+                                             "localId" : "4815",
                                              "name" : "{urn:hl7-org:elm-types:r1}Integer",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4866",
+                                             "localId" : "4816",
                                              "name" : "{http://hl7.org/fhir}decimal",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4867",
+                                             "localId" : "4817",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           } ]
                                        },
                                        "source" : {
-                                          "localId" : "4828",
-                                          "locator" : "258:8-258:14",
+                                          "localId" : "4778",
+                                          "locator" : "256:8-256:14",
                                           "path" : "value",
                                           "type" : "Property",
                                           "resultTypeSpecifier" : {
-                                             "localId" : "4841",
+                                             "localId" : "4791",
                                              "type" : "ChoiceTypeSpecifier",
                                              "type" : [ ],
                                              "choice" : [ {
-                                                "localId" : "4842",
+                                                "localId" : "4792",
                                                 "name" : "{http://hl7.org/fhir}Quantity",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4843",
+                                                "localId" : "4793",
                                                 "name" : "{http://hl7.org/fhir}CodeableConcept",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4844",
+                                                "localId" : "4794",
                                                 "name" : "{http://hl7.org/fhir}string",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4845",
+                                                "localId" : "4795",
                                                 "name" : "{http://hl7.org/fhir}boolean",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4846",
+                                                "localId" : "4796",
                                                 "name" : "{http://hl7.org/fhir}integer",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4847",
+                                                "localId" : "4797",
                                                 "name" : "{http://hl7.org/fhir}Range",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4848",
+                                                "localId" : "4798",
                                                 "name" : "{http://hl7.org/fhir}Ratio",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4849",
+                                                "localId" : "4799",
                                                 "name" : "{http://hl7.org/fhir}SampledData",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4850",
+                                                "localId" : "4800",
                                                 "name" : "{http://hl7.org/fhir}time",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4851",
+                                                "localId" : "4801",
                                                 "name" : "{http://hl7.org/fhir}dateTime",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4852",
+                                                "localId" : "4802",
                                                 "name" : "{http://hl7.org/fhir}Period",
                                                 "type" : "NamedTypeSpecifier"
                                              } ]
                                           },
                                           "source" : {
-                                             "localId" : "4827",
-                                             "locator" : "258:8",
+                                             "localId" : "4777",
+                                             "locator" : "256:8",
                                              "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                              "name" : "o",
                                              "type" : "OperandRef"
@@ -17521,105 +17440,105 @@
                                  }
                               }
                            }, {
-                              "localId" : "4876",
+                              "localId" : "4826",
                               "when" : {
-                                 "localId" : "4877",
+                                 "localId" : "4827",
                                  "isType" : "{http://hl7.org/fhir}decimal",
                                  "type" : "Is",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "4853",
-                                    "locator" : "258:8-258:20",
+                                    "localId" : "4803",
+                                    "locator" : "256:8-256:20",
                                     "path" : "value",
                                     "type" : "Property",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "4861",
+                                       "localId" : "4811",
                                        "type" : "ChoiceTypeSpecifier",
                                        "type" : [ ],
                                        "choice" : [ {
-                                          "localId" : "4862",
+                                          "localId" : "4812",
                                           "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4863",
+                                          "localId" : "4813",
                                           "name" : "{urn:hl7-org:elm-types:r1}Time",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4864",
+                                          "localId" : "4814",
                                           "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4865",
+                                          "localId" : "4815",
                                           "name" : "{urn:hl7-org:elm-types:r1}Integer",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4866",
+                                          "localId" : "4816",
                                           "name" : "{http://hl7.org/fhir}decimal",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4867",
+                                          "localId" : "4817",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        } ]
                                     },
                                     "source" : {
-                                       "localId" : "4828",
-                                       "locator" : "258:8-258:14",
+                                       "localId" : "4778",
+                                       "locator" : "256:8-256:14",
                                        "path" : "value",
                                        "type" : "Property",
                                        "resultTypeSpecifier" : {
-                                          "localId" : "4841",
+                                          "localId" : "4791",
                                           "type" : "ChoiceTypeSpecifier",
                                           "type" : [ ],
                                           "choice" : [ {
-                                             "localId" : "4842",
+                                             "localId" : "4792",
                                              "name" : "{http://hl7.org/fhir}Quantity",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4843",
+                                             "localId" : "4793",
                                              "name" : "{http://hl7.org/fhir}CodeableConcept",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4844",
+                                             "localId" : "4794",
                                              "name" : "{http://hl7.org/fhir}string",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4845",
+                                             "localId" : "4795",
                                              "name" : "{http://hl7.org/fhir}boolean",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4846",
+                                             "localId" : "4796",
                                              "name" : "{http://hl7.org/fhir}integer",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4847",
+                                             "localId" : "4797",
                                              "name" : "{http://hl7.org/fhir}Range",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4848",
+                                             "localId" : "4798",
                                              "name" : "{http://hl7.org/fhir}Ratio",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4849",
+                                             "localId" : "4799",
                                              "name" : "{http://hl7.org/fhir}SampledData",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4850",
+                                             "localId" : "4800",
                                              "name" : "{http://hl7.org/fhir}time",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4851",
+                                             "localId" : "4801",
                                              "name" : "{http://hl7.org/fhir}dateTime",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4852",
+                                             "localId" : "4802",
                                              "name" : "{http://hl7.org/fhir}Period",
                                              "type" : "NamedTypeSpecifier"
                                           } ]
                                        },
                                        "source" : {
-                                          "localId" : "4827",
-                                          "locator" : "258:8",
+                                          "localId" : "4777",
+                                          "locator" : "256:8",
                                           "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                           "name" : "o",
                                           "type" : "OperandRef"
@@ -17628,109 +17547,109 @@
                                  }
                               },
                               "then" : {
-                                 "localId" : "4879",
+                                 "localId" : "4829",
                                  "name" : "ToDecimal",
                                  "libraryName" : "FHIRHelpers",
                                  "type" : "FunctionRef",
                                  "signature" : [ ],
                                  "operand" : [ {
-                                    "localId" : "4878",
+                                    "localId" : "4828",
                                     "asType" : "{http://hl7.org/fhir}decimal",
                                     "type" : "As",
                                     "signature" : [ ],
                                     "operand" : {
-                                       "localId" : "4853",
-                                       "locator" : "258:8-258:20",
+                                       "localId" : "4803",
+                                       "locator" : "256:8-256:20",
                                        "path" : "value",
                                        "type" : "Property",
                                        "resultTypeSpecifier" : {
-                                          "localId" : "4861",
+                                          "localId" : "4811",
                                           "type" : "ChoiceTypeSpecifier",
                                           "type" : [ ],
                                           "choice" : [ {
-                                             "localId" : "4862",
+                                             "localId" : "4812",
                                              "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4863",
+                                             "localId" : "4813",
                                              "name" : "{urn:hl7-org:elm-types:r1}Time",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4864",
+                                             "localId" : "4814",
                                              "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4865",
+                                             "localId" : "4815",
                                              "name" : "{urn:hl7-org:elm-types:r1}Integer",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4866",
+                                             "localId" : "4816",
                                              "name" : "{http://hl7.org/fhir}decimal",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4867",
+                                             "localId" : "4817",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           } ]
                                        },
                                        "source" : {
-                                          "localId" : "4828",
-                                          "locator" : "258:8-258:14",
+                                          "localId" : "4778",
+                                          "locator" : "256:8-256:14",
                                           "path" : "value",
                                           "type" : "Property",
                                           "resultTypeSpecifier" : {
-                                             "localId" : "4841",
+                                             "localId" : "4791",
                                              "type" : "ChoiceTypeSpecifier",
                                              "type" : [ ],
                                              "choice" : [ {
-                                                "localId" : "4842",
+                                                "localId" : "4792",
                                                 "name" : "{http://hl7.org/fhir}Quantity",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4843",
+                                                "localId" : "4793",
                                                 "name" : "{http://hl7.org/fhir}CodeableConcept",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4844",
+                                                "localId" : "4794",
                                                 "name" : "{http://hl7.org/fhir}string",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4845",
+                                                "localId" : "4795",
                                                 "name" : "{http://hl7.org/fhir}boolean",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4846",
+                                                "localId" : "4796",
                                                 "name" : "{http://hl7.org/fhir}integer",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4847",
+                                                "localId" : "4797",
                                                 "name" : "{http://hl7.org/fhir}Range",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4848",
+                                                "localId" : "4798",
                                                 "name" : "{http://hl7.org/fhir}Ratio",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4849",
+                                                "localId" : "4799",
                                                 "name" : "{http://hl7.org/fhir}SampledData",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4850",
+                                                "localId" : "4800",
                                                 "name" : "{http://hl7.org/fhir}time",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4851",
+                                                "localId" : "4801",
                                                 "name" : "{http://hl7.org/fhir}dateTime",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4852",
+                                                "localId" : "4802",
                                                 "name" : "{http://hl7.org/fhir}Period",
                                                 "type" : "NamedTypeSpecifier"
                                              } ]
                                           },
                                           "source" : {
-                                             "localId" : "4827",
-                                             "locator" : "258:8",
+                                             "localId" : "4777",
+                                             "locator" : "256:8",
                                              "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                              "name" : "o",
                                              "type" : "OperandRef"
@@ -17741,26 +17660,26 @@
                               }
                            } ],
                            "else" : {
-                              "localId" : "4880",
+                              "localId" : "4830",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                               "type" : "Null"
                            }
                         }, {
-                           "localId" : "4881",
+                           "localId" : "4831",
                            "name" : "ToDecimal",
                            "libraryName" : "FHIRHelpers",
                            "type" : "FunctionRef",
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "4869",
-                              "locator" : "258:24-258:43",
+                              "localId" : "4819",
+                              "locator" : "256:24-256:43",
                               "resultTypeName" : "{http://hl7.org/fhir}decimal",
                               "name" : "ReferenceRangeLow",
                               "type" : "FunctionRef",
                               "signature" : [ ],
                               "operand" : [ {
-                                 "localId" : "4868",
-                                 "locator" : "258:42",
+                                 "localId" : "4818",
+                                 "locator" : "256:42",
                                  "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                  "name" : "o",
                                  "type" : "OperandRef"
@@ -17769,127 +17688,127 @@
                         } ]
                      },
                      "then" : {
-                        "localId" : "4882",
-                        "locator" : "258:50-258:54",
+                        "localId" : "4832",
+                        "locator" : "256:50-256:54",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "valueType" : "{urn:hl7-org:elm-types:r1}String",
                         "value" : "Low",
                         "type" : "Literal"
                      },
                      "else" : {
-                        "localId" : "4883",
-                        "locator" : "259:10-260:13",
+                        "localId" : "4833",
+                        "locator" : "257:10-258:13",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "If",
                         "condition" : {
-                           "localId" : "4884",
-                           "locator" : "259:13-259:49",
+                           "localId" : "4834",
+                           "locator" : "257:13-257:49",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                            "type" : "Greater",
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "4931",
+                              "localId" : "4881",
                               "type" : "Case",
                               "caseItem" : [ {
-                                 "localId" : "4932",
+                                 "localId" : "4882",
                                  "when" : {
-                                    "localId" : "4933",
+                                    "localId" : "4883",
                                     "isType" : "{urn:hl7-org:elm-types:r1}Integer",
                                     "type" : "Is",
                                     "signature" : [ ],
                                     "operand" : {
-                                       "localId" : "4911",
-                                       "locator" : "259:13-259:25",
+                                       "localId" : "4861",
+                                       "locator" : "257:13-257:25",
                                        "path" : "value",
                                        "type" : "Property",
                                        "resultTypeSpecifier" : {
-                                          "localId" : "4919",
+                                          "localId" : "4869",
                                           "type" : "ChoiceTypeSpecifier",
                                           "type" : [ ],
                                           "choice" : [ {
-                                             "localId" : "4920",
+                                             "localId" : "4870",
                                              "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4921",
+                                             "localId" : "4871",
                                              "name" : "{urn:hl7-org:elm-types:r1}Time",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4922",
+                                             "localId" : "4872",
                                              "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4923",
+                                             "localId" : "4873",
                                              "name" : "{urn:hl7-org:elm-types:r1}Integer",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4924",
+                                             "localId" : "4874",
                                              "name" : "{http://hl7.org/fhir}decimal",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4925",
+                                             "localId" : "4875",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           } ]
                                        },
                                        "source" : {
-                                          "localId" : "4886",
-                                          "locator" : "259:13-259:19",
+                                          "localId" : "4836",
+                                          "locator" : "257:13-257:19",
                                           "path" : "value",
                                           "type" : "Property",
                                           "resultTypeSpecifier" : {
-                                             "localId" : "4899",
+                                             "localId" : "4849",
                                              "type" : "ChoiceTypeSpecifier",
                                              "type" : [ ],
                                              "choice" : [ {
-                                                "localId" : "4900",
+                                                "localId" : "4850",
                                                 "name" : "{http://hl7.org/fhir}Quantity",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4901",
+                                                "localId" : "4851",
                                                 "name" : "{http://hl7.org/fhir}CodeableConcept",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4902",
+                                                "localId" : "4852",
                                                 "name" : "{http://hl7.org/fhir}string",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4903",
+                                                "localId" : "4853",
                                                 "name" : "{http://hl7.org/fhir}boolean",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4904",
+                                                "localId" : "4854",
                                                 "name" : "{http://hl7.org/fhir}integer",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4905",
+                                                "localId" : "4855",
                                                 "name" : "{http://hl7.org/fhir}Range",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4906",
+                                                "localId" : "4856",
                                                 "name" : "{http://hl7.org/fhir}Ratio",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4907",
+                                                "localId" : "4857",
                                                 "name" : "{http://hl7.org/fhir}SampledData",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4908",
+                                                "localId" : "4858",
                                                 "name" : "{http://hl7.org/fhir}time",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4909",
+                                                "localId" : "4859",
                                                 "name" : "{http://hl7.org/fhir}dateTime",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4910",
+                                                "localId" : "4860",
                                                 "name" : "{http://hl7.org/fhir}Period",
                                                 "type" : "NamedTypeSpecifier"
                                              } ]
                                           },
                                           "source" : {
-                                             "localId" : "4885",
-                                             "locator" : "259:13",
+                                             "localId" : "4835",
+                                             "locator" : "257:13",
                                              "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                              "name" : "o",
                                              "type" : "OperandRef"
@@ -17898,107 +17817,107 @@
                                     }
                                  },
                                  "then" : {
-                                    "localId" : "4930",
+                                    "localId" : "4880",
                                     "type" : "ToDecimal",
                                     "signature" : [ ],
                                     "operand" : {
-                                       "localId" : "4928",
+                                       "localId" : "4878",
                                        "asType" : "{urn:hl7-org:elm-types:r1}Integer",
                                        "type" : "As",
                                        "signature" : [ ],
                                        "operand" : {
-                                          "localId" : "4911",
-                                          "locator" : "259:13-259:25",
+                                          "localId" : "4861",
+                                          "locator" : "257:13-257:25",
                                           "path" : "value",
                                           "type" : "Property",
                                           "resultTypeSpecifier" : {
-                                             "localId" : "4919",
+                                             "localId" : "4869",
                                              "type" : "ChoiceTypeSpecifier",
                                              "type" : [ ],
                                              "choice" : [ {
-                                                "localId" : "4920",
+                                                "localId" : "4870",
                                                 "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4921",
+                                                "localId" : "4871",
                                                 "name" : "{urn:hl7-org:elm-types:r1}Time",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4922",
+                                                "localId" : "4872",
                                                 "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4923",
+                                                "localId" : "4873",
                                                 "name" : "{urn:hl7-org:elm-types:r1}Integer",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4924",
+                                                "localId" : "4874",
                                                 "name" : "{http://hl7.org/fhir}decimal",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4925",
+                                                "localId" : "4875",
                                                 "name" : "{urn:hl7-org:elm-types:r1}String",
                                                 "type" : "NamedTypeSpecifier"
                                              } ]
                                           },
                                           "source" : {
-                                             "localId" : "4886",
-                                             "locator" : "259:13-259:19",
+                                             "localId" : "4836",
+                                             "locator" : "257:13-257:19",
                                              "path" : "value",
                                              "type" : "Property",
                                              "resultTypeSpecifier" : {
-                                                "localId" : "4899",
+                                                "localId" : "4849",
                                                 "type" : "ChoiceTypeSpecifier",
                                                 "type" : [ ],
                                                 "choice" : [ {
-                                                   "localId" : "4900",
+                                                   "localId" : "4850",
                                                    "name" : "{http://hl7.org/fhir}Quantity",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4901",
+                                                   "localId" : "4851",
                                                    "name" : "{http://hl7.org/fhir}CodeableConcept",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4902",
+                                                   "localId" : "4852",
                                                    "name" : "{http://hl7.org/fhir}string",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4903",
+                                                   "localId" : "4853",
                                                    "name" : "{http://hl7.org/fhir}boolean",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4904",
+                                                   "localId" : "4854",
                                                    "name" : "{http://hl7.org/fhir}integer",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4905",
+                                                   "localId" : "4855",
                                                    "name" : "{http://hl7.org/fhir}Range",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4906",
+                                                   "localId" : "4856",
                                                    "name" : "{http://hl7.org/fhir}Ratio",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4907",
+                                                   "localId" : "4857",
                                                    "name" : "{http://hl7.org/fhir}SampledData",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4908",
+                                                   "localId" : "4858",
                                                    "name" : "{http://hl7.org/fhir}time",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4909",
+                                                   "localId" : "4859",
                                                    "name" : "{http://hl7.org/fhir}dateTime",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4910",
+                                                   "localId" : "4860",
                                                    "name" : "{http://hl7.org/fhir}Period",
                                                    "type" : "NamedTypeSpecifier"
                                                 } ]
                                              },
                                              "source" : {
-                                                "localId" : "4885",
-                                                "locator" : "259:13",
+                                                "localId" : "4835",
+                                                "locator" : "257:13",
                                                 "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                                 "name" : "o",
                                                 "type" : "OperandRef"
@@ -18008,105 +17927,105 @@
                                     }
                                  }
                               }, {
-                                 "localId" : "4934",
+                                 "localId" : "4884",
                                  "when" : {
-                                    "localId" : "4935",
+                                    "localId" : "4885",
                                     "isType" : "{http://hl7.org/fhir}decimal",
                                     "type" : "Is",
                                     "signature" : [ ],
                                     "operand" : {
-                                       "localId" : "4911",
-                                       "locator" : "259:13-259:25",
+                                       "localId" : "4861",
+                                       "locator" : "257:13-257:25",
                                        "path" : "value",
                                        "type" : "Property",
                                        "resultTypeSpecifier" : {
-                                          "localId" : "4919",
+                                          "localId" : "4869",
                                           "type" : "ChoiceTypeSpecifier",
                                           "type" : [ ],
                                           "choice" : [ {
-                                             "localId" : "4920",
+                                             "localId" : "4870",
                                              "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4921",
+                                             "localId" : "4871",
                                              "name" : "{urn:hl7-org:elm-types:r1}Time",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4922",
+                                             "localId" : "4872",
                                              "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4923",
+                                             "localId" : "4873",
                                              "name" : "{urn:hl7-org:elm-types:r1}Integer",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4924",
+                                             "localId" : "4874",
                                              "name" : "{http://hl7.org/fhir}decimal",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4925",
+                                             "localId" : "4875",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           } ]
                                        },
                                        "source" : {
-                                          "localId" : "4886",
-                                          "locator" : "259:13-259:19",
+                                          "localId" : "4836",
+                                          "locator" : "257:13-257:19",
                                           "path" : "value",
                                           "type" : "Property",
                                           "resultTypeSpecifier" : {
-                                             "localId" : "4899",
+                                             "localId" : "4849",
                                              "type" : "ChoiceTypeSpecifier",
                                              "type" : [ ],
                                              "choice" : [ {
-                                                "localId" : "4900",
+                                                "localId" : "4850",
                                                 "name" : "{http://hl7.org/fhir}Quantity",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4901",
+                                                "localId" : "4851",
                                                 "name" : "{http://hl7.org/fhir}CodeableConcept",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4902",
+                                                "localId" : "4852",
                                                 "name" : "{http://hl7.org/fhir}string",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4903",
+                                                "localId" : "4853",
                                                 "name" : "{http://hl7.org/fhir}boolean",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4904",
+                                                "localId" : "4854",
                                                 "name" : "{http://hl7.org/fhir}integer",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4905",
+                                                "localId" : "4855",
                                                 "name" : "{http://hl7.org/fhir}Range",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4906",
+                                                "localId" : "4856",
                                                 "name" : "{http://hl7.org/fhir}Ratio",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4907",
+                                                "localId" : "4857",
                                                 "name" : "{http://hl7.org/fhir}SampledData",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4908",
+                                                "localId" : "4858",
                                                 "name" : "{http://hl7.org/fhir}time",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4909",
+                                                "localId" : "4859",
                                                 "name" : "{http://hl7.org/fhir}dateTime",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4910",
+                                                "localId" : "4860",
                                                 "name" : "{http://hl7.org/fhir}Period",
                                                 "type" : "NamedTypeSpecifier"
                                              } ]
                                           },
                                           "source" : {
-                                             "localId" : "4885",
-                                             "locator" : "259:13",
+                                             "localId" : "4835",
+                                             "locator" : "257:13",
                                              "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                              "name" : "o",
                                              "type" : "OperandRef"
@@ -18115,109 +18034,109 @@
                                     }
                                  },
                                  "then" : {
-                                    "localId" : "4937",
+                                    "localId" : "4887",
                                     "name" : "ToDecimal",
                                     "libraryName" : "FHIRHelpers",
                                     "type" : "FunctionRef",
                                     "signature" : [ ],
                                     "operand" : [ {
-                                       "localId" : "4936",
+                                       "localId" : "4886",
                                        "asType" : "{http://hl7.org/fhir}decimal",
                                        "type" : "As",
                                        "signature" : [ ],
                                        "operand" : {
-                                          "localId" : "4911",
-                                          "locator" : "259:13-259:25",
+                                          "localId" : "4861",
+                                          "locator" : "257:13-257:25",
                                           "path" : "value",
                                           "type" : "Property",
                                           "resultTypeSpecifier" : {
-                                             "localId" : "4919",
+                                             "localId" : "4869",
                                              "type" : "ChoiceTypeSpecifier",
                                              "type" : [ ],
                                              "choice" : [ {
-                                                "localId" : "4920",
+                                                "localId" : "4870",
                                                 "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4921",
+                                                "localId" : "4871",
                                                 "name" : "{urn:hl7-org:elm-types:r1}Time",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4922",
+                                                "localId" : "4872",
                                                 "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4923",
+                                                "localId" : "4873",
                                                 "name" : "{urn:hl7-org:elm-types:r1}Integer",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4924",
+                                                "localId" : "4874",
                                                 "name" : "{http://hl7.org/fhir}decimal",
                                                 "type" : "NamedTypeSpecifier"
                                              }, {
-                                                "localId" : "4925",
+                                                "localId" : "4875",
                                                 "name" : "{urn:hl7-org:elm-types:r1}String",
                                                 "type" : "NamedTypeSpecifier"
                                              } ]
                                           },
                                           "source" : {
-                                             "localId" : "4886",
-                                             "locator" : "259:13-259:19",
+                                             "localId" : "4836",
+                                             "locator" : "257:13-257:19",
                                              "path" : "value",
                                              "type" : "Property",
                                              "resultTypeSpecifier" : {
-                                                "localId" : "4899",
+                                                "localId" : "4849",
                                                 "type" : "ChoiceTypeSpecifier",
                                                 "type" : [ ],
                                                 "choice" : [ {
-                                                   "localId" : "4900",
+                                                   "localId" : "4850",
                                                    "name" : "{http://hl7.org/fhir}Quantity",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4901",
+                                                   "localId" : "4851",
                                                    "name" : "{http://hl7.org/fhir}CodeableConcept",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4902",
+                                                   "localId" : "4852",
                                                    "name" : "{http://hl7.org/fhir}string",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4903",
+                                                   "localId" : "4853",
                                                    "name" : "{http://hl7.org/fhir}boolean",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4904",
+                                                   "localId" : "4854",
                                                    "name" : "{http://hl7.org/fhir}integer",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4905",
+                                                   "localId" : "4855",
                                                    "name" : "{http://hl7.org/fhir}Range",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4906",
+                                                   "localId" : "4856",
                                                    "name" : "{http://hl7.org/fhir}Ratio",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4907",
+                                                   "localId" : "4857",
                                                    "name" : "{http://hl7.org/fhir}SampledData",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4908",
+                                                   "localId" : "4858",
                                                    "name" : "{http://hl7.org/fhir}time",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4909",
+                                                   "localId" : "4859",
                                                    "name" : "{http://hl7.org/fhir}dateTime",
                                                    "type" : "NamedTypeSpecifier"
                                                 }, {
-                                                   "localId" : "4910",
+                                                   "localId" : "4860",
                                                    "name" : "{http://hl7.org/fhir}Period",
                                                    "type" : "NamedTypeSpecifier"
                                                 } ]
                                              },
                                              "source" : {
-                                                "localId" : "4885",
-                                                "locator" : "259:13",
+                                                "localId" : "4835",
+                                                "locator" : "257:13",
                                                 "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                                 "name" : "o",
                                                 "type" : "OperandRef"
@@ -18228,26 +18147,26 @@
                                  }
                               } ],
                               "else" : {
-                                 "localId" : "4938",
+                                 "localId" : "4888",
                                  "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "Null"
                               }
                            }, {
-                              "localId" : "4939",
+                              "localId" : "4889",
                               "name" : "ToDecimal",
                               "libraryName" : "FHIRHelpers",
                               "type" : "FunctionRef",
                               "signature" : [ ],
                               "operand" : [ {
-                                 "localId" : "4927",
-                                 "locator" : "259:29-259:49",
+                                 "localId" : "4877",
+                                 "locator" : "257:29-257:49",
                                  "resultTypeName" : "{http://hl7.org/fhir}decimal",
                                  "name" : "ReferenceRangeHigh",
                                  "type" : "FunctionRef",
                                  "signature" : [ ],
                                  "operand" : [ {
-                                    "localId" : "4926",
-                                    "locator" : "259:48",
+                                    "localId" : "4876",
+                                    "locator" : "257:48",
                                     "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                     "name" : "o",
                                     "type" : "OperandRef"
@@ -18256,21 +18175,21 @@
                            } ]
                         },
                         "then" : {
-                           "localId" : "4940",
-                           "locator" : "259:56-259:61",
+                           "localId" : "4890",
+                           "locator" : "257:56-257:61",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "High",
                            "type" : "Literal"
                         },
                         "else" : {
-                           "localId" : "4942",
+                           "localId" : "4892",
                            "asType" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "As",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "4941",
-                              "locator" : "260:10-260:13",
+                              "localId" : "4891",
+                              "locator" : "258:10-258:13",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "Null"
                            }
@@ -18278,13 +18197,13 @@
                      }
                   },
                   "else" : {
-                     "localId" : "4944",
+                     "localId" : "4894",
                      "asType" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "As",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "4943",
-                        "locator" : "262:5-262:8",
+                        "localId" : "4893",
+                        "locator" : "260:5-260:8",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "Null"
                      }
@@ -18292,19 +18211,19 @@
                }
             },
             "operand" : [ {
-               "localId" : "2865",
+               "localId" : "2780",
                "name" : "o",
                "operandTypeSpecifier" : {
-                  "localId" : "2864",
-                  "locator" : "253:34-253:49",
+                  "localId" : "2779",
+                  "locator" : "251:34-251:49",
                   "resultTypeName" : "{http://hl7.org/fhir}Observation",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             } ]
          }, {
-            "localId" : "3062",
-            "locator" : "248:1-251:12",
+            "localId" : "3035",
+            "locator" : "246:1-249:12",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
             "name" : "ReferenceRangeFlag",
             "context" : "Unfiltered",
@@ -18313,36 +18232,36 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "3062",
+                  "r" : "3035",
                   "s" : [ {
                      "value" : [ "","define function ReferenceRangeFlag(o FHIR.Observation):\n  " ]
                   }, {
-                     "r" : "4636",
+                     "r" : "4557",
                      "s" : [ {
-                        "r" : "4636",
+                        "r" : "4557",
                         "s" : [ {
                            "value" : [ "if " ]
                         }, {
-                           "r" : "4637",
+                           "r" : "4558",
                            "s" : [ {
                               "value" : [ "(" ]
                            }, {
-                              "r" : "4637",
+                              "r" : "4558",
                               "s" : [ {
-                                 "r" : "4638",
+                                 "r" : "4559",
                                  "s" : [ {
-                                    "r" : "4665",
+                                    "r" : "4586",
                                     "s" : [ {
-                                       "r" : "4640",
+                                       "r" : "4561",
                                        "s" : [ {
-                                          "r" : "4639",
+                                          "r" : "4560",
                                           "s" : [ {
                                              "value" : [ "o" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "4640",
+                                          "r" : "4561",
                                           "s" : [ {
                                              "value" : [ "value" ]
                                           } ]
@@ -18350,7 +18269,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "4665",
+                                       "r" : "4586",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -18358,11 +18277,11 @@
                                  }, {
                                     "value" : [ " ","<"," " ]
                                  }, {
-                                    "r" : "4681",
+                                    "r" : "4602",
                                     "s" : [ {
                                        "value" : [ "ReferenceRangeLow","(" ]
                                     }, {
-                                       "r" : "4680",
+                                       "r" : "4601",
                                        "s" : [ {
                                           "value" : [ "o" ]
                                        } ]
@@ -18373,20 +18292,20 @@
                               }, {
                                  "value" : [ "\n      or " ]
                               }, {
-                                 "r" : "4694",
+                                 "r" : "4615",
                                  "s" : [ {
-                                    "r" : "4721",
+                                    "r" : "4642",
                                     "s" : [ {
-                                       "r" : "4696",
+                                       "r" : "4617",
                                        "s" : [ {
-                                          "r" : "4695",
+                                          "r" : "4616",
                                           "s" : [ {
                                              "value" : [ "o" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "4696",
+                                          "r" : "4617",
                                           "s" : [ {
                                              "value" : [ "value" ]
                                           } ]
@@ -18394,7 +18313,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "4721",
+                                       "r" : "4642",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -18402,11 +18321,11 @@
                                  }, {
                                     "value" : [ " ",">"," " ]
                                  }, {
-                                    "r" : "4737",
+                                    "r" : "4658",
                                     "s" : [ {
                                        "value" : [ "ReferenceRangeHigh","(" ]
                                     }, {
-                                       "r" : "4736",
+                                       "r" : "4657",
                                        "s" : [ {
                                           "value" : [ "o" ]
                                        } ]
@@ -18419,7 +18338,7 @@
                               "value" : [ ")" ]
                            } ]
                         }, {
-                           "r" : "4750",
+                           "r" : "4671",
                            "value" : [ " then ","true","\n  else ","false" ]
                         } ]
                      } ]
@@ -18427,125 +18346,125 @@
                }
             } ],
             "expression" : {
-               "localId" : "4636",
-               "locator" : "249:3-251:12",
+               "localId" : "4557",
+               "locator" : "247:3-249:12",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                "type" : "If",
                "condition" : {
-                  "localId" : "4637",
-                  "locator" : "249:6-250:47",
+                  "localId" : "4558",
+                  "locator" : "247:6-248:47",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "type" : "Or",
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "4638",
-                     "locator" : "249:7-249:42",
+                     "localId" : "4559",
+                     "locator" : "247:7-247:42",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "Less",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "4685",
+                        "localId" : "4606",
                         "type" : "Case",
                         "caseItem" : [ {
-                           "localId" : "4686",
+                           "localId" : "4607",
                            "when" : {
-                              "localId" : "4687",
+                              "localId" : "4608",
                               "isType" : "{urn:hl7-org:elm-types:r1}Integer",
                               "type" : "Is",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "4665",
-                                 "locator" : "249:7-249:19",
+                                 "localId" : "4586",
+                                 "locator" : "247:7-247:19",
                                  "path" : "value",
                                  "type" : "Property",
                                  "resultTypeSpecifier" : {
-                                    "localId" : "4673",
+                                    "localId" : "4594",
                                     "type" : "ChoiceTypeSpecifier",
                                     "type" : [ ],
                                     "choice" : [ {
-                                       "localId" : "4674",
+                                       "localId" : "4595",
                                        "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4675",
+                                       "localId" : "4596",
                                        "name" : "{urn:hl7-org:elm-types:r1}Time",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4676",
+                                       "localId" : "4597",
                                        "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4677",
+                                       "localId" : "4598",
                                        "name" : "{urn:hl7-org:elm-types:r1}Integer",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4678",
+                                       "localId" : "4599",
                                        "name" : "{http://hl7.org/fhir}decimal",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4679",
+                                       "localId" : "4600",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     } ]
                                  },
                                  "source" : {
-                                    "localId" : "4640",
-                                    "locator" : "249:7-249:13",
+                                    "localId" : "4561",
+                                    "locator" : "247:7-247:13",
                                     "path" : "value",
                                     "type" : "Property",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "4653",
+                                       "localId" : "4574",
                                        "type" : "ChoiceTypeSpecifier",
                                        "type" : [ ],
                                        "choice" : [ {
-                                          "localId" : "4654",
+                                          "localId" : "4575",
                                           "name" : "{http://hl7.org/fhir}Quantity",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4655",
+                                          "localId" : "4576",
                                           "name" : "{http://hl7.org/fhir}CodeableConcept",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4656",
+                                          "localId" : "4577",
                                           "name" : "{http://hl7.org/fhir}string",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4657",
+                                          "localId" : "4578",
                                           "name" : "{http://hl7.org/fhir}boolean",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4658",
+                                          "localId" : "4579",
                                           "name" : "{http://hl7.org/fhir}integer",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4659",
+                                          "localId" : "4580",
                                           "name" : "{http://hl7.org/fhir}Range",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4660",
+                                          "localId" : "4581",
                                           "name" : "{http://hl7.org/fhir}Ratio",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4661",
+                                          "localId" : "4582",
                                           "name" : "{http://hl7.org/fhir}SampledData",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4662",
+                                          "localId" : "4583",
                                           "name" : "{http://hl7.org/fhir}time",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4663",
+                                          "localId" : "4584",
                                           "name" : "{http://hl7.org/fhir}dateTime",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4664",
+                                          "localId" : "4585",
                                           "name" : "{http://hl7.org/fhir}Period",
                                           "type" : "NamedTypeSpecifier"
                                        } ]
                                     },
                                     "source" : {
-                                       "localId" : "4639",
-                                       "locator" : "249:7",
+                                       "localId" : "4560",
+                                       "locator" : "247:7",
                                        "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                        "name" : "o",
                                        "type" : "OperandRef"
@@ -18554,107 +18473,107 @@
                               }
                            },
                            "then" : {
-                              "localId" : "4684",
+                              "localId" : "4605",
                               "type" : "ToDecimal",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "4682",
+                                 "localId" : "4603",
                                  "asType" : "{urn:hl7-org:elm-types:r1}Integer",
                                  "type" : "As",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "4665",
-                                    "locator" : "249:7-249:19",
+                                    "localId" : "4586",
+                                    "locator" : "247:7-247:19",
                                     "path" : "value",
                                     "type" : "Property",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "4673",
+                                       "localId" : "4594",
                                        "type" : "ChoiceTypeSpecifier",
                                        "type" : [ ],
                                        "choice" : [ {
-                                          "localId" : "4674",
+                                          "localId" : "4595",
                                           "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4675",
+                                          "localId" : "4596",
                                           "name" : "{urn:hl7-org:elm-types:r1}Time",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4676",
+                                          "localId" : "4597",
                                           "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4677",
+                                          "localId" : "4598",
                                           "name" : "{urn:hl7-org:elm-types:r1}Integer",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4678",
+                                          "localId" : "4599",
                                           "name" : "{http://hl7.org/fhir}decimal",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4679",
+                                          "localId" : "4600",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        } ]
                                     },
                                     "source" : {
-                                       "localId" : "4640",
-                                       "locator" : "249:7-249:13",
+                                       "localId" : "4561",
+                                       "locator" : "247:7-247:13",
                                        "path" : "value",
                                        "type" : "Property",
                                        "resultTypeSpecifier" : {
-                                          "localId" : "4653",
+                                          "localId" : "4574",
                                           "type" : "ChoiceTypeSpecifier",
                                           "type" : [ ],
                                           "choice" : [ {
-                                             "localId" : "4654",
+                                             "localId" : "4575",
                                              "name" : "{http://hl7.org/fhir}Quantity",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4655",
+                                             "localId" : "4576",
                                              "name" : "{http://hl7.org/fhir}CodeableConcept",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4656",
+                                             "localId" : "4577",
                                              "name" : "{http://hl7.org/fhir}string",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4657",
+                                             "localId" : "4578",
                                              "name" : "{http://hl7.org/fhir}boolean",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4658",
+                                             "localId" : "4579",
                                              "name" : "{http://hl7.org/fhir}integer",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4659",
+                                             "localId" : "4580",
                                              "name" : "{http://hl7.org/fhir}Range",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4660",
+                                             "localId" : "4581",
                                              "name" : "{http://hl7.org/fhir}Ratio",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4661",
+                                             "localId" : "4582",
                                              "name" : "{http://hl7.org/fhir}SampledData",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4662",
+                                             "localId" : "4583",
                                              "name" : "{http://hl7.org/fhir}time",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4663",
+                                             "localId" : "4584",
                                              "name" : "{http://hl7.org/fhir}dateTime",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4664",
+                                             "localId" : "4585",
                                              "name" : "{http://hl7.org/fhir}Period",
                                              "type" : "NamedTypeSpecifier"
                                           } ]
                                        },
                                        "source" : {
-                                          "localId" : "4639",
-                                          "locator" : "249:7",
+                                          "localId" : "4560",
+                                          "locator" : "247:7",
                                           "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                           "name" : "o",
                                           "type" : "OperandRef"
@@ -18664,105 +18583,105 @@
                               }
                            }
                         }, {
-                           "localId" : "4688",
+                           "localId" : "4609",
                            "when" : {
-                              "localId" : "4689",
+                              "localId" : "4610",
                               "isType" : "{http://hl7.org/fhir}decimal",
                               "type" : "Is",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "4665",
-                                 "locator" : "249:7-249:19",
+                                 "localId" : "4586",
+                                 "locator" : "247:7-247:19",
                                  "path" : "value",
                                  "type" : "Property",
                                  "resultTypeSpecifier" : {
-                                    "localId" : "4673",
+                                    "localId" : "4594",
                                     "type" : "ChoiceTypeSpecifier",
                                     "type" : [ ],
                                     "choice" : [ {
-                                       "localId" : "4674",
+                                       "localId" : "4595",
                                        "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4675",
+                                       "localId" : "4596",
                                        "name" : "{urn:hl7-org:elm-types:r1}Time",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4676",
+                                       "localId" : "4597",
                                        "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4677",
+                                       "localId" : "4598",
                                        "name" : "{urn:hl7-org:elm-types:r1}Integer",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4678",
+                                       "localId" : "4599",
                                        "name" : "{http://hl7.org/fhir}decimal",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4679",
+                                       "localId" : "4600",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     } ]
                                  },
                                  "source" : {
-                                    "localId" : "4640",
-                                    "locator" : "249:7-249:13",
+                                    "localId" : "4561",
+                                    "locator" : "247:7-247:13",
                                     "path" : "value",
                                     "type" : "Property",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "4653",
+                                       "localId" : "4574",
                                        "type" : "ChoiceTypeSpecifier",
                                        "type" : [ ],
                                        "choice" : [ {
-                                          "localId" : "4654",
+                                          "localId" : "4575",
                                           "name" : "{http://hl7.org/fhir}Quantity",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4655",
+                                          "localId" : "4576",
                                           "name" : "{http://hl7.org/fhir}CodeableConcept",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4656",
+                                          "localId" : "4577",
                                           "name" : "{http://hl7.org/fhir}string",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4657",
+                                          "localId" : "4578",
                                           "name" : "{http://hl7.org/fhir}boolean",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4658",
+                                          "localId" : "4579",
                                           "name" : "{http://hl7.org/fhir}integer",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4659",
+                                          "localId" : "4580",
                                           "name" : "{http://hl7.org/fhir}Range",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4660",
+                                          "localId" : "4581",
                                           "name" : "{http://hl7.org/fhir}Ratio",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4661",
+                                          "localId" : "4582",
                                           "name" : "{http://hl7.org/fhir}SampledData",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4662",
+                                          "localId" : "4583",
                                           "name" : "{http://hl7.org/fhir}time",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4663",
+                                          "localId" : "4584",
                                           "name" : "{http://hl7.org/fhir}dateTime",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4664",
+                                          "localId" : "4585",
                                           "name" : "{http://hl7.org/fhir}Period",
                                           "type" : "NamedTypeSpecifier"
                                        } ]
                                     },
                                     "source" : {
-                                       "localId" : "4639",
-                                       "locator" : "249:7",
+                                       "localId" : "4560",
+                                       "locator" : "247:7",
                                        "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                        "name" : "o",
                                        "type" : "OperandRef"
@@ -18771,109 +18690,109 @@
                               }
                            },
                            "then" : {
-                              "localId" : "4691",
+                              "localId" : "4612",
                               "name" : "ToDecimal",
                               "libraryName" : "FHIRHelpers",
                               "type" : "FunctionRef",
                               "signature" : [ ],
                               "operand" : [ {
-                                 "localId" : "4690",
+                                 "localId" : "4611",
                                  "asType" : "{http://hl7.org/fhir}decimal",
                                  "type" : "As",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "4665",
-                                    "locator" : "249:7-249:19",
+                                    "localId" : "4586",
+                                    "locator" : "247:7-247:19",
                                     "path" : "value",
                                     "type" : "Property",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "4673",
+                                       "localId" : "4594",
                                        "type" : "ChoiceTypeSpecifier",
                                        "type" : [ ],
                                        "choice" : [ {
-                                          "localId" : "4674",
+                                          "localId" : "4595",
                                           "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4675",
+                                          "localId" : "4596",
                                           "name" : "{urn:hl7-org:elm-types:r1}Time",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4676",
+                                          "localId" : "4597",
                                           "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4677",
+                                          "localId" : "4598",
                                           "name" : "{urn:hl7-org:elm-types:r1}Integer",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4678",
+                                          "localId" : "4599",
                                           "name" : "{http://hl7.org/fhir}decimal",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4679",
+                                          "localId" : "4600",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        } ]
                                     },
                                     "source" : {
-                                       "localId" : "4640",
-                                       "locator" : "249:7-249:13",
+                                       "localId" : "4561",
+                                       "locator" : "247:7-247:13",
                                        "path" : "value",
                                        "type" : "Property",
                                        "resultTypeSpecifier" : {
-                                          "localId" : "4653",
+                                          "localId" : "4574",
                                           "type" : "ChoiceTypeSpecifier",
                                           "type" : [ ],
                                           "choice" : [ {
-                                             "localId" : "4654",
+                                             "localId" : "4575",
                                              "name" : "{http://hl7.org/fhir}Quantity",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4655",
+                                             "localId" : "4576",
                                              "name" : "{http://hl7.org/fhir}CodeableConcept",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4656",
+                                             "localId" : "4577",
                                              "name" : "{http://hl7.org/fhir}string",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4657",
+                                             "localId" : "4578",
                                              "name" : "{http://hl7.org/fhir}boolean",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4658",
+                                             "localId" : "4579",
                                              "name" : "{http://hl7.org/fhir}integer",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4659",
+                                             "localId" : "4580",
                                              "name" : "{http://hl7.org/fhir}Range",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4660",
+                                             "localId" : "4581",
                                              "name" : "{http://hl7.org/fhir}Ratio",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4661",
+                                             "localId" : "4582",
                                              "name" : "{http://hl7.org/fhir}SampledData",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4662",
+                                             "localId" : "4583",
                                              "name" : "{http://hl7.org/fhir}time",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4663",
+                                             "localId" : "4584",
                                              "name" : "{http://hl7.org/fhir}dateTime",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4664",
+                                             "localId" : "4585",
                                              "name" : "{http://hl7.org/fhir}Period",
                                              "type" : "NamedTypeSpecifier"
                                           } ]
                                        },
                                        "source" : {
-                                          "localId" : "4639",
-                                          "locator" : "249:7",
+                                          "localId" : "4560",
+                                          "locator" : "247:7",
                                           "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                           "name" : "o",
                                           "type" : "OperandRef"
@@ -18884,26 +18803,26 @@
                            }
                         } ],
                         "else" : {
-                           "localId" : "4692",
+                           "localId" : "4613",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                            "type" : "Null"
                         }
                      }, {
-                        "localId" : "4693",
+                        "localId" : "4614",
                         "name" : "ToDecimal",
                         "libraryName" : "FHIRHelpers",
                         "type" : "FunctionRef",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "4681",
-                           "locator" : "249:23-249:42",
+                           "localId" : "4602",
+                           "locator" : "247:23-247:42",
                            "resultTypeName" : "{http://hl7.org/fhir}decimal",
                            "name" : "ReferenceRangeLow",
                            "type" : "FunctionRef",
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "4680",
-                              "locator" : "249:41",
+                              "localId" : "4601",
+                              "locator" : "247:41",
                               "resultTypeName" : "{http://hl7.org/fhir}Observation",
                               "name" : "o",
                               "type" : "OperandRef"
@@ -18911,114 +18830,114 @@
                         } ]
                      } ]
                   }, {
-                     "localId" : "4694",
-                     "locator" : "250:10-250:46",
+                     "localId" : "4615",
+                     "locator" : "248:10-248:46",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "Greater",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "4741",
+                        "localId" : "4662",
                         "type" : "Case",
                         "caseItem" : [ {
-                           "localId" : "4742",
+                           "localId" : "4663",
                            "when" : {
-                              "localId" : "4743",
+                              "localId" : "4664",
                               "isType" : "{urn:hl7-org:elm-types:r1}Integer",
                               "type" : "Is",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "4721",
-                                 "locator" : "250:10-250:22",
+                                 "localId" : "4642",
+                                 "locator" : "248:10-248:22",
                                  "path" : "value",
                                  "type" : "Property",
                                  "resultTypeSpecifier" : {
-                                    "localId" : "4729",
+                                    "localId" : "4650",
                                     "type" : "ChoiceTypeSpecifier",
                                     "type" : [ ],
                                     "choice" : [ {
-                                       "localId" : "4730",
+                                       "localId" : "4651",
                                        "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4731",
+                                       "localId" : "4652",
                                        "name" : "{urn:hl7-org:elm-types:r1}Time",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4732",
+                                       "localId" : "4653",
                                        "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4733",
+                                       "localId" : "4654",
                                        "name" : "{urn:hl7-org:elm-types:r1}Integer",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4734",
+                                       "localId" : "4655",
                                        "name" : "{http://hl7.org/fhir}decimal",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4735",
+                                       "localId" : "4656",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     } ]
                                  },
                                  "source" : {
-                                    "localId" : "4696",
-                                    "locator" : "250:10-250:16",
+                                    "localId" : "4617",
+                                    "locator" : "248:10-248:16",
                                     "path" : "value",
                                     "type" : "Property",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "4709",
+                                       "localId" : "4630",
                                        "type" : "ChoiceTypeSpecifier",
                                        "type" : [ ],
                                        "choice" : [ {
-                                          "localId" : "4710",
+                                          "localId" : "4631",
                                           "name" : "{http://hl7.org/fhir}Quantity",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4711",
+                                          "localId" : "4632",
                                           "name" : "{http://hl7.org/fhir}CodeableConcept",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4712",
+                                          "localId" : "4633",
                                           "name" : "{http://hl7.org/fhir}string",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4713",
+                                          "localId" : "4634",
                                           "name" : "{http://hl7.org/fhir}boolean",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4714",
+                                          "localId" : "4635",
                                           "name" : "{http://hl7.org/fhir}integer",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4715",
+                                          "localId" : "4636",
                                           "name" : "{http://hl7.org/fhir}Range",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4716",
+                                          "localId" : "4637",
                                           "name" : "{http://hl7.org/fhir}Ratio",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4717",
+                                          "localId" : "4638",
                                           "name" : "{http://hl7.org/fhir}SampledData",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4718",
+                                          "localId" : "4639",
                                           "name" : "{http://hl7.org/fhir}time",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4719",
+                                          "localId" : "4640",
                                           "name" : "{http://hl7.org/fhir}dateTime",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4720",
+                                          "localId" : "4641",
                                           "name" : "{http://hl7.org/fhir}Period",
                                           "type" : "NamedTypeSpecifier"
                                        } ]
                                     },
                                     "source" : {
-                                       "localId" : "4695",
-                                       "locator" : "250:10",
+                                       "localId" : "4616",
+                                       "locator" : "248:10",
                                        "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                        "name" : "o",
                                        "type" : "OperandRef"
@@ -19027,107 +18946,107 @@
                               }
                            },
                            "then" : {
-                              "localId" : "4740",
+                              "localId" : "4661",
                               "type" : "ToDecimal",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "4738",
+                                 "localId" : "4659",
                                  "asType" : "{urn:hl7-org:elm-types:r1}Integer",
                                  "type" : "As",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "4721",
-                                    "locator" : "250:10-250:22",
+                                    "localId" : "4642",
+                                    "locator" : "248:10-248:22",
                                     "path" : "value",
                                     "type" : "Property",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "4729",
+                                       "localId" : "4650",
                                        "type" : "ChoiceTypeSpecifier",
                                        "type" : [ ],
                                        "choice" : [ {
-                                          "localId" : "4730",
+                                          "localId" : "4651",
                                           "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4731",
+                                          "localId" : "4652",
                                           "name" : "{urn:hl7-org:elm-types:r1}Time",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4732",
+                                          "localId" : "4653",
                                           "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4733",
+                                          "localId" : "4654",
                                           "name" : "{urn:hl7-org:elm-types:r1}Integer",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4734",
+                                          "localId" : "4655",
                                           "name" : "{http://hl7.org/fhir}decimal",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4735",
+                                          "localId" : "4656",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        } ]
                                     },
                                     "source" : {
-                                       "localId" : "4696",
-                                       "locator" : "250:10-250:16",
+                                       "localId" : "4617",
+                                       "locator" : "248:10-248:16",
                                        "path" : "value",
                                        "type" : "Property",
                                        "resultTypeSpecifier" : {
-                                          "localId" : "4709",
+                                          "localId" : "4630",
                                           "type" : "ChoiceTypeSpecifier",
                                           "type" : [ ],
                                           "choice" : [ {
-                                             "localId" : "4710",
+                                             "localId" : "4631",
                                              "name" : "{http://hl7.org/fhir}Quantity",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4711",
+                                             "localId" : "4632",
                                              "name" : "{http://hl7.org/fhir}CodeableConcept",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4712",
+                                             "localId" : "4633",
                                              "name" : "{http://hl7.org/fhir}string",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4713",
+                                             "localId" : "4634",
                                              "name" : "{http://hl7.org/fhir}boolean",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4714",
+                                             "localId" : "4635",
                                              "name" : "{http://hl7.org/fhir}integer",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4715",
+                                             "localId" : "4636",
                                              "name" : "{http://hl7.org/fhir}Range",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4716",
+                                             "localId" : "4637",
                                              "name" : "{http://hl7.org/fhir}Ratio",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4717",
+                                             "localId" : "4638",
                                              "name" : "{http://hl7.org/fhir}SampledData",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4718",
+                                             "localId" : "4639",
                                              "name" : "{http://hl7.org/fhir}time",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4719",
+                                             "localId" : "4640",
                                              "name" : "{http://hl7.org/fhir}dateTime",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4720",
+                                             "localId" : "4641",
                                              "name" : "{http://hl7.org/fhir}Period",
                                              "type" : "NamedTypeSpecifier"
                                           } ]
                                        },
                                        "source" : {
-                                          "localId" : "4695",
-                                          "locator" : "250:10",
+                                          "localId" : "4616",
+                                          "locator" : "248:10",
                                           "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                           "name" : "o",
                                           "type" : "OperandRef"
@@ -19137,105 +19056,105 @@
                               }
                            }
                         }, {
-                           "localId" : "4744",
+                           "localId" : "4665",
                            "when" : {
-                              "localId" : "4745",
+                              "localId" : "4666",
                               "isType" : "{http://hl7.org/fhir}decimal",
                               "type" : "Is",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "4721",
-                                 "locator" : "250:10-250:22",
+                                 "localId" : "4642",
+                                 "locator" : "248:10-248:22",
                                  "path" : "value",
                                  "type" : "Property",
                                  "resultTypeSpecifier" : {
-                                    "localId" : "4729",
+                                    "localId" : "4650",
                                     "type" : "ChoiceTypeSpecifier",
                                     "type" : [ ],
                                     "choice" : [ {
-                                       "localId" : "4730",
+                                       "localId" : "4651",
                                        "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4731",
+                                       "localId" : "4652",
                                        "name" : "{urn:hl7-org:elm-types:r1}Time",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4732",
+                                       "localId" : "4653",
                                        "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4733",
+                                       "localId" : "4654",
                                        "name" : "{urn:hl7-org:elm-types:r1}Integer",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4734",
+                                       "localId" : "4655",
                                        "name" : "{http://hl7.org/fhir}decimal",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "4735",
+                                       "localId" : "4656",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     } ]
                                  },
                                  "source" : {
-                                    "localId" : "4696",
-                                    "locator" : "250:10-250:16",
+                                    "localId" : "4617",
+                                    "locator" : "248:10-248:16",
                                     "path" : "value",
                                     "type" : "Property",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "4709",
+                                       "localId" : "4630",
                                        "type" : "ChoiceTypeSpecifier",
                                        "type" : [ ],
                                        "choice" : [ {
-                                          "localId" : "4710",
+                                          "localId" : "4631",
                                           "name" : "{http://hl7.org/fhir}Quantity",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4711",
+                                          "localId" : "4632",
                                           "name" : "{http://hl7.org/fhir}CodeableConcept",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4712",
+                                          "localId" : "4633",
                                           "name" : "{http://hl7.org/fhir}string",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4713",
+                                          "localId" : "4634",
                                           "name" : "{http://hl7.org/fhir}boolean",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4714",
+                                          "localId" : "4635",
                                           "name" : "{http://hl7.org/fhir}integer",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4715",
+                                          "localId" : "4636",
                                           "name" : "{http://hl7.org/fhir}Range",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4716",
+                                          "localId" : "4637",
                                           "name" : "{http://hl7.org/fhir}Ratio",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4717",
+                                          "localId" : "4638",
                                           "name" : "{http://hl7.org/fhir}SampledData",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4718",
+                                          "localId" : "4639",
                                           "name" : "{http://hl7.org/fhir}time",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4719",
+                                          "localId" : "4640",
                                           "name" : "{http://hl7.org/fhir}dateTime",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4720",
+                                          "localId" : "4641",
                                           "name" : "{http://hl7.org/fhir}Period",
                                           "type" : "NamedTypeSpecifier"
                                        } ]
                                     },
                                     "source" : {
-                                       "localId" : "4695",
-                                       "locator" : "250:10",
+                                       "localId" : "4616",
+                                       "locator" : "248:10",
                                        "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                        "name" : "o",
                                        "type" : "OperandRef"
@@ -19244,109 +19163,109 @@
                               }
                            },
                            "then" : {
-                              "localId" : "4747",
+                              "localId" : "4668",
                               "name" : "ToDecimal",
                               "libraryName" : "FHIRHelpers",
                               "type" : "FunctionRef",
                               "signature" : [ ],
                               "operand" : [ {
-                                 "localId" : "4746",
+                                 "localId" : "4667",
                                  "asType" : "{http://hl7.org/fhir}decimal",
                                  "type" : "As",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "4721",
-                                    "locator" : "250:10-250:22",
+                                    "localId" : "4642",
+                                    "locator" : "248:10-248:22",
                                     "path" : "value",
                                     "type" : "Property",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "4729",
+                                       "localId" : "4650",
                                        "type" : "ChoiceTypeSpecifier",
                                        "type" : [ ],
                                        "choice" : [ {
-                                          "localId" : "4730",
+                                          "localId" : "4651",
                                           "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4731",
+                                          "localId" : "4652",
                                           "name" : "{urn:hl7-org:elm-types:r1}Time",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4732",
+                                          "localId" : "4653",
                                           "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4733",
+                                          "localId" : "4654",
                                           "name" : "{urn:hl7-org:elm-types:r1}Integer",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4734",
+                                          "localId" : "4655",
                                           "name" : "{http://hl7.org/fhir}decimal",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "4735",
+                                          "localId" : "4656",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        } ]
                                     },
                                     "source" : {
-                                       "localId" : "4696",
-                                       "locator" : "250:10-250:16",
+                                       "localId" : "4617",
+                                       "locator" : "248:10-248:16",
                                        "path" : "value",
                                        "type" : "Property",
                                        "resultTypeSpecifier" : {
-                                          "localId" : "4709",
+                                          "localId" : "4630",
                                           "type" : "ChoiceTypeSpecifier",
                                           "type" : [ ],
                                           "choice" : [ {
-                                             "localId" : "4710",
+                                             "localId" : "4631",
                                              "name" : "{http://hl7.org/fhir}Quantity",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4711",
+                                             "localId" : "4632",
                                              "name" : "{http://hl7.org/fhir}CodeableConcept",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4712",
+                                             "localId" : "4633",
                                              "name" : "{http://hl7.org/fhir}string",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4713",
+                                             "localId" : "4634",
                                              "name" : "{http://hl7.org/fhir}boolean",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4714",
+                                             "localId" : "4635",
                                              "name" : "{http://hl7.org/fhir}integer",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4715",
+                                             "localId" : "4636",
                                              "name" : "{http://hl7.org/fhir}Range",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4716",
+                                             "localId" : "4637",
                                              "name" : "{http://hl7.org/fhir}Ratio",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4717",
+                                             "localId" : "4638",
                                              "name" : "{http://hl7.org/fhir}SampledData",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4718",
+                                             "localId" : "4639",
                                              "name" : "{http://hl7.org/fhir}time",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4719",
+                                             "localId" : "4640",
                                              "name" : "{http://hl7.org/fhir}dateTime",
                                              "type" : "NamedTypeSpecifier"
                                           }, {
-                                             "localId" : "4720",
+                                             "localId" : "4641",
                                              "name" : "{http://hl7.org/fhir}Period",
                                              "type" : "NamedTypeSpecifier"
                                           } ]
                                        },
                                        "source" : {
-                                          "localId" : "4695",
-                                          "locator" : "250:10",
+                                          "localId" : "4616",
+                                          "locator" : "248:10",
                                           "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                           "name" : "o",
                                           "type" : "OperandRef"
@@ -19357,26 +19276,26 @@
                            }
                         } ],
                         "else" : {
-                           "localId" : "4748",
+                           "localId" : "4669",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                            "type" : "Null"
                         }
                      }, {
-                        "localId" : "4749",
+                        "localId" : "4670",
                         "name" : "ToDecimal",
                         "libraryName" : "FHIRHelpers",
                         "type" : "FunctionRef",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "4737",
-                           "locator" : "250:26-250:46",
+                           "localId" : "4658",
+                           "locator" : "248:26-248:46",
                            "resultTypeName" : "{http://hl7.org/fhir}decimal",
                            "name" : "ReferenceRangeHigh",
                            "type" : "FunctionRef",
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "4736",
-                              "locator" : "250:45",
+                              "localId" : "4657",
+                              "locator" : "248:45",
                               "resultTypeName" : "{http://hl7.org/fhir}Observation",
                               "name" : "o",
                               "type" : "OperandRef"
@@ -19386,16 +19305,16 @@
                   } ]
                },
                "then" : {
-                  "localId" : "4750",
-                  "locator" : "250:54-250:57",
+                  "localId" : "4671",
+                  "locator" : "248:54-248:57",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "valueType" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "value" : "true",
                   "type" : "Literal"
                },
                "else" : {
-                  "localId" : "4751",
-                  "locator" : "251:8-251:12",
+                  "localId" : "4672",
+                  "locator" : "249:8-249:12",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "valueType" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "value" : "false",
@@ -19403,18 +19322,18 @@
                }
             },
             "operand" : [ {
-               "localId" : "3064",
+               "localId" : "3037",
                "name" : "o",
                "operandTypeSpecifier" : {
-                  "localId" : "3063",
-                  "locator" : "248:38-248:53",
+                  "localId" : "3036",
+                  "locator" : "246:38-246:53",
                   "resultTypeName" : "{http://hl7.org/fhir}Observation",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             } ]
          }, {
-            "localId" : "3461",
+            "localId" : "3436",
             "locator" : "143:1-144:58",
             "name" : "ReportMostRecentResult",
             "context" : "Unfiltered",
@@ -19423,21 +19342,21 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "3461",
+                  "r" : "3436",
                   "s" : [ {
                      "value" : [ "","define function ReportMostRecentResult(observations List<Observation>, displayName String):\n  " ]
                   }, {
-                     "r" : "3474",
+                     "r" : "3449",
                      "s" : [ {
-                        "r" : "3474",
+                        "r" : "3449",
                         "s" : [ {
                            "value" : [ "ReportObservation","(" ]
                         }, {
-                           "r" : "3472",
+                           "r" : "3447",
                            "s" : [ {
                               "value" : [ "MostRecent","(" ]
                            }, {
-                              "r" : "3469",
+                              "r" : "3444",
                               "s" : [ {
                                  "value" : [ "observations" ]
                               } ]
@@ -19447,7 +19366,7 @@
                         }, {
                            "value" : [ ", " ]
                         }, {
-                           "r" : "3473",
+                           "r" : "3448",
                            "s" : [ {
                               "value" : [ "displayName" ]
                            } ]
@@ -19459,129 +19378,129 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "3545",
+               "localId" : "3520",
                "type" : "TupleTypeSpecifier",
                "element" : [ {
-                  "localId" : "3546",
+                  "localId" : "3521",
                   "name" : "DisplayName",
                   "elementType" : {
-                     "localId" : "3547",
+                     "localId" : "3522",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3548",
+                  "localId" : "3523",
                   "name" : "ConceptName",
                   "elementType" : {
-                     "localId" : "3549",
+                     "localId" : "3524",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3550",
+                  "localId" : "3525",
                   "name" : "Date",
                   "elementType" : {
-                     "localId" : "3551",
+                     "localId" : "3526",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3552",
+                  "localId" : "3527",
                   "name" : "ResultText",
                   "elementType" : {
-                     "localId" : "3553",
+                     "localId" : "3528",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3554",
+                  "localId" : "3529",
                   "name" : "ResultValue",
                   "elementType" : {
-                     "localId" : "3555",
+                     "localId" : "3530",
                      "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3556",
+                  "localId" : "3531",
                   "name" : "ResultUnits",
                   "elementType" : {
-                     "localId" : "3557",
+                     "localId" : "3532",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3558",
+                  "localId" : "3533",
                   "name" : "ReferenceRange",
                   "elementType" : {
-                     "localId" : "3559",
+                     "localId" : "3534",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3560",
+                  "localId" : "3535",
                   "name" : "Interpretation",
                   "elementType" : {
-                     "localId" : "3561",
+                     "localId" : "3536",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3562",
+                  "localId" : "3537",
                   "name" : "Flag",
                   "elementType" : {
-                     "localId" : "3563",
+                     "localId" : "3538",
                      "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3564",
+                  "localId" : "3539",
                   "name" : "Performer",
                   "elementType" : {
-                     "localId" : "3565",
+                     "localId" : "3540",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "3566",
+                  "localId" : "3541",
                   "name" : "Notes",
                   "elementType" : {
-                     "localId" : "3567",
+                     "localId" : "3542",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "3568",
+                        "localId" : "3543",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }
                }, {
-                  "localId" : "3569",
+                  "localId" : "3544",
                   "name" : "Provenance",
                   "elementType" : {
-                     "localId" : "3570",
+                     "localId" : "3545",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "3571",
+                        "localId" : "3546",
                         "type" : "TupleTypeSpecifier",
                         "element" : [ {
-                           "localId" : "3572",
+                           "localId" : "3547",
                            "name" : "Transmitter",
                            "elementType" : {
-                              "localId" : "3573",
+                              "localId" : "3548",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "3574",
+                                 "localId" : "3549",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "3575",
+                           "localId" : "3550",
                            "name" : "Author",
                            "elementType" : {
-                              "localId" : "3576",
+                              "localId" : "3551",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "3577",
+                                 "localId" : "3552",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -19590,144 +19509,144 @@
                      }
                   }
                }, {
-                  "localId" : "3578",
+                  "localId" : "3553",
                   "name" : "LearnMore",
                   "elementType" : {
-                     "localId" : "3579",
+                     "localId" : "3554",
                      "name" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "NamedTypeSpecifier"
                   }
                } ]
             },
             "expression" : {
-               "localId" : "3474",
+               "localId" : "3449",
                "locator" : "144:3-144:58",
                "name" : "ReportObservation",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
-                  "localId" : "3510",
+                  "localId" : "3485",
                   "type" : "TupleTypeSpecifier",
                   "element" : [ {
-                     "localId" : "3511",
+                     "localId" : "3486",
                      "name" : "DisplayName",
                      "elementType" : {
-                        "localId" : "3512",
+                        "localId" : "3487",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3513",
+                     "localId" : "3488",
                      "name" : "ConceptName",
                      "elementType" : {
-                        "localId" : "3514",
+                        "localId" : "3489",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3515",
+                     "localId" : "3490",
                      "name" : "Date",
                      "elementType" : {
-                        "localId" : "3516",
+                        "localId" : "3491",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3517",
+                     "localId" : "3492",
                      "name" : "ResultText",
                      "elementType" : {
-                        "localId" : "3518",
+                        "localId" : "3493",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3519",
+                     "localId" : "3494",
                      "name" : "ResultValue",
                      "elementType" : {
-                        "localId" : "3520",
+                        "localId" : "3495",
                         "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3521",
+                     "localId" : "3496",
                      "name" : "ResultUnits",
                      "elementType" : {
-                        "localId" : "3522",
+                        "localId" : "3497",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3523",
+                     "localId" : "3498",
                      "name" : "ReferenceRange",
                      "elementType" : {
-                        "localId" : "3524",
+                        "localId" : "3499",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3525",
+                     "localId" : "3500",
                      "name" : "Interpretation",
                      "elementType" : {
-                        "localId" : "3526",
+                        "localId" : "3501",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3527",
+                     "localId" : "3502",
                      "name" : "Flag",
                      "elementType" : {
-                        "localId" : "3528",
+                        "localId" : "3503",
                         "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3529",
+                     "localId" : "3504",
                      "name" : "Performer",
                      "elementType" : {
-                        "localId" : "3530",
+                        "localId" : "3505",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "3531",
+                     "localId" : "3506",
                      "name" : "Notes",
                      "elementType" : {
-                        "localId" : "3532",
+                        "localId" : "3507",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "3533",
+                           "localId" : "3508",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }
                   }, {
-                     "localId" : "3534",
+                     "localId" : "3509",
                      "name" : "Provenance",
                      "elementType" : {
-                        "localId" : "3535",
+                        "localId" : "3510",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "3536",
+                           "localId" : "3511",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "3537",
+                              "localId" : "3512",
                               "name" : "Transmitter",
                               "elementType" : {
-                                 "localId" : "3538",
+                                 "localId" : "3513",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3539",
+                                    "localId" : "3514",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "3540",
+                              "localId" : "3515",
                               "name" : "Author",
                               "elementType" : {
-                                 "localId" : "3541",
+                                 "localId" : "3516",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3542",
+                                    "localId" : "3517",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
@@ -19736,10 +19655,10 @@
                         }
                      }
                   }, {
-                     "localId" : "3543",
+                     "localId" : "3518",
                      "name" : "LearnMore",
                      "elementType" : {
-                        "localId" : "3544",
+                        "localId" : "3519",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
@@ -19747,29 +19666,29 @@
                },
                "signature" : [ ],
                "operand" : [ {
-                  "localId" : "3472",
+                  "localId" : "3447",
                   "locator" : "144:21-144:44",
                   "resultTypeName" : "{http://hl7.org/fhir}Observation",
                   "name" : "MostRecent",
                   "type" : "FunctionRef",
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "3469",
+                     "localId" : "3444",
                      "locator" : "144:32-144:43",
                      "name" : "observations",
                      "type" : "OperandRef",
                      "resultTypeSpecifier" : {
-                        "localId" : "3470",
+                        "localId" : "3445",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "3471",
+                           "localId" : "3446",
                            "name" : "{http://hl7.org/fhir}Observation",
                            "type" : "NamedTypeSpecifier"
                         }
                      }
                   } ]
                }, {
-                  "localId" : "3473",
+                  "localId" : "3448",
                   "locator" : "144:47-144:57",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                   "name" : "displayName",
@@ -19777,23 +19696,23 @@
                } ]
             },
             "operand" : [ {
-               "localId" : "3466",
+               "localId" : "3441",
                "name" : "observations",
                "operandTypeSpecifier" : {
-                  "localId" : "3462",
+                  "localId" : "3437",
                   "locator" : "143:53-143:69",
                   "type" : "ListTypeSpecifier",
                   "resultTypeSpecifier" : {
-                     "localId" : "3464",
+                     "localId" : "3439",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "3465",
+                        "localId" : "3440",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "elementType" : {
-                     "localId" : "3463",
+                     "localId" : "3438",
                      "locator" : "143:58-143:68",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation",
                      "name" : "{http://hl7.org/fhir}Observation",
@@ -19801,10 +19720,10 @@
                   }
                }
             }, {
-               "localId" : "3468",
+               "localId" : "3443",
                "name" : "displayName",
                "operandTypeSpecifier" : {
-                  "localId" : "3467",
+                  "localId" : "3442",
                   "locator" : "143:84-143:89",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                   "name" : "{urn:hl7-org:elm-types:r1}String",
@@ -19812,7 +19731,7 @@
                }
             } ]
          }, {
-            "localId" : "3580",
+            "localId" : "3555",
             "locator" : "155:1-157:37",
             "name" : "SelectActiveMedications",
             "context" : "Unfiltered",
@@ -19821,18 +19740,18 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "3580",
+                  "r" : "3555",
                   "s" : [ {
                      "value" : [ "// BUG: this works in VSCode but returns null in JavaScript execution.\n// define function SelectActiveConditions(conditions List<Condition>):\n//   conditions Cond\n//     where (Cond.clinicalStatus ~ FC.\"active\"\n//           or Cond.clinicalStatus ~ FC.\"relapse\"\n//           or Cond.clinicalStatus ~ FC.\"recurrence\")\n//       and Cond.verificationStatus ~ FC.\"confirmed\"\n//     sort by recordedDate.value descending\n\n","define function SelectActiveMedications(medRequests List<MedicationRequest>):\n  " ]
                   }, {
-                     "r" : "3600",
+                     "r" : "3575",
                      "s" : [ {
-                        "r" : "3600",
+                        "r" : "3575",
                         "s" : [ {
                            "s" : [ {
-                              "r" : "3586",
+                              "r" : "3561",
                               "s" : [ {
-                                 "r" : "3587",
+                                 "r" : "3562",
                                  "s" : [ {
                                     "s" : [ {
                                        "value" : [ "medRequests" ]
@@ -19845,22 +19764,22 @@
                         }, {
                            "value" : [ "\n    " ]
                         }, {
-                           "r" : "3598",
+                           "r" : "3573",
                            "s" : [ {
                               "value" : [ "where " ]
                            }, {
-                              "r" : "3598",
+                              "r" : "3573",
                               "s" : [ {
-                                 "r" : "3593",
+                                 "r" : "3568",
                                  "s" : [ {
-                                    "r" : "3592",
+                                    "r" : "3567",
                                     "s" : [ {
                                        "value" : [ "MedReq" ]
                                     } ]
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "3593",
+                                    "r" : "3568",
                                     "s" : [ {
                                        "value" : [ "status" ]
                                     } ]
@@ -19868,11 +19787,11 @@
                               }, {
                                  "value" : [ " in " ]
                               }, {
-                                 "r" : "3594",
+                                 "r" : "3569",
                                  "s" : [ {
                                     "value" : [ "{" ]
                                  }, {
-                                    "r" : "3595",
+                                    "r" : "3570",
                                     "s" : [ {
                                        "value" : [ "'active'" ]
                                     } ]
@@ -19887,50 +19806,50 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "3605",
+               "localId" : "3580",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "3606",
+                  "localId" : "3581",
                   "name" : "{http://hl7.org/fhir}MedicationRequest",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "3600",
+               "localId" : "3575",
                "locator" : "156:3-157:37",
                "type" : "Query",
                "resultTypeSpecifier" : {
-                  "localId" : "3603",
+                  "localId" : "3578",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
-                     "localId" : "3604",
+                     "localId" : "3579",
                      "name" : "{http://hl7.org/fhir}MedicationRequest",
                      "type" : "NamedTypeSpecifier"
                   }
                },
                "source" : [ {
-                  "localId" : "3586",
+                  "localId" : "3561",
                   "locator" : "156:3-156:20",
                   "alias" : "MedReq",
                   "resultTypeSpecifier" : {
-                     "localId" : "3590",
+                     "localId" : "3565",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "3591",
+                        "localId" : "3566",
                         "name" : "{http://hl7.org/fhir}MedicationRequest",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "expression" : {
-                     "localId" : "3587",
+                     "localId" : "3562",
                      "locator" : "156:3-156:13",
                      "name" : "medRequests",
                      "type" : "OperandRef",
                      "resultTypeSpecifier" : {
-                        "localId" : "3588",
+                        "localId" : "3563",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "3589",
+                           "localId" : "3564",
                            "name" : "{http://hl7.org/fhir}MedicationRequest",
                            "type" : "NamedTypeSpecifier"
                         }
@@ -19940,19 +19859,19 @@
                "let" : [ ],
                "relationship" : [ ],
                "where" : {
-                  "localId" : "3598",
+                  "localId" : "3573",
                   "locator" : "157:5-157:37",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "type" : "In",
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "3599",
+                     "localId" : "3574",
                      "name" : "ToString",
                      "libraryName" : "FHIRHelpers",
                      "type" : "FunctionRef",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "3593",
+                        "localId" : "3568",
                         "locator" : "157:11-157:23",
                         "resultTypeName" : "{http://hl7.org/fhir}MedicationRequestStatus",
                         "path" : "status",
@@ -19960,20 +19879,20 @@
                         "type" : "Property"
                      } ]
                   }, {
-                     "localId" : "3594",
+                     "localId" : "3569",
                      "locator" : "157:28-157:37",
                      "type" : "List",
                      "resultTypeSpecifier" : {
-                        "localId" : "3596",
+                        "localId" : "3571",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "3597",
+                           "localId" : "3572",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      },
                      "element" : [ {
-                        "localId" : "3595",
+                        "localId" : "3570",
                         "locator" : "157:29-157:36",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -19984,23 +19903,23 @@
                }
             },
             "operand" : [ {
-               "localId" : "3585",
+               "localId" : "3560",
                "name" : "medRequests",
                "operandTypeSpecifier" : {
-                  "localId" : "3581",
+                  "localId" : "3556",
                   "locator" : "155:53-155:75",
                   "type" : "ListTypeSpecifier",
                   "resultTypeSpecifier" : {
-                     "localId" : "3583",
+                     "localId" : "3558",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "3584",
+                        "localId" : "3559",
                         "name" : "{http://hl7.org/fhir}MedicationRequest",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "elementType" : {
-                     "localId" : "3582",
+                     "localId" : "3557",
                      "locator" : "155:58-155:74",
                      "resultTypeName" : "{http://hl7.org/fhir}MedicationRequest",
                      "name" : "{http://hl7.org/fhir}MedicationRequest",
@@ -20009,7 +19928,7 @@
                }
             } ]
          }, {
-            "localId" : "3607",
+            "localId" : "3582",
             "locator" : "159:1-163:3",
             "resultTypeName" : "{http://hl7.org/fhir}Procedure",
             "name" : "MostRecentProcedure",
@@ -20019,22 +19938,22 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "3607",
+                  "r" : "3582",
                   "s" : [ {
                      "value" : [ "","define function MostRecentProcedure(procedures List<Procedure>):\n  " ]
                   }, {
-                     "r" : "3643",
+                     "r" : "3618",
                      "s" : [ {
-                        "r" : "3643",
+                        "r" : "3618",
                         "s" : [ {
                            "value" : [ "First","(\n    " ]
                         }, {
-                           "r" : "3638",
+                           "r" : "3613",
                            "s" : [ {
                               "s" : [ {
-                                 "r" : "3613",
+                                 "r" : "3588",
                                  "s" : [ {
-                                    "r" : "3614",
+                                    "r" : "3589",
                                     "s" : [ {
                                        "s" : [ {
                                           "value" : [ "procedures" ]
@@ -20047,30 +19966,30 @@
                            }, {
                               "value" : [ "\n      " ]
                            }, {
-                              "r" : "3634",
+                              "r" : "3609",
                               "s" : [ {
                                  "value" : [ "sort by " ]
                               }, {
-                                 "r" : "3633",
+                                 "r" : "3608",
                                  "s" : [ {
-                                    "r" : "3619",
+                                    "r" : "3594",
                                     "s" : [ {
                                        "value" : [ "start of " ]
                                     }, {
-                                       "r" : "3628",
+                                       "r" : "3603",
                                        "s" : [ {
-                                          "r" : "3620",
+                                          "r" : "3595",
                                           "s" : [ {
                                              "value" : [ "FC" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "3628",
+                                          "r" : "3603",
                                           "s" : [ {
                                              "value" : [ "ToInterval","(" ]
                                           }, {
-                                             "r" : "3621",
+                                             "r" : "3596",
                                              "s" : [ {
                                                 "value" : [ "performed" ]
                                              } ]
@@ -20092,47 +20011,47 @@
                }
             } ],
             "expression" : {
-               "localId" : "3643",
+               "localId" : "3618",
                "locator" : "160:3-163:3",
                "resultTypeName" : "{http://hl7.org/fhir}Procedure",
                "type" : "First",
                "signature" : [ ],
                "source" : {
-                  "localId" : "3638",
+                  "localId" : "3613",
                   "locator" : "161:5-162:58",
                   "type" : "Query",
                   "resultTypeSpecifier" : {
-                     "localId" : "3639",
+                     "localId" : "3614",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "3640",
+                        "localId" : "3615",
                         "name" : "{http://hl7.org/fhir}Procedure",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "source" : [ {
-                     "localId" : "3613",
+                     "localId" : "3588",
                      "locator" : "161:5-161:16",
                      "alias" : "P",
                      "resultTypeSpecifier" : {
-                        "localId" : "3617",
+                        "localId" : "3592",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "3618",
+                           "localId" : "3593",
                            "name" : "{http://hl7.org/fhir}Procedure",
                            "type" : "NamedTypeSpecifier"
                         }
                      },
                      "expression" : {
-                        "localId" : "3614",
+                        "localId" : "3589",
                         "locator" : "161:5-161:14",
                         "name" : "procedures",
                         "type" : "OperandRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "3615",
+                           "localId" : "3590",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "3616",
+                              "localId" : "3591",
                               "name" : "{http://hl7.org/fhir}Procedure",
                               "type" : "NamedTypeSpecifier"
                            }
@@ -20142,63 +20061,63 @@
                   "let" : [ ],
                   "relationship" : [ ],
                   "sort" : {
-                     "localId" : "3634",
+                     "localId" : "3609",
                      "locator" : "162:7-162:58",
                      "by" : [ {
-                        "localId" : "3633",
+                        "localId" : "3608",
                         "locator" : "162:15-162:58",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                         "direction" : "descending",
                         "type" : "ByExpression",
                         "expression" : {
-                           "localId" : "3619",
+                           "localId" : "3594",
                            "locator" : "162:15-162:47",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                            "type" : "Start",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "3628",
+                              "localId" : "3603",
                               "locator" : "162:24-162:47",
                               "name" : "ToInterval",
                               "libraryName" : "FC",
                               "type" : "FunctionRef",
                               "resultTypeSpecifier" : {
-                                 "localId" : "3631",
+                                 "localId" : "3606",
                                  "type" : "IntervalTypeSpecifier",
                                  "pointType" : {
-                                    "localId" : "3632",
+                                    "localId" : "3607",
                                     "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               },
                               "signature" : [ ],
                               "operand" : [ {
-                                 "localId" : "3621",
+                                 "localId" : "3596",
                                  "locator" : "162:38-162:46",
                                  "name" : "performed",
                                  "type" : "IdentifierRef",
                                  "resultTypeSpecifier" : {
-                                    "localId" : "3622",
+                                    "localId" : "3597",
                                     "type" : "ChoiceTypeSpecifier",
                                     "type" : [ ],
                                     "choice" : [ {
-                                       "localId" : "3623",
+                                       "localId" : "3598",
                                        "name" : "{http://hl7.org/fhir}dateTime",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "3624",
+                                       "localId" : "3599",
                                        "name" : "{http://hl7.org/fhir}Period",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "3625",
+                                       "localId" : "3600",
                                        "name" : "{http://hl7.org/fhir}string",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "3626",
+                                       "localId" : "3601",
                                        "name" : "{http://hl7.org/fhir}Age",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "3627",
+                                       "localId" : "3602",
                                        "name" : "{http://hl7.org/fhir}Range",
                                        "type" : "NamedTypeSpecifier"
                                     } ]
@@ -20211,23 +20130,23 @@
                }
             },
             "operand" : [ {
-               "localId" : "3612",
+               "localId" : "3587",
                "name" : "procedures",
                "operandTypeSpecifier" : {
-                  "localId" : "3608",
+                  "localId" : "3583",
                   "locator" : "159:48-159:62",
                   "type" : "ListTypeSpecifier",
                   "resultTypeSpecifier" : {
-                     "localId" : "3610",
+                     "localId" : "3585",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "3611",
+                        "localId" : "3586",
                         "name" : "{http://hl7.org/fhir}Procedure",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "elementType" : {
-                     "localId" : "3609",
+                     "localId" : "3584",
                      "locator" : "159:53-159:61",
                      "resultTypeName" : "{http://hl7.org/fhir}Procedure",
                      "name" : "{http://hl7.org/fhir}Procedure",
@@ -20236,7 +20155,7 @@
                }
             } ]
          }, {
-            "localId" : "3644",
+            "localId" : "3619",
             "locator" : "165:1-167:78",
             "name" : "PerformedWithin",
             "context" : "Unfiltered",
@@ -20245,18 +20164,18 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "3644",
+                  "r" : "3619",
                   "s" : [ {
                      "value" : [ "","define function PerformedWithin(procedures List<Procedure>, lookback System.Quantity):\n  " ]
                   }, {
-                     "r" : "3683",
+                     "r" : "3658",
                      "s" : [ {
-                        "r" : "3683",
+                        "r" : "3658",
                         "s" : [ {
                            "s" : [ {
-                              "r" : "3652",
+                              "r" : "3627",
                               "s" : [ {
-                                 "r" : "3653",
+                                 "r" : "3628",
                                  "s" : [ {
                                     "s" : [ {
                                        "value" : [ "procedures" ]
@@ -20269,39 +20188,39 @@
                         }, {
                            "value" : [ "\n    " ]
                         }, {
-                           "r" : "3682",
+                           "r" : "3657",
                            "s" : [ {
                               "value" : [ "where " ]
                            }, {
-                              "r" : "3682",
+                              "r" : "3657",
                               "s" : [ {
-                                 "r" : "3658",
+                                 "r" : "3633",
                                  "s" : [ {
                                     "value" : [ "end of " ]
                                  }, {
-                                    "r" : "3674",
+                                    "r" : "3649",
                                     "s" : [ {
-                                       "r" : "3659",
+                                       "r" : "3634",
                                        "s" : [ {
                                           "value" : [ "FC" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "3674",
+                                       "r" : "3649",
                                        "s" : [ {
                                           "value" : [ "ToInterval","(" ]
                                        }, {
-                                          "r" : "3661",
+                                          "r" : "3636",
                                           "s" : [ {
-                                             "r" : "3660",
+                                             "r" : "3635",
                                              "s" : [ {
                                                 "value" : [ "P" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "3661",
+                                             "r" : "3636",
                                              "s" : [ {
                                                 "value" : [ "performed" ]
                                              } ]
@@ -20312,19 +20231,19 @@
                                     } ]
                                  } ]
                               }, {
-                                 "r" : "3682",
+                                 "r" : "3657",
                                  "value" : [ " ","on or after day of"," " ]
                               }, {
-                                 "r" : "3679",
+                                 "r" : "3654",
                                  "s" : [ {
-                                    "r" : "3680",
+                                    "r" : "3655",
                                     "s" : [ {
                                        "value" : [ "AsOf" ]
                                     } ]
                                  }, {
                                     "value" : [ " - " ]
                                  }, {
-                                    "r" : "3681",
+                                    "r" : "3656",
                                     "s" : [ {
                                        "value" : [ "lookback" ]
                                     } ]
@@ -20337,50 +20256,50 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "3688",
+               "localId" : "3663",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "3689",
+                  "localId" : "3664",
                   "name" : "{http://hl7.org/fhir}Procedure",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "3683",
+               "localId" : "3658",
                "locator" : "166:3-167:78",
                "type" : "Query",
                "resultTypeSpecifier" : {
-                  "localId" : "3686",
+                  "localId" : "3661",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
-                     "localId" : "3687",
+                     "localId" : "3662",
                      "name" : "{http://hl7.org/fhir}Procedure",
                      "type" : "NamedTypeSpecifier"
                   }
                },
                "source" : [ {
-                  "localId" : "3652",
+                  "localId" : "3627",
                   "locator" : "166:3-166:14",
                   "alias" : "P",
                   "resultTypeSpecifier" : {
-                     "localId" : "3656",
+                     "localId" : "3631",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "3657",
+                        "localId" : "3632",
                         "name" : "{http://hl7.org/fhir}Procedure",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "expression" : {
-                     "localId" : "3653",
+                     "localId" : "3628",
                      "locator" : "166:3-166:12",
                      "name" : "procedures",
                      "type" : "OperandRef",
                      "resultTypeSpecifier" : {
-                        "localId" : "3654",
+                        "localId" : "3629",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "3655",
+                           "localId" : "3630",
                            "name" : "{http://hl7.org/fhir}Procedure",
                            "type" : "NamedTypeSpecifier"
                         }
@@ -20390,62 +20309,62 @@
                "let" : [ ],
                "relationship" : [ ],
                "where" : {
-                  "localId" : "3682",
+                  "localId" : "3657",
                   "locator" : "167:5-167:78",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "precision" : "Day",
                   "type" : "SameOrAfter",
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "3658",
+                     "localId" : "3633",
                      "locator" : "167:11-167:43",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                      "type" : "End",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "3674",
+                        "localId" : "3649",
                         "locator" : "167:18-167:43",
                         "name" : "ToInterval",
                         "libraryName" : "FC",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "3677",
+                           "localId" : "3652",
                            "type" : "IntervalTypeSpecifier",
                            "pointType" : {
-                              "localId" : "3678",
+                              "localId" : "3653",
                               "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                               "type" : "NamedTypeSpecifier"
                            }
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3661",
+                           "localId" : "3636",
                            "locator" : "167:32-167:42",
                            "path" : "performed",
                            "scope" : "P",
                            "type" : "Property",
                            "resultTypeSpecifier" : {
-                              "localId" : "3668",
+                              "localId" : "3643",
                               "type" : "ChoiceTypeSpecifier",
                               "type" : [ ],
                               "choice" : [ {
-                                 "localId" : "3669",
+                                 "localId" : "3644",
                                  "name" : "{http://hl7.org/fhir}dateTime",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "3670",
+                                 "localId" : "3645",
                                  "name" : "{http://hl7.org/fhir}Period",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "3671",
+                                 "localId" : "3646",
                                  "name" : "{http://hl7.org/fhir}string",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "3672",
+                                 "localId" : "3647",
                                  "name" : "{http://hl7.org/fhir}Age",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "3673",
+                                 "localId" : "3648",
                                  "name" : "{http://hl7.org/fhir}Range",
                                  "type" : "NamedTypeSpecifier"
                               } ]
@@ -20453,19 +20372,19 @@
                         } ]
                      }
                   }, {
-                     "localId" : "3679",
+                     "localId" : "3654",
                      "locator" : "167:64-167:78",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                      "type" : "Subtract",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "3680",
+                        "localId" : "3655",
                         "locator" : "167:64-167:67",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                         "name" : "AsOf",
                         "type" : "ParameterRef"
                      }, {
-                        "localId" : "3681",
+                        "localId" : "3656",
                         "locator" : "167:71-167:78",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Quantity",
                         "name" : "lookback",
@@ -20475,23 +20394,23 @@
                }
             },
             "operand" : [ {
-               "localId" : "3649",
+               "localId" : "3624",
                "name" : "procedures",
                "operandTypeSpecifier" : {
-                  "localId" : "3645",
+                  "localId" : "3620",
                   "locator" : "165:44-165:58",
                   "type" : "ListTypeSpecifier",
                   "resultTypeSpecifier" : {
-                     "localId" : "3647",
+                     "localId" : "3622",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "3648",
+                        "localId" : "3623",
                         "name" : "{http://hl7.org/fhir}Procedure",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "elementType" : {
-                     "localId" : "3646",
+                     "localId" : "3621",
                      "locator" : "165:49-165:57",
                      "resultTypeName" : "{http://hl7.org/fhir}Procedure",
                      "name" : "{http://hl7.org/fhir}Procedure",
@@ -20499,10 +20418,10 @@
                   }
                }
             }, {
-               "localId" : "3651",
+               "localId" : "3626",
                "name" : "lookback",
                "operandTypeSpecifier" : {
-                  "localId" : "3650",
+                  "localId" : "3625",
                   "locator" : "165:70-165:84",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Quantity",
                   "name" : "{urn:hl7-org:elm-types:r1}Quantity",
@@ -20510,7 +20429,7 @@
                }
             } ]
          }, {
-            "localId" : "3690",
+            "localId" : "3665",
             "locator" : "174:1-180:59",
             "name" : "FindObservations",
             "context" : "Unfiltered",
@@ -20519,21 +20438,21 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "3690",
+                  "r" : "3665",
                   "s" : [ {
                      "value" : [ "/*\n * Helpers for Observation data elements.\n */\n\n/// Tests only the first Coding in given CodeableConcept\n","define function FindObservations(code FHIR.CodeableConcept):\n  " ]
                   }, {
-                     "r" : "3693",
+                     "r" : "3668",
                      "s" : [ {
-                        "r" : "3693",
+                        "r" : "3668",
                         "s" : [ {
                            "value" : [ "if " ]
                         }, {
-                           "r" : "3694",
+                           "r" : "3669",
                            "s" : [ {
-                              "r" : "3696",
+                              "r" : "3671",
                               "s" : [ {
-                                 "r" : "3695",
+                                 "r" : "3670",
                                  "s" : [ {
                                     "value" : [ "code" ]
                                  } ]
@@ -20543,18 +20462,18 @@
                            }, {
                               "value" : [ " or " ]
                            }, {
-                              "r" : "3703",
+                              "r" : "3678",
                               "s" : [ {
-                                 "r" : "3698",
+                                 "r" : "3673",
                                  "s" : [ {
-                                    "r" : "3697",
+                                    "r" : "3672",
                                     "s" : [ {
                                        "value" : [ "code" ]
                                     } ]
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "3698",
+                                    "r" : "3673",
                                     "s" : [ {
                                        "value" : [ "coding" ]
                                     } ]
@@ -20564,17 +20483,17 @@
                               } ]
                            } ]
                         }, {
-                           "r" : "3704",
+                           "r" : "3679",
                            "value" : [ " then ","null","\n  else\n    " ]
                         }, {
-                           "r" : "3757",
+                           "r" : "3732",
                            "s" : [ {
                               "s" : [ {
-                                 "r" : "3705",
+                                 "r" : "3680",
                                  "s" : [ {
-                                    "r" : "3706",
+                                    "r" : "3681",
                                     "s" : [ {
-                                       "r" : "3706",
+                                       "r" : "3681",
                                        "s" : [ {
                                           "value" : [ "[","Observation","]" ]
                                        } ]
@@ -20586,24 +20505,24 @@
                            }, {
                               "value" : [ "\n      " ]
                            }, {
-                              "r" : "3713",
+                              "r" : "3688",
                               "s" : [ {
                                  "value" : [ "where " ]
                               }, {
-                                 "r" : "3713",
+                                 "r" : "3688",
                                  "s" : [ {
-                                    "r" : "3714",
+                                    "r" : "3689",
                                     "s" : [ {
-                                       "r" : "3716",
+                                       "r" : "3691",
                                        "s" : [ {
-                                          "r" : "3715",
+                                          "r" : "3690",
                                           "s" : [ {
                                              "value" : [ "o" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "3716",
+                                          "r" : "3691",
                                           "s" : [ {
                                              "value" : [ "code" ]
                                           } ]
@@ -20611,37 +20530,37 @@
                                     }, {
                                        "value" : [ " ","~"," " ]
                                     }, {
-                                       "r" : "3726",
+                                       "r" : "3701",
                                        "s" : [ {
-                                          "r" : "3717",
+                                          "r" : "3692",
                                           "s" : [ {
                                              "value" : [ "FHIRHelpers" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "3726",
+                                          "r" : "3701",
                                           "s" : [ {
                                              "value" : [ "ToCode","(" ]
                                           }, {
-                                             "r" : "3718",
+                                             "r" : "3693",
                                              "s" : [ {
-                                                "r" : "3720",
+                                                "r" : "3695",
                                                 "s" : [ {
-                                                   "r" : "3719",
+                                                   "r" : "3694",
                                                    "s" : [ {
                                                       "value" : [ "code" ]
                                                    } ]
                                                 }, {
                                                    "value" : [ "." ]
                                                 }, {
-                                                   "r" : "3720",
+                                                   "r" : "3695",
                                                    "s" : [ {
                                                       "value" : [ "coding" ]
                                                    } ]
                                                 } ]
                                              }, {
-                                                "r" : "3725",
+                                                "r" : "3700",
                                                 "value" : [ "[","0","]" ]
                                              } ]
                                           }, {
@@ -20652,16 +20571,16 @@
                                  }, {
                                     "value" : [ "\n        or " ]
                                  }, {
-                                    "r" : "3730",
+                                    "r" : "3705",
                                     "s" : [ {
                                        "value" : [ "exists " ]
                                     }, {
-                                       "r" : "3754",
+                                       "r" : "3729",
                                        "s" : [ {
                                           "s" : [ {
-                                             "r" : "3731",
+                                             "r" : "3706",
                                              "s" : [ {
-                                                "r" : "3733",
+                                                "r" : "3708",
                                                 "s" : [ {
                                                    "s" : [ {
                                                       "value" : [ "o",".","component" ]
@@ -20674,22 +20593,22 @@
                                        }, {
                                           "value" : [ "\n          " ]
                                        }, {
-                                          "r" : "3738",
+                                          "r" : "3713",
                                           "s" : [ {
                                              "value" : [ "where " ]
                                           }, {
-                                             "r" : "3738",
+                                             "r" : "3713",
                                              "s" : [ {
-                                                "r" : "3740",
+                                                "r" : "3715",
                                                 "s" : [ {
-                                                   "r" : "3739",
+                                                   "r" : "3714",
                                                    "s" : [ {
                                                       "value" : [ "c" ]
                                                    } ]
                                                 }, {
                                                    "value" : [ "." ]
                                                 }, {
-                                                   "r" : "3740",
+                                                   "r" : "3715",
                                                    "s" : [ {
                                                       "value" : [ "code" ]
                                                    } ]
@@ -20697,37 +20616,37 @@
                                              }, {
                                                 "value" : [ " ","~"," " ]
                                              }, {
-                                                "r" : "3750",
+                                                "r" : "3725",
                                                 "s" : [ {
-                                                   "r" : "3741",
+                                                   "r" : "3716",
                                                    "s" : [ {
                                                       "value" : [ "FHIRHelpers" ]
                                                    } ]
                                                 }, {
                                                    "value" : [ "." ]
                                                 }, {
-                                                   "r" : "3750",
+                                                   "r" : "3725",
                                                    "s" : [ {
                                                       "value" : [ "ToCode","(" ]
                                                    }, {
-                                                      "r" : "3742",
+                                                      "r" : "3717",
                                                       "s" : [ {
-                                                         "r" : "3744",
+                                                         "r" : "3719",
                                                          "s" : [ {
-                                                            "r" : "3743",
+                                                            "r" : "3718",
                                                             "s" : [ {
                                                                "value" : [ "code" ]
                                                             } ]
                                                          }, {
                                                             "value" : [ "." ]
                                                          }, {
-                                                            "r" : "3744",
+                                                            "r" : "3719",
                                                             "s" : [ {
                                                                "value" : [ "coding" ]
                                                             } ]
                                                          } ]
                                                       }, {
-                                                         "r" : "3749",
+                                                         "r" : "3724",
                                                          "value" : [ "[","0","]" ]
                                                       } ]
                                                    }, {
@@ -20747,68 +20666,68 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "3767",
+               "localId" : "3742",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "3768",
+                  "localId" : "3743",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "3693",
+               "localId" : "3668",
                "locator" : "175:3-180:59",
                "type" : "If",
                "resultTypeSpecifier" : {
-                  "localId" : "3765",
+                  "localId" : "3740",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
-                     "localId" : "3766",
+                     "localId" : "3741",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
                "condition" : {
-                  "localId" : "3694",
+                  "localId" : "3669",
                   "locator" : "175:6-175:40",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "type" : "Or",
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "3696",
+                     "localId" : "3671",
                      "locator" : "175:6-175:17",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "IsNull",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "3695",
+                        "localId" : "3670",
                         "locator" : "175:6-175:9",
                         "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                         "name" : "code",
                         "type" : "OperandRef"
                      }
                   }, {
-                     "localId" : "3703",
+                     "localId" : "3678",
                      "locator" : "175:22-175:40",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "IsNull",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "3698",
+                        "localId" : "3673",
                         "locator" : "175:22-175:32",
                         "path" : "coding",
                         "type" : "Property",
                         "resultTypeSpecifier" : {
-                           "localId" : "3701",
+                           "localId" : "3676",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "3702",
+                              "localId" : "3677",
                               "name" : "{http://hl7.org/fhir}Coding",
                               "type" : "NamedTypeSpecifier"
                            }
                         },
                         "source" : {
-                           "localId" : "3697",
+                           "localId" : "3672",
                            "locator" : "175:22-175:25",
                            "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                            "name" : "code",
@@ -20818,62 +20737,62 @@
                   } ]
                },
                "then" : {
-                  "localId" : "3760",
+                  "localId" : "3735",
                   "type" : "As",
                   "signature" : [ ],
                   "operand" : {
-                     "localId" : "3704",
+                     "localId" : "3679",
                      "locator" : "175:47-175:50",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                      "type" : "Null"
                   },
                   "asTypeSpecifier" : {
-                     "localId" : "3761",
+                     "localId" : "3736",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "3762",
+                        "localId" : "3737",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   }
                },
                "else" : {
-                  "localId" : "3757",
+                  "localId" : "3732",
                   "locator" : "177:5-180:59",
                   "type" : "Query",
                   "resultTypeSpecifier" : {
-                     "localId" : "3758",
+                     "localId" : "3733",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "3759",
+                        "localId" : "3734",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "source" : [ {
-                     "localId" : "3705",
+                     "localId" : "3680",
                      "locator" : "177:5-177:19",
                      "alias" : "o",
                      "resultTypeSpecifier" : {
-                        "localId" : "3711",
+                        "localId" : "3686",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "3712",
+                           "localId" : "3687",
                            "name" : "{http://hl7.org/fhir}Observation",
                            "type" : "NamedTypeSpecifier"
                         }
                      },
                      "expression" : {
-                        "localId" : "3706",
+                        "localId" : "3681",
                         "locator" : "177:5-177:17",
                         "dataType" : "{http://hl7.org/fhir}Observation",
                         "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                         "type" : "Retrieve",
                         "resultTypeSpecifier" : {
-                           "localId" : "3709",
+                           "localId" : "3684",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "3710",
+                              "localId" : "3685",
                               "name" : "{http://hl7.org/fhir}Observation",
                               "type" : "NamedTypeSpecifier"
                            }
@@ -20887,25 +20806,25 @@
                   "let" : [ ],
                   "relationship" : [ ],
                   "where" : {
-                     "localId" : "3713",
+                     "localId" : "3688",
                      "locator" : "178:7-180:59",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "Or",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "3714",
+                        "localId" : "3689",
                         "locator" : "178:13-178:55",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Equivalent",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3727",
+                           "localId" : "3702",
                            "name" : "ToConcept",
                            "libraryName" : "FHIRHelpers",
                            "type" : "FunctionRef",
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "3716",
+                              "localId" : "3691",
                               "locator" : "178:13-178:18",
                               "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                               "path" : "code",
@@ -20913,11 +20832,11 @@
                               "type" : "Property"
                            } ]
                         }, {
-                           "localId" : "3729",
+                           "localId" : "3704",
                            "type" : "ToConcept",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "3726",
+                              "localId" : "3701",
                               "locator" : "178:22-178:55",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                               "name" : "ToCode",
@@ -20925,34 +20844,34 @@
                               "type" : "FunctionRef",
                               "signature" : [ ],
                               "operand" : [ {
-                                 "localId" : "3718",
+                                 "localId" : "3693",
                                  "locator" : "178:41-178:54",
                                  "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                  "type" : "Indexer",
                                  "signature" : [ ],
                                  "operand" : [ {
-                                    "localId" : "3720",
+                                    "localId" : "3695",
                                     "locator" : "178:41-178:51",
                                     "path" : "coding",
                                     "type" : "Property",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "3723",
+                                       "localId" : "3698",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "3724",
+                                          "localId" : "3699",
                                           "name" : "{http://hl7.org/fhir}Coding",
                                           "type" : "NamedTypeSpecifier"
                                        }
                                     },
                                     "source" : {
-                                       "localId" : "3719",
+                                       "localId" : "3694",
                                        "locator" : "178:41-178:44",
                                        "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                                        "name" : "code",
                                        "type" : "OperandRef"
                                     }
                                  }, {
-                                    "localId" : "3725",
+                                    "localId" : "3700",
                                     "locator" : "178:53",
                                     "resultTypeName" : "{urn:hl7-org:elm-types:r1}Integer",
                                     "valueType" : "{urn:hl7-org:elm-types:r1}Integer",
@@ -20963,48 +20882,48 @@
                            }
                         } ]
                      }, {
-                        "localId" : "3730",
+                        "localId" : "3705",
                         "locator" : "179:12-180:59",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Exists",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "3754",
+                           "localId" : "3729",
                            "locator" : "179:19-180:59",
                            "type" : "Query",
                            "resultTypeSpecifier" : {
-                              "localId" : "3755",
+                              "localId" : "3730",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "3756",
+                                 "localId" : "3731",
                                  "name" : "{http://hl7.org/fhir}Observation.Component",
                                  "type" : "NamedTypeSpecifier"
                               }
                            },
                            "source" : [ {
-                              "localId" : "3731",
+                              "localId" : "3706",
                               "locator" : "179:19-179:31",
                               "alias" : "c",
                               "resultTypeSpecifier" : {
-                                 "localId" : "3736",
+                                 "localId" : "3711",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3737",
+                                    "localId" : "3712",
                                     "name" : "{http://hl7.org/fhir}Observation.Component",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               },
                               "expression" : {
-                                 "localId" : "3733",
+                                 "localId" : "3708",
                                  "locator" : "179:19-179:29",
                                  "path" : "component",
                                  "scope" : "o",
                                  "type" : "Property",
                                  "resultTypeSpecifier" : {
-                                    "localId" : "3734",
+                                    "localId" : "3709",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "3735",
+                                       "localId" : "3710",
                                        "name" : "{http://hl7.org/fhir}Observation.Component",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -21014,19 +20933,19 @@
                            "let" : [ ],
                            "relationship" : [ ],
                            "where" : {
-                              "localId" : "3738",
+                              "localId" : "3713",
                               "locator" : "180:11-180:59",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                               "type" : "Equivalent",
                               "signature" : [ ],
                               "operand" : [ {
-                                 "localId" : "3751",
+                                 "localId" : "3726",
                                  "name" : "ToConcept",
                                  "libraryName" : "FHIRHelpers",
                                  "type" : "FunctionRef",
                                  "signature" : [ ],
                                  "operand" : [ {
-                                    "localId" : "3740",
+                                    "localId" : "3715",
                                     "locator" : "180:17-180:22",
                                     "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                                     "path" : "code",
@@ -21034,11 +20953,11 @@
                                     "type" : "Property"
                                  } ]
                               }, {
-                                 "localId" : "3753",
+                                 "localId" : "3728",
                                  "type" : "ToConcept",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "3750",
+                                    "localId" : "3725",
                                     "locator" : "180:26-180:59",
                                     "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
                                     "name" : "ToCode",
@@ -21046,34 +20965,34 @@
                                     "type" : "FunctionRef",
                                     "signature" : [ ],
                                     "operand" : [ {
-                                       "localId" : "3742",
+                                       "localId" : "3717",
                                        "locator" : "180:45-180:58",
                                        "resultTypeName" : "{http://hl7.org/fhir}Coding",
                                        "type" : "Indexer",
                                        "signature" : [ ],
                                        "operand" : [ {
-                                          "localId" : "3744",
+                                          "localId" : "3719",
                                           "locator" : "180:45-180:55",
                                           "path" : "coding",
                                           "type" : "Property",
                                           "resultTypeSpecifier" : {
-                                             "localId" : "3747",
+                                             "localId" : "3722",
                                              "type" : "ListTypeSpecifier",
                                              "elementType" : {
-                                                "localId" : "3748",
+                                                "localId" : "3723",
                                                 "name" : "{http://hl7.org/fhir}Coding",
                                                 "type" : "NamedTypeSpecifier"
                                              }
                                           },
                                           "source" : {
-                                             "localId" : "3743",
+                                             "localId" : "3718",
                                              "locator" : "180:45-180:48",
                                              "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                                              "name" : "code",
                                              "type" : "OperandRef"
                                           }
                                        }, {
-                                          "localId" : "3749",
+                                          "localId" : "3724",
                                           "locator" : "180:57",
                                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}Integer",
                                           "valueType" : "{urn:hl7-org:elm-types:r1}Integer",
@@ -21090,10 +21009,10 @@
                }
             },
             "operand" : [ {
-               "localId" : "3692",
+               "localId" : "3667",
                "name" : "code",
                "operandTypeSpecifier" : {
-                  "localId" : "3691",
+                  "localId" : "3666",
                   "locator" : "174:39-174:58",
                   "resultTypeName" : "{http://hl7.org/fhir}CodeableConcept",
                   "name" : "{http://hl7.org/fhir}CodeableConcept",
@@ -21101,8 +21020,8 @@
                }
             } ]
          }, {
-            "localId" : "4394",
-            "locator" : "215:1-217:69",
+            "localId" : "4315",
+            "locator" : "213:1-215:69",
             "name" : "SelectByStatus",
             "context" : "Unfiltered",
             "accessLevel" : "Public",
@@ -21110,18 +21029,18 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "4394",
+                  "r" : "4315",
                   "s" : [ {
                      "value" : [ "","define function SelectByStatus(observations List<Observation>):\n  " ]
                   }, {
-                     "r" : "4417",
+                     "r" : "4338",
                      "s" : [ {
-                        "r" : "4417",
+                        "r" : "4338",
                         "s" : [ {
                            "s" : [ {
-                              "r" : "4400",
+                              "r" : "4321",
                               "s" : [ {
-                                 "r" : "4401",
+                                 "r" : "4322",
                                  "s" : [ {
                                     "s" : [ {
                                        "value" : [ "observations" ]
@@ -21134,22 +21053,22 @@
                         }, {
                            "value" : [ "\n\t" ]
                         }, {
-                           "r" : "4415",
+                           "r" : "4336",
                            "s" : [ {
                               "value" : [ "where " ]
                            }, {
-                              "r" : "4415",
+                              "r" : "4336",
                               "s" : [ {
-                                 "r" : "4407",
+                                 "r" : "4328",
                                  "s" : [ {
-                                    "r" : "4406",
+                                    "r" : "4327",
                                     "s" : [ {
                                        "value" : [ "Obs" ]
                                     } ]
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "4407",
+                                    "r" : "4328",
                                     "s" : [ {
                                        "value" : [ "status" ]
                                     } ]
@@ -21157,32 +21076,32 @@
                               }, {
                                  "value" : [ " in " ]
                               }, {
-                                 "r" : "4408",
+                                 "r" : "4329",
                                  "s" : [ {
                                     "value" : [ "{" ]
                                  }, {
-                                    "r" : "4409",
+                                    "r" : "4330",
                                     "s" : [ {
                                        "value" : [ "'final'" ]
                                     } ]
                                  }, {
                                     "value" : [ ", " ]
                                  }, {
-                                    "r" : "4410",
+                                    "r" : "4331",
                                     "s" : [ {
                                        "value" : [ "'amended'" ]
                                     } ]
                                  }, {
                                     "value" : [ ", " ]
                                  }, {
-                                    "r" : "4411",
+                                    "r" : "4332",
                                     "s" : [ {
                                        "value" : [ "'corrected'" ]
                                     } ]
                                  }, {
                                     "value" : [ ", " ]
                                  }, {
-                                    "r" : "4412",
+                                    "r" : "4333",
                                     "s" : [ {
                                        "value" : [ "'preliminary'" ]
                                     } ]
@@ -21197,50 +21116,50 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "4422",
+               "localId" : "4343",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "4423",
+                  "localId" : "4344",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "4417",
-               "locator" : "216:3-217:69",
+               "localId" : "4338",
+               "locator" : "214:3-215:69",
                "type" : "Query",
                "resultTypeSpecifier" : {
-                  "localId" : "4420",
+                  "localId" : "4341",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
-                     "localId" : "4421",
+                     "localId" : "4342",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
                "source" : [ {
-                  "localId" : "4400",
-                  "locator" : "216:3-216:18",
+                  "localId" : "4321",
+                  "locator" : "214:3-214:18",
                   "alias" : "Obs",
                   "resultTypeSpecifier" : {
-                     "localId" : "4404",
+                     "localId" : "4325",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "4405",
+                        "localId" : "4326",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "expression" : {
-                     "localId" : "4401",
-                     "locator" : "216:3-216:14",
+                     "localId" : "4322",
+                     "locator" : "214:3-214:14",
                      "name" : "observations",
                      "type" : "OperandRef",
                      "resultTypeSpecifier" : {
-                        "localId" : "4402",
+                        "localId" : "4323",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "4403",
+                           "localId" : "4324",
                            "name" : "{http://hl7.org/fhir}Observation",
                            "type" : "NamedTypeSpecifier"
                         }
@@ -21250,62 +21169,62 @@
                "let" : [ ],
                "relationship" : [ ],
                "where" : {
-                  "localId" : "4415",
-                  "locator" : "217:2-217:69",
+                  "localId" : "4336",
+                  "locator" : "215:2-215:69",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "type" : "In",
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "4416",
+                     "localId" : "4337",
                      "name" : "ToString",
                      "libraryName" : "FHIRHelpers",
                      "type" : "FunctionRef",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "4407",
-                        "locator" : "217:8-217:17",
+                        "localId" : "4328",
+                        "locator" : "215:8-215:17",
                         "resultTypeName" : "{http://hl7.org/fhir}ObservationStatus",
                         "path" : "status",
                         "scope" : "Obs",
                         "type" : "Property"
                      } ]
                   }, {
-                     "localId" : "4408",
-                     "locator" : "217:22-217:69",
+                     "localId" : "4329",
+                     "locator" : "215:22-215:69",
                      "type" : "List",
                      "resultTypeSpecifier" : {
-                        "localId" : "4413",
+                        "localId" : "4334",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "4414",
+                           "localId" : "4335",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      },
                      "element" : [ {
-                        "localId" : "4409",
-                        "locator" : "217:23-217:29",
+                        "localId" : "4330",
+                        "locator" : "215:23-215:29",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "valueType" : "{urn:hl7-org:elm-types:r1}String",
                         "value" : "final",
                         "type" : "Literal"
                      }, {
-                        "localId" : "4410",
-                        "locator" : "217:32-217:40",
+                        "localId" : "4331",
+                        "locator" : "215:32-215:40",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "valueType" : "{urn:hl7-org:elm-types:r1}String",
                         "value" : "amended",
                         "type" : "Literal"
                      }, {
-                        "localId" : "4411",
-                        "locator" : "217:43-217:53",
+                        "localId" : "4332",
+                        "locator" : "215:43-215:53",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "valueType" : "{urn:hl7-org:elm-types:r1}String",
                         "value" : "corrected",
                         "type" : "Literal"
                      }, {
-                        "localId" : "4412",
-                        "locator" : "217:56-217:68",
+                        "localId" : "4333",
+                        "locator" : "215:56-215:68",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "valueType" : "{urn:hl7-org:elm-types:r1}String",
                         "value" : "preliminary",
@@ -21315,24 +21234,24 @@
                }
             },
             "operand" : [ {
-               "localId" : "4399",
+               "localId" : "4320",
                "name" : "observations",
                "operandTypeSpecifier" : {
-                  "localId" : "4395",
-                  "locator" : "215:45-215:61",
+                  "localId" : "4316",
+                  "locator" : "213:45-213:61",
                   "type" : "ListTypeSpecifier",
                   "resultTypeSpecifier" : {
-                     "localId" : "4397",
+                     "localId" : "4318",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "4398",
+                        "localId" : "4319",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "elementType" : {
-                     "localId" : "4396",
-                     "locator" : "215:50-215:60",
+                     "localId" : "4317",
+                     "locator" : "213:50-213:60",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
@@ -21340,8 +21259,8 @@
                }
             } ]
          }, {
-            "localId" : "4527",
-            "locator" : "231:1-233:53",
+            "localId" : "4448",
+            "locator" : "229:1-231:53",
             "name" : "IssuedWithin",
             "context" : "Unfiltered",
             "accessLevel" : "Public",
@@ -21349,18 +21268,18 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "4527",
+                  "r" : "4448",
                   "s" : [ {
                      "value" : [ "","define function IssuedWithin(observations List<Observation>, lookback System.Quantity):\n  " ]
                   }, {
-                     "r" : "4548",
+                     "r" : "4469",
                      "s" : [ {
-                        "r" : "4548",
+                        "r" : "4469",
                         "s" : [ {
                            "s" : [ {
-                              "r" : "4535",
+                              "r" : "4456",
                               "s" : [ {
-                                 "r" : "4536",
+                                 "r" : "4457",
                                  "s" : [ {
                                     "s" : [ {
                                        "value" : [ "observations" ]
@@ -21373,40 +21292,40 @@
                         }, {
                            "value" : [ "\n    " ]
                         }, {
-                           "r" : "4546",
+                           "r" : "4467",
                            "s" : [ {
                               "value" : [ "where " ]
                            }, {
-                              "r" : "4546",
+                              "r" : "4467",
                               "s" : [ {
-                                 "r" : "4542",
+                                 "r" : "4463",
                                  "s" : [ {
-                                    "r" : "4541",
+                                    "r" : "4462",
                                     "s" : [ {
                                        "value" : [ "O" ]
                                     } ]
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "4542",
+                                    "r" : "4463",
                                     "s" : [ {
                                        "value" : [ "issued" ]
                                     } ]
                                  } ]
                               }, {
-                                 "r" : "4546",
+                                 "r" : "4467",
                                  "value" : [ " ","on or after day of"," " ]
                               }, {
-                                 "r" : "4543",
+                                 "r" : "4464",
                                  "s" : [ {
-                                    "r" : "4544",
+                                    "r" : "4465",
                                     "s" : [ {
                                        "value" : [ "AsOf" ]
                                     } ]
                                  }, {
                                     "value" : [ " - " ]
                                  }, {
-                                    "r" : "4545",
+                                    "r" : "4466",
                                     "s" : [ {
                                        "value" : [ "lookback" ]
                                     } ]
@@ -21419,50 +21338,50 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "4553",
+               "localId" : "4474",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "4554",
+                  "localId" : "4475",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "4548",
-               "locator" : "232:3-233:53",
+               "localId" : "4469",
+               "locator" : "230:3-231:53",
                "type" : "Query",
                "resultTypeSpecifier" : {
-                  "localId" : "4551",
+                  "localId" : "4472",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
-                     "localId" : "4552",
+                     "localId" : "4473",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
                "source" : [ {
-                  "localId" : "4535",
-                  "locator" : "232:3-232:16",
+                  "localId" : "4456",
+                  "locator" : "230:3-230:16",
                   "alias" : "O",
                   "resultTypeSpecifier" : {
-                     "localId" : "4539",
+                     "localId" : "4460",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "4540",
+                        "localId" : "4461",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "expression" : {
-                     "localId" : "4536",
-                     "locator" : "232:3-232:14",
+                     "localId" : "4457",
+                     "locator" : "230:3-230:14",
                      "name" : "observations",
                      "type" : "OperandRef",
                      "resultTypeSpecifier" : {
-                        "localId" : "4537",
+                        "localId" : "4458",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "4538",
+                           "localId" : "4459",
                            "name" : "{http://hl7.org/fhir}Observation",
                            "type" : "NamedTypeSpecifier"
                         }
@@ -21472,41 +21391,41 @@
                "let" : [ ],
                "relationship" : [ ],
                "where" : {
-                  "localId" : "4546",
-                  "locator" : "233:5-233:53",
+                  "localId" : "4467",
+                  "locator" : "231:5-231:53",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "precision" : "Day",
                   "type" : "SameOrAfter",
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "4547",
+                     "localId" : "4468",
                      "name" : "ToDateTime",
                      "libraryName" : "FHIRHelpers",
                      "type" : "FunctionRef",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "4542",
-                        "locator" : "233:11-233:18",
+                        "localId" : "4463",
+                        "locator" : "231:11-231:18",
                         "resultTypeName" : "{http://hl7.org/fhir}instant",
                         "path" : "issued",
                         "scope" : "O",
                         "type" : "Property"
                      } ]
                   }, {
-                     "localId" : "4543",
-                     "locator" : "233:39-233:53",
+                     "localId" : "4464",
+                     "locator" : "231:39-231:53",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                      "type" : "Subtract",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "4544",
-                        "locator" : "233:39-233:42",
+                        "localId" : "4465",
+                        "locator" : "231:39-231:42",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                         "name" : "AsOf",
                         "type" : "ParameterRef"
                      }, {
-                        "localId" : "4545",
-                        "locator" : "233:46-233:53",
+                        "localId" : "4466",
+                        "locator" : "231:46-231:53",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Quantity",
                         "name" : "lookback",
                         "type" : "OperandRef"
@@ -21515,43 +21434,43 @@
                }
             },
             "operand" : [ {
-               "localId" : "4532",
+               "localId" : "4453",
                "name" : "observations",
                "operandTypeSpecifier" : {
-                  "localId" : "4528",
-                  "locator" : "231:43-231:59",
+                  "localId" : "4449",
+                  "locator" : "229:43-229:59",
                   "type" : "ListTypeSpecifier",
                   "resultTypeSpecifier" : {
-                     "localId" : "4530",
+                     "localId" : "4451",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "4531",
+                        "localId" : "4452",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "elementType" : {
-                     "localId" : "4529",
-                     "locator" : "231:48-231:58",
+                     "localId" : "4450",
+                     "locator" : "229:48-229:58",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                }
             }, {
-               "localId" : "4534",
+               "localId" : "4455",
                "name" : "lookback",
                "operandTypeSpecifier" : {
-                  "localId" : "4533",
-                  "locator" : "231:71-231:85",
+                  "localId" : "4454",
+                  "locator" : "229:71-229:85",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Quantity",
                   "name" : "{urn:hl7-org:elm-types:r1}Quantity",
                   "type" : "NamedTypeSpecifier"
                }
             } ]
          }, {
-            "localId" : "5218",
-            "locator" : "317:1-320:22",
+            "localId" : "5168",
+            "locator" : "315:1-318:22",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
             "name" : "QuantityTextWithComparator",
             "context" : "Unfiltered",
@@ -21560,23 +21479,23 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "5218",
+                  "r" : "5168",
                   "s" : [ {
                      "value" : [ "","define function QuantityTextWithComparator(q FHIR.Quantity):\n  " ]
                   }, {
-                     "r" : "5221",
+                     "r" : "5171",
                      "s" : [ {
-                        "r" : "5221",
+                        "r" : "5171",
                         "s" : [ {
                            "value" : [ "if " ]
                         }, {
-                           "r" : "5223",
+                           "r" : "5173",
                            "s" : [ {
                               "value" : [ "(" ]
                            }, {
-                              "r" : "5223",
+                              "r" : "5173",
                               "s" : [ {
-                                 "r" : "5222",
+                                 "r" : "5172",
                                  "s" : [ {
                                     "value" : [ "q" ]
                                  } ]
@@ -21587,29 +21506,29 @@
                               "value" : [ ")" ]
                            } ]
                         }, {
-                           "r" : "5224",
+                           "r" : "5174",
                            "value" : [ " then ","null","\n  else " ]
                         }, {
-                           "r" : "5225",
+                           "r" : "5175",
                            "s" : [ {
                               "value" : [ "if " ]
                            }, {
-                              "r" : "5229",
+                              "r" : "5179",
                               "s" : [ {
                                  "value" : [ "(" ]
                               }, {
-                                 "r" : "5229",
+                                 "r" : "5179",
                                  "s" : [ {
-                                    "r" : "5227",
+                                    "r" : "5177",
                                     "s" : [ {
-                                       "r" : "5226",
+                                       "r" : "5176",
                                        "s" : [ {
                                           "value" : [ "q" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5227",
+                                       "r" : "5177",
                                        "s" : [ {
                                           "value" : [ "comparator" ]
                                        } ]
@@ -21623,22 +21542,22 @@
                            }, {
                               "value" : [ " then " ]
                            }, {
-                              "r" : "5239",
+                              "r" : "5189",
                               "s" : [ {
-                                 "r" : "5236",
+                                 "r" : "5186",
                                  "s" : [ {
-                                    "r" : "5234",
+                                    "r" : "5184",
                                     "s" : [ {
-                                       "r" : "5233",
+                                       "r" : "5183",
                                        "s" : [ {
-                                          "r" : "5232",
+                                          "r" : "5182",
                                           "s" : [ {
                                              "value" : [ "q" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5233",
+                                          "r" : "5183",
                                           "s" : [ {
                                              "value" : [ "comparator" ]
                                           } ]
@@ -21646,7 +21565,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5234",
+                                       "r" : "5184",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -21654,7 +21573,7 @@
                                  }, {
                                     "value" : [ " + " ]
                                  }, {
-                                    "r" : "5235",
+                                    "r" : "5185",
                                     "s" : [ {
                                        "value" : [ "' '" ]
                                     } ]
@@ -21662,11 +21581,11 @@
                               }, {
                                  "value" : [ " + " ]
                               }, {
-                                 "r" : "5238",
+                                 "r" : "5188",
                                  "s" : [ {
                                     "value" : [ "QuantityText","(" ]
                                  }, {
-                                    "r" : "5237",
+                                    "r" : "5187",
                                     "s" : [ {
                                        "value" : [ "q" ]
                                     } ]
@@ -21677,11 +21596,11 @@
                            }, {
                               "value" : [ "\n  else " ]
                            }, {
-                              "r" : "5241",
+                              "r" : "5191",
                               "s" : [ {
                                  "value" : [ "QuantityText","(" ]
                               }, {
-                                 "r" : "5240",
+                                 "r" : "5190",
                                  "s" : [ {
                                     "value" : [ "q" ]
                                  } ]
@@ -21695,62 +21614,62 @@
                }
             } ],
             "expression" : {
-               "localId" : "5221",
-               "locator" : "318:3-320:22",
+               "localId" : "5171",
+               "locator" : "316:3-318:22",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                "type" : "If",
                "condition" : {
-                  "localId" : "5223",
-                  "locator" : "318:6-318:16",
+                  "localId" : "5173",
+                  "locator" : "316:6-316:16",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "type" : "IsNull",
                   "signature" : [ ],
                   "operand" : {
-                     "localId" : "5222",
-                     "locator" : "318:7",
+                     "localId" : "5172",
+                     "locator" : "316:7",
                      "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                      "name" : "q",
                      "type" : "OperandRef"
                   }
                },
                "then" : {
-                  "localId" : "5242",
+                  "localId" : "5192",
                   "asType" : "{urn:hl7-org:elm-types:r1}String",
                   "type" : "As",
                   "signature" : [ ],
                   "operand" : {
-                     "localId" : "5224",
-                     "locator" : "318:23-318:26",
+                     "localId" : "5174",
+                     "locator" : "316:23-316:26",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                      "type" : "Null"
                   }
                },
                "else" : {
-                  "localId" : "5225",
-                  "locator" : "319:8-320:22",
+                  "localId" : "5175",
+                  "locator" : "317:8-318:22",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                   "type" : "If",
                   "condition" : {
-                     "localId" : "5229",
-                     "locator" : "319:11-319:36",
+                     "localId" : "5179",
+                     "locator" : "317:11-317:36",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "Not",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "5228",
-                        "locator" : "319:12-319:35",
+                        "localId" : "5178",
+                        "locator" : "317:12-317:35",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "IsNull",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "5227",
-                           "locator" : "319:12-319:23",
+                           "localId" : "5177",
+                           "locator" : "317:12-317:23",
                            "resultTypeName" : "{http://hl7.org/fhir}QuantityComparator",
                            "path" : "comparator",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5226",
-                              "locator" : "319:12",
+                              "localId" : "5176",
+                              "locator" : "317:12",
                               "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                               "name" : "q",
                               "type" : "OperandRef"
@@ -21759,55 +21678,55 @@
                      }
                   },
                   "then" : {
-                     "localId" : "5239",
-                     "locator" : "319:43-319:84",
+                     "localId" : "5189",
+                     "locator" : "317:43-317:84",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "Concatenate",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "5236",
-                        "locator" : "319:43-319:66",
+                        "localId" : "5186",
+                        "locator" : "317:43-317:66",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "Concatenate",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5234",
-                           "locator" : "319:43-319:60",
+                           "localId" : "5184",
+                           "locator" : "317:43-317:60",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5233",
-                              "locator" : "319:43-319:54",
+                              "localId" : "5183",
+                              "locator" : "317:43-317:54",
                               "resultTypeName" : "{http://hl7.org/fhir}QuantityComparator",
                               "path" : "comparator",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5232",
-                                 "locator" : "319:43",
+                                 "localId" : "5182",
+                                 "locator" : "317:43",
                                  "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                  "name" : "q",
                                  "type" : "OperandRef"
                               }
                            }
                         }, {
-                           "localId" : "5235",
-                           "locator" : "319:64-319:66",
+                           "localId" : "5185",
+                           "locator" : "317:64-317:66",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : " ",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5238",
-                        "locator" : "319:70-319:84",
+                        "localId" : "5188",
+                        "locator" : "317:70-317:84",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "name" : "QuantityText",
                         "type" : "FunctionRef",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5237",
-                           "locator" : "319:83",
+                           "localId" : "5187",
+                           "locator" : "317:83",
                            "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                            "name" : "q",
                            "type" : "OperandRef"
@@ -21815,15 +21734,15 @@
                      } ]
                   },
                   "else" : {
-                     "localId" : "5241",
-                     "locator" : "320:8-320:22",
+                     "localId" : "5191",
+                     "locator" : "318:8-318:22",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                      "name" : "QuantityText",
                      "type" : "FunctionRef",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "5240",
-                        "locator" : "320:21",
+                        "localId" : "5190",
+                        "locator" : "318:21",
                         "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                         "name" : "q",
                         "type" : "OperandRef"
@@ -21832,19 +21751,19 @@
                }
             },
             "operand" : [ {
-               "localId" : "5220",
+               "localId" : "5170",
                "name" : "q",
                "operandTypeSpecifier" : {
-                  "localId" : "5219",
-                  "locator" : "317:46-317:58",
+                  "localId" : "5169",
+                  "locator" : "315:46-315:58",
                   "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                   "name" : "{http://hl7.org/fhir}Quantity",
                   "type" : "NamedTypeSpecifier"
                }
             } ]
          }, {
-            "localId" : "5243",
-            "locator" : "322:1-327:11",
+            "localId" : "5193",
+            "locator" : "320:1-325:11",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
             "name" : "RangeText",
             "context" : "Unfiltered",
@@ -21853,23 +21772,23 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "5243",
+                  "r" : "5193",
                   "s" : [ {
                      "value" : [ "","define function RangeText(r FHIR.Range):\n  " ]
                   }, {
-                     "r" : "5246",
+                     "r" : "5196",
                      "s" : [ {
-                        "r" : "5246",
+                        "r" : "5196",
                         "s" : [ {
                            "value" : [ "if " ]
                         }, {
-                           "r" : "5248",
+                           "r" : "5198",
                            "s" : [ {
                               "value" : [ "(" ]
                            }, {
-                              "r" : "5248",
+                              "r" : "5198",
                               "s" : [ {
-                                 "r" : "5247",
+                                 "r" : "5197",
                                  "s" : [ {
                                     "value" : [ "r" ]
                                  } ]
@@ -21880,31 +21799,31 @@
                               "value" : [ ")" ]
                            } ]
                         }, {
-                           "r" : "5249",
+                           "r" : "5199",
                            "value" : [ " then ","null","\n  else " ]
                         }, {
-                           "r" : "5250",
+                           "r" : "5200",
                            "s" : [ {
                               "value" : [ "if " ]
                            }, {
-                              "r" : "5251",
+                              "r" : "5201",
                               "s" : [ {
                                  "value" : [ "(" ]
                               }, {
-                                 "r" : "5251",
+                                 "r" : "5201",
                                  "s" : [ {
-                                    "r" : "5255",
+                                    "r" : "5205",
                                     "s" : [ {
-                                       "r" : "5253",
+                                       "r" : "5203",
                                        "s" : [ {
-                                          "r" : "5252",
+                                          "r" : "5202",
                                           "s" : [ {
                                              "value" : [ "r" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5253",
+                                          "r" : "5203",
                                           "s" : [ {
                                              "value" : [ "low" ]
                                           } ]
@@ -21915,18 +21834,18 @@
                                  }, {
                                     "value" : [ " and " ]
                                  }, {
-                                    "r" : "5259",
+                                    "r" : "5209",
                                     "s" : [ {
-                                       "r" : "5257",
+                                       "r" : "5207",
                                        "s" : [ {
-                                          "r" : "5256",
+                                          "r" : "5206",
                                           "s" : [ {
                                              "value" : [ "r" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5257",
+                                          "r" : "5207",
                                           "s" : [ {
                                              "value" : [ "high" ]
                                           } ]
@@ -21941,37 +21860,37 @@
                            }, {
                               "value" : [ " then " ]
                            }, {
-                              "r" : "5281",
+                              "r" : "5231",
                               "s" : [ {
-                                 "r" : "5273",
+                                 "r" : "5223",
                                  "s" : [ {
-                                    "r" : "5271",
+                                    "r" : "5221",
                                     "s" : [ {
-                                       "r" : "5263",
+                                       "r" : "5213",
                                        "s" : [ {
                                           "value" : [ "'between '" ]
                                        } ]
                                     }, {
                                        "value" : [ " + " ]
                                     }, {
-                                       "r" : "5270",
+                                       "r" : "5220",
                                        "s" : [ {
                                           "value" : [ "ToString","(" ]
                                        }, {
-                                          "r" : "5267",
+                                          "r" : "5217",
                                           "s" : [ {
-                                             "r" : "5266",
+                                             "r" : "5216",
                                              "s" : [ {
-                                                "r" : "5265",
+                                                "r" : "5215",
                                                 "s" : [ {
-                                                   "r" : "5264",
+                                                   "r" : "5214",
                                                    "s" : [ {
                                                       "value" : [ "r" ]
                                                    } ]
                                                 }, {
                                                    "value" : [ "." ]
                                                 }, {
-                                                   "r" : "5265",
+                                                   "r" : "5215",
                                                    "s" : [ {
                                                       "value" : [ "low" ]
                                                    } ]
@@ -21979,7 +21898,7 @@
                                              }, {
                                                 "value" : [ "." ]
                                              }, {
-                                                "r" : "5266",
+                                                "r" : "5216",
                                                 "s" : [ {
                                                    "value" : [ "value" ]
                                                 } ]
@@ -21987,7 +21906,7 @@
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "5267",
+                                             "r" : "5217",
                                              "s" : [ {
                                                 "value" : [ "value" ]
                                              } ]
@@ -21999,7 +21918,7 @@
                                  }, {
                                     "value" : [ " + " ]
                                  }, {
-                                    "r" : "5272",
+                                    "r" : "5222",
                                     "s" : [ {
                                        "value" : [ "' and '" ]
                                     } ]
@@ -22007,24 +21926,24 @@
                               }, {
                                  "value" : [ " + " ]
                               }, {
-                                 "r" : "5280",
+                                 "r" : "5230",
                                  "s" : [ {
                                     "value" : [ "ToString","(" ]
                                  }, {
-                                    "r" : "5277",
+                                    "r" : "5227",
                                     "s" : [ {
-                                       "r" : "5276",
+                                       "r" : "5226",
                                        "s" : [ {
-                                          "r" : "5275",
+                                          "r" : "5225",
                                           "s" : [ {
-                                             "r" : "5274",
+                                             "r" : "5224",
                                              "s" : [ {
                                                 "value" : [ "r" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "5275",
+                                             "r" : "5225",
                                              "s" : [ {
                                                 "value" : [ "high" ]
                                              } ]
@@ -22032,7 +21951,7 @@
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5276",
+                                          "r" : "5226",
                                           "s" : [ {
                                              "value" : [ "value" ]
                                           } ]
@@ -22040,7 +21959,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5277",
+                                       "r" : "5227",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -22052,28 +21971,28 @@
                            }, {
                               "value" : [ "\n  else " ]
                            }, {
-                              "r" : "5282",
+                              "r" : "5232",
                               "s" : [ {
                                  "value" : [ "if " ]
                               }, {
-                                 "r" : "5283",
+                                 "r" : "5233",
                                  "s" : [ {
                                     "value" : [ "(" ]
                                  }, {
-                                    "r" : "5283",
+                                    "r" : "5233",
                                     "s" : [ {
-                                       "r" : "5287",
+                                       "r" : "5237",
                                        "s" : [ {
-                                          "r" : "5285",
+                                          "r" : "5235",
                                           "s" : [ {
-                                             "r" : "5284",
+                                             "r" : "5234",
                                              "s" : [ {
                                                 "value" : [ "r" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "5285",
+                                             "r" : "5235",
                                              "s" : [ {
                                                 "value" : [ "low" ]
                                              } ]
@@ -22084,18 +22003,18 @@
                                     }, {
                                        "value" : [ " and " ]
                                     }, {
-                                       "r" : "5290",
+                                       "r" : "5240",
                                        "s" : [ {
-                                          "r" : "5289",
+                                          "r" : "5239",
                                           "s" : [ {
-                                             "r" : "5288",
+                                             "r" : "5238",
                                              "s" : [ {
                                                 "value" : [ "r" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "5289",
+                                             "r" : "5239",
                                              "s" : [ {
                                                 "value" : [ "high" ]
                                              } ]
@@ -22110,33 +22029,33 @@
                               }, {
                                  "value" : [ " then " ]
                               }, {
-                                 "r" : "5300",
+                                 "r" : "5250",
                                  "s" : [ {
-                                    "r" : "5292",
+                                    "r" : "5242",
                                     "s" : [ {
                                        "value" : [ "'above '" ]
                                     } ]
                                  }, {
                                     "value" : [ " + " ]
                                  }, {
-                                    "r" : "5299",
+                                    "r" : "5249",
                                     "s" : [ {
                                        "value" : [ "ToString","(" ]
                                     }, {
-                                       "r" : "5296",
+                                       "r" : "5246",
                                        "s" : [ {
-                                          "r" : "5295",
+                                          "r" : "5245",
                                           "s" : [ {
-                                             "r" : "5294",
+                                             "r" : "5244",
                                              "s" : [ {
-                                                "r" : "5293",
+                                                "r" : "5243",
                                                 "s" : [ {
                                                    "value" : [ "r" ]
                                                 } ]
                                              }, {
                                                 "value" : [ "." ]
                                              }, {
-                                                "r" : "5294",
+                                                "r" : "5244",
                                                 "s" : [ {
                                                    "value" : [ "low" ]
                                                 } ]
@@ -22144,7 +22063,7 @@
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "5295",
+                                             "r" : "5245",
                                              "s" : [ {
                                                 "value" : [ "value" ]
                                              } ]
@@ -22152,7 +22071,7 @@
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "5296",
+                                          "r" : "5246",
                                           "s" : [ {
                                              "value" : [ "value" ]
                                           } ]
@@ -22164,28 +22083,28 @@
                               }, {
                                  "value" : [ "\n  else " ]
                               }, {
-                                 "r" : "5301",
+                                 "r" : "5251",
                                  "s" : [ {
                                     "value" : [ "if " ]
                                  }, {
-                                    "r" : "5302",
+                                    "r" : "5252",
                                     "s" : [ {
                                        "value" : [ "(" ]
                                     }, {
-                                       "r" : "5302",
+                                       "r" : "5252",
                                        "s" : [ {
-                                          "r" : "5305",
+                                          "r" : "5255",
                                           "s" : [ {
-                                             "r" : "5304",
+                                             "r" : "5254",
                                              "s" : [ {
-                                                "r" : "5303",
+                                                "r" : "5253",
                                                 "s" : [ {
                                                    "value" : [ "r" ]
                                                 } ]
                                              }, {
                                                 "value" : [ "." ]
                                              }, {
-                                                "r" : "5304",
+                                                "r" : "5254",
                                                 "s" : [ {
                                                    "value" : [ "low" ]
                                                 } ]
@@ -22196,18 +22115,18 @@
                                        }, {
                                           "value" : [ " and " ]
                                        }, {
-                                          "r" : "5309",
+                                          "r" : "5259",
                                           "s" : [ {
-                                             "r" : "5307",
+                                             "r" : "5257",
                                              "s" : [ {
-                                                "r" : "5306",
+                                                "r" : "5256",
                                                 "s" : [ {
                                                    "value" : [ "r" ]
                                                 } ]
                                              }, {
                                                 "value" : [ "." ]
                                              }, {
-                                                "r" : "5307",
+                                                "r" : "5257",
                                                 "s" : [ {
                                                    "value" : [ "high" ]
                                                 } ]
@@ -22222,33 +22141,33 @@
                                  }, {
                                     "value" : [ " then " ]
                                  }, {
-                                    "r" : "5319",
+                                    "r" : "5269",
                                     "s" : [ {
-                                       "r" : "5311",
+                                       "r" : "5261",
                                        "s" : [ {
                                           "value" : [ "'below '" ]
                                        } ]
                                     }, {
                                        "value" : [ " + " ]
                                     }, {
-                                       "r" : "5318",
+                                       "r" : "5268",
                                        "s" : [ {
                                           "value" : [ "ToString","(" ]
                                        }, {
-                                          "r" : "5315",
+                                          "r" : "5265",
                                           "s" : [ {
-                                             "r" : "5314",
+                                             "r" : "5264",
                                              "s" : [ {
-                                                "r" : "5313",
+                                                "r" : "5263",
                                                 "s" : [ {
-                                                   "r" : "5312",
+                                                   "r" : "5262",
                                                    "s" : [ {
                                                       "value" : [ "r" ]
                                                    } ]
                                                 }, {
                                                    "value" : [ "." ]
                                                 }, {
-                                                   "r" : "5313",
+                                                   "r" : "5263",
                                                    "s" : [ {
                                                       "value" : [ "high" ]
                                                    } ]
@@ -22256,7 +22175,7 @@
                                              }, {
                                                 "value" : [ "." ]
                                              }, {
-                                                "r" : "5314",
+                                                "r" : "5264",
                                                 "s" : [ {
                                                    "value" : [ "value" ]
                                                 } ]
@@ -22264,7 +22183,7 @@
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "5315",
+                                             "r" : "5265",
                                              "s" : [ {
                                                 "value" : [ "value" ]
                                              } ]
@@ -22274,7 +22193,7 @@
                                        } ]
                                     } ]
                                  }, {
-                                    "r" : "5320",
+                                    "r" : "5270",
                                     "value" : [ "\n  else ","null" ]
                                  } ]
                               } ]
@@ -22285,68 +22204,68 @@
                }
             } ],
             "expression" : {
-               "localId" : "5246",
-               "locator" : "323:3-327:11",
+               "localId" : "5196",
+               "locator" : "321:3-325:11",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                "type" : "If",
                "condition" : {
-                  "localId" : "5248",
-                  "locator" : "323:6-323:16",
+                  "localId" : "5198",
+                  "locator" : "321:6-321:16",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "type" : "IsNull",
                   "signature" : [ ],
                   "operand" : {
-                     "localId" : "5247",
-                     "locator" : "323:7",
+                     "localId" : "5197",
+                     "locator" : "321:7",
                      "resultTypeName" : "{http://hl7.org/fhir}Range",
                      "name" : "r",
                      "type" : "OperandRef"
                   }
                },
                "then" : {
-                  "localId" : "5322",
+                  "localId" : "5272",
                   "asType" : "{urn:hl7-org:elm-types:r1}String",
                   "type" : "As",
                   "signature" : [ ],
                   "operand" : {
-                     "localId" : "5249",
-                     "locator" : "323:23-323:26",
+                     "localId" : "5199",
+                     "locator" : "321:23-321:26",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                      "type" : "Null"
                   }
                },
                "else" : {
-                  "localId" : "5250",
-                  "locator" : "324:8-327:11",
+                  "localId" : "5200",
+                  "locator" : "322:8-325:11",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                   "type" : "If",
                   "condition" : {
-                     "localId" : "5251",
-                     "locator" : "324:11-324:52",
+                     "localId" : "5201",
+                     "locator" : "322:11-322:52",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "And",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "5255",
-                        "locator" : "324:12-324:28",
+                        "localId" : "5205",
+                        "locator" : "322:12-322:28",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Not",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "5254",
-                           "locator" : "324:12-324:28",
+                           "localId" : "5204",
+                           "locator" : "322:12-322:28",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                            "type" : "IsNull",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "5253",
-                              "locator" : "324:12-324:16",
+                              "localId" : "5203",
+                              "locator" : "322:12-322:16",
                               "resultTypeName" : "{http://hl7.org/fhir}SimpleQuantity",
                               "path" : "low",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5252",
-                                 "locator" : "324:12",
+                                 "localId" : "5202",
+                                 "locator" : "322:12",
                                  "resultTypeName" : "{http://hl7.org/fhir}Range",
                                  "name" : "r",
                                  "type" : "OperandRef"
@@ -22354,26 +22273,26 @@
                            }
                         }
                      }, {
-                        "localId" : "5259",
-                        "locator" : "324:34-324:51",
+                        "localId" : "5209",
+                        "locator" : "322:34-322:51",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "Not",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "5258",
-                           "locator" : "324:34-324:51",
+                           "localId" : "5208",
+                           "locator" : "322:34-322:51",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                            "type" : "IsNull",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "5257",
-                              "locator" : "324:34-324:39",
+                              "localId" : "5207",
+                              "locator" : "322:34-322:39",
                               "resultTypeName" : "{http://hl7.org/fhir}SimpleQuantity",
                               "path" : "high",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5256",
-                                 "locator" : "324:34",
+                                 "localId" : "5206",
+                                 "locator" : "322:34",
                                  "resultTypeName" : "{http://hl7.org/fhir}Range",
                                  "name" : "r",
                                  "type" : "OperandRef"
@@ -22383,57 +22302,57 @@
                      } ]
                   },
                   "then" : {
-                     "localId" : "5281",
-                     "locator" : "324:59-324:139",
+                     "localId" : "5231",
+                     "locator" : "322:59-322:139",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "Concatenate",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "5273",
-                        "locator" : "324:59-324:108",
+                        "localId" : "5223",
+                        "locator" : "322:59-322:108",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "Concatenate",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5271",
-                           "locator" : "324:59-324:98",
+                           "localId" : "5221",
+                           "locator" : "322:59-322:98",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "Concatenate",
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "5263",
-                              "locator" : "324:59-324:68",
+                              "localId" : "5213",
+                              "locator" : "322:59-322:68",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                               "valueType" : "{urn:hl7-org:elm-types:r1}String",
                               "value" : "between ",
                               "type" : "Literal"
                            }, {
-                              "localId" : "5270",
-                              "locator" : "324:72-324:98",
+                              "localId" : "5220",
+                              "locator" : "322:72-322:98",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "ToString",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "5267",
-                                 "locator" : "324:81-324:97",
+                                 "localId" : "5217",
+                                 "locator" : "322:81-322:97",
                                  "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "path" : "value",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "5266",
-                                    "locator" : "324:81-324:91",
+                                    "localId" : "5216",
+                                    "locator" : "322:81-322:91",
                                     "resultTypeName" : "{http://hl7.org/fhir}decimal",
                                     "path" : "value",
                                     "type" : "Property",
                                     "source" : {
-                                       "localId" : "5265",
-                                       "locator" : "324:81-324:85",
+                                       "localId" : "5215",
+                                       "locator" : "322:81-322:85",
                                        "resultTypeName" : "{http://hl7.org/fhir}SimpleQuantity",
                                        "path" : "low",
                                        "type" : "Property",
                                        "source" : {
-                                          "localId" : "5264",
-                                          "locator" : "324:81",
+                                          "localId" : "5214",
+                                          "locator" : "322:81",
                                           "resultTypeName" : "{http://hl7.org/fhir}Range",
                                           "name" : "r",
                                           "type" : "OperandRef"
@@ -22443,40 +22362,40 @@
                               }
                            } ]
                         }, {
-                           "localId" : "5272",
-                           "locator" : "324:102-324:108",
+                           "localId" : "5222",
+                           "locator" : "322:102-322:108",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : " and ",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5280",
-                        "locator" : "324:112-324:139",
+                        "localId" : "5230",
+                        "locator" : "322:112-322:139",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "ToString",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "5277",
-                           "locator" : "324:121-324:138",
+                           "localId" : "5227",
+                           "locator" : "322:121-322:138",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "5276",
-                              "locator" : "324:121-324:132",
+                              "localId" : "5226",
+                              "locator" : "322:121-322:132",
                               "resultTypeName" : "{http://hl7.org/fhir}decimal",
                               "path" : "value",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5275",
-                                 "locator" : "324:121-324:126",
+                                 "localId" : "5225",
+                                 "locator" : "322:121-322:126",
                                  "resultTypeName" : "{http://hl7.org/fhir}SimpleQuantity",
                                  "path" : "high",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "5274",
-                                    "locator" : "324:121",
+                                    "localId" : "5224",
+                                    "locator" : "322:121",
                                     "resultTypeName" : "{http://hl7.org/fhir}Range",
                                     "name" : "r",
                                     "type" : "OperandRef"
@@ -22487,37 +22406,37 @@
                      } ]
                   },
                   "else" : {
-                     "localId" : "5282",
-                     "locator" : "325:8-327:11",
+                     "localId" : "5232",
+                     "locator" : "323:8-325:11",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                      "type" : "If",
                      "condition" : {
-                        "localId" : "5283",
-                        "locator" : "325:11-325:48",
+                        "localId" : "5233",
+                        "locator" : "323:11-323:48",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                         "type" : "And",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5287",
-                           "locator" : "325:12-325:28",
+                           "localId" : "5237",
+                           "locator" : "323:12-323:28",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                            "type" : "Not",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "5286",
-                              "locator" : "325:12-325:28",
+                              "localId" : "5236",
+                              "locator" : "323:12-323:28",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                               "type" : "IsNull",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "5285",
-                                 "locator" : "325:12-325:16",
+                                 "localId" : "5235",
+                                 "locator" : "323:12-323:16",
                                  "resultTypeName" : "{http://hl7.org/fhir}SimpleQuantity",
                                  "path" : "low",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "5284",
-                                    "locator" : "325:12",
+                                    "localId" : "5234",
+                                    "locator" : "323:12",
                                     "resultTypeName" : "{http://hl7.org/fhir}Range",
                                     "name" : "r",
                                     "type" : "OperandRef"
@@ -22525,20 +22444,20 @@
                               }
                            }
                         }, {
-                           "localId" : "5290",
-                           "locator" : "325:34-325:47",
+                           "localId" : "5240",
+                           "locator" : "323:34-323:47",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                            "type" : "IsNull",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "5289",
-                              "locator" : "325:34-325:39",
+                              "localId" : "5239",
+                              "locator" : "323:34-323:39",
                               "resultTypeName" : "{http://hl7.org/fhir}SimpleQuantity",
                               "path" : "high",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5288",
-                                 "locator" : "325:34",
+                                 "localId" : "5238",
+                                 "locator" : "323:34",
                                  "resultTypeName" : "{http://hl7.org/fhir}Range",
                                  "name" : "r",
                                  "type" : "OperandRef"
@@ -22547,45 +22466,45 @@
                         } ]
                      },
                      "then" : {
-                        "localId" : "5300",
-                        "locator" : "325:55-325:92",
+                        "localId" : "5250",
+                        "locator" : "323:55-323:92",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "Concatenate",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5292",
-                           "locator" : "325:55-325:62",
+                           "localId" : "5242",
+                           "locator" : "323:55-323:62",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "above ",
                            "type" : "Literal"
                         }, {
-                           "localId" : "5299",
-                           "locator" : "325:66-325:92",
+                           "localId" : "5249",
+                           "locator" : "323:66-323:92",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "ToString",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "5296",
-                              "locator" : "325:75-325:91",
+                              "localId" : "5246",
+                              "locator" : "323:75-323:91",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                               "path" : "value",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "5295",
-                                 "locator" : "325:75-325:85",
+                                 "localId" : "5245",
+                                 "locator" : "323:75-323:85",
                                  "resultTypeName" : "{http://hl7.org/fhir}decimal",
                                  "path" : "value",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "5294",
-                                    "locator" : "325:75-325:79",
+                                    "localId" : "5244",
+                                    "locator" : "323:75-323:79",
                                     "resultTypeName" : "{http://hl7.org/fhir}SimpleQuantity",
                                     "path" : "low",
                                     "type" : "Property",
                                     "source" : {
-                                       "localId" : "5293",
-                                       "locator" : "325:75",
+                                       "localId" : "5243",
+                                       "locator" : "323:75",
                                        "resultTypeName" : "{http://hl7.org/fhir}Range",
                                        "name" : "r",
                                        "type" : "OperandRef"
@@ -22596,57 +22515,57 @@
                         } ]
                      },
                      "else" : {
-                        "localId" : "5301",
-                        "locator" : "326:8-327:11",
+                        "localId" : "5251",
+                        "locator" : "324:8-325:11",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "If",
                         "condition" : {
-                           "localId" : "5302",
-                           "locator" : "326:11-326:48",
+                           "localId" : "5252",
+                           "locator" : "324:11-324:48",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                            "type" : "And",
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "5305",
-                              "locator" : "326:12-326:24",
+                              "localId" : "5255",
+                              "locator" : "324:12-324:24",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                               "type" : "IsNull",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "5304",
-                                 "locator" : "326:12-326:16",
+                                 "localId" : "5254",
+                                 "locator" : "324:12-324:16",
                                  "resultTypeName" : "{http://hl7.org/fhir}SimpleQuantity",
                                  "path" : "low",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "5303",
-                                    "locator" : "326:12",
+                                    "localId" : "5253",
+                                    "locator" : "324:12",
                                     "resultTypeName" : "{http://hl7.org/fhir}Range",
                                     "name" : "r",
                                     "type" : "OperandRef"
                                  }
                               }
                            }, {
-                              "localId" : "5309",
-                              "locator" : "326:30-326:47",
+                              "localId" : "5259",
+                              "locator" : "324:30-324:47",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                               "type" : "Not",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "5308",
-                                 "locator" : "326:30-326:47",
+                                 "localId" : "5258",
+                                 "locator" : "324:30-324:47",
                                  "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "IsNull",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "5307",
-                                    "locator" : "326:30-326:35",
+                                    "localId" : "5257",
+                                    "locator" : "324:30-324:35",
                                     "resultTypeName" : "{http://hl7.org/fhir}SimpleQuantity",
                                     "path" : "high",
                                     "type" : "Property",
                                     "source" : {
-                                       "localId" : "5306",
-                                       "locator" : "326:30",
+                                       "localId" : "5256",
+                                       "locator" : "324:30",
                                        "resultTypeName" : "{http://hl7.org/fhir}Range",
                                        "name" : "r",
                                        "type" : "OperandRef"
@@ -22656,45 +22575,45 @@
                            } ]
                         },
                         "then" : {
-                           "localId" : "5319",
-                           "locator" : "326:55-326:93",
+                           "localId" : "5269",
+                           "locator" : "324:55-324:93",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "Concatenate",
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "5311",
-                              "locator" : "326:55-326:62",
+                              "localId" : "5261",
+                              "locator" : "324:55-324:62",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                               "valueType" : "{urn:hl7-org:elm-types:r1}String",
                               "value" : "below ",
                               "type" : "Literal"
                            }, {
-                              "localId" : "5318",
-                              "locator" : "326:66-326:93",
+                              "localId" : "5268",
+                              "locator" : "324:66-324:93",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "ToString",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "5315",
-                                 "locator" : "326:75-326:92",
+                                 "localId" : "5265",
+                                 "locator" : "324:75-324:92",
                                  "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "path" : "value",
                                  "type" : "Property",
                                  "source" : {
-                                    "localId" : "5314",
-                                    "locator" : "326:75-326:86",
+                                    "localId" : "5264",
+                                    "locator" : "324:75-324:86",
                                     "resultTypeName" : "{http://hl7.org/fhir}decimal",
                                     "path" : "value",
                                     "type" : "Property",
                                     "source" : {
-                                       "localId" : "5313",
-                                       "locator" : "326:75-326:80",
+                                       "localId" : "5263",
+                                       "locator" : "324:75-324:80",
                                        "resultTypeName" : "{http://hl7.org/fhir}SimpleQuantity",
                                        "path" : "high",
                                        "type" : "Property",
                                        "source" : {
-                                          "localId" : "5312",
-                                          "locator" : "326:75",
+                                          "localId" : "5262",
+                                          "locator" : "324:75",
                                           "resultTypeName" : "{http://hl7.org/fhir}Range",
                                           "name" : "r",
                                           "type" : "OperandRef"
@@ -22705,13 +22624,13 @@
                            } ]
                         },
                         "else" : {
-                           "localId" : "5321",
+                           "localId" : "5271",
                            "asType" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "As",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "5320",
-                              "locator" : "327:8-327:11",
+                              "localId" : "5270",
+                              "locator" : "325:8-325:11",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "Null"
                            }
@@ -22721,11 +22640,11 @@
                }
             },
             "operand" : [ {
-               "localId" : "5245",
+               "localId" : "5195",
                "name" : "r",
                "operandTypeSpecifier" : {
-                  "localId" : "5244",
-                  "locator" : "322:29-322:38",
+                  "localId" : "5194",
+                  "locator" : "320:29-320:38",
                   "resultTypeName" : "{http://hl7.org/fhir}Range",
                   "name" : "{http://hl7.org/fhir}Range",
                   "type" : "NamedTypeSpecifier"
diff --git a/src/data-services/cql/mcc/MCCLabResults.cql b/src/data-services/cql/mcc/MCCLabResults.cql
index ef1c89f..76ccff8 100644
--- a/src/data-services/cql/mcc/MCCLabResults.cql
+++ b/src/data-services/cql/mcc/MCCLabResults.cql
@@ -25,7 +25,7 @@ define LabResultSummary:
     DE.ReportMostRecentResult("Bilirubin, Total, Bld/Ser/Plas", 'Bilirubin'),
     DE.ReportMostRecentResult("Blood Ethanol Level", 'Blood Ethanol Level'),
     DE.ReportMostRecentResult("Blood Urea Nitrogen", 'Blood Urea Nitrogen'),
-    // DE.ReportMostRecentResult("Bone Biopsy Report", 'Bone Biopsy Report'),
+    DE.ReportMostRecentResult("Bone Biopsy Report", 'Bone Biopsy Report'),
     DE.ReportMostRecentResult("C reactive Protein (CRP), Bld/Ser/Plas", 'C reactive Protein (CRP)'),
     DE.ReportMostRecentResult("Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum", 'Calcium (Not Corrected for Serum Albumin)'),
     DE.ReportMostRecentResult("Cerebral Spinal Fluid (CSF) Analysis", 'Cerebral Spinal Fluid (CSF) Analysis'),
@@ -34,7 +34,7 @@ define LabResultSummary:
     // DE.ReportMostRecentResult("Complete Blood Count (with Diff)", 'Complete Blood Count'),
     // DE.ReportMostRecentResult("Comprehensive Metabolic Panel (CMP)", 'Comprehensive Metabolic Panel (CMP)'),
     DE.ReportMostRecentResult("Corrected Calcium", 'Calcium'),
-    // DE.ReportMostRecentResult("COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests", 'COVID 19 Test'),
+    DE.ReportMostRecentResult("COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests", 'COVID 19 Test'),
     DE.ReportMostRecentResult("Creatine Kinase (CK, CK MB) in Blood, Serum, or Plasma", 'Creatine Kinase (CK, CK MB)'),
     DE.ReportMostRecentResult("Creatinine in blood, serum or plasma", 'Creatinine'),
     DE.ReportMostRecentResult("Cystatin C", 'Cystatin C'),
@@ -58,14 +58,14 @@ define LabResultSummary:
     DE.ReportMostRecentResult("INR", 'INR'),
     DE.ReportMostRecentResult("Intact Parathyroid Hormone", 'Intact Parathyroid Hormone'),
     DE.ReportMostRecentResult("Iron Saturation (Transferrin Saturation/TSAT)", 'Iron Saturation'),
-    // DE.ReportMostRecentResult("Kidney Biopsy Report", 'Kidney Biopsy Report'),
+    DE.ReportMostRecentResult("Kidney Biopsy Report", 'Kidney Biopsy Report'),
     DE.ReportMostRecentResult("KT/V Hemodialysis Ratio", 'KT/V Hemodialysis Ratio'),
     DE.ReportMostRecentResult("Low Density Lipoprotein", 'LDL Cholesterol'),
     DE.ReportMostRecentResult("Mean Corpuscular Hemoglobin Concentration", 'Mean Corpuscular Hemoglobin Concentration'),
     DE.ReportMostRecentResult("Mean Corpuscular Volume", 'Mean Corpuscular Volume'),
     DE.ReportMostRecentResult("Microorganisms Detection by Blood Culture", 'Microorganisms Detection by Blood Culture'),
     DE.ReportMostRecentResult("Microorganisms Detection by Sputum Culture", 'Microorganisms Detection by Sputum Culture'),
-    // DE.ReportMostRecentResult("Muscle Biopsy Report", 'Muscle Biopsy Report'),
+    DE.ReportMostRecentResult("Muscle Biopsy Report", 'Muscle Biopsy Report'),
     DE.ReportMostRecentResult("N Terminal Pro_B_Type Natriuretic Peptide [Nt_Probnp] in blood, serum or plasma", 'N Terminal Pro_B_Type Natriuretic Peptide'),
     DE.ReportMostRecentResult("Oxygen Saturation, Blood", 'Oxygen Saturation'),
     DE.ReportMostRecentResult("Phosphorus in blood, serum or plasma", 'Phosphorus'),
@@ -77,7 +77,7 @@ define LabResultSummary:
     DE.ReportMostRecentResult("Random Blood Glucose Test", 'Random Blood Glucose Test'),
     DE.ReportMostRecentResult("Red Blood Cell Count (Erythrocytes)", 'Red Blood Cell Count (Erythrocytes)'),
     DE.ReportMostRecentResult("Serum Rheumatoid Factor", 'Serum Rheumatoid Factor'),
-    // DE.ReportMostRecentResult("Skin Biopsy Report", 'Skin Biopsy Report'),
+    DE.ReportMostRecentResult("Skin Biopsy Report", 'Skin Biopsy Report'),
     DE.ReportMostRecentResult("Sodium in blood, serum or plasma", 'Sodium'),
     DE.ReportMostRecentResult("Thyroid Stimulating Hormone (TSH) Test", 'Thyroid Stimulating Hormone (TSH)'),
     DE.ReportMostRecentResult("Total Carbon Dioxide or Bicarbonate in blood, serum or plasma", 'Total Carbon Dioxide or Bicarbonate'),
diff --git a/src/data-services/cql/mcc/MCCLabResults.json b/src/data-services/cql/mcc/MCCLabResults.json
index 59d581a..2cf5427 100644
--- a/src/data-services/cql/mcc/MCCLabResults.json
+++ b/src/data-services/cql/mcc/MCCLabResults.json
@@ -41,6 +41,11 @@
          "errorType" : "semantic",
          "errorSeverity" : "warning",
          "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Bone Biopsy Report] here that matches an identifier in scope: [Bone Biopsy Report]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
       }, {
          "message" : "You used a string literal: [Cerebral Spinal Fluid (CSF) Analysis] here that matches an identifier in scope: [Cerebral Spinal Fluid (CSF) Analysis]. Did you mean to use the identifier instead?",
          "errorType" : "semantic",
@@ -106,6 +111,11 @@
          "errorType" : "semantic",
          "errorSeverity" : "warning",
          "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Kidney Biopsy Report] here that matches an identifier in scope: [Kidney Biopsy Report]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
       }, {
          "message" : "You used a string literal: [KT/V Hemodialysis Ratio] here that matches an identifier in scope: [KT/V Hemodialysis Ratio]. Did you mean to use the identifier instead?",
          "errorType" : "semantic",
@@ -131,6 +141,11 @@
          "errorType" : "semantic",
          "errorSeverity" : "warning",
          "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Muscle Biopsy Report] here that matches an identifier in scope: [Muscle Biopsy Report]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
       }, {
          "message" : "You used a string literal: [Platelet Count] here that matches an identifier in scope: [Platelet Count]. Did you mean to use the identifier instead?",
          "errorType" : "semantic",
@@ -161,6 +176,11 @@
          "errorType" : "semantic",
          "errorSeverity" : "warning",
          "type" : "CqlToElmError"
+      }, {
+         "message" : "You used a string literal: [Skin Biopsy Report] here that matches an identifier in scope: [Skin Biopsy Report]. Did you mean to use the identifier instead?",
+         "errorType" : "semantic",
+         "errorSeverity" : "warning",
+         "type" : "CqlToElmError"
       }, {
          "message" : "You used a string literal: [Total Cholesterol] here that matches an identifier in scope: [Total Cholesterol]. Did you mean to use the identifier instead?",
          "errorType" : "semantic",
@@ -204,7 +224,7 @@
       }, {
          "type" : "Annotation",
          "s" : {
-            "r" : "7464",
+            "r" : "7934",
             "s" : [ {
                "value" : [ "","library MCCLabResults version '0.1.0'" ]
             } ]
@@ -383,10 +403,10 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "7775",
+               "localId" : "8245",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "7776",
+                  "localId" : "8246",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
@@ -482,10 +502,10 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "7777",
+               "localId" : "8247",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "7778",
+                  "localId" : "8248",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
@@ -581,10 +601,10 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "7779",
+               "localId" : "8249",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "7780",
+                  "localId" : "8250",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
@@ -680,10 +700,10 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "7781",
+               "localId" : "8251",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "7782",
+                  "localId" : "8252",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
@@ -779,10 +799,10 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "7783",
+               "localId" : "8253",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "7784",
+                  "localId" : "8254",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
@@ -878,10 +898,10 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "7785",
+               "localId" : "8255",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "7786",
+                  "localId" : "8256",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
@@ -977,10 +997,10 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "7787",
+               "localId" : "8257",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "7788",
+                  "localId" : "8258",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
@@ -1076,10 +1096,10 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "7789",
+               "localId" : "8259",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "7790",
+                  "localId" : "8260",
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@@ -1175,10 +1195,10 @@
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@@ -1274,10 +1294,10 @@
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@@ -1373,10 +1393,10 @@
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@@ -1472,10 +1492,10 @@
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@@ -1571,10 +1591,10 @@
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@@ -1670,10 +1690,10 @@
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@@ -1769,10 +1789,10 @@
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@@ -1826,8 +1846,8 @@
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-            "locator" : "180:1-181:79",
-            "name" : "C reactive Protein (CRP), Bld/Ser/Plas",
+            "locator" : "177:1-178:59",
+            "name" : "Bone Biopsy Report",
             "context" : "Patient",
             "accessLevel" : "Public",
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@@ -1835,7 +1855,7 @@
                "s" : {
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+                     "value" : [ "","define ","\"Bone Biopsy Report\"",":\n  " ]
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@@ -1855,7 +1875,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"C reactive Protein (CRP), Bld/Ser/Plas\"" ]
+                                 "value" : [ "Cx",".","\"Bone Biopsy Report\"" ]
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                               "value" : [ "]" ]
@@ -1868,17 +1888,17 @@
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             } ],
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                   "name" : "{http://hl7.org/fhir}Observation",
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                "localId" : "1640",
-               "locator" : "181:3-181:79",
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@@ -1894,7 +1914,7 @@
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@@ -1911,9 +1931,9 @@
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                      "localId" : "1634",
-                     "locator" : "181:35-181:77",
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                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "C reactive Protein (CRP), Bld/Ser/Plas",
+                     "name" : "Bone Biopsy Report",
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@@ -1925,8 +1945,8 @@
             }
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-            "locator" : "183:1-184:109",
-            "name" : "Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum",
+            "locator" : "180:1-181:79",
+            "name" : "C reactive Protein (CRP), Bld/Ser/Plas",
             "context" : "Patient",
             "accessLevel" : "Public",
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@@ -1934,7 +1954,7 @@
                "s" : {
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                   "s" : [ {
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+                     "value" : [ "","define ","\"C reactive Protein (CRP), Bld/Ser/Plas\"",":\n  " ]
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@@ -1954,7 +1974,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum\"" ]
+                                 "value" : [ "Cx",".","\"C reactive Protein (CRP), Bld/Ser/Plas\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -1967,17 +1987,17 @@
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                   "name" : "{http://hl7.org/fhir}Observation",
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             "expression" : {
                "localId" : "1734",
-               "locator" : "184:3-184:109",
+               "locator" : "181:3-181:79",
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                "libraryName" : "DE",
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@@ -1993,7 +2013,7 @@
                "signature" : [ ],
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@@ -2010,9 +2030,9 @@
                   },
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                      "localId" : "1728",
-                     "locator" : "184:35-184:107",
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                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum",
+                     "name" : "C reactive Protein (CRP), Bld/Ser/Plas",
                      "libraryName" : "Cx",
                      "type" : "ValueSetRef"
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@@ -2024,8 +2044,8 @@
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             "localId" : "1818",
-            "locator" : "186:1-187:77",
-            "name" : "Cerebral Spinal Fluid (CSF) Analysis",
+            "locator" : "183:1-184:109",
+            "name" : "Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum",
             "context" : "Patient",
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@@ -2033,7 +2053,7 @@
                "s" : {
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+                     "value" : [ "","define ","\"Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum\"",":\n  " ]
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@@ -2053,7 +2073,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Cerebral Spinal Fluid (CSF) Analysis\"" ]
+                                 "value" : [ "Cx",".","\"Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum\"" ]
                               } ]
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                               "value" : [ "]" ]
@@ -2066,17 +2086,17 @@
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-               "locator" : "187:3-187:77",
+               "locator" : "184:3-184:109",
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@@ -2092,7 +2112,7 @@
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@@ -2109,9 +2129,9 @@
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@@ -2123,8 +2143,8 @@
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-            "locator" : "189:1-190:75",
-            "name" : "Chloride in blood, serum or plasma",
+            "locator" : "186:1-187:77",
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             "context" : "Patient",
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@@ -2132,7 +2152,7 @@
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@@ -2152,7 +2172,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Chloride in blood, serum or plasma\"" ]
+                                 "value" : [ "Cx",".","\"Cerebral Spinal Fluid (CSF) Analysis\"" ]
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@@ -2165,17 +2185,17 @@
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@@ -2191,7 +2211,7 @@
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@@ -2208,9 +2228,9 @@
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-                     "name" : "Chloride in blood, serum or plasma",
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@@ -2222,8 +2242,8 @@
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             "localId" : "2006",
-            "locator" : "192:1-193:81",
-            "name" : "Coagulation Assay (PT, aPTT, Fibrinogen)",
+            "locator" : "189:1-190:75",
+            "name" : "Chloride in blood, serum or plasma",
             "context" : "Patient",
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@@ -2231,7 +2251,7 @@
                "s" : {
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+                     "value" : [ "","define ","\"Chloride in blood, serum or plasma\"",":\n  " ]
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@@ -2251,7 +2271,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Coagulation Assay (PT, aPTT, Fibrinogen)\"" ]
+                                 "value" : [ "Cx",".","\"Chloride in blood, serum or plasma\"" ]
                               } ]
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                               "value" : [ "]" ]
@@ -2264,17 +2284,17 @@
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-               "localId" : "7831",
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-               "locator" : "193:3-193:81",
+               "locator" : "190:3-190:75",
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@@ -2290,7 +2310,7 @@
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-                  "locator" : "193:21-193:80",
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@@ -2307,9 +2327,9 @@
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                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "Coagulation Assay (PT, aPTT, Fibrinogen)",
+                     "name" : "Chloride in blood, serum or plasma",
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@@ -2321,8 +2341,8 @@
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             "localId" : "2100",
-            "locator" : "201:1-202:58",
-            "name" : "Corrected Calcium",
+            "locator" : "192:1-193:81",
+            "name" : "Coagulation Assay (PT, aPTT, Fibrinogen)",
             "context" : "Patient",
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@@ -2330,7 +2350,7 @@
                "s" : {
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@@ -2350,7 +2370,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Corrected Calcium\"" ]
+                                 "value" : [ "Cx",".","\"Coagulation Assay (PT, aPTT, Fibrinogen)\"" ]
                               } ]
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                               "value" : [ "]" ]
@@ -2363,17 +2383,17 @@
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-               "locator" : "202:3-202:58",
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@@ -2389,7 +2409,7 @@
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@@ -2406,9 +2426,9 @@
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@@ -2420,8 +2440,8 @@
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-            "name" : "Creatine Kinase (CK, CK MB) in Blood, Serum, or Plasma",
+            "locator" : "201:1-202:58",
+            "name" : "Corrected Calcium",
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@@ -2429,7 +2449,7 @@
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@@ -2449,7 +2469,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Creatine Kinase (CK, CK MB) in Blood, Serum, or Plasma\"" ]
+                                 "value" : [ "Cx",".","\"Corrected Calcium\"" ]
                               } ]
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@@ -2462,17 +2482,17 @@
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             } ],
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-               "locator" : "208:3-208:95",
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@@ -2488,7 +2508,7 @@
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@@ -2505,9 +2525,9 @@
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+                     "name" : "Corrected Calcium",
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@@ -2519,8 +2539,8 @@
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-            "locator" : "210:1-211:77",
-            "name" : "Creatinine in blood, serum or plasma",
+            "locator" : "204:1-205:103",
+            "name" : "COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
@@ -2528,7 +2548,7 @@
                "s" : {
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-                     "value" : [ "","define ","\"Creatinine in blood, serum or plasma\"",":\n  " ]
+                     "value" : [ "","define ","\"COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests\"",":\n  " ]
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@@ -2548,7 +2568,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Creatinine in blood, serum or plasma\"" ]
+                                 "value" : [ "Cx",".","\"COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests\"" ]
                               } ]
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                               "value" : [ "]" ]
@@ -2561,17 +2581,17 @@
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-               "locator" : "211:3-211:77",
+               "locator" : "205:3-205:103",
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                "libraryName" : "DE",
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@@ -2587,7 +2607,7 @@
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@@ -2604,9 +2624,9 @@
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@@ -2618,8 +2638,8 @@
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-            "locator" : "213:1-214:51",
-            "name" : "Cystatin C",
+            "locator" : "207:1-208:95",
+            "name" : "Creatine Kinase (CK, CK MB) in Blood, Serum, or Plasma",
             "context" : "Patient",
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@@ -2627,7 +2647,7 @@
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+                     "value" : [ "","define ","\"Creatine Kinase (CK, CK MB) in Blood, Serum, or Plasma\"",":\n  " ]
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@@ -2647,7 +2667,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Cystatin C\"" ]
+                                 "value" : [ "Cx",".","\"Creatine Kinase (CK, CK MB) in Blood, Serum, or Plasma\"" ]
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@@ -2660,17 +2680,17 @@
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                "localId" : "2392",
-               "locator" : "214:3-214:51",
+               "locator" : "208:3-208:95",
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@@ -2686,7 +2706,7 @@
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@@ -2703,9 +2723,9 @@
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@@ -2717,8 +2737,8 @@
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-            "locator" : "216:1-217:53",
-            "name" : "D Dimer Test",
+            "locator" : "210:1-211:77",
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             "context" : "Patient",
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@@ -2726,7 +2746,7 @@
                "s" : {
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@@ -2746,7 +2766,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"D Dimer Test\"" ]
+                                 "value" : [ "Cx",".","\"Creatinine in blood, serum or plasma\"" ]
                               } ]
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                               "value" : [ "]" ]
@@ -2759,17 +2779,17 @@
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                "localId" : "2486",
-               "locator" : "217:3-217:53",
+               "locator" : "211:3-211:77",
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@@ -2785,7 +2805,7 @@
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@@ -2802,9 +2822,9 @@
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@@ -2816,8 +2836,8 @@
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-            "locator" : "219:1-220:62",
-            "name" : "Drugs of Abuse Screen",
+            "locator" : "213:1-214:51",
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             "context" : "Patient",
             "accessLevel" : "Public",
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@@ -2825,7 +2845,7 @@
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@@ -2845,7 +2865,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Drugs of Abuse Screen\"" ]
+                                 "value" : [ "Cx",".","\"Cystatin C\"" ]
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@@ -2858,17 +2878,17 @@
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                "localId" : "2580",
-               "locator" : "220:3-220:62",
+               "locator" : "214:3-214:51",
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@@ -2884,7 +2904,7 @@
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@@ -2901,9 +2921,9 @@
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-                     "name" : "Drugs of Abuse Screen",
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@@ -2915,8 +2935,8 @@
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-            "locator" : "222:1-223:71",
-            "name" : "Erythrocyte Distribution Width",
+            "locator" : "216:1-217:53",
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@@ -2924,7 +2944,7 @@
                "s" : {
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+                     "value" : [ "","define ","\"D Dimer Test\"",":\n  " ]
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@@ -2944,7 +2964,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Erythrocyte Distribution Width\"" ]
+                                 "value" : [ "Cx",".","\"D Dimer Test\"" ]
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@@ -2957,17 +2977,17 @@
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             } ],
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-               "locator" : "223:3-223:71",
+               "locator" : "217:3-217:53",
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@@ -2983,7 +3003,7 @@
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@@ -3000,9 +3020,9 @@
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@@ -3014,8 +3034,8 @@
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             "localId" : "2758",
-            "locator" : "225:1-226:84",
-            "name" : "Erythrocyte Sedimentation Rate (ESR), Blood",
+            "locator" : "219:1-220:62",
+            "name" : "Drugs of Abuse Screen",
             "context" : "Patient",
             "accessLevel" : "Public",
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@@ -3023,7 +3043,7 @@
                "s" : {
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                   "s" : [ {
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+                     "value" : [ "","define ","\"Drugs of Abuse Screen\"",":\n  " ]
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@@ -3043,7 +3063,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Erythrocyte Sedimentation Rate (ESR), Blood\"" ]
+                                 "value" : [ "Cx",".","\"Drugs of Abuse Screen\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -3056,17 +3076,17 @@
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             } ],
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-               "locator" : "226:3-226:84",
+               "locator" : "220:3-220:62",
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@@ -3082,7 +3102,7 @@
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@@ -3099,9 +3119,9 @@
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-                     "name" : "Erythrocyte Sedimentation Rate (ESR), Blood",
+                     "name" : "Drugs of Abuse Screen",
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@@ -3113,8 +3133,8 @@
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-            "locator" : "228:1-229:66",
-            "name" : "Estimated Average Glucose",
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+            "name" : "Erythrocyte Distribution Width",
             "context" : "Patient",
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@@ -3122,7 +3142,7 @@
                "s" : {
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                   "s" : [ {
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@@ -3142,7 +3162,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Estimated Average Glucose\"" ]
+                                 "value" : [ "Cx",".","\"Erythrocyte Distribution Width\"" ]
                               } ]
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                               "value" : [ "]" ]
@@ -3155,17 +3175,17 @@
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                "localId" : "2862",
-               "locator" : "229:3-229:66",
+               "locator" : "223:3-223:71",
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@@ -3181,7 +3201,7 @@
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@@ -3198,9 +3218,9 @@
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@@ -3212,8 +3232,8 @@
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-            "locator" : "231:1-232:84",
-            "name" : "Estimated Glomerular Filtration Rate (eGFR)",
+            "locator" : "225:1-226:84",
+            "name" : "Erythrocyte Sedimentation Rate (ESR), Blood",
             "context" : "Patient",
             "accessLevel" : "Public",
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@@ -3221,7 +3241,7 @@
                "s" : {
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                   "s" : [ {
-                     "value" : [ "","define ","\"Estimated Glomerular Filtration Rate (eGFR)\"",":\n  " ]
+                     "value" : [ "","define ","\"Erythrocyte Sedimentation Rate (ESR), Blood\"",":\n  " ]
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@@ -3241,7 +3261,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Estimated Glomerular Filtration Rate (eGFR)\"" ]
+                                 "value" : [ "Cx",".","\"Erythrocyte Sedimentation Rate (ESR), Blood\"" ]
                               } ]
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                               "value" : [ "]" ]
@@ -3254,17 +3274,17 @@
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@@ -3280,7 +3300,7 @@
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@@ -3297,9 +3317,9 @@
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@@ -3311,8 +3331,8 @@
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-            "locator" : "234:1-235:62",
-            "name" : "Fasting Blood Glucose",
+            "locator" : "228:1-229:66",
+            "name" : "Estimated Average Glucose",
             "context" : "Patient",
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@@ -3320,7 +3340,7 @@
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@@ -3340,7 +3360,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Fasting Blood Glucose\"" ]
+                                 "value" : [ "Cx",".","\"Estimated Average Glucose\"" ]
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                               "value" : [ "]" ]
@@ -3353,17 +3373,17 @@
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@@ -3379,7 +3399,7 @@
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@@ -3396,9 +3416,9 @@
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@@ -3409,37 +3429,37 @@
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-            "localId" : "3135",
-            "locator" : "237:1-238:49",
-            "name" : "Ferritin",
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+            "name" : "Estimated Glomerular Filtration Rate (eGFR)",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "3135",
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@@ -3551,52 +3571,52 @@
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@@ -3650,52 +3670,52 @@
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@@ -3934,7 +3954,7 @@
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@@ -4145,17 +4165,17 @@
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             "expression" : {
                "localId" : "3808",
-               "locator" : "259:3-259:55",
+               "locator" : "253:3-253:51",
                "name" : "SelectByStatus",
                "libraryName" : "DE",
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@@ -4171,7 +4191,7 @@
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-                  "locator" : "259:21-259:54",
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                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
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@@ -4188,9 +4208,9 @@
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                      "localId" : "3802",
-                     "locator" : "259:35-259:53",
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                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "Hemoglobin A1C",
+                     "name" : "Hematocrit",
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@@ -4202,8 +4222,8 @@
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             "localId" : "3892",
-            "locator" : "261:1-262:65",
-            "name" : "High Density Lipoprotein",
+            "locator" : "255:1-256:51",
+            "name" : "Hemoglobin",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
@@ -4211,7 +4231,7 @@
                "s" : {
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                   "s" : [ {
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+                     "value" : [ "","define ","\"Hemoglobin\"",":\n  " ]
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@@ -4231,7 +4251,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"High Density Lipoprotein\"" ]
+                                 "value" : [ "Cx",".","\"Hemoglobin\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -4244,17 +4264,17 @@
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             } ],
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                   "name" : "{http://hl7.org/fhir}Observation",
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                "localId" : "3902",
-               "locator" : "262:3-262:65",
+               "locator" : "256:3-256:51",
                "name" : "SelectByStatus",
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@@ -4270,7 +4290,7 @@
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-                  "locator" : "262:21-262:64",
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@@ -4287,9 +4307,9 @@
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-                     "name" : "High Density Lipoprotein",
+                     "name" : "Hemoglobin",
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@@ -4301,8 +4321,8 @@
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-            "locator" : "264:1-265:66",
-            "name" : "High Sensitivity Troponin",
+            "locator" : "258:1-259:55",
+            "name" : "Hemoglobin A1C",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
@@ -4310,7 +4330,7 @@
                "s" : {
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                   "s" : [ {
-                     "value" : [ "","define ","\"High Sensitivity Troponin\"",":\n  " ]
+                     "value" : [ "","define ","\"Hemoglobin A1C\"",":\n  " ]
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@@ -4330,7 +4350,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"High Sensitivity Troponin\"" ]
+                                 "value" : [ "Cx",".","\"Hemoglobin A1C\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -4343,17 +4363,17 @@
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             } ],
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+               "localId" : "8361",
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                   "name" : "{http://hl7.org/fhir}Observation",
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             "expression" : {
                "localId" : "3996",
-               "locator" : "265:3-265:66",
+               "locator" : "259:3-259:55",
                "name" : "SelectByStatus",
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@@ -4369,7 +4389,7 @@
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-                  "locator" : "265:21-265:65",
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                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                   "codeProperty" : "code",
@@ -4386,9 +4406,9 @@
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                      "localId" : "3990",
-                     "locator" : "265:35-265:64",
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                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "High Sensitivity Troponin",
+                     "name" : "Hemoglobin A1C",
                      "libraryName" : "Cx",
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@@ -4400,8 +4420,8 @@
             }
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             "localId" : "4080",
-            "locator" : "267:1-268:44",
-            "name" : "INR",
+            "locator" : "261:1-262:65",
+            "name" : "High Density Lipoprotein",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
@@ -4409,7 +4429,7 @@
                "s" : {
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                   "s" : [ {
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+                     "value" : [ "","define ","\"High Density Lipoprotein\"",":\n  " ]
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@@ -4429,7 +4449,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"INR\"" ]
+                                 "value" : [ "Cx",".","\"High Density Lipoprotein\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -4442,17 +4462,17 @@
                }
             } ],
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+                  "localId" : "8364",
                   "name" : "{http://hl7.org/fhir}Observation",
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             "expression" : {
                "localId" : "4090",
-               "locator" : "268:3-268:44",
+               "locator" : "262:3-262:65",
                "name" : "SelectByStatus",
                "libraryName" : "DE",
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@@ -4468,7 +4488,7 @@
                "signature" : [ ],
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-                  "locator" : "268:21-268:43",
+                  "locator" : "262:21-262:64",
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                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                   "codeProperty" : "code",
@@ -4485,9 +4505,9 @@
                   },
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                      "localId" : "4084",
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                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "INR",
+                     "name" : "High Density Lipoprotein",
                      "libraryName" : "Cx",
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@@ -4499,8 +4519,8 @@
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-            "locator" : "270:1-271:67",
-            "name" : "Intact Parathyroid Hormone",
+            "locator" : "264:1-265:66",
+            "name" : "High Sensitivity Troponin",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
@@ -4508,7 +4528,7 @@
                "s" : {
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                   "s" : [ {
-                     "value" : [ "","define ","\"Intact Parathyroid Hormone\"",":\n  " ]
+                     "value" : [ "","define ","\"High Sensitivity Troponin\"",":\n  " ]
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@@ -4528,7 +4548,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Intact Parathyroid Hormone\"" ]
+                                 "value" : [ "Cx",".","\"High Sensitivity Troponin\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -4541,17 +4561,17 @@
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             } ],
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                   "name" : "{http://hl7.org/fhir}Observation",
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                "localId" : "4184",
-               "locator" : "271:3-271:67",
+               "locator" : "265:3-265:66",
                "name" : "SelectByStatus",
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@@ -4567,7 +4587,7 @@
                "signature" : [ ],
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                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
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@@ -4584,9 +4604,9 @@
                   },
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                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "Intact Parathyroid Hormone",
+                     "name" : "High Sensitivity Troponin",
                      "libraryName" : "Cx",
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@@ -4598,8 +4618,8 @@
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             "localId" : "4268",
-            "locator" : "273:1-274:86",
-            "name" : "Iron Saturation (Transferrin Saturation/TSAT)",
+            "locator" : "267:1-268:44",
+            "name" : "INR",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
@@ -4607,7 +4627,7 @@
                "s" : {
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                   "s" : [ {
-                     "value" : [ "","define ","\"Iron Saturation (Transferrin Saturation/TSAT)\"",":\n  " ]
+                     "value" : [ "","define ","\"INR\"",":\n  " ]
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@@ -4627,7 +4647,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Iron Saturation (Transferrin Saturation/TSAT)\"" ]
+                                 "value" : [ "Cx",".","\"INR\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -4640,17 +4660,17 @@
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             } ],
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                   "name" : "{http://hl7.org/fhir}Observation",
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             "expression" : {
                "localId" : "4278",
-               "locator" : "274:3-274:86",
+               "locator" : "268:3-268:44",
                "name" : "SelectByStatus",
                "libraryName" : "DE",
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@@ -4666,7 +4686,7 @@
                "signature" : [ ],
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-                  "locator" : "274:21-274:85",
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                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
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@@ -4683,9 +4703,9 @@
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                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "Iron Saturation (Transferrin Saturation/TSAT)",
+                     "name" : "INR",
                      "libraryName" : "Cx",
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@@ -4697,8 +4717,8 @@
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             "localId" : "4362",
-            "locator" : "279:1-280:64",
-            "name" : "KT/V Hemodialysis Ratio",
+            "locator" : "270:1-271:67",
+            "name" : "Intact Parathyroid Hormone",
             "context" : "Patient",
             "accessLevel" : "Public",
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@@ -4706,7 +4726,7 @@
                "s" : {
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                   "s" : [ {
-                     "value" : [ "","define ","\"KT/V Hemodialysis Ratio\"",":\n  " ]
+                     "value" : [ "","define ","\"Intact Parathyroid Hormone\"",":\n  " ]
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@@ -4726,7 +4746,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"KT/V Hemodialysis Ratio\"" ]
+                                 "value" : [ "Cx",".","\"Intact Parathyroid Hormone\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -4739,17 +4759,17 @@
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                   "name" : "{http://hl7.org/fhir}Observation",
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                "localId" : "4372",
-               "locator" : "280:3-280:64",
+               "locator" : "271:3-271:67",
                "name" : "SelectByStatus",
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@@ -4765,7 +4785,7 @@
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@@ -4782,9 +4802,9 @@
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                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "KT/V Hemodialysis Ratio",
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@@ -4796,8 +4816,8 @@
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-            "locator" : "282:1-283:64",
-            "name" : "Low Density Lipoprotein",
+            "locator" : "273:1-274:86",
+            "name" : "Iron Saturation (Transferrin Saturation/TSAT)",
             "context" : "Patient",
             "accessLevel" : "Public",
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@@ -4805,7 +4825,7 @@
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@@ -4825,7 +4845,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Low Density Lipoprotein\"" ]
+                                 "value" : [ "Cx",".","\"Iron Saturation (Transferrin Saturation/TSAT)\"" ]
                               } ]
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                               "value" : [ "]" ]
@@ -4838,17 +4858,17 @@
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-               "locator" : "283:3-283:64",
+               "locator" : "274:3-274:86",
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@@ -4864,7 +4884,7 @@
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@@ -4881,9 +4901,9 @@
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@@ -4895,8 +4915,8 @@
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-            "locator" : "285:1-286:82",
-            "name" : "Mean Corpuscular Hemoglobin Concentration",
+            "locator" : "276:1-277:61",
+            "name" : "Kidney Biopsy Report",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
@@ -4904,7 +4924,7 @@
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@@ -4924,7 +4944,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Mean Corpuscular Hemoglobin Concentration\"" ]
+                                 "value" : [ "Cx",".","\"Kidney Biopsy Report\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -4937,17 +4957,17 @@
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                "localId" : "4560",
-               "locator" : "286:3-286:82",
+               "locator" : "277:3-277:61",
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@@ -4963,7 +4983,7 @@
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-                  "locator" : "286:21-286:81",
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                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
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@@ -4980,9 +5000,9 @@
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-                     "name" : "Mean Corpuscular Hemoglobin Concentration",
+                     "name" : "Kidney Biopsy Report",
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@@ -4994,8 +5014,8 @@
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-            "locator" : "288:1-289:64",
-            "name" : "Mean Corpuscular Volume",
+            "locator" : "279:1-280:64",
+            "name" : "KT/V Hemodialysis Ratio",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
@@ -5003,7 +5023,7 @@
                "s" : {
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-                     "value" : [ "","define ","\"Mean Corpuscular Volume\"",":\n  " ]
+                     "value" : [ "","define ","\"KT/V Hemodialysis Ratio\"",":\n  " ]
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@@ -5023,7 +5043,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Mean Corpuscular Volume\"" ]
+                                 "value" : [ "Cx",".","\"KT/V Hemodialysis Ratio\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -5036,17 +5056,17 @@
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@@ -5135,17 +5155,17 @@
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@@ -5234,17 +5254,17 @@
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@@ -5588,8 +5608,8 @@
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@@ -5617,7 +5637,7 @@
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@@ -5630,17 +5650,17 @@
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@@ -5828,17 +5848,17 @@
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@@ -5914,7 +5934,7 @@
                               "value" : [ "[","Observation",": " ]
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@@ -5927,17 +5947,17 @@
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@@ -5984,8 +6004,8 @@
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-            "name" : "Procalcitonin in Blood, Serum, or Plasma",
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@@ -6013,7 +6033,7 @@
                               "value" : [ "[","Observation",": " ]
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-                                 "value" : [ "Cx",".","\"Procalcitonin in Blood, Serum, or Plasma\"" ]
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@@ -6026,17 +6046,17 @@
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@@ -6069,9 +6089,9 @@
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@@ -6083,8 +6103,8 @@
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-            "name" : "Random Blood Glucose Test",
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@@ -6112,7 +6132,7 @@
                               "value" : [ "[","Observation",": " ]
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@@ -6125,17 +6145,17 @@
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@@ -6168,9 +6188,9 @@
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@@ -6182,8 +6202,8 @@
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-            "locator" : "327:1-328:76",
-            "name" : "Red Blood Cell Count (Erythrocytes)",
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@@ -6191,7 +6211,7 @@
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@@ -6211,7 +6231,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
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-                                 "value" : [ "Cx",".","\"Red Blood Cell Count (Erythrocytes)\"" ]
+                                 "value" : [ "Cx",".","\"Platelet Mean Volume\"" ]
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@@ -6224,17 +6244,17 @@
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@@ -6250,7 +6270,7 @@
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@@ -6267,9 +6287,9 @@
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@@ -6281,8 +6301,8 @@
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-            "name" : "Serum Rheumatoid Factor",
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@@ -6310,7 +6330,7 @@
                               "value" : [ "[","Observation",": " ]
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+                                 "value" : [ "Cx",".","\"Potassium in blood, serum or plasma\"" ]
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@@ -6323,17 +6343,17 @@
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@@ -6366,9 +6386,9 @@
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@@ -6380,8 +6400,8 @@
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-            "name" : "Sodium in blood, serum or plasma",
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@@ -6409,7 +6429,7 @@
                               "value" : [ "[","Observation",": " ]
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-                                 "value" : [ "Cx",".","\"Sodium in blood, serum or plasma\"" ]
+                                 "value" : [ "Cx",".","\"Procalcitonin in Blood, Serum, or Plasma\"" ]
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@@ -6422,17 +6442,17 @@
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@@ -6448,7 +6468,7 @@
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@@ -6465,9 +6485,9 @@
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@@ -6479,8 +6499,8 @@
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-            "name" : "Thyroid Stimulating Hormone (TSH) Test",
+            "locator" : "324:1-325:66",
+            "name" : "Random Blood Glucose Test",
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@@ -6508,7 +6528,7 @@
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-                                 "value" : [ "Cx",".","\"Thyroid Stimulating Hormone (TSH) Test\"" ]
+                                 "value" : [ "Cx",".","\"Random Blood Glucose Test\"" ]
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@@ -6521,17 +6541,17 @@
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@@ -6547,7 +6567,7 @@
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@@ -6564,9 +6584,9 @@
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@@ -6578,8 +6598,8 @@
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@@ -6607,7 +6627,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
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+                                 "value" : [ "Cx",".","\"Red Blood Cell Count (Erythrocytes)\"" ]
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@@ -6620,17 +6640,17 @@
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@@ -6646,7 +6666,7 @@
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@@ -6663,9 +6683,9 @@
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@@ -6677,8 +6697,8 @@
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-            "locator" : "345:1-346:58",
-            "name" : "Total Cholesterol",
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@@ -6706,7 +6726,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Total Cholesterol\"" ]
+                                 "value" : [ "Cx",".","\"Serum Rheumatoid Factor\"" ]
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@@ -6719,17 +6739,17 @@
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@@ -6745,7 +6765,7 @@
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@@ -6762,9 +6782,9 @@
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@@ -6776,8 +6796,8 @@
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-            "name" : "Triglyceride in blood, serum or plasma",
+            "locator" : "333:1-334:59",
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@@ -6805,7 +6825,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Triglyceride in blood, serum or plasma\"" ]
+                                 "value" : [ "Cx",".","\"Skin Biopsy Report\"" ]
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@@ -6818,17 +6838,17 @@
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                "localId" : "6346",
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@@ -6844,7 +6864,7 @@
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@@ -6861,9 +6881,9 @@
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@@ -6875,8 +6895,8 @@
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-            "locator" : "351:1-352:76",
-            "name" : "Triiodothyronine in serum or plasma",
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@@ -6904,7 +6924,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Triiodothyronine in serum or plasma\"" ]
+                                 "value" : [ "Cx",".","\"Sodium in blood, serum or plasma\"" ]
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@@ -6917,17 +6937,17 @@
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@@ -6943,7 +6963,7 @@
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@@ -6960,9 +6980,9 @@
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@@ -6974,8 +6994,8 @@
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-            "locator" : "354:1-355:65",
-            "name" : "Troponin I, Bld/Ser/Plas",
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+            "name" : "Thyroid Stimulating Hormone (TSH) Test",
             "context" : "Patient",
             "accessLevel" : "Public",
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@@ -6983,7 +7003,7 @@
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@@ -7003,7 +7023,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Troponin I, Bld/Ser/Plas\"" ]
+                                 "value" : [ "Cx",".","\"Thyroid Stimulating Hormone (TSH) Test\"" ]
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@@ -7016,17 +7036,17 @@
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-               "locator" : "355:3-355:65",
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@@ -7042,7 +7062,7 @@
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@@ -7059,9 +7079,9 @@
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                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
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@@ -7073,8 +7093,8 @@
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-            "locator" : "357:1-358:64",
-            "name" : "Troponin T, Bld/Ser/Pla",
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             "context" : "Patient",
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@@ -7082,7 +7102,7 @@
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@@ -7102,7 +7122,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Troponin T, Bld/Ser/Pla\"" ]
+                                 "value" : [ "Cx",".","\"Total Carbon Dioxide or Bicarbonate in blood, serum or plasma\"" ]
                               } ]
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@@ -7115,17 +7135,17 @@
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@@ -7141,7 +7161,7 @@
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@@ -7158,9 +7178,9 @@
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@@ -7172,8 +7192,8 @@
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-            "locator" : "360:1-361:61",
-            "name" : "Urea Reduction Ratio",
+            "locator" : "345:1-346:58",
+            "name" : "Total Cholesterol",
             "context" : "Patient",
             "accessLevel" : "Public",
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@@ -7181,7 +7201,7 @@
                "s" : {
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                   "s" : [ {
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+                     "value" : [ "","define ","\"Total Cholesterol\"",":\n  " ]
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@@ -7201,7 +7221,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Urea Reduction Ratio\"" ]
+                                 "value" : [ "Cx",".","\"Total Cholesterol\"" ]
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@@ -7214,17 +7234,17 @@
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@@ -7240,7 +7260,7 @@
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@@ -7257,9 +7277,9 @@
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@@ -7271,8 +7291,8 @@
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-            "locator" : "363:1-364:84",
-            "name" : "Uric Acid (Urate) in blood, serum or plasma",
+            "locator" : "348:1-349:79",
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             "context" : "Patient",
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@@ -7280,7 +7300,7 @@
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@@ -7300,7 +7320,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
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-                                 "value" : [ "Cx",".","\"Uric Acid (Urate) in blood, serum or plasma\"" ]
+                                 "value" : [ "Cx",".","\"Triglyceride in blood, serum or plasma\"" ]
                               } ]
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@@ -7313,17 +7333,17 @@
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@@ -7339,7 +7359,7 @@
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@@ -7356,9 +7376,9 @@
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@@ -7370,8 +7390,8 @@
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-            "locator" : "366:1-367:71",
-            "name" : "Urine Albumin Creatinine Ratio",
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             "context" : "Patient",
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@@ -7379,7 +7399,7 @@
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@@ -7399,7 +7419,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Urine Albumin Creatinine Ratio\"" ]
+                                 "value" : [ "Cx",".","\"Triiodothyronine in serum or plasma\"" ]
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                               "value" : [ "]" ]
@@ -7412,17 +7432,17 @@
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@@ -7438,7 +7458,7 @@
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@@ -7455,9 +7475,9 @@
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@@ -7469,8 +7489,8 @@
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-            "locator" : "369:1-370:81",
-            "name" : "Urine Protein to Creatinine Ratio (UPCR)",
+            "locator" : "354:1-355:65",
+            "name" : "Troponin I, Bld/Ser/Plas",
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@@ -7478,7 +7498,7 @@
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@@ -7498,7 +7518,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Urine Protein to Creatinine Ratio (UPCR)\"" ]
+                                 "value" : [ "Cx",".","\"Troponin I, Bld/Ser/Plas\"" ]
                               } ]
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@@ -7511,17 +7531,17 @@
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@@ -7537,7 +7557,7 @@
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@@ -7554,9 +7574,9 @@
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@@ -7568,8 +7588,8 @@
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-            "locator" : "372:1-373:55",
-            "name" : "Urine Sediment",
+            "locator" : "357:1-358:64",
+            "name" : "Troponin T, Bld/Ser/Pla",
             "context" : "Patient",
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@@ -7577,7 +7597,7 @@
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@@ -7597,7 +7617,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Urine Sediment\"" ]
+                                 "value" : [ "Cx",".","\"Troponin T, Bld/Ser/Pla\"" ]
                               } ]
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                               "value" : [ "]" ]
@@ -7610,17 +7630,17 @@
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@@ -7636,7 +7656,7 @@
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@@ -7808,17 +7828,17 @@
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@@ -7851,9 +7871,9 @@
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@@ -7894,7 +7914,7 @@
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@@ -7907,17 +7927,17 @@
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@@ -7933,7 +7953,7 @@
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@@ -7973,7 +7993,7 @@
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@@ -8006,17 +8026,17 @@
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@@ -8032,7 +8052,7 @@
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@@ -8062,259 +8082,754 @@
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+                                          } ]
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+                                          "value" : [ ", " ]
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+                                          "value" : [ "DE" ]
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+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "801",
+                                          "s" : [ {
+                                             "value" : [ "\"Anion Gap\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "804",
+                                          "s" : [ {
+                                             "value" : [ "'Anion Gap'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "899",
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+                                       "s" : [ {
+                                          "value" : [ "DE" ]
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                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
                                           "r" : "895",
@@ -8550,7 +9065,7 @@
                                        } ]
                                     } ]
                                  }, {
-                                    "value" : [ ",\n    // DE.ReportMostRecentResult(\"Bone Biopsy Report\", 'Bone Biopsy Report'),\n    " ]
+                                    "value" : [ ",\n    " ]
                                  }, {
                                     "r" : "1651",
                                     "s" : [ {
@@ -8567,14 +9082,14 @@
                                        }, {
                                           "r" : "1647",
                                           "s" : [ {
-                                             "value" : [ "\"C reactive Protein (CRP), Bld/Ser/Plas\"" ]
+                                             "value" : [ "\"Bone Biopsy Report\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "1650",
                                           "s" : [ {
-                                             "value" : [ "'C reactive Protein (CRP)'" ]
+                                             "value" : [ "'Bone Biopsy Report'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -8598,14 +9113,14 @@
                                        }, {
                                           "r" : "1741",
                                           "s" : [ {
-                                             "value" : [ "\"Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum\"" ]
+                                             "value" : [ "\"C reactive Protein (CRP), Bld/Ser/Plas\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "1744",
                                           "s" : [ {
-                                             "value" : [ "'Calcium (Not Corrected for Serum Albumin)'" ]
+                                             "value" : [ "'C reactive Protein (CRP)'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -8629,14 +9144,14 @@
                                        }, {
                                           "r" : "1835",
                                           "s" : [ {
-                                             "value" : [ "\"Cerebral Spinal Fluid (CSF) Analysis\"" ]
+                                             "value" : [ "\"Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "1838",
                                           "s" : [ {
-                                             "value" : [ "'Cerebral Spinal Fluid (CSF) Analysis'" ]
+                                             "value" : [ "'Calcium (Not Corrected for Serum Albumin)'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -8660,14 +9175,14 @@
                                        }, {
                                           "r" : "1929",
                                           "s" : [ {
-                                             "value" : [ "\"Chloride in blood, serum or plasma\"" ]
+                                             "value" : [ "\"Cerebral Spinal Fluid (CSF) Analysis\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "1932",
                                           "s" : [ {
-                                             "value" : [ "'Chloride'" ]
+                                             "value" : [ "'Cerebral Spinal Fluid (CSF) Analysis'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -8691,21 +9206,21 @@
                                        }, {
                                           "r" : "2023",
                                           "s" : [ {
-                                             "value" : [ "\"Coagulation Assay (PT, aPTT, Fibrinogen)\"" ]
+                                             "value" : [ "\"Chloride in blood, serum or plasma\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "2026",
                                           "s" : [ {
-                                             "value" : [ "'Coagulation Assay'" ]
+                                             "value" : [ "'Chloride'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
                                        } ]
                                     } ]
                                  }, {
-                                    "value" : [ ",\n    // DE.ReportMostRecentResult(\"Complete Blood Count (with Diff)\", 'Complete Blood Count'),\n    // DE.ReportMostRecentResult(\"Comprehensive Metabolic Panel (CMP)\", 'Comprehensive Metabolic Panel (CMP)'),\n    " ]
+                                    "value" : [ ",\n    " ]
                                  }, {
                                     "r" : "2121",
                                     "s" : [ {
@@ -8722,21 +9237,21 @@
                                        }, {
                                           "r" : "2117",
                                           "s" : [ {
-                                             "value" : [ "\"Corrected Calcium\"" ]
+                                             "value" : [ "\"Coagulation Assay (PT, aPTT, Fibrinogen)\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "2120",
                                           "s" : [ {
-                                             "value" : [ "'Calcium'" ]
+                                             "value" : [ "'Coagulation Assay'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
                                        } ]
                                     } ]
                                  }, {
-                                    "value" : [ ",\n    // DE.ReportMostRecentResult(\"COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests\", 'COVID 19 Test'),\n    " ]
+                                    "value" : [ ",\n    // DE.ReportMostRecentResult(\"Complete Blood Count (with Diff)\", 'Complete Blood Count'),\n    // DE.ReportMostRecentResult(\"Comprehensive Metabolic Panel (CMP)\", 'Comprehensive Metabolic Panel (CMP)'),\n    " ]
                                  }, {
                                     "r" : "2215",
                                     "s" : [ {
@@ -8753,14 +9268,14 @@
                                        }, {
                                           "r" : "2211",
                                           "s" : [ {
-                                             "value" : [ "\"Creatine Kinase (CK, CK MB) in Blood, Serum, or Plasma\"" ]
+                                             "value" : [ "\"Corrected Calcium\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "2214",
                                           "s" : [ {
-                                             "value" : [ "'Creatine Kinase (CK, CK MB)'" ]
+                                             "value" : [ "'Calcium'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -8784,14 +9299,14 @@
                                        }, {
                                           "r" : "2305",
                                           "s" : [ {
-                                             "value" : [ "\"Creatinine in blood, serum or plasma\"" ]
+                                             "value" : [ "\"COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "2308",
                                           "s" : [ {
-                                             "value" : [ "'Creatinine'" ]
+                                             "value" : [ "'COVID 19 Test'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -8815,14 +9330,14 @@
                                        }, {
                                           "r" : "2399",
                                           "s" : [ {
-                                             "value" : [ "\"Cystatin C\"" ]
+                                             "value" : [ "\"Creatine Kinase (CK, CK MB) in Blood, Serum, or Plasma\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "2402",
                                           "s" : [ {
-                                             "value" : [ "'Cystatin C'" ]
+                                             "value" : [ "'Creatine Kinase (CK, CK MB)'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -8846,14 +9361,14 @@
                                        }, {
                                           "r" : "2493",
                                           "s" : [ {
-                                             "value" : [ "\"D Dimer Test\"" ]
+                                             "value" : [ "\"Creatinine in blood, serum or plasma\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "2496",
                                           "s" : [ {
-                                             "value" : [ "'D Dimer'" ]
+                                             "value" : [ "'Creatinine'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -8877,14 +9392,14 @@
                                        }, {
                                           "r" : "2587",
                                           "s" : [ {
-                                             "value" : [ "\"Drugs of Abuse Screen\"" ]
+                                             "value" : [ "\"Cystatin C\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "2590",
                                           "s" : [ {
-                                             "value" : [ "'Drugs of Abuse Screen'" ]
+                                             "value" : [ "'Cystatin C'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -8908,14 +9423,14 @@
                                        }, {
                                           "r" : "2681",
                                           "s" : [ {
-                                             "value" : [ "\"Erythrocyte Distribution Width\"" ]
+                                             "value" : [ "\"D Dimer Test\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "2684",
                                           "s" : [ {
-                                             "value" : [ "'Erythrocyte Distribution Width'" ]
+                                             "value" : [ "'D Dimer'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -8939,14 +9454,14 @@
                                        }, {
                                           "r" : "2775",
                                           "s" : [ {
-                                             "value" : [ "\"Erythrocyte Sedimentation Rate (ESR), Blood\"" ]
+                                             "value" : [ "\"Drugs of Abuse Screen\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "2778",
                                           "s" : [ {
-                                             "value" : [ "'Erythrocyte Sedimentation Rate (ESR)'" ]
+                                             "value" : [ "'Drugs of Abuse Screen'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -8970,14 +9485,14 @@
                                        }, {
                                           "r" : "2869",
                                           "s" : [ {
-                                             "value" : [ "\"Estimated Average Glucose\"" ]
+                                             "value" : [ "\"Erythrocyte Distribution Width\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "2872",
                                           "s" : [ {
-                                             "value" : [ "'Estimated Average Glucose'" ]
+                                             "value" : [ "'Erythrocyte Distribution Width'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9001,14 +9516,14 @@
                                        }, {
                                           "r" : "2963",
                                           "s" : [ {
-                                             "value" : [ "\"Estimated Glomerular Filtration Rate (eGFR)\"" ]
+                                             "value" : [ "\"Erythrocyte Sedimentation Rate (ESR), Blood\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "2966",
                                           "s" : [ {
-                                             "value" : [ "'eGFR'" ]
+                                             "value" : [ "'Erythrocyte Sedimentation Rate (ESR)'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9032,14 +9547,14 @@
                                        }, {
                                           "r" : "3057",
                                           "s" : [ {
-                                             "value" : [ "\"Fasting Blood Glucose\"" ]
+                                             "value" : [ "\"Estimated Average Glucose\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "3060",
                                           "s" : [ {
-                                             "value" : [ "'Fasting Blood Glucose'" ]
+                                             "value" : [ "'Estimated Average Glucose'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9048,7 +9563,7 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "3161",
+                                    "r" : "3155",
                                     "s" : [ {
                                        "r" : "3132",
                                        "s" : [ {
@@ -9057,32 +9572,20 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "3161",
+                                       "r" : "3155",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "3157",
+                                          "r" : "3151",
                                           "s" : [ {
-                                             "s" : [ {
-                                                "r" : "3133",
-                                                "s" : [ {
-                                                   "r" : "3152",
-                                                   "s" : [ {
-                                                      "s" : [ {
-                                                         "value" : [ "Ferritin" ]
-                                                      } ]
-                                                   } ]
-                                                }, {
-                                                   "value" : [ "\"\"" ]
-                                                } ]
-                                             } ]
+                                             "value" : [ "\"Estimated Glomerular Filtration Rate (eGFR)\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "3160",
+                                          "r" : "3154",
                                           "s" : [ {
-                                             "value" : [ "'Ferritin'" ]
+                                             "value" : [ "'eGFR'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9091,29 +9594,29 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "3255",
+                                    "r" : "3249",
                                     "s" : [ {
-                                       "r" : "3232",
+                                       "r" : "3226",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "3255",
+                                       "r" : "3249",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "3251",
+                                          "r" : "3245",
                                           "s" : [ {
-                                             "value" : [ "\"Free T4 (Thyroxine) Test\"" ]
+                                             "value" : [ "\"Fasting Blood Glucose\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "3254",
+                                          "r" : "3248",
                                           "s" : [ {
-                                             "value" : [ "'Free T4 (Thyroxine)'" ]
+                                             "value" : [ "'Fasting Blood Glucose'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9124,7 +9627,7 @@
                                  }, {
                                     "r" : "3349",
                                     "s" : [ {
-                                       "r" : "3326",
+                                       "r" : "3320",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
@@ -9137,14 +9640,26 @@
                                        }, {
                                           "r" : "3345",
                                           "s" : [ {
-                                             "value" : [ "\"Gamma Glutamyl Transpeptidase (Ggt) in blood, serum or plasma\"" ]
+                                             "s" : [ {
+                                                "r" : "3321",
+                                                "s" : [ {
+                                                   "r" : "3340",
+                                                   "s" : [ {
+                                                      "s" : [ {
+                                                         "value" : [ "Ferritin" ]
+                                                      } ]
+                                                   } ]
+                                                }, {
+                                                   "value" : [ "\"\"" ]
+                                                } ]
+                                             } ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "3348",
                                           "s" : [ {
-                                             "value" : [ "'Gamma Glutamyl Transpeptidase (Ggt)'" ]
+                                             "value" : [ "'Ferritin'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9168,14 +9683,14 @@
                                        }, {
                                           "r" : "3439",
                                           "s" : [ {
-                                             "value" : [ "\"Gastric Tissue Biopsy Report\"" ]
+                                             "value" : [ "\"Free T4 (Thyroxine) Test\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "3442",
                                           "s" : [ {
-                                             "value" : [ "'Gastric Tissue Biopsy Report'" ]
+                                             "value" : [ "'Free T4 (Thyroxine)'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9199,14 +9714,14 @@
                                        }, {
                                           "r" : "3533",
                                           "s" : [ {
-                                             "value" : [ "\"Glucose Tolerance Test Results\"" ]
+                                             "value" : [ "\"Gamma Glutamyl Transpeptidase (Ggt) in blood, serum or plasma\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "3536",
                                           "s" : [ {
-                                             "value" : [ "'Glucose Tolerance'" ]
+                                             "value" : [ "'Gamma Glutamyl Transpeptidase (Ggt)'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9230,14 +9745,14 @@
                                        }, {
                                           "r" : "3627",
                                           "s" : [ {
-                                             "value" : [ "\"Hematocrit\"" ]
+                                             "value" : [ "\"Gastric Tissue Biopsy Report\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "3630",
                                           "s" : [ {
-                                             "value" : [ "'Hematocrit'" ]
+                                             "value" : [ "'Gastric Tissue Biopsy Report'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9261,14 +9776,14 @@
                                        }, {
                                           "r" : "3721",
                                           "s" : [ {
-                                             "value" : [ "\"Hemoglobin\"" ]
+                                             "value" : [ "\"Glucose Tolerance Test Results\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "3724",
                                           "s" : [ {
-                                             "value" : [ "'Hemoglobin'" ]
+                                             "value" : [ "'Glucose Tolerance'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9292,14 +9807,14 @@
                                        }, {
                                           "r" : "3815",
                                           "s" : [ {
-                                             "value" : [ "\"Hemoglobin A1C\"" ]
+                                             "value" : [ "\"Hematocrit\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "3818",
                                           "s" : [ {
-                                             "value" : [ "'Hemoglobin A1c %'" ]
+                                             "value" : [ "'Hematocrit'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9323,14 +9838,14 @@
                                        }, {
                                           "r" : "3909",
                                           "s" : [ {
-                                             "value" : [ "\"High Density Lipoprotein\"" ]
+                                             "value" : [ "\"Hemoglobin\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "3912",
                                           "s" : [ {
-                                             "value" : [ "'HDL Cholesterol'" ]
+                                             "value" : [ "'Hemoglobin'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9354,14 +9869,14 @@
                                        }, {
                                           "r" : "4003",
                                           "s" : [ {
-                                             "value" : [ "\"High Sensitivity Troponin\"" ]
+                                             "value" : [ "\"Hemoglobin A1C\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "4006",
                                           "s" : [ {
-                                             "value" : [ "'High Sensitivity Troponin'" ]
+                                             "value" : [ "'Hemoglobin A1c %'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9385,14 +9900,14 @@
                                        }, {
                                           "r" : "4097",
                                           "s" : [ {
-                                             "value" : [ "\"INR\"" ]
+                                             "value" : [ "\"High Density Lipoprotein\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "4100",
                                           "s" : [ {
-                                             "value" : [ "'INR'" ]
+                                             "value" : [ "'HDL Cholesterol'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9416,14 +9931,14 @@
                                        }, {
                                           "r" : "4191",
                                           "s" : [ {
-                                             "value" : [ "\"Intact Parathyroid Hormone\"" ]
+                                             "value" : [ "\"High Sensitivity Troponin\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "4194",
                                           "s" : [ {
-                                             "value" : [ "'Intact Parathyroid Hormone'" ]
+                                             "value" : [ "'High Sensitivity Troponin'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9447,21 +9962,21 @@
                                        }, {
                                           "r" : "4285",
                                           "s" : [ {
-                                             "value" : [ "\"Iron Saturation (Transferrin Saturation/TSAT)\"" ]
+                                             "value" : [ "\"INR\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "4288",
                                           "s" : [ {
-                                             "value" : [ "'Iron Saturation'" ]
+                                             "value" : [ "'INR'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
                                        } ]
                                     } ]
                                  }, {
-                                    "value" : [ ",\n    // DE.ReportMostRecentResult(\"Kidney Biopsy Report\", 'Kidney Biopsy Report'),\n    " ]
+                                    "value" : [ ",\n    " ]
                                  }, {
                                     "r" : "4383",
                                     "s" : [ {
@@ -9478,14 +9993,14 @@
                                        }, {
                                           "r" : "4379",
                                           "s" : [ {
-                                             "value" : [ "\"KT/V Hemodialysis Ratio\"" ]
+                                             "value" : [ "\"Intact Parathyroid Hormone\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "4382",
                                           "s" : [ {
-                                             "value" : [ "'KT/V Hemodialysis Ratio'" ]
+                                             "value" : [ "'Intact Parathyroid Hormone'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9509,14 +10024,14 @@
                                        }, {
                                           "r" : "4473",
                                           "s" : [ {
-                                             "value" : [ "\"Low Density Lipoprotein\"" ]
+                                             "value" : [ "\"Iron Saturation (Transferrin Saturation/TSAT)\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "4476",
                                           "s" : [ {
-                                             "value" : [ "'LDL Cholesterol'" ]
+                                             "value" : [ "'Iron Saturation'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9540,14 +10055,14 @@
                                        }, {
                                           "r" : "4567",
                                           "s" : [ {
-                                             "value" : [ "\"Mean Corpuscular Hemoglobin Concentration\"" ]
+                                             "value" : [ "\"Kidney Biopsy Report\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "4570",
                                           "s" : [ {
-                                             "value" : [ "'Mean Corpuscular Hemoglobin Concentration'" ]
+                                             "value" : [ "'Kidney Biopsy Report'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9571,14 +10086,14 @@
                                        }, {
                                           "r" : "4661",
                                           "s" : [ {
-                                             "value" : [ "\"Mean Corpuscular Volume\"" ]
+                                             "value" : [ "\"KT/V Hemodialysis Ratio\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "4664",
                                           "s" : [ {
-                                             "value" : [ "'Mean Corpuscular Volume'" ]
+                                             "value" : [ "'KT/V Hemodialysis Ratio'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9602,14 +10117,14 @@
                                        }, {
                                           "r" : "4755",
                                           "s" : [ {
-                                             "value" : [ "\"Microorganisms Detection by Blood Culture\"" ]
+                                             "value" : [ "\"Low Density Lipoprotein\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "4758",
                                           "s" : [ {
-                                             "value" : [ "'Microorganisms Detection by Blood Culture'" ]
+                                             "value" : [ "'LDL Cholesterol'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9633,21 +10148,21 @@
                                        }, {
                                           "r" : "4849",
                                           "s" : [ {
-                                             "value" : [ "\"Microorganisms Detection by Sputum Culture\"" ]
+                                             "value" : [ "\"Mean Corpuscular Hemoglobin Concentration\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "4852",
                                           "s" : [ {
-                                             "value" : [ "'Microorganisms Detection by Sputum Culture'" ]
+                                             "value" : [ "'Mean Corpuscular Hemoglobin Concentration'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
                                        } ]
                                     } ]
                                  }, {
-                                    "value" : [ ",\n    // DE.ReportMostRecentResult(\"Muscle Biopsy Report\", 'Muscle Biopsy Report'),\n    " ]
+                                    "value" : [ ",\n    " ]
                                  }, {
                                     "r" : "4947",
                                     "s" : [ {
@@ -9664,14 +10179,14 @@
                                        }, {
                                           "r" : "4943",
                                           "s" : [ {
-                                             "value" : [ "\"N Terminal Pro_B_Type Natriuretic Peptide [Nt_Probnp] in blood, serum or plasma\"" ]
+                                             "value" : [ "\"Mean Corpuscular Volume\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "4946",
                                           "s" : [ {
-                                             "value" : [ "'N Terminal Pro_B_Type Natriuretic Peptide'" ]
+                                             "value" : [ "'Mean Corpuscular Volume'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9695,14 +10210,14 @@
                                        }, {
                                           "r" : "5037",
                                           "s" : [ {
-                                             "value" : [ "\"Oxygen Saturation, Blood\"" ]
+                                             "value" : [ "\"Microorganisms Detection by Blood Culture\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "5040",
                                           "s" : [ {
-                                             "value" : [ "'Oxygen Saturation'" ]
+                                             "value" : [ "'Microorganisms Detection by Blood Culture'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9726,14 +10241,14 @@
                                        }, {
                                           "r" : "5131",
                                           "s" : [ {
-                                             "value" : [ "\"Phosphorus in blood, serum or plasma\"" ]
+                                             "value" : [ "\"Microorganisms Detection by Sputum Culture\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "5134",
                                           "s" : [ {
-                                             "value" : [ "'Phosphorus'" ]
+                                             "value" : [ "'Microorganisms Detection by Sputum Culture'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9757,14 +10272,14 @@
                                        }, {
                                           "r" : "5225",
                                           "s" : [ {
-                                             "value" : [ "\"Platelet Count\"" ]
+                                             "value" : [ "\"Muscle Biopsy Report\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "5228",
                                           "s" : [ {
-                                             "value" : [ "'Platelet Count'" ]
+                                             "value" : [ "'Muscle Biopsy Report'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9788,14 +10303,14 @@
                                        }, {
                                           "r" : "5319",
                                           "s" : [ {
-                                             "value" : [ "\"Platelet Distribution Width\"" ]
+                                             "value" : [ "\"N Terminal Pro_B_Type Natriuretic Peptide [Nt_Probnp] in blood, serum or plasma\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "5322",
                                           "s" : [ {
-                                             "value" : [ "'Platelet Distribution Width'" ]
+                                             "value" : [ "'N Terminal Pro_B_Type Natriuretic Peptide'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9819,14 +10334,14 @@
                                        }, {
                                           "r" : "5413",
                                           "s" : [ {
-                                             "value" : [ "\"Platelet Mean Volume\"" ]
+                                             "value" : [ "\"Oxygen Saturation, Blood\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "5416",
                                           "s" : [ {
-                                             "value" : [ "'Platelet Mean Volume'" ]
+                                             "value" : [ "'Oxygen Saturation'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9850,14 +10365,14 @@
                                        }, {
                                           "r" : "5507",
                                           "s" : [ {
-                                             "value" : [ "\"Potassium in blood, serum or plasma\"" ]
+                                             "value" : [ "\"Phosphorus in blood, serum or plasma\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "5510",
                                           "s" : [ {
-                                             "value" : [ "'Potassium'" ]
+                                             "value" : [ "'Phosphorus'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9881,14 +10396,14 @@
                                        }, {
                                           "r" : "5601",
                                           "s" : [ {
-                                             "value" : [ "\"Procalcitonin in Blood, Serum, or Plasma\"" ]
+                                             "value" : [ "\"Platelet Count\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "5604",
                                           "s" : [ {
-                                             "value" : [ "'Procalcitonin'" ]
+                                             "value" : [ "'Platelet Count'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9912,14 +10427,14 @@
                                        }, {
                                           "r" : "5695",
                                           "s" : [ {
-                                             "value" : [ "\"Random Blood Glucose Test\"" ]
+                                             "value" : [ "\"Platelet Distribution Width\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
                                           "r" : "5698",
                                           "s" : [ {
-                                             "value" : [ "'Random Blood Glucose Test'" ]
+                                             "value" : [ "'Platelet Distribution Width'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9930,27 +10445,182 @@
                                  }, {
                                     "r" : "5793",
                                     "s" : [ {
-                                       "r" : "5770",
+                                       "r" : "5770",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "5793",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "5789",
+                                          "s" : [ {
+                                             "value" : [ "\"Platelet Mean Volume\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "5792",
+                                          "s" : [ {
+                                             "value" : [ "'Platelet Mean Volume'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "5887",
+                                    "s" : [ {
+                                       "r" : "5864",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "5887",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "5883",
+                                          "s" : [ {
+                                             "value" : [ "\"Potassium in blood, serum or plasma\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "5886",
+                                          "s" : [ {
+                                             "value" : [ "'Potassium'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "5981",
+                                    "s" : [ {
+                                       "r" : "5958",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "5981",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "5977",
+                                          "s" : [ {
+                                             "value" : [ "\"Procalcitonin in Blood, Serum, or Plasma\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "5980",
+                                          "s" : [ {
+                                             "value" : [ "'Procalcitonin'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "6075",
+                                    "s" : [ {
+                                       "r" : "6052",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "6075",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "6071",
+                                          "s" : [ {
+                                             "value" : [ "\"Random Blood Glucose Test\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "6074",
+                                          "s" : [ {
+                                             "value" : [ "'Random Blood Glucose Test'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "6169",
+                                    "s" : [ {
+                                       "r" : "6146",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "6169",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "6165",
+                                          "s" : [ {
+                                             "value" : [ "\"Red Blood Cell Count (Erythrocytes)\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "6168",
+                                          "s" : [ {
+                                             "value" : [ "'Red Blood Cell Count (Erythrocytes)'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ ",\n    " ]
+                                 }, {
+                                    "r" : "6263",
+                                    "s" : [ {
+                                       "r" : "6240",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5793",
+                                       "r" : "6263",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "5789",
+                                          "r" : "6259",
                                           "s" : [ {
-                                             "value" : [ "\"Red Blood Cell Count (Erythrocytes)\"" ]
+                                             "value" : [ "\"Serum Rheumatoid Factor\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "5792",
+                                          "r" : "6262",
                                           "s" : [ {
-                                             "value" : [ "'Red Blood Cell Count (Erythrocytes)'" ]
+                                             "value" : [ "'Serum Rheumatoid Factor'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
@@ -9959,58 +10629,58 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "5887",
+                                    "r" : "6357",
                                     "s" : [ {
-                                       "r" : "5864",
+                                       "r" : "6334",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5887",
+                                       "r" : "6357",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "5883",
+                                          "r" : "6353",
                                           "s" : [ {
-                                             "value" : [ "\"Serum Rheumatoid Factor\"" ]
+                                             "value" : [ "\"Skin Biopsy Report\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "5886",
+                                          "r" : "6356",
                                           "s" : [ {
-                                             "value" : [ "'Serum Rheumatoid Factor'" ]
+                                             "value" : [ "'Skin Biopsy Report'" ]
                                           } ]
                                        }, {
                                           "value" : [ ")" ]
                                        } ]
                                     } ]
                                  }, {
-                                    "value" : [ ",\n    // DE.ReportMostRecentResult(\"Skin Biopsy Report\", 'Skin Biopsy Report'),\n    " ]
+                                    "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "5981",
+                                    "r" : "6451",
                                     "s" : [ {
-                                       "r" : "5958",
+                                       "r" : "6428",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "5981",
+                                       "r" : "6451",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "5977",
+                                          "r" : "6447",
                                           "s" : [ {
                                              "value" : [ "\"Sodium in blood, serum or plasma\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "5980",
+                                          "r" : "6450",
                                           "s" : [ {
                                              "value" : [ "'Sodium'" ]
                                           } ]
@@ -10021,27 +10691,27 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "6075",
+                                    "r" : "6545",
                                     "s" : [ {
-                                       "r" : "6052",
+                                       "r" : "6522",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "6075",
+                                       "r" : "6545",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "6071",
+                                          "r" : "6541",
                                           "s" : [ {
                                              "value" : [ "\"Thyroid Stimulating Hormone (TSH) Test\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "6074",
+                                          "r" : "6544",
                                           "s" : [ {
                                              "value" : [ "'Thyroid Stimulating Hormone (TSH)'" ]
                                           } ]
@@ -10052,27 +10722,27 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "6169",
+                                    "r" : "6639",
                                     "s" : [ {
-                                       "r" : "6146",
+                                       "r" : "6616",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "6169",
+                                       "r" : "6639",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "6165",
+                                          "r" : "6635",
                                           "s" : [ {
                                              "value" : [ "\"Total Carbon Dioxide or Bicarbonate in blood, serum or plasma\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "6168",
+                                          "r" : "6638",
                                           "s" : [ {
                                              "value" : [ "'Total Carbon Dioxide or Bicarbonate'" ]
                                           } ]
@@ -10083,27 +10753,27 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "6263",
+                                    "r" : "6733",
                                     "s" : [ {
-                                       "r" : "6240",
+                                       "r" : "6710",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "6263",
+                                       "r" : "6733",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "6259",
+                                          "r" : "6729",
                                           "s" : [ {
                                              "value" : [ "\"Total Cholesterol\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "6262",
+                                          "r" : "6732",
                                           "s" : [ {
                                              "value" : [ "'Total Cholesterol'" ]
                                           } ]
@@ -10114,27 +10784,27 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "6357",
+                                    "r" : "6827",
                                     "s" : [ {
-                                       "r" : "6334",
+                                       "r" : "6804",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "6357",
+                                       "r" : "6827",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "6353",
+                                          "r" : "6823",
                                           "s" : [ {
                                              "value" : [ "\"Triglyceride in blood, serum or plasma\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "6356",
+                                          "r" : "6826",
                                           "s" : [ {
                                              "value" : [ "'Triglycerides'" ]
                                           } ]
@@ -10145,27 +10815,27 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "6451",
+                                    "r" : "6921",
                                     "s" : [ {
-                                       "r" : "6428",
+                                       "r" : "6898",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "6451",
+                                       "r" : "6921",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "6447",
+                                          "r" : "6917",
                                           "s" : [ {
                                              "value" : [ "\"Triiodothyronine in serum or plasma\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "6450",
+                                          "r" : "6920",
                                           "s" : [ {
                                              "value" : [ "'Triiodothyronine'" ]
                                           } ]
@@ -10176,27 +10846,27 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "6545",
+                                    "r" : "7015",
                                     "s" : [ {
-                                       "r" : "6522",
+                                       "r" : "6992",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "6545",
+                                       "r" : "7015",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "6541",
+                                          "r" : "7011",
                                           "s" : [ {
                                              "value" : [ "\"Troponin I, Bld/Ser/Plas\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "6544",
+                                          "r" : "7014",
                                           "s" : [ {
                                              "value" : [ "'Troponin I'" ]
                                           } ]
@@ -10207,27 +10877,27 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "6639",
+                                    "r" : "7109",
                                     "s" : [ {
-                                       "r" : "6616",
+                                       "r" : "7086",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "6639",
+                                       "r" : "7109",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "6635",
+                                          "r" : "7105",
                                           "s" : [ {
                                              "value" : [ "\"Troponin T, Bld/Ser/Pla\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "6638",
+                                          "r" : "7108",
                                           "s" : [ {
                                              "value" : [ "'Troponin T'" ]
                                           } ]
@@ -10238,27 +10908,27 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "6733",
+                                    "r" : "7203",
                                     "s" : [ {
-                                       "r" : "6710",
+                                       "r" : "7180",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "6733",
+                                       "r" : "7203",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "6729",
+                                          "r" : "7199",
                                           "s" : [ {
                                              "value" : [ "\"Urea Reduction Ratio\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "6732",
+                                          "r" : "7202",
                                           "s" : [ {
                                              "value" : [ "'Urea Reduction Ratio'" ]
                                           } ]
@@ -10269,27 +10939,27 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "6827",
+                                    "r" : "7297",
                                     "s" : [ {
-                                       "r" : "6804",
+                                       "r" : "7274",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "6827",
+                                       "r" : "7297",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "6823",
+                                          "r" : "7293",
                                           "s" : [ {
                                              "value" : [ "\"Uric Acid (Urate) in blood, serum or plasma\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "6826",
+                                          "r" : "7296",
                                           "s" : [ {
                                              "value" : [ "'Uric Acid (Urate)'" ]
                                           } ]
@@ -10300,27 +10970,27 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "6921",
+                                    "r" : "7391",
                                     "s" : [ {
-                                       "r" : "6898",
+                                       "r" : "7368",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "6921",
+                                       "r" : "7391",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "6917",
+                                          "r" : "7387",
                                           "s" : [ {
                                              "value" : [ "\"Urine Albumin Creatinine Ratio\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "6920",
+                                          "r" : "7390",
                                           "s" : [ {
                                              "value" : [ "'Urine Albumin Creatinine Ratio'" ]
                                           } ]
@@ -10331,27 +11001,27 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "7015",
+                                    "r" : "7485",
                                     "s" : [ {
-                                       "r" : "6992",
+                                       "r" : "7462",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "7015",
+                                       "r" : "7485",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "7011",
+                                          "r" : "7481",
                                           "s" : [ {
                                              "value" : [ "\"Urine Protein to Creatinine Ratio (UPCR)\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "7014",
+                                          "r" : "7484",
                                           "s" : [ {
                                              "value" : [ "'Urine Protein to Creatinine Ratio (UPCR)'" ]
                                           } ]
@@ -10362,27 +11032,27 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "7109",
+                                    "r" : "7579",
                                     "s" : [ {
-                                       "r" : "7086",
+                                       "r" : "7556",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "7109",
+                                       "r" : "7579",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "7105",
+                                          "r" : "7575",
                                           "s" : [ {
                                              "value" : [ "\"Urine Sediment\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "7108",
+                                          "r" : "7578",
                                           "s" : [ {
                                              "value" : [ "'Urine Sediment'" ]
                                           } ]
@@ -10393,27 +11063,27 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "7203",
+                                    "r" : "7673",
                                     "s" : [ {
-                                       "r" : "7180",
+                                       "r" : "7650",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "7203",
+                                       "r" : "7673",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "7199",
+                                          "r" : "7669",
                                           "s" : [ {
                                              "value" : [ "\"Urine Urea Nitrogen\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "7202",
+                                          "r" : "7672",
                                           "s" : [ {
                                              "value" : [ "'Urine Urea Nitrogen'" ]
                                           } ]
@@ -10424,27 +11094,27 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "7297",
+                                    "r" : "7767",
                                     "s" : [ {
-                                       "r" : "7274",
+                                       "r" : "7744",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "7297",
+                                       "r" : "7767",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "7293",
+                                          "r" : "7763",
                                           "s" : [ {
                                              "value" : [ "\"Uroflowmetry\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "7296",
+                                          "r" : "7766",
                                           "s" : [ {
                                              "value" : [ "'Uroflowmetry'" ]
                                           } ]
@@ -10455,27 +11125,27 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "7391",
+                                    "r" : "7861",
                                     "s" : [ {
-                                       "r" : "7368",
+                                       "r" : "7838",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "7391",
+                                       "r" : "7861",
                                        "s" : [ {
                                           "value" : [ "ReportMostRecentResult","(" ]
                                        }, {
-                                          "r" : "7387",
+                                          "r" : "7857",
                                           "s" : [ {
                                              "value" : [ "\"Vitamin D Levels\"" ]
                                           } ]
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "7390",
+                                          "r" : "7860",
                                           "s" : [ {
                                              "value" : [ "'Vitamin D'" ]
                                           } ]
@@ -10486,639 +11156,1127 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "7485",
-                                    "s" : [ {
-                                       "r" : "7462",
-                                       "s" : [ {
-                                          "value" : [ "DE" ]
-                                       } ]
+                                    "r" : "7955",
+                                    "s" : [ {
+                                       "r" : "7932",
+                                       "s" : [ {
+                                          "value" : [ "DE" ]
+                                       } ]
+                                    }, {
+                                       "value" : [ "." ]
+                                    }, {
+                                       "r" : "7955",
+                                       "s" : [ {
+                                          "value" : [ "ReportMostRecentResult","(" ]
+                                       }, {
+                                          "r" : "7951",
+                                          "s" : [ {
+                                             "value" : [ "\"White Blood Cell (Leukocytes) Count\"" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ", " ]
+                                       }, {
+                                          "r" : "7954",
+                                          "s" : [ {
+                                             "value" : [ "'White Blood Cell (Leukocytes) Count'" ]
+                                          } ]
+                                       }, {
+                                          "value" : [ ")" ]
+                                       } ]
+                                    } ]
+                                 }, {
+                                    "value" : [ "\n    // DE.ReportMostRecentResult(\"\", ''),\n\n  }" ]
+                                 } ]
+                              }, {
+                                 "value" : [ ")" ]
+                              } ]
+                           }, {
+                              "value" : [ " ","Result" ]
+                           } ]
+                        } ]
+                     }, {
+                        "value" : [ " " ]
+                     }, {
+                        "r" : "8171",
+                        "s" : [ {
+                           "value" : [ "where " ]
+                        }, {
+                           "r" : "8171",
+                           "s" : [ {
+                              "r" : "8134",
+                              "s" : [ {
+                                 "value" : [ "Result" ]
+                              } ]
+                           }, {
+                              "value" : [ " is not null" ]
+                           } ]
+                        } ]
+                     } ]
+                  } ]
+               }
+            } ],
+            "resultTypeSpecifier" : {
+               "localId" : "8209",
+               "type" : "ListTypeSpecifier",
+               "elementType" : {
+                  "localId" : "8210",
+                  "type" : "TupleTypeSpecifier",
+                  "element" : [ {
+                     "localId" : "8211",
+                     "name" : "DisplayName",
+                     "elementType" : {
+                        "localId" : "8212",
+                        "name" : "{urn:hl7-org:elm-types:r1}String",
+                        "type" : "NamedTypeSpecifier"
+                     }
+                  }, {
+                     "localId" : "8213",
+                     "name" : "ConceptName",
+                     "elementType" : {
+                        "localId" : "8214",
+                        "name" : "{urn:hl7-org:elm-types:r1}String",
+                        "type" : "NamedTypeSpecifier"
+                     }
+                  }, {
+                     "localId" : "8215",
+                     "name" : "Date",
+                     "elementType" : {
+                        "localId" : "8216",
+                        "name" : "{urn:hl7-org:elm-types:r1}String",
+                        "type" : "NamedTypeSpecifier"
+                     }
+                  }, {
+                     "localId" : "8217",
+                     "name" : "ResultText",
+                     "elementType" : {
+                        "localId" : "8218",
+                        "name" : "{urn:hl7-org:elm-types:r1}String",
+                        "type" : "NamedTypeSpecifier"
+                     }
+                  }, {
+                     "localId" : "8219",
+                     "name" : "ResultValue",
+                     "elementType" : {
+                        "localId" : "8220",
+                        "name" : "{urn:hl7-org:elm-types:r1}Decimal",
+                        "type" : "NamedTypeSpecifier"
+                     }
+                  }, {
+                     "localId" : "8221",
+                     "name" : "ResultUnits",
+                     "elementType" : {
+                        "localId" : "8222",
+                        "name" : "{urn:hl7-org:elm-types:r1}String",
+                        "type" : "NamedTypeSpecifier"
+                     }
+                  }, {
+                     "localId" : "8223",
+                     "name" : "ReferenceRange",
+                     "elementType" : {
+                        "localId" : "8224",
+                        "name" : "{urn:hl7-org:elm-types:r1}String",
+                        "type" : "NamedTypeSpecifier"
+                     }
+                  }, {
+                     "localId" : "8225",
+                     "name" : "Interpretation",
+                     "elementType" : {
+                        "localId" : "8226",
+                        "name" : "{urn:hl7-org:elm-types:r1}String",
+                        "type" : "NamedTypeSpecifier"
+                     }
+                  }, {
+                     "localId" : "8227",
+                     "name" : "Flag",
+                     "elementType" : {
+                        "localId" : "8228",
+                        "name" : "{urn:hl7-org:elm-types:r1}Boolean",
+                        "type" : "NamedTypeSpecifier"
+                     }
+                  }, {
+                     "localId" : "8229",
+                     "name" : "Performer",
+                     "elementType" : {
+                        "localId" : "8230",
+                        "name" : "{urn:hl7-org:elm-types:r1}String",
+                        "type" : "NamedTypeSpecifier"
+                     }
+                  }, {
+                     "localId" : "8231",
+                     "name" : "Notes",
+                     "elementType" : {
+                        "localId" : "8232",
+                        "type" : "ListTypeSpecifier",
+                        "elementType" : {
+                           "localId" : "8233",
+                           "name" : "{urn:hl7-org:elm-types:r1}String",
+                           "type" : "NamedTypeSpecifier"
+                        }
+                     }
+                  }, {
+                     "localId" : "8234",
+                     "name" : "Provenance",
+                     "elementType" : {
+                        "localId" : "8235",
+                        "type" : "ListTypeSpecifier",
+                        "elementType" : {
+                           "localId" : "8236",
+                           "type" : "TupleTypeSpecifier",
+                           "element" : [ {
+                              "localId" : "8237",
+                              "name" : "Transmitter",
+                              "elementType" : {
+                                 "localId" : "8238",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "8239",
+                                    "name" : "{urn:hl7-org:elm-types:r1}String",
+                                    "type" : "NamedTypeSpecifier"
+                                 }
+                              }
+                           }, {
+                              "localId" : "8240",
+                              "name" : "Author",
+                              "elementType" : {
+                                 "localId" : "8241",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "8242",
+                                    "name" : "{urn:hl7-org:elm-types:r1}String",
+                                    "type" : "NamedTypeSpecifier"
+                                 }
+                              }
+                           } ]
+                        }
+                     }
+                  }, {
+                     "localId" : "8243",
+                     "name" : "LearnMore",
+                     "elementType" : {
+                        "localId" : "8244",
+                        "name" : "{urn:hl7-org:elm-types:r1}String",
+                        "type" : "NamedTypeSpecifier"
+                     }
+                  } ]
+               }
+            },
+            "expression" : {
+               "localId" : "8172",
+               "locator" : "12:3-100:36",
+               "type" : "Query",
+               "resultTypeSpecifier" : {
+                  "localId" : "8173",
+                  "type" : "ListTypeSpecifier",
+                  "elementType" : {
+                     "localId" : "8174",
+                     "type" : "TupleTypeSpecifier",
+                     "element" : [ {
+                        "localId" : "8175",
+                        "name" : "DisplayName",
+                        "elementType" : {
+                           "localId" : "8176",
+                           "name" : "{urn:hl7-org:elm-types:r1}String",
+                           "type" : "NamedTypeSpecifier"
+                        }
+                     }, {
+                        "localId" : "8177",
+                        "name" : "ConceptName",
+                        "elementType" : {
+                           "localId" : "8178",
+                           "name" : "{urn:hl7-org:elm-types:r1}String",
+                           "type" : "NamedTypeSpecifier"
+                        }
+                     }, {
+                        "localId" : "8179",
+                        "name" : "Date",
+                        "elementType" : {
+                           "localId" : "8180",
+                           "name" : "{urn:hl7-org:elm-types:r1}String",
+                           "type" : "NamedTypeSpecifier"
+                        }
+                     }, {
+                        "localId" : "8181",
+                        "name" : "ResultText",
+                        "elementType" : {
+                           "localId" : "8182",
+                           "name" : "{urn:hl7-org:elm-types:r1}String",
+                           "type" : "NamedTypeSpecifier"
+                        }
+                     }, {
+                        "localId" : "8183",
+                        "name" : "ResultValue",
+                        "elementType" : {
+                           "localId" : "8184",
+                           "name" : "{urn:hl7-org:elm-types:r1}Decimal",
+                           "type" : "NamedTypeSpecifier"
+                        }
+                     }, {
+                        "localId" : "8185",
+                        "name" : "ResultUnits",
+                        "elementType" : {
+                           "localId" : "8186",
+                           "name" : "{urn:hl7-org:elm-types:r1}String",
+                           "type" : "NamedTypeSpecifier"
+                        }
+                     }, {
+                        "localId" : "8187",
+                        "name" : "ReferenceRange",
+                        "elementType" : {
+                           "localId" : "8188",
+                           "name" : "{urn:hl7-org:elm-types:r1}String",
+                           "type" : "NamedTypeSpecifier"
+                        }
+                     }, {
+                        "localId" : "8189",
+                        "name" : "Interpretation",
+                        "elementType" : {
+                           "localId" : "8190",
+                           "name" : "{urn:hl7-org:elm-types:r1}String",
+                           "type" : "NamedTypeSpecifier"
+                        }
+                     }, {
+                        "localId" : "8191",
+                        "name" : "Flag",
+                        "elementType" : {
+                           "localId" : "8192",
+                           "name" : "{urn:hl7-org:elm-types:r1}Boolean",
+                           "type" : "NamedTypeSpecifier"
+                        }
+                     }, {
+                        "localId" : "8193",
+                        "name" : "Performer",
+                        "elementType" : {
+                           "localId" : "8194",
+                           "name" : "{urn:hl7-org:elm-types:r1}String",
+                           "type" : "NamedTypeSpecifier"
+                        }
+                     }, {
+                        "localId" : "8195",
+                        "name" : "Notes",
+                        "elementType" : {
+                           "localId" : "8196",
+                           "type" : "ListTypeSpecifier",
+                           "elementType" : {
+                              "localId" : "8197",
+                              "name" : "{urn:hl7-org:elm-types:r1}String",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        }
+                     }, {
+                        "localId" : "8198",
+                        "name" : "Provenance",
+                        "elementType" : {
+                           "localId" : "8199",
+                           "type" : "ListTypeSpecifier",
+                           "elementType" : {
+                              "localId" : "8200",
+                              "type" : "TupleTypeSpecifier",
+                              "element" : [ {
+                                 "localId" : "8201",
+                                 "name" : "Transmitter",
+                                 "elementType" : {
+                                    "localId" : "8202",
+                                    "type" : "ListTypeSpecifier",
+                                    "elementType" : {
+                                       "localId" : "8203",
+                                       "name" : "{urn:hl7-org:elm-types:r1}String",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 }
+                              }, {
+                                 "localId" : "8204",
+                                 "name" : "Author",
+                                 "elementType" : {
+                                    "localId" : "8205",
+                                    "type" : "ListTypeSpecifier",
+                                    "elementType" : {
+                                       "localId" : "8206",
+                                       "name" : "{urn:hl7-org:elm-types:r1}String",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 }
+                              } ]
+                           }
+                        }
+                     }, {
+                        "localId" : "8207",
+                        "name" : "LearnMore",
+                        "elementType" : {
+                           "localId" : "8208",
+                           "name" : "{urn:hl7-org:elm-types:r1}String",
+                           "type" : "NamedTypeSpecifier"
+                        }
+                     } ]
+                  }
+               },
+               "source" : [ {
+                  "localId" : "216",
+                  "locator" : "12:3-100:11",
+                  "alias" : "Result",
+                  "resultTypeSpecifier" : {
+                     "localId" : "8098",
+                     "type" : "ListTypeSpecifier",
+                     "elementType" : {
+                        "localId" : "8099",
+                        "type" : "TupleTypeSpecifier",
+                        "element" : [ {
+                           "localId" : "8100",
+                           "name" : "DisplayName",
+                           "elementType" : {
+                              "localId" : "8101",
+                              "name" : "{urn:hl7-org:elm-types:r1}String",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        }, {
+                           "localId" : "8102",
+                           "name" : "ConceptName",
+                           "elementType" : {
+                              "localId" : "8103",
+                              "name" : "{urn:hl7-org:elm-types:r1}String",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        }, {
+                           "localId" : "8104",
+                           "name" : "Date",
+                           "elementType" : {
+                              "localId" : "8105",
+                              "name" : "{urn:hl7-org:elm-types:r1}String",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        }, {
+                           "localId" : "8106",
+                           "name" : "ResultText",
+                           "elementType" : {
+                              "localId" : "8107",
+                              "name" : "{urn:hl7-org:elm-types:r1}String",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        }, {
+                           "localId" : "8108",
+                           "name" : "ResultValue",
+                           "elementType" : {
+                              "localId" : "8109",
+                              "name" : "{urn:hl7-org:elm-types:r1}Decimal",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        }, {
+                           "localId" : "8110",
+                           "name" : "ResultUnits",
+                           "elementType" : {
+                              "localId" : "8111",
+                              "name" : "{urn:hl7-org:elm-types:r1}String",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        }, {
+                           "localId" : "8112",
+                           "name" : "ReferenceRange",
+                           "elementType" : {
+                              "localId" : "8113",
+                              "name" : "{urn:hl7-org:elm-types:r1}String",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        }, {
+                           "localId" : "8114",
+                           "name" : "Interpretation",
+                           "elementType" : {
+                              "localId" : "8115",
+                              "name" : "{urn:hl7-org:elm-types:r1}String",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        }, {
+                           "localId" : "8116",
+                           "name" : "Flag",
+                           "elementType" : {
+                              "localId" : "8117",
+                              "name" : "{urn:hl7-org:elm-types:r1}Boolean",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        }, {
+                           "localId" : "8118",
+                           "name" : "Performer",
+                           "elementType" : {
+                              "localId" : "8119",
+                              "name" : "{urn:hl7-org:elm-types:r1}String",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        }, {
+                           "localId" : "8120",
+                           "name" : "Notes",
+                           "elementType" : {
+                              "localId" : "8121",
+                              "type" : "ListTypeSpecifier",
+                              "elementType" : {
+                                 "localId" : "8122",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }
+                        }, {
+                           "localId" : "8123",
+                           "name" : "Provenance",
+                           "elementType" : {
+                              "localId" : "8124",
+                              "type" : "ListTypeSpecifier",
+                              "elementType" : {
+                                 "localId" : "8125",
+                                 "type" : "TupleTypeSpecifier",
+                                 "element" : [ {
+                                    "localId" : "8126",
+                                    "name" : "Transmitter",
+                                    "elementType" : {
+                                       "localId" : "8127",
+                                       "type" : "ListTypeSpecifier",
+                                       "elementType" : {
+                                          "localId" : "8128",
+                                          "name" : "{urn:hl7-org:elm-types:r1}String",
+                                          "type" : "NamedTypeSpecifier"
+                                       }
+                                    }
+                                 }, {
+                                    "localId" : "8129",
+                                    "name" : "Author",
+                                    "elementType" : {
+                                       "localId" : "8130",
+                                       "type" : "ListTypeSpecifier",
+                                       "elementType" : {
+                                          "localId" : "8131",
+                                          "name" : "{urn:hl7-org:elm-types:r1}String",
+                                          "type" : "NamedTypeSpecifier"
+                                       }
+                                    }
+                                 } ]
+                              }
+                           }
+                        }, {
+                           "localId" : "8132",
+                           "name" : "LearnMore",
+                           "elementType" : {
+                              "localId" : "8133",
+                              "name" : "{urn:hl7-org:elm-types:r1}String",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        } ]
+                     }
+                  },
+                  "expression" : {
+                     "localId" : "217",
+                     "locator" : "12:3-100:4",
+                     "type" : "List",
+                     "resultTypeSpecifier" : {
+                        "localId" : "8062",
+                        "type" : "ListTypeSpecifier",
+                        "elementType" : {
+                           "localId" : "8063",
+                           "type" : "TupleTypeSpecifier",
+                           "element" : [ {
+                              "localId" : "8064",
+                              "name" : "DisplayName",
+                              "elementType" : {
+                                 "localId" : "8065",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8066",
+                              "name" : "ConceptName",
+                              "elementType" : {
+                                 "localId" : "8067",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8068",
+                              "name" : "Date",
+                              "elementType" : {
+                                 "localId" : "8069",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8070",
+                              "name" : "ResultText",
+                              "elementType" : {
+                                 "localId" : "8071",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8072",
+                              "name" : "ResultValue",
+                              "elementType" : {
+                                 "localId" : "8073",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Decimal",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8074",
+                              "name" : "ResultUnits",
+                              "elementType" : {
+                                 "localId" : "8075",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8076",
+                              "name" : "ReferenceRange",
+                              "elementType" : {
+                                 "localId" : "8077",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8078",
+                              "name" : "Interpretation",
+                              "elementType" : {
+                                 "localId" : "8079",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8080",
+                              "name" : "Flag",
+                              "elementType" : {
+                                 "localId" : "8081",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Boolean",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8082",
+                              "name" : "Performer",
+                              "elementType" : {
+                                 "localId" : "8083",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8084",
+                              "name" : "Notes",
+                              "elementType" : {
+                                 "localId" : "8085",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "8086",
+                                    "name" : "{urn:hl7-org:elm-types:r1}String",
+                                    "type" : "NamedTypeSpecifier"
+                                 }
+                              }
+                           }, {
+                              "localId" : "8087",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "8088",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "8089",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "8090",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "8091",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "8092",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
                                     }, {
-                                       "value" : [ "." ]
+                                       "localId" : "8093",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "8094",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "8095",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "8096",
+                              "name" : "LearnMore",
+                              "elementType" : {
+                                 "localId" : "8097",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           } ]
+                        }
+                     },
+                     "element" : [ {
+                        "localId" : "241",
+                        "locator" : "13:5-13:99",
+                        "name" : "ReportMostRecentResult",
+                        "libraryName" : "DE",
+                        "type" : "FunctionRef",
+                        "resultTypeSpecifier" : {
+                           "localId" : "277",
+                           "type" : "TupleTypeSpecifier",
+                           "element" : [ {
+                              "localId" : "278",
+                              "name" : "DisplayName",
+                              "elementType" : {
+                                 "localId" : "279",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "280",
+                              "name" : "ConceptName",
+                              "elementType" : {
+                                 "localId" : "281",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "282",
+                              "name" : "Date",
+                              "elementType" : {
+                                 "localId" : "283",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "284",
+                              "name" : "ResultText",
+                              "elementType" : {
+                                 "localId" : "285",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "286",
+                              "name" : "ResultValue",
+                              "elementType" : {
+                                 "localId" : "287",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Decimal",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "288",
+                              "name" : "ResultUnits",
+                              "elementType" : {
+                                 "localId" : "289",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "290",
+                              "name" : "ReferenceRange",
+                              "elementType" : {
+                                 "localId" : "291",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "292",
+                              "name" : "Interpretation",
+                              "elementType" : {
+                                 "localId" : "293",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "294",
+                              "name" : "Flag",
+                              "elementType" : {
+                                 "localId" : "295",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Boolean",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "296",
+                              "name" : "Performer",
+                              "elementType" : {
+                                 "localId" : "297",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "298",
+                              "name" : "Notes",
+                              "elementType" : {
+                                 "localId" : "299",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "300",
+                                    "name" : "{urn:hl7-org:elm-types:r1}String",
+                                    "type" : "NamedTypeSpecifier"
+                                 }
+                              }
+                           }, {
+                              "localId" : "301",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "302",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "303",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "304",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "305",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "306",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
                                     }, {
-                                       "r" : "7485",
-                                       "s" : [ {
-                                          "value" : [ "ReportMostRecentResult","(" ]
-                                       }, {
-                                          "r" : "7481",
-                                          "s" : [ {
-                                             "value" : [ "\"White Blood Cell (Leukocytes) Count\"" ]
-                                          } ]
-                                       }, {
-                                          "value" : [ ", " ]
-                                       }, {
-                                          "r" : "7484",
-                                          "s" : [ {
-                                             "value" : [ "'White Blood Cell (Leukocytes) Count'" ]
-                                          } ]
-                                       }, {
-                                          "value" : [ ")" ]
-                                       } ]
+                                       "localId" : "307",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "308",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "309",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
                                     } ]
-                                 }, {
-                                    "value" : [ "\n    // DE.ReportMostRecentResult(\"\", ''),\n\n  }" ]
-                                 } ]
-                              }, {
-                                 "value" : [ ")" ]
-                              } ]
+                                 }
+                              }
                            }, {
-                              "value" : [ " ","Result" ]
+                              "localId" : "310",
+                              "name" : "LearnMore",
+                              "elementType" : {
+                                 "localId" : "311",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
                            } ]
-                        } ]
-                     }, {
-                        "value" : [ " " ]
-                     }, {
-                        "r" : "7701",
-                        "s" : [ {
-                           "value" : [ "where " ]
+                        },
+                        "signature" : [ ],
+                        "operand" : [ {
+                           "localId" : "237",
+                           "locator" : "13:31-13:63",
+                           "name" : "24 Hour Urine Protein Excretion",
+                           "type" : "ExpressionRef",
+                           "resultTypeSpecifier" : {
+                              "localId" : "238",
+                              "type" : "ListTypeSpecifier",
+                              "elementType" : {
+                                 "localId" : "239",
+                                 "name" : "{http://hl7.org/fhir}Observation",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }
                         }, {
-                           "r" : "7701",
-                           "s" : [ {
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-                              "s" : [ {
-                                 "value" : [ "Result" ]
-                              } ]
-                           }, {
-                              "value" : [ " is not null" ]
-                           } ]
+                           "localId" : "240",
+                           "locator" : "13:66-13:98",
+                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
+                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
+                           "value" : "24 Hour Urine Protein Excretion",
+                           "type" : "Literal"
                         } ]
-                     } ]
-                  } ]
-               }
-            } ],
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-                        "localId" : "7765",
-                        "type" : "ListTypeSpecifier",
-                        "elementType" : {
-                           "localId" : "7766",
+                     }, {
+                        "localId" : "335",
+                        "locator" : "14:5-14:77",
+                        "name" : "ReportMostRecentResult",
+                        "libraryName" : "DE",
+                        "type" : "FunctionRef",
+                        "resultTypeSpecifier" : {
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                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "7767",
-                              "name" : "Transmitter",
+                              "localId" : "372",
+                              "name" : "DisplayName",
+                              "elementType" : {
+                                 "localId" : "373",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
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+                              "name" : "ConceptName",
+                              "elementType" : {
+                                 "localId" : "375",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "376",
+                              "name" : "Date",
+                              "elementType" : {
+                                 "localId" : "377",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "378",
+                              "name" : "ResultText",
+                              "elementType" : {
+                                 "localId" : "379",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "380",
+                              "name" : "ResultValue",
+                              "elementType" : {
+                                 "localId" : "381",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Decimal",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "382",
+                              "name" : "ResultUnits",
+                              "elementType" : {
+                                 "localId" : "383",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
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+                              "name" : "ReferenceRange",
+                              "elementType" : {
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+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
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+                              "name" : "Interpretation",
+                              "elementType" : {
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+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
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+                              "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "7768",
-                                 "type" : "ListTypeSpecifier",
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-                                    "localId" : "7769",
-                                    "name" : "{urn:hl7-org:elm-types:r1}String",
-                                    "type" : "NamedTypeSpecifier"
-                                 }
+                                 "localId" : "389",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Boolean",
+                                 "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7770",
-                              "name" : "Author",
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+                              "name" : "Performer",
+                              "elementType" : {
+                                 "localId" : "391",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
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                               "elementType" : {
-                                 "localId" : "7771",
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                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7772",
+                                    "localId" : "394",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
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-                                       "name" : "{urn:hl7-org:elm-types:r1}String",
-                                       "type" : "NamedTypeSpecifier"
-                                    }
-                                 }
-                              }, {
-                                 "localId" : "7734",
-                                 "name" : "Author",
+                           }, {
+                              "localId" : "395",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "396",
+                                 "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7735",
-                                    "type" : "ListTypeSpecifier",
-                                    "elementType" : {
-                                       "localId" : "7736",
-                                       "name" : "{urn:hl7-org:elm-types:r1}String",
-                                       "type" : "NamedTypeSpecifier"
-                                    }
-                                 }
-                              } ]
-                           }
-                        }
-                     }, {
-                        "localId" : "7737",
-                        "name" : "LearnMore",
-                        "elementType" : {
-                           "localId" : "7738",
-                           "name" : "{urn:hl7-org:elm-types:r1}String",
-                           "type" : "NamedTypeSpecifier"
-                        }
-                     } ]
-                  }
-               },
-               "source" : [ {
-                  "localId" : "216",
-                  "locator" : "12:3-100:11",
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-                  "resultTypeSpecifier" : {
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-                     "type" : "ListTypeSpecifier",
-                     "elementType" : {
-                        "localId" : "7629",
-                        "type" : "TupleTypeSpecifier",
-                        "element" : [ {
-                           "localId" : "7630",
-                           "name" : "DisplayName",
-                           "elementType" : {
-                              "localId" : "7631",
-                              "name" : "{urn:hl7-org:elm-types:r1}String",
-                              "type" : "NamedTypeSpecifier"
-                           }
-                        }, {
-                           "localId" : "7632",
-                           "name" : "ConceptName",
-                           "elementType" : {
-                              "localId" : "7633",
-                              "name" : "{urn:hl7-org:elm-types:r1}String",
-                              "type" : "NamedTypeSpecifier"
-                           }
-                        }, {
-                           "localId" : "7634",
-                           "name" : "Date",
-                           "elementType" : {
-                              "localId" : "7635",
-                              "name" : "{urn:hl7-org:elm-types:r1}String",
-                              "type" : "NamedTypeSpecifier"
-                           }
-                        }, {
-                           "localId" : "7636",
-                           "name" : "ResultText",
-                           "elementType" : {
-                              "localId" : "7637",
-                              "name" : "{urn:hl7-org:elm-types:r1}String",
-                              "type" : "NamedTypeSpecifier"
-                           }
-                        }, {
-                           "localId" : "7638",
-                           "name" : "ResultValue",
-                           "elementType" : {
-                              "localId" : "7639",
-                              "name" : "{urn:hl7-org:elm-types:r1}Decimal",
-                              "type" : "NamedTypeSpecifier"
-                           }
-                        }, {
-                           "localId" : "7640",
-                           "name" : "ResultUnits",
-                           "elementType" : {
-                              "localId" : "7641",
-                              "name" : "{urn:hl7-org:elm-types:r1}String",
-                              "type" : "NamedTypeSpecifier"
-                           }
-                        }, {
-                           "localId" : "7642",
-                           "name" : "ReferenceRange",
-                           "elementType" : {
-                              "localId" : "7643",
-                              "name" : "{urn:hl7-org:elm-types:r1}String",
-                              "type" : "NamedTypeSpecifier"
-                           }
-                        }, {
-                           "localId" : "7644",
-                           "name" : "Interpretation",
-                           "elementType" : {
-                              "localId" : "7645",
-                              "name" : "{urn:hl7-org:elm-types:r1}String",
-                              "type" : "NamedTypeSpecifier"
-                           }
-                        }, {
-                           "localId" : "7646",
-                           "name" : "Flag",
-                           "elementType" : {
-                              "localId" : "7647",
-                              "name" : "{urn:hl7-org:elm-types:r1}Boolean",
-                              "type" : "NamedTypeSpecifier"
-                           }
-                        }, {
-                           "localId" : "7648",
-                           "name" : "Performer",
-                           "elementType" : {
-                              "localId" : "7649",
-                              "name" : "{urn:hl7-org:elm-types:r1}String",
-                              "type" : "NamedTypeSpecifier"
-                           }
-                        }, {
-                           "localId" : "7650",
-                           "name" : "Notes",
-                           "elementType" : {
-                              "localId" : "7651",
-                              "type" : "ListTypeSpecifier",
+                                    "localId" : "397",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "398",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "399",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "400",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    }, {
+                                       "localId" : "401",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "402",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "403",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "404",
+                              "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "7652",
+                                 "localId" : "405",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
-                           }
-                        }, {
-                           "localId" : "7653",
-                           "name" : "Provenance",
-                           "elementType" : {
-                              "localId" : "7654",
+                           } ]
+                        },
+                        "signature" : [ ],
+                        "operand" : [ {
+                           "localId" : "331",
+                           "locator" : "14:31-14:52",
+                           "name" : "24 Hour Urine Volume",
+                           "type" : "ExpressionRef",
+                           "resultTypeSpecifier" : {
+                              "localId" : "332",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "7655",
-                                 "type" : "TupleTypeSpecifier",
-                                 "element" : [ {
-                                    "localId" : "7656",
-                                    "name" : "Transmitter",
-                                    "elementType" : {
-                                       "localId" : "7657",
-                                       "type" : "ListTypeSpecifier",
-                                       "elementType" : {
-                                          "localId" : "7658",
-                                          "name" : "{urn:hl7-org:elm-types:r1}String",
-                                          "type" : "NamedTypeSpecifier"
-                                       }
-                                    }
-                                 }, {
-                                    "localId" : "7659",
-                                    "name" : "Author",
-                                    "elementType" : {
-                                       "localId" : "7660",
-                                       "type" : "ListTypeSpecifier",
-                                       "elementType" : {
-                                          "localId" : "7661",
-                                          "name" : "{urn:hl7-org:elm-types:r1}String",
-                                          "type" : "NamedTypeSpecifier"
-                                       }
-                                    }
-                                 } ]
+                                 "localId" : "333",
+                                 "name" : "{http://hl7.org/fhir}Observation",
+                                 "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "7662",
-                           "name" : "LearnMore",
-                           "elementType" : {
-                              "localId" : "7663",
-                              "name" : "{urn:hl7-org:elm-types:r1}String",
-                              "type" : "NamedTypeSpecifier"
-                           }
+                           "localId" : "334",
+                           "locator" : "14:55-14:76",
+                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
+                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
+                           "value" : "24 Hour Urine Volume",
+                           "type" : "Literal"
                         } ]
-                     }
-                  },
-                  "expression" : {
-                     "localId" : "217",
-                     "locator" : "12:3-100:4",
-                     "type" : "List",
-                     "resultTypeSpecifier" : {
-                        "localId" : "7592",
-                        "type" : "ListTypeSpecifier",
-                        "elementType" : {
-                           "localId" : "7593",
+                     }, {
+                        "localId" : "429",
+                        "locator" : "15:5-15:84",
+                        "name" : "ReportMostRecentResult",
+                        "libraryName" : "DE",
+                        "type" : "FunctionRef",
+                        "resultTypeSpecifier" : {
+                           "localId" : "465",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "7594",
+                              "localId" : "466",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "7595",
+                                 "localId" : "467",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7596",
+                              "localId" : "468",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "7597",
+                                 "localId" : "469",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7598",
+                              "localId" : "470",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "7599",
+                                 "localId" : "471",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7600",
+                              "localId" : "472",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "7601",
+                                 "localId" : "473",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7602",
+                              "localId" : "474",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "7603",
+                                 "localId" : "475",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7604",
+                              "localId" : "476",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "7605",
+                                 "localId" : "477",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7606",
+                              "localId" : "478",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "7607",
+                                 "localId" : "479",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7608",
+                              "localId" : "480",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "7609",
+                                 "localId" : "481",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7610",
+                              "localId" : "482",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "7611",
+                                 "localId" : "483",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7612",
+                              "localId" : "484",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "7613",
+                                 "localId" : "485",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7614",
+                              "localId" : "486",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "7615",
+                                 "localId" : "487",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7616",
+                                    "localId" : "488",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "7617",
+                              "localId" : "489",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "7618",
+                                 "localId" : "490",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7619",
+                                    "localId" : "491",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "7620",
+                                       "localId" : "492",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "7621",
+                                          "localId" : "493",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "7622",
+                                             "localId" : "494",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "7623",
+                                       "localId" : "495",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "7624",
+                                          "localId" : "496",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "7625",
+                                             "localId" : "497",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -11127,146 +12285,168 @@
                                  }
                               }
                            }, {
-                              "localId" : "7626",
+                              "localId" : "498",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "7627",
+                                 "localId" : "499",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            } ]
-                        }
-                     },
-                     "element" : [ {
-                        "localId" : "241",
-                        "locator" : "13:5-13:99",
+                        },
+                        "signature" : [ ],
+                        "operand" : [ {
+                           "localId" : "425",
+                           "locator" : "15:31-15:76",
+                           "name" : "Alanine Aminotransferase (ALT), Bld/Ser/Plas",
+                           "type" : "ExpressionRef",
+                           "resultTypeSpecifier" : {
+                              "localId" : "426",
+                              "type" : "ListTypeSpecifier",
+                              "elementType" : {
+                                 "localId" : "427",
+                                 "name" : "{http://hl7.org/fhir}Observation",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }
+                        }, {
+                           "localId" : "428",
+                           "locator" : "15:79-15:83",
+                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
+                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
+                           "value" : "ALT",
+                           "type" : "Literal"
+                        } ]
+                     }, {
+                        "localId" : "523",
+                        "locator" : "16:5-16:78",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "277",
+                           "localId" : "559",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "278",
+                              "localId" : "560",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "279",
+                                 "localId" : "561",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "280",
+                              "localId" : "562",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "281",
+                                 "localId" : "563",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "282",
+                              "localId" : "564",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "283",
+                                 "localId" : "565",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "284",
+                              "localId" : "566",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "285",
+                                 "localId" : "567",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "286",
+                              "localId" : "568",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "287",
+                                 "localId" : "569",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "288",
+                              "localId" : "570",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "289",
+                                 "localId" : "571",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "290",
+                              "localId" : "572",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "291",
+                                 "localId" : "573",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "292",
+                              "localId" : "574",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "293",
+                                 "localId" : "575",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "294",
+                              "localId" : "576",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "295",
+                                 "localId" : "577",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "296",
+                              "localId" : "578",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "297",
+                                 "localId" : "579",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "298",
+                              "localId" : "580",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "299",
+                                 "localId" : "581",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "300",
+                                    "localId" : "582",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "301",
+                              "localId" : "583",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "302",
+                                 "localId" : "584",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "303",
+                                    "localId" : "585",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "304",
+                                       "localId" : "586",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "305",
+                                          "localId" : "587",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "306",
+                                             "localId" : "588",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "307",
+                                       "localId" : "589",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "308",
+                                          "localId" : "590",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "309",
+                                             "localId" : "591",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -11275,10 +12455,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "310",
+                              "localId" : "592",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "311",
+                                 "localId" : "593",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -11286,157 +12466,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "237",
-                           "locator" : "13:31-13:63",
-                           "name" : "24 Hour Urine Protein Excretion",
+                           "localId" : "519",
+                           "locator" : "16:31-16:66",
+                           "name" : "Albumin in Blood, Plasma, or Serum",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "238",
+                              "localId" : "520",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "239",
+                                 "localId" : "521",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "240",
-                           "locator" : "13:66-13:98",
+                           "localId" : "522",
+                           "locator" : "16:69-16:77",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "24 Hour Urine Protein Excretion",
+                           "value" : "Albumin",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "335",
-                        "locator" : "14:5-14:77",
+                        "localId" : "617",
+                        "locator" : "17:5-17:83",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "371",
+                           "localId" : "653",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "372",
+                              "localId" : "654",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "373",
+                                 "localId" : "655",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "374",
+                              "localId" : "656",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "375",
+                                 "localId" : "657",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "376",
+                              "localId" : "658",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "377",
+                                 "localId" : "659",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "378",
+                              "localId" : "660",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "379",
+                                 "localId" : "661",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "380",
+                              "localId" : "662",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "381",
+                                 "localId" : "663",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "382",
+                              "localId" : "664",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "383",
+                                 "localId" : "665",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "384",
+                              "localId" : "666",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "385",
+                                 "localId" : "667",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "386",
+                              "localId" : "668",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "387",
+                                 "localId" : "669",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "388",
+                              "localId" : "670",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "389",
+                                 "localId" : "671",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "390",
+                              "localId" : "672",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "391",
+                                 "localId" : "673",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "392",
+                              "localId" : "674",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "393",
+                                 "localId" : "675",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "394",
+                                    "localId" : "676",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "395",
+                              "localId" : "677",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "396",
+                                 "localId" : "678",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "397",
+                                    "localId" : "679",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "398",
+                                       "localId" : "680",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "399",
+                                          "localId" : "681",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "400",
+                                             "localId" : "682",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "401",
+                                       "localId" : "683",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "402",
+                                          "localId" : "684",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "403",
+                                             "localId" : "685",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -11445,10 +12625,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "404",
+                              "localId" : "686",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "405",
+                                 "localId" : "687",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -11456,157 +12636,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "331",
-                           "locator" : "14:31-14:52",
-                           "name" : "24 Hour Urine Volume",
+                           "localId" : "613",
+                           "locator" : "17:31-17:55",
+                           "name" : "Aldosterone/Renin Ratio",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "332",
+                              "localId" : "614",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "333",
+                                 "localId" : "615",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "334",
-                           "locator" : "14:55-14:76",
+                           "localId" : "616",
+                           "locator" : "17:58-17:82",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "24 Hour Urine Volume",
+                           "value" : "Aldosterone/Renin Ratio",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "429",
-                        "locator" : "15:5-15:84",
+                        "localId" : "711",
+                        "locator" : "18:5-18:92",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "465",
+                           "localId" : "747",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "466",
+                              "localId" : "748",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "467",
+                                 "localId" : "749",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "468",
+                              "localId" : "750",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "469",
+                                 "localId" : "751",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "470",
+                              "localId" : "752",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "471",
+                                 "localId" : "753",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "472",
+                              "localId" : "754",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "473",
+                                 "localId" : "755",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "474",
+                              "localId" : "756",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "475",
+                                 "localId" : "757",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "476",
+                              "localId" : "758",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "477",
+                                 "localId" : "759",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "478",
+                              "localId" : "760",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "479",
+                                 "localId" : "761",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "480",
+                              "localId" : "762",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "481",
+                                 "localId" : "763",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "482",
+                              "localId" : "764",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "483",
+                                 "localId" : "765",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "484",
+                              "localId" : "766",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "485",
+                                 "localId" : "767",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "486",
+                              "localId" : "768",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "487",
+                                 "localId" : "769",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "488",
+                                    "localId" : "770",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "489",
+                              "localId" : "771",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "490",
+                                 "localId" : "772",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "491",
+                                    "localId" : "773",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "492",
+                                       "localId" : "774",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "493",
+                                          "localId" : "775",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "494",
+                                             "localId" : "776",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "495",
+                                       "localId" : "777",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "496",
+                                          "localId" : "778",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "497",
+                                             "localId" : "779",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -11615,10 +12795,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "498",
+                              "localId" : "780",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "499",
+                                 "localId" : "781",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -11626,157 +12806,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "425",
-                           "locator" : "15:31-15:76",
-                           "name" : "Alanine Aminotransferase (ALT), Bld/Ser/Plas",
+                           "localId" : "707",
+                           "locator" : "18:31-18:84",
+                           "name" : "Alkaline Phosphatase (Alp) in Blood, Serum or Plasma",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "426",
+                              "localId" : "708",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "427",
+                                 "localId" : "709",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "428",
-                           "locator" : "15:79-15:83",
+                           "localId" : "710",
+                           "locator" : "18:87-18:91",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "ALT",
+                           "value" : "ALP",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "523",
-                        "locator" : "16:5-16:78",
+                        "localId" : "805",
+                        "locator" : "19:5-19:55",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "559",
+                           "localId" : "841",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "560",
+                              "localId" : "842",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "561",
+                                 "localId" : "843",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "562",
+                              "localId" : "844",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "563",
+                                 "localId" : "845",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "564",
+                              "localId" : "846",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "565",
+                                 "localId" : "847",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "566",
+                              "localId" : "848",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "567",
+                                 "localId" : "849",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "568",
+                              "localId" : "850",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "569",
+                                 "localId" : "851",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "570",
+                              "localId" : "852",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "571",
+                                 "localId" : "853",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "572",
+                              "localId" : "854",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "573",
+                                 "localId" : "855",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "574",
+                              "localId" : "856",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "575",
+                                 "localId" : "857",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "576",
+                              "localId" : "858",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "577",
+                                 "localId" : "859",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "578",
+                              "localId" : "860",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "579",
+                                 "localId" : "861",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "580",
+                              "localId" : "862",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "581",
+                                 "localId" : "863",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "582",
+                                    "localId" : "864",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "583",
+                              "localId" : "865",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "584",
+                                 "localId" : "866",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "585",
+                                    "localId" : "867",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "586",
+                                       "localId" : "868",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "587",
+                                          "localId" : "869",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "588",
+                                             "localId" : "870",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "589",
+                                       "localId" : "871",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "590",
+                                          "localId" : "872",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "591",
+                                             "localId" : "873",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -11785,10 +12965,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "592",
+                              "localId" : "874",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "593",
+                                 "localId" : "875",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -11796,157 +12976,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "519",
-                           "locator" : "16:31-16:66",
-                           "name" : "Albumin in Blood, Plasma, or Serum",
+                           "localId" : "801",
+                           "locator" : "19:31-19:41",
+                           "name" : "Anion Gap",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "520",
+                              "localId" : "802",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "521",
+                                 "localId" : "803",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "522",
-                           "locator" : "16:69-16:77",
+                           "localId" : "804",
+                           "locator" : "19:44-19:54",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Albumin",
+                           "value" : "Anion Gap",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "617",
-                        "locator" : "17:5-17:83",
+                        "localId" : "899",
+                        "locator" : "20:5-20:79",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "653",
+                           "localId" : "935",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "654",
+                              "localId" : "936",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "655",
+                                 "localId" : "937",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "656",
+                              "localId" : "938",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "657",
+                                 "localId" : "939",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "658",
+                              "localId" : "940",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "659",
+                                 "localId" : "941",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "660",
+                              "localId" : "942",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "661",
+                                 "localId" : "943",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "662",
+                              "localId" : "944",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "663",
+                                 "localId" : "945",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "664",
+                              "localId" : "946",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "665",
+                                 "localId" : "947",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "666",
+                              "localId" : "948",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "667",
+                                 "localId" : "949",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "668",
+                              "localId" : "950",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "669",
+                                 "localId" : "951",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "670",
+                              "localId" : "952",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "671",
+                                 "localId" : "953",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "672",
+                              "localId" : "954",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "673",
+                                 "localId" : "955",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "674",
+                              "localId" : "956",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "675",
+                                 "localId" : "957",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "676",
+                                    "localId" : "958",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "677",
+                              "localId" : "959",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "678",
+                                 "localId" : "960",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "679",
+                                    "localId" : "961",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "680",
+                                       "localId" : "962",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "681",
+                                          "localId" : "963",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "682",
+                                             "localId" : "964",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "683",
+                                       "localId" : "965",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "684",
+                                          "localId" : "966",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "685",
+                                             "localId" : "967",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -11955,10 +13135,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "686",
+                              "localId" : "968",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "687",
+                                 "localId" : "969",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -11966,157 +13146,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "613",
-                           "locator" : "17:31-17:55",
-                           "name" : "Aldosterone/Renin Ratio",
+                           "localId" : "895",
+                           "locator" : "20:31-20:56",
+                           "name" : "Arterial Blood Gas (ABG)",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "614",
+                              "localId" : "896",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "615",
+                                 "localId" : "897",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "616",
-                           "locator" : "17:58-17:82",
+                           "localId" : "898",
+                           "locator" : "20:59-20:78",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Aldosterone/Renin Ratio",
+                           "value" : "Arterial Blood Gas",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "711",
-                        "locator" : "18:5-18:92",
+                        "localId" : "993",
+                        "locator" : "21:5-21:82",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "747",
+                           "localId" : "1029",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "748",
+                              "localId" : "1030",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "749",
+                                 "localId" : "1031",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "750",
+                              "localId" : "1032",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "751",
+                                 "localId" : "1033",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "752",
+                              "localId" : "1034",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "753",
+                                 "localId" : "1035",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "754",
+                              "localId" : "1036",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "755",
+                                 "localId" : "1037",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "756",
+                              "localId" : "1038",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "757",
+                                 "localId" : "1039",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "758",
+                              "localId" : "1040",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "759",
+                                 "localId" : "1041",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "760",
+                              "localId" : "1042",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "761",
+                                 "localId" : "1043",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "762",
+                              "localId" : "1044",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "763",
+                                 "localId" : "1045",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "764",
+                              "localId" : "1046",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "765",
+                                 "localId" : "1047",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "766",
+                              "localId" : "1048",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "767",
+                                 "localId" : "1049",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "768",
+                              "localId" : "1050",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "769",
+                                 "localId" : "1051",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "770",
+                                    "localId" : "1052",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "771",
+                              "localId" : "1053",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "772",
+                                 "localId" : "1054",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "773",
+                                    "localId" : "1055",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "774",
+                                       "localId" : "1056",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "775",
+                                          "localId" : "1057",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "776",
+                                             "localId" : "1058",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "777",
+                                       "localId" : "1059",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "778",
+                                          "localId" : "1060",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "779",
+                                             "localId" : "1061",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -12125,10 +13305,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "780",
+                              "localId" : "1062",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "781",
+                                 "localId" : "1063",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -12136,157 +13316,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "707",
-                           "locator" : "18:31-18:84",
-                           "name" : "Alkaline Phosphatase (Alp) in Blood, Serum or Plasma",
+                           "localId" : "989",
+                           "locator" : "21:31-21:74",
+                           "name" : "Aspartate Aminotransferase (AST), Ser/Plas",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "708",
+                              "localId" : "990",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "709",
+                                 "localId" : "991",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "710",
-                           "locator" : "18:87-18:91",
+                           "localId" : "992",
+                           "locator" : "21:77-21:81",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "ALP",
+                           "value" : "AST",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "805",
-                        "locator" : "19:5-19:55",
+                        "localId" : "1087",
+                        "locator" : "22:5-22:149",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "841",
+                           "localId" : "1123",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "842",
+                              "localId" : "1124",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "843",
+                                 "localId" : "1125",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "844",
+                              "localId" : "1126",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "845",
+                                 "localId" : "1127",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "846",
+                              "localId" : "1128",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "847",
+                                 "localId" : "1129",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "848",
+                              "localId" : "1130",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "849",
+                                 "localId" : "1131",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "850",
+                              "localId" : "1132",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "851",
+                                 "localId" : "1133",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "852",
+                              "localId" : "1134",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "853",
+                                 "localId" : "1135",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "854",
+                              "localId" : "1136",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "855",
+                                 "localId" : "1137",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "856",
+                              "localId" : "1138",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "857",
+                                 "localId" : "1139",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "858",
+                              "localId" : "1140",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "859",
+                                 "localId" : "1141",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "860",
+                              "localId" : "1142",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "861",
+                                 "localId" : "1143",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "862",
+                              "localId" : "1144",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "863",
+                                 "localId" : "1145",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "864",
+                                    "localId" : "1146",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "865",
+                              "localId" : "1147",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "866",
+                                 "localId" : "1148",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "867",
+                                    "localId" : "1149",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "868",
+                                       "localId" : "1150",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "869",
+                                          "localId" : "1151",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "870",
+                                             "localId" : "1152",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "871",
+                                       "localId" : "1153",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "872",
+                                          "localId" : "1154",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "873",
+                                             "localId" : "1155",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -12295,10 +13475,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "874",
+                              "localId" : "1156",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "875",
+                                 "localId" : "1157",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -12306,157 +13486,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "801",
-                           "locator" : "19:31-19:41",
-                           "name" : "Anion Gap",
+                           "localId" : "1083",
+                           "locator" : "22:31-22:88",
+                           "name" : "Aspartate Transaminase or Alanine Aminotransferase Ratio",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "802",
+                              "localId" : "1084",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "803",
+                                 "localId" : "1085",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
-                        }, {
-                           "localId" : "804",
-                           "locator" : "19:44-19:54",
+                        }, {
+                           "localId" : "1086",
+                           "locator" : "22:91-22:148",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Anion Gap",
+                           "value" : "Aspartate Transaminase or Alanine Aminotransferase Ratio",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "899",
-                        "locator" : "20:5-20:79",
+                        "localId" : "1181",
+                        "locator" : "23:5-23:127",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "935",
+                           "localId" : "1217",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "936",
+                              "localId" : "1218",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "937",
+                                 "localId" : "1219",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "938",
+                              "localId" : "1220",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "939",
+                                 "localId" : "1221",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "940",
+                              "localId" : "1222",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "941",
+                                 "localId" : "1223",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "942",
+                              "localId" : "1224",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "943",
+                                 "localId" : "1225",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "944",
+                              "localId" : "1226",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "945",
+                                 "localId" : "1227",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "946",
+                              "localId" : "1228",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "947",
+                                 "localId" : "1229",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "948",
+                              "localId" : "1230",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "949",
+                                 "localId" : "1231",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "950",
+                              "localId" : "1232",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "951",
+                                 "localId" : "1233",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "952",
+                              "localId" : "1234",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "953",
+                                 "localId" : "1235",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "954",
+                              "localId" : "1236",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "955",
+                                 "localId" : "1237",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "956",
+                              "localId" : "1238",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "957",
+                                 "localId" : "1239",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "958",
+                                    "localId" : "1240",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "959",
+                              "localId" : "1241",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "960",
+                                 "localId" : "1242",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "961",
+                                    "localId" : "1243",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "962",
+                                       "localId" : "1244",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "963",
+                                          "localId" : "1245",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "964",
+                                             "localId" : "1246",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "965",
+                                       "localId" : "1247",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "966",
+                                          "localId" : "1248",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "967",
+                                             "localId" : "1249",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -12465,10 +13645,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "968",
+                              "localId" : "1250",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "969",
+                                 "localId" : "1251",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -12476,157 +13656,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "895",
-                           "locator" : "20:31-20:56",
-                           "name" : "Arterial Blood Gas (ABG)",
+                           "localId" : "1177",
+                           "locator" : "23:31-23:90",
+                           "name" : "B Type Natriuretic Peptide [Bnp] in Blood, Serum or Plasma",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "896",
+                              "localId" : "1178",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "897",
+                                 "localId" : "1179",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "898",
-                           "locator" : "20:59-20:78",
+                           "localId" : "1180",
+                           "locator" : "23:93-23:126",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Arterial Blood Gas",
+                           "value" : "B Type Natriuretic Peptide [Bnp]",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "993",
-                        "locator" : "21:5-21:82",
+                        "localId" : "1275",
+                        "locator" : "24:5-24:85",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1029",
+                           "localId" : "1311",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1030",
+                              "localId" : "1312",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1031",
+                                 "localId" : "1313",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1032",
+                              "localId" : "1314",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1033",
+                                 "localId" : "1315",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1034",
+                              "localId" : "1316",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1035",
+                                 "localId" : "1317",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1036",
+                              "localId" : "1318",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1037",
+                                 "localId" : "1319",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1038",
+                              "localId" : "1320",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1039",
+                                 "localId" : "1321",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1040",
+                              "localId" : "1322",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1041",
+                                 "localId" : "1323",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1042",
+                              "localId" : "1324",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1043",
+                                 "localId" : "1325",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1044",
+                              "localId" : "1326",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1045",
+                                 "localId" : "1327",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1046",
+                              "localId" : "1328",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1047",
+                                 "localId" : "1329",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1048",
+                              "localId" : "1330",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1049",
+                                 "localId" : "1331",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1050",
+                              "localId" : "1332",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1051",
+                                 "localId" : "1333",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1052",
+                                    "localId" : "1334",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1053",
+                              "localId" : "1335",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1054",
+                                 "localId" : "1336",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1055",
+                                    "localId" : "1337",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1056",
+                                       "localId" : "1338",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1057",
+                                          "localId" : "1339",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1058",
+                                             "localId" : "1340",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1059",
+                                       "localId" : "1341",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "1060",
+                                          "localId" : "1342",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1061",
+                                             "localId" : "1343",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -12635,10 +13815,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "1062",
+                              "localId" : "1344",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "1063",
+                                 "localId" : "1345",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -12646,157 +13826,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "989",
-                           "locator" : "21:31-21:74",
-                           "name" : "Aspartate Aminotransferase (AST), Ser/Plas",
+                           "localId" : "1271",
+                           "locator" : "24:31-24:69",
+                           "name" : "Bicarbonate in blood, serum or plasma",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "990",
+                              "localId" : "1272",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "991",
+                                 "localId" : "1273",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "992",
-                           "locator" : "21:77-21:81",
+                           "localId" : "1274",
+                           "locator" : "24:72-24:84",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "AST",
+                           "value" : "Bicarbonate",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "1087",
-                        "locator" : "22:5-22:149",
+                        "localId" : "1369",
+                        "locator" : "25:5-25:76",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1123",
+                           "localId" : "1405",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1124",
+                              "localId" : "1406",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1125",
+                                 "localId" : "1407",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1126",
+                              "localId" : "1408",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1127",
+                                 "localId" : "1409",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1128",
+                              "localId" : "1410",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1129",
+                                 "localId" : "1411",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1130",
+                              "localId" : "1412",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1131",
+                                 "localId" : "1413",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1132",
+                              "localId" : "1414",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1133",
+                                 "localId" : "1415",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1134",
+                              "localId" : "1416",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1135",
+                                 "localId" : "1417",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1136",
+                              "localId" : "1418",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1137",
+                                 "localId" : "1419",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1138",
+                              "localId" : "1420",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1139",
+                                 "localId" : "1421",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1140",
+                              "localId" : "1422",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1141",
+                                 "localId" : "1423",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1142",
+                              "localId" : "1424",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1143",
+                                 "localId" : "1425",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1144",
+                              "localId" : "1426",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1145",
+                                 "localId" : "1427",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1146",
+                                    "localId" : "1428",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1147",
+                              "localId" : "1429",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1148",
+                                 "localId" : "1430",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1149",
+                                    "localId" : "1431",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1150",
+                                       "localId" : "1432",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1151",
+                                          "localId" : "1433",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1152",
+                                             "localId" : "1434",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1153",
+                                       "localId" : "1435",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "1154",
+                                          "localId" : "1436",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1155",
+                                             "localId" : "1437",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -12805,10 +13985,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "1156",
+                              "localId" : "1438",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "1157",
+                                 "localId" : "1439",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -12816,157 +13996,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "1083",
-                           "locator" : "22:31-22:88",
-                           "name" : "Aspartate Transaminase or Alanine Aminotransferase Ratio",
+                           "localId" : "1365",
+                           "locator" : "25:31-25:62",
+                           "name" : "Bilirubin, Total, Bld/Ser/Plas",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "1084",
+                              "localId" : "1366",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "1085",
+                                 "localId" : "1367",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "1086",
-                           "locator" : "22:91-22:148",
+                           "localId" : "1368",
+                           "locator" : "25:65-25:75",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Aspartate Transaminase or Alanine Aminotransferase Ratio",
+                           "value" : "Bilirubin",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "1181",
-                        "locator" : "23:5-23:127",
+                        "localId" : "1463",
+                        "locator" : "26:5-26:75",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1217",
+                           "localId" : "1499",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1218",
+                              "localId" : "1500",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1219",
+                                 "localId" : "1501",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1220",
+                              "localId" : "1502",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1221",
+                                 "localId" : "1503",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1222",
+                              "localId" : "1504",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1223",
+                                 "localId" : "1505",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1224",
+                              "localId" : "1506",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1225",
+                                 "localId" : "1507",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1226",
+                              "localId" : "1508",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1227",
+                                 "localId" : "1509",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1228",
+                              "localId" : "1510",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1229",
+                                 "localId" : "1511",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1230",
+                              "localId" : "1512",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1231",
+                                 "localId" : "1513",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1232",
+                              "localId" : "1514",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1233",
+                                 "localId" : "1515",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1234",
+                              "localId" : "1516",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1235",
+                                 "localId" : "1517",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1236",
+                              "localId" : "1518",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1237",
+                                 "localId" : "1519",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1238",
+                              "localId" : "1520",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1239",
+                                 "localId" : "1521",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1240",
+                                    "localId" : "1522",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1241",
+                              "localId" : "1523",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1242",
+                                 "localId" : "1524",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1243",
+                                    "localId" : "1525",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1244",
+                                       "localId" : "1526",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1245",
+                                          "localId" : "1527",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1246",
+                                             "localId" : "1528",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1247",
+                                       "localId" : "1529",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "1248",
+                                          "localId" : "1530",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1249",
+                                             "localId" : "1531",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -12975,10 +14155,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "1250",
+                              "localId" : "1532",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "1251",
+                                 "localId" : "1533",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -12986,157 +14166,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "1177",
-                           "locator" : "23:31-23:90",
-                           "name" : "B Type Natriuretic Peptide [Bnp] in Blood, Serum or Plasma",
+                           "localId" : "1459",
+                           "locator" : "26:31-26:51",
+                           "name" : "Blood Ethanol Level",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "1178",
+                              "localId" : "1460",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "1179",
+                                 "localId" : "1461",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "1180",
-                           "locator" : "23:93-23:126",
+                           "localId" : "1462",
+                           "locator" : "26:54-26:74",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "B Type Natriuretic Peptide [Bnp]",
+                           "value" : "Blood Ethanol Level",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "1275",
-                        "locator" : "24:5-24:85",
+                        "localId" : "1557",
+                        "locator" : "27:5-27:75",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1311",
+                           "localId" : "1593",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1312",
+                              "localId" : "1594",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1313",
+                                 "localId" : "1595",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1314",
+                              "localId" : "1596",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1315",
+                                 "localId" : "1597",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1316",
+                              "localId" : "1598",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1317",
+                                 "localId" : "1599",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1318",
+                              "localId" : "1600",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1319",
+                                 "localId" : "1601",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1320",
+                              "localId" : "1602",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1321",
+                                 "localId" : "1603",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1322",
+                              "localId" : "1604",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1323",
+                                 "localId" : "1605",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1324",
+                              "localId" : "1606",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1325",
+                                 "localId" : "1607",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1326",
+                              "localId" : "1608",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1327",
+                                 "localId" : "1609",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1328",
+                              "localId" : "1610",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1329",
+                                 "localId" : "1611",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1330",
+                              "localId" : "1612",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1331",
+                                 "localId" : "1613",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1332",
+                              "localId" : "1614",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1333",
+                                 "localId" : "1615",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1334",
+                                    "localId" : "1616",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1335",
+                              "localId" : "1617",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1336",
+                                 "localId" : "1618",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1337",
+                                    "localId" : "1619",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1338",
+                                       "localId" : "1620",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1339",
+                                          "localId" : "1621",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1340",
+                                             "localId" : "1622",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1341",
+                                       "localId" : "1623",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "1342",
+                                          "localId" : "1624",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1343",
+                                             "localId" : "1625",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -13145,10 +14325,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "1344",
+                              "localId" : "1626",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "1345",
+                                 "localId" : "1627",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -13156,157 +14336,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "1271",
-                           "locator" : "24:31-24:69",
-                           "name" : "Bicarbonate in blood, serum or plasma",
+                           "localId" : "1553",
+                           "locator" : "27:31-27:51",
+                           "name" : "Blood Urea Nitrogen",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "1272",
+                              "localId" : "1554",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "1273",
+                                 "localId" : "1555",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "1274",
-                           "locator" : "24:72-24:84",
+                           "localId" : "1556",
+                           "locator" : "27:54-27:74",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Bicarbonate",
+                           "value" : "Blood Urea Nitrogen",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "1369",
-                        "locator" : "25:5-25:76",
+                        "localId" : "1651",
+                        "locator" : "28:5-28:73",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1405",
+                           "localId" : "1687",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1406",
+                              "localId" : "1688",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1407",
+                                 "localId" : "1689",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1408",
+                              "localId" : "1690",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1409",
+                                 "localId" : "1691",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1410",
+                              "localId" : "1692",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1411",
+                                 "localId" : "1693",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1412",
+                              "localId" : "1694",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1413",
+                                 "localId" : "1695",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1414",
+                              "localId" : "1696",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1415",
+                                 "localId" : "1697",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1416",
+                              "localId" : "1698",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1417",
+                                 "localId" : "1699",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1418",
+                              "localId" : "1700",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1419",
+                                 "localId" : "1701",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1420",
+                              "localId" : "1702",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1421",
+                                 "localId" : "1703",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1422",
+                              "localId" : "1704",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1423",
+                                 "localId" : "1705",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1424",
+                              "localId" : "1706",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1425",
+                                 "localId" : "1707",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1426",
+                              "localId" : "1708",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1427",
+                                 "localId" : "1709",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1428",
+                                    "localId" : "1710",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1429",
+                              "localId" : "1711",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1430",
+                                 "localId" : "1712",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1431",
+                                    "localId" : "1713",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1432",
+                                       "localId" : "1714",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1433",
+                                          "localId" : "1715",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1434",
+                                             "localId" : "1716",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1435",
+                                       "localId" : "1717",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "1436",
+                                          "localId" : "1718",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1437",
+                                             "localId" : "1719",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -13315,10 +14495,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "1438",
+                              "localId" : "1720",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "1439",
+                                 "localId" : "1721",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -13326,157 +14506,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "1365",
-                           "locator" : "25:31-25:62",
-                           "name" : "Bilirubin, Total, Bld/Ser/Plas",
+                           "localId" : "1647",
+                           "locator" : "28:31-28:50",
+                           "name" : "Bone Biopsy Report",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "1366",
+                              "localId" : "1648",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "1367",
+                                 "localId" : "1649",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "1368",
-                           "locator" : "25:65-25:75",
+                           "localId" : "1650",
+                           "locator" : "28:53-28:72",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Bilirubin",
+                           "value" : "Bone Biopsy Report",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "1463",
-                        "locator" : "26:5-26:75",
+                        "localId" : "1745",
+                        "locator" : "29:5-29:99",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1499",
+                           "localId" : "1781",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1500",
+                              "localId" : "1782",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1501",
+                                 "localId" : "1783",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1502",
+                              "localId" : "1784",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1503",
+                                 "localId" : "1785",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1504",
+                              "localId" : "1786",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1505",
+                                 "localId" : "1787",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1506",
+                              "localId" : "1788",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1507",
+                                 "localId" : "1789",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1508",
+                              "localId" : "1790",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1509",
+                                 "localId" : "1791",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1510",
+                              "localId" : "1792",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1511",
+                                 "localId" : "1793",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1512",
+                              "localId" : "1794",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1513",
+                                 "localId" : "1795",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1514",
+                              "localId" : "1796",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1515",
+                                 "localId" : "1797",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1516",
+                              "localId" : "1798",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1517",
+                                 "localId" : "1799",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1518",
+                              "localId" : "1800",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1519",
+                                 "localId" : "1801",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1520",
+                              "localId" : "1802",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1521",
+                                 "localId" : "1803",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1522",
+                                    "localId" : "1804",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1523",
+                              "localId" : "1805",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1524",
+                                 "localId" : "1806",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1525",
+                                    "localId" : "1807",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1526",
+                                       "localId" : "1808",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1527",
+                                          "localId" : "1809",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1528",
+                                             "localId" : "1810",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1529",
+                                       "localId" : "1811",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "1530",
+                                          "localId" : "1812",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1531",
+                                             "localId" : "1813",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -13485,10 +14665,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "1532",
+                              "localId" : "1814",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "1533",
+                                 "localId" : "1815",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -13496,157 +14676,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "1459",
-                           "locator" : "26:31-26:51",
-                           "name" : "Blood Ethanol Level",
+                           "localId" : "1741",
+                           "locator" : "29:31-29:70",
+                           "name" : "C reactive Protein (CRP), Bld/Ser/Plas",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "1460",
+                              "localId" : "1742",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "1461",
+                                 "localId" : "1743",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "1462",
-                           "locator" : "26:54-26:74",
+                           "localId" : "1744",
+                           "locator" : "29:73-29:98",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Blood Ethanol Level",
+                           "value" : "C reactive Protein (CRP)",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "1557",
-                        "locator" : "27:5-27:75",
+                        "localId" : "1839",
+                        "locator" : "30:5-30:146",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1593",
+                           "localId" : "1875",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1594",
+                              "localId" : "1876",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1595",
+                                 "localId" : "1877",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1596",
+                              "localId" : "1878",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1597",
+                                 "localId" : "1879",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1598",
+                              "localId" : "1880",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1599",
+                                 "localId" : "1881",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1600",
+                              "localId" : "1882",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1601",
+                                 "localId" : "1883",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1602",
+                              "localId" : "1884",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1603",
+                                 "localId" : "1885",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1604",
+                              "localId" : "1886",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1605",
+                                 "localId" : "1887",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1606",
+                              "localId" : "1888",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1607",
+                                 "localId" : "1889",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1608",
+                              "localId" : "1890",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1609",
+                                 "localId" : "1891",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1610",
+                              "localId" : "1892",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1611",
+                                 "localId" : "1893",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1612",
+                              "localId" : "1894",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1613",
+                                 "localId" : "1895",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1614",
+                              "localId" : "1896",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1615",
+                                 "localId" : "1897",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1616",
+                                    "localId" : "1898",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1617",
+                              "localId" : "1899",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1618",
+                                 "localId" : "1900",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1619",
+                                    "localId" : "1901",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1620",
+                                       "localId" : "1902",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1621",
+                                          "localId" : "1903",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1622",
+                                             "localId" : "1904",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1623",
+                                       "localId" : "1905",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "1624",
+                                          "localId" : "1906",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1625",
+                                             "localId" : "1907",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -13655,10 +14835,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "1626",
+                              "localId" : "1908",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "1627",
+                                 "localId" : "1909",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -13666,157 +14846,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "1553",
-                           "locator" : "27:31-27:51",
-                           "name" : "Blood Urea Nitrogen",
+                           "localId" : "1835",
+                           "locator" : "30:31-30:100",
+                           "name" : "Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "1554",
+                              "localId" : "1836",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "1555",
+                                 "localId" : "1837",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "1556",
-                           "locator" : "27:54-27:74",
+                           "localId" : "1838",
+                           "locator" : "30:103-30:145",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Blood Urea Nitrogen",
+                           "value" : "Calcium (Not Corrected for Serum Albumin)",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "1651",
-                        "locator" : "29:5-29:99",
+                        "localId" : "1933",
+                        "locator" : "31:5-31:109",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1687",
+                           "localId" : "1969",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1688",
+                              "localId" : "1970",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1689",
+                                 "localId" : "1971",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1690",
+                              "localId" : "1972",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1691",
+                                 "localId" : "1973",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1692",
+                              "localId" : "1974",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1693",
+                                 "localId" : "1975",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1694",
+                              "localId" : "1976",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1695",
+                                 "localId" : "1977",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1696",
+                              "localId" : "1978",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1697",
+                                 "localId" : "1979",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1698",
+                              "localId" : "1980",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1699",
+                                 "localId" : "1981",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1700",
+                              "localId" : "1982",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1701",
+                                 "localId" : "1983",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1702",
+                              "localId" : "1984",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1703",
+                                 "localId" : "1985",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1704",
+                              "localId" : "1986",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1705",
+                                 "localId" : "1987",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1706",
+                              "localId" : "1988",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1707",
+                                 "localId" : "1989",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1708",
+                              "localId" : "1990",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1709",
+                                 "localId" : "1991",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1710",
+                                    "localId" : "1992",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1711",
+                              "localId" : "1993",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1712",
+                                 "localId" : "1994",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1713",
+                                    "localId" : "1995",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1714",
+                                       "localId" : "1996",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1715",
+                                          "localId" : "1997",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1716",
+                                             "localId" : "1998",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1717",
+                                       "localId" : "1999",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "1718",
+                                          "localId" : "2000",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1719",
+                                             "localId" : "2001",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -13825,10 +15005,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "1720",
+                              "localId" : "2002",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "1721",
+                                 "localId" : "2003",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -13836,157 +15016,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "1647",
-                           "locator" : "29:31-29:70",
-                           "name" : "C reactive Protein (CRP), Bld/Ser/Plas",
+                           "localId" : "1929",
+                           "locator" : "31:31-31:68",
+                           "name" : "Cerebral Spinal Fluid (CSF) Analysis",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "1648",
+                              "localId" : "1930",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "1649",
+                                 "localId" : "1931",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "1650",
-                           "locator" : "29:73-29:98",
+                           "localId" : "1932",
+                           "locator" : "31:71-31:108",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "C reactive Protein (CRP)",
+                           "value" : "Cerebral Spinal Fluid (CSF) Analysis",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "1745",
-                        "locator" : "30:5-30:146",
+                        "localId" : "2027",
+                        "locator" : "32:5-32:79",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1781",
+                           "localId" : "2063",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1782",
+                              "localId" : "2064",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1783",
+                                 "localId" : "2065",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1784",
+                              "localId" : "2066",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1785",
+                                 "localId" : "2067",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1786",
+                              "localId" : "2068",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1787",
+                                 "localId" : "2069",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1788",
+                              "localId" : "2070",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1789",
+                                 "localId" : "2071",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1790",
+                              "localId" : "2072",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1791",
+                                 "localId" : "2073",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1792",
+                              "localId" : "2074",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1793",
+                                 "localId" : "2075",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1794",
+                              "localId" : "2076",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1795",
+                                 "localId" : "2077",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1796",
+                              "localId" : "2078",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1797",
+                                 "localId" : "2079",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1798",
+                              "localId" : "2080",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1799",
+                                 "localId" : "2081",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1800",
+                              "localId" : "2082",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1801",
+                                 "localId" : "2083",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1802",
+                              "localId" : "2084",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1803",
+                                 "localId" : "2085",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1804",
+                                    "localId" : "2086",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1805",
+                              "localId" : "2087",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1806",
+                                 "localId" : "2088",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1807",
+                                    "localId" : "2089",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1808",
+                                       "localId" : "2090",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1809",
+                                          "localId" : "2091",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1810",
+                                             "localId" : "2092",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1811",
+                                       "localId" : "2093",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "1812",
+                                          "localId" : "2094",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1813",
+                                             "localId" : "2095",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -13995,10 +15175,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "1814",
+                              "localId" : "2096",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "1815",
+                                 "localId" : "2097",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -14006,157 +15186,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "1741",
-                           "locator" : "30:31-30:100",
-                           "name" : "Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum",
+                           "localId" : "2023",
+                           "locator" : "32:31-32:66",
+                           "name" : "Chloride in blood, serum or plasma",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "1742",
+                              "localId" : "2024",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "1743",
+                                 "localId" : "2025",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "1744",
-                           "locator" : "30:103-30:145",
+                           "localId" : "2026",
+                           "locator" : "32:69-32:78",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Calcium (Not Corrected for Serum Albumin)",
+                           "value" : "Chloride",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "1839",
-                        "locator" : "31:5-31:109",
+                        "localId" : "2121",
+                        "locator" : "33:5-33:94",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1875",
+                           "localId" : "2157",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1876",
+                              "localId" : "2158",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1877",
+                                 "localId" : "2159",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1878",
+                              "localId" : "2160",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1879",
+                                 "localId" : "2161",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1880",
+                              "localId" : "2162",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1881",
+                                 "localId" : "2163",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1882",
+                              "localId" : "2164",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1883",
+                                 "localId" : "2165",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1884",
+                              "localId" : "2166",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1885",
+                                 "localId" : "2167",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1886",
+                              "localId" : "2168",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1887",
+                                 "localId" : "2169",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1888",
+                              "localId" : "2170",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1889",
+                                 "localId" : "2171",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1890",
+                              "localId" : "2172",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1891",
+                                 "localId" : "2173",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1892",
+                              "localId" : "2174",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1893",
+                                 "localId" : "2175",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1894",
+                              "localId" : "2176",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1895",
+                                 "localId" : "2177",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1896",
+                              "localId" : "2178",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1897",
+                                 "localId" : "2179",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1898",
+                                    "localId" : "2180",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1899",
+                              "localId" : "2181",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1900",
+                                 "localId" : "2182",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1901",
+                                    "localId" : "2183",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1902",
+                                       "localId" : "2184",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1903",
+                                          "localId" : "2185",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1904",
+                                             "localId" : "2186",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1905",
+                                       "localId" : "2187",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "1906",
+                                          "localId" : "2188",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1907",
+                                             "localId" : "2189",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -14165,10 +15345,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "1908",
+                              "localId" : "2190",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "1909",
+                                 "localId" : "2191",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -14176,157 +15356,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "1835",
-                           "locator" : "31:31-31:68",
-                           "name" : "Cerebral Spinal Fluid (CSF) Analysis",
+                           "localId" : "2117",
+                           "locator" : "33:31-33:72",
+                           "name" : "Coagulation Assay (PT, aPTT, Fibrinogen)",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "1836",
+                              "localId" : "2118",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "1837",
+                                 "localId" : "2119",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "1838",
-                           "locator" : "31:71-31:108",
+                           "localId" : "2120",
+                           "locator" : "33:75-33:93",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Cerebral Spinal Fluid (CSF) Analysis",
+                           "value" : "Coagulation Assay",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "1933",
-                        "locator" : "32:5-32:79",
+                        "localId" : "2215",
+                        "locator" : "36:5-36:61",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1969",
+                           "localId" : "2251",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1970",
+                              "localId" : "2252",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1971",
+                                 "localId" : "2253",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1972",
+                              "localId" : "2254",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1973",
+                                 "localId" : "2255",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1974",
+                              "localId" : "2256",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1975",
+                                 "localId" : "2257",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1976",
+                              "localId" : "2258",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1977",
+                                 "localId" : "2259",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1978",
+                              "localId" : "2260",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1979",
+                                 "localId" : "2261",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1980",
+                              "localId" : "2262",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1981",
+                                 "localId" : "2263",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1982",
+                              "localId" : "2264",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1983",
+                                 "localId" : "2265",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1984",
+                              "localId" : "2266",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1985",
+                                 "localId" : "2267",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1986",
+                              "localId" : "2268",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1987",
+                                 "localId" : "2269",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1988",
+                              "localId" : "2270",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1989",
+                                 "localId" : "2271",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1990",
+                              "localId" : "2272",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1991",
+                                 "localId" : "2273",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1992",
+                                    "localId" : "2274",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1993",
+                              "localId" : "2275",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1994",
+                                 "localId" : "2276",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1995",
+                                    "localId" : "2277",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1996",
+                                       "localId" : "2278",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1997",
+                                          "localId" : "2279",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1998",
+                                             "localId" : "2280",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1999",
+                                       "localId" : "2281",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "2000",
+                                          "localId" : "2282",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2001",
+                                             "localId" : "2283",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -14335,10 +15515,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "2002",
+                              "localId" : "2284",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "2003",
+                                 "localId" : "2285",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -14346,157 +15526,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "1929",
-                           "locator" : "32:31-32:66",
-                           "name" : "Chloride in blood, serum or plasma",
+                           "localId" : "2211",
+                           "locator" : "36:31-36:49",
+                           "name" : "Corrected Calcium",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "1930",
+                              "localId" : "2212",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "1931",
+                                 "localId" : "2213",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "1932",
-                           "locator" : "32:69-32:78",
+                           "localId" : "2214",
+                           "locator" : "36:52-36:60",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Chloride",
+                           "value" : "Calcium",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "2027",
-                        "locator" : "33:5-33:94",
+                        "localId" : "2309",
+                        "locator" : "37:5-37:112",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "2063",
+                           "localId" : "2345",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2064",
+                              "localId" : "2346",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "2065",
+                                 "localId" : "2347",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2066",
+                              "localId" : "2348",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "2067",
+                                 "localId" : "2349",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2068",
+                              "localId" : "2350",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "2069",
+                                 "localId" : "2351",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2070",
+                              "localId" : "2352",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "2071",
+                                 "localId" : "2353",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2072",
+                              "localId" : "2354",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "2073",
+                                 "localId" : "2355",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2074",
+                              "localId" : "2356",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "2075",
+                                 "localId" : "2357",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2076",
+                              "localId" : "2358",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "2077",
+                                 "localId" : "2359",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2078",
+                              "localId" : "2360",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "2079",
+                                 "localId" : "2361",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2080",
+                              "localId" : "2362",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "2081",
+                                 "localId" : "2363",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2082",
+                              "localId" : "2364",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "2083",
+                                 "localId" : "2365",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2084",
+                              "localId" : "2366",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "2085",
+                                 "localId" : "2367",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2086",
+                                    "localId" : "2368",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2087",
+                              "localId" : "2369",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "2088",
+                                 "localId" : "2370",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2089",
+                                    "localId" : "2371",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "2090",
+                                       "localId" : "2372",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "2091",
+                                          "localId" : "2373",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2092",
+                                             "localId" : "2374",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "2093",
+                                       "localId" : "2375",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "2094",
+                                          "localId" : "2376",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2095",
+                                             "localId" : "2377",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -14505,10 +15685,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "2096",
+                              "localId" : "2378",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "2097",
+                                 "localId" : "2379",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -14516,157 +15696,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "2023",
-                           "locator" : "33:31-33:72",
-                           "name" : "Coagulation Assay (PT, aPTT, Fibrinogen)",
+                           "localId" : "2305",
+                           "locator" : "37:31-37:94",
+                           "name" : "COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "2024",
+                              "localId" : "2306",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2025",
+                                 "localId" : "2307",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "2026",
-                           "locator" : "33:75-33:93",
+                           "localId" : "2308",
+                           "locator" : "37:97-37:111",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Coagulation Assay",
+                           "value" : "COVID 19 Test",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "2121",
-                        "locator" : "36:5-36:61",
+                        "localId" : "2403",
+                        "locator" : "38:5-38:118",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "2157",
+                           "localId" : "2439",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2158",
+                              "localId" : "2440",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "2159",
+                                 "localId" : "2441",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2160",
+                              "localId" : "2442",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "2161",
+                                 "localId" : "2443",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2162",
+                              "localId" : "2444",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "2163",
+                                 "localId" : "2445",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2164",
+                              "localId" : "2446",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "2165",
+                                 "localId" : "2447",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2166",
+                              "localId" : "2448",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "2167",
+                                 "localId" : "2449",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2168",
+                              "localId" : "2450",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "2169",
+                                 "localId" : "2451",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2170",
+                              "localId" : "2452",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "2171",
+                                 "localId" : "2453",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2172",
+                              "localId" : "2454",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "2173",
+                                 "localId" : "2455",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2174",
+                              "localId" : "2456",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "2175",
+                                 "localId" : "2457",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2176",
+                              "localId" : "2458",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "2177",
+                                 "localId" : "2459",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2178",
+                              "localId" : "2460",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "2179",
+                                 "localId" : "2461",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2180",
+                                    "localId" : "2462",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2181",
+                              "localId" : "2463",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "2182",
+                                 "localId" : "2464",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2183",
+                                    "localId" : "2465",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "2184",
+                                       "localId" : "2466",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "2185",
+                                          "localId" : "2467",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2186",
+                                             "localId" : "2468",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "2187",
+                                       "localId" : "2469",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "2188",
+                                          "localId" : "2470",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2189",
+                                             "localId" : "2471",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -14675,10 +15855,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "2190",
+                              "localId" : "2472",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "2191",
+                                 "localId" : "2473",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -14686,157 +15866,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "2117",
-                           "locator" : "36:31-36:49",
-                           "name" : "Corrected Calcium",
+                           "localId" : "2399",
+                           "locator" : "38:31-38:86",
+                           "name" : "Creatine Kinase (CK, CK MB) in Blood, Serum, or Plasma",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "2118",
+                              "localId" : "2400",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2119",
+                                 "localId" : "2401",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "2120",
-                           "locator" : "36:52-36:60",
+                           "localId" : "2402",
+                           "locator" : "38:89-38:117",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Calcium",
+                           "value" : "Creatine Kinase (CK, CK MB)",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "2215",
-                        "locator" : "38:5-38:118",
+                        "localId" : "2497",
+                        "locator" : "39:5-39:83",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "2251",
+                           "localId" : "2533",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2252",
+                              "localId" : "2534",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "2253",
+                                 "localId" : "2535",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2254",
+                              "localId" : "2536",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "2255",
+                                 "localId" : "2537",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2256",
+                              "localId" : "2538",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "2257",
+                                 "localId" : "2539",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2258",
+                              "localId" : "2540",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "2259",
+                                 "localId" : "2541",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2260",
+                              "localId" : "2542",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "2261",
+                                 "localId" : "2543",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2262",
+                              "localId" : "2544",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "2263",
+                                 "localId" : "2545",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2264",
+                              "localId" : "2546",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "2265",
+                                 "localId" : "2547",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2266",
+                              "localId" : "2548",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "2267",
+                                 "localId" : "2549",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2268",
+                              "localId" : "2550",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "2269",
+                                 "localId" : "2551",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2270",
+                              "localId" : "2552",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "2271",
+                                 "localId" : "2553",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2272",
+                              "localId" : "2554",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "2273",
+                                 "localId" : "2555",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2274",
+                                    "localId" : "2556",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2275",
+                              "localId" : "2557",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "2276",
+                                 "localId" : "2558",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2277",
+                                    "localId" : "2559",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "2278",
+                                       "localId" : "2560",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "2279",
+                                          "localId" : "2561",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2280",
+                                             "localId" : "2562",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "2281",
+                                       "localId" : "2563",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "2282",
+                                          "localId" : "2564",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2283",
+                                             "localId" : "2565",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -14845,10 +16025,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "2284",
+                              "localId" : "2566",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "2285",
+                                 "localId" : "2567",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -14856,157 +16036,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "2211",
-                           "locator" : "38:31-38:86",
-                           "name" : "Creatine Kinase (CK, CK MB) in Blood, Serum, or Plasma",
+                           "localId" : "2493",
+                           "locator" : "39:31-39:68",
+                           "name" : "Creatinine in blood, serum or plasma",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "2212",
+                              "localId" : "2494",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2213",
+                                 "localId" : "2495",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "2214",
-                           "locator" : "38:89-38:117",
+                           "localId" : "2496",
+                           "locator" : "39:71-39:82",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Creatine Kinase (CK, CK MB)",
+                           "value" : "Creatinine",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "2309",
-                        "locator" : "39:5-39:83",
+                        "localId" : "2591",
+                        "locator" : "40:5-40:57",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "2345",
+                           "localId" : "2627",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2346",
+                              "localId" : "2628",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "2347",
+                                 "localId" : "2629",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2348",
+                              "localId" : "2630",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "2349",
+                                 "localId" : "2631",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2350",
+                              "localId" : "2632",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "2351",
+                                 "localId" : "2633",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2352",
+                              "localId" : "2634",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "2353",
+                                 "localId" : "2635",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2354",
+                              "localId" : "2636",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "2355",
+                                 "localId" : "2637",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2356",
+                              "localId" : "2638",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "2357",
+                                 "localId" : "2639",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2358",
+                              "localId" : "2640",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "2359",
+                                 "localId" : "2641",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2360",
+                              "localId" : "2642",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "2361",
+                                 "localId" : "2643",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2362",
+                              "localId" : "2644",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "2363",
+                                 "localId" : "2645",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2364",
+                              "localId" : "2646",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "2365",
+                                 "localId" : "2647",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2366",
+                              "localId" : "2648",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "2367",
+                                 "localId" : "2649",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2368",
+                                    "localId" : "2650",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2369",
+                              "localId" : "2651",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "2370",
+                                 "localId" : "2652",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2371",
+                                    "localId" : "2653",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "2372",
+                                       "localId" : "2654",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "2373",
+                                          "localId" : "2655",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2374",
+                                             "localId" : "2656",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "2375",
+                                       "localId" : "2657",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "2376",
+                                          "localId" : "2658",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2377",
+                                             "localId" : "2659",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -15015,10 +16195,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "2378",
+                              "localId" : "2660",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "2379",
+                                 "localId" : "2661",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -15026,157 +16206,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "2305",
-                           "locator" : "39:31-39:68",
-                           "name" : "Creatinine in blood, serum or plasma",
+                           "localId" : "2587",
+                           "locator" : "40:31-40:42",
+                           "name" : "Cystatin C",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "2306",
+                              "localId" : "2588",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2307",
+                                 "localId" : "2589",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "2308",
-                           "locator" : "39:71-39:82",
+                           "localId" : "2590",
+                           "locator" : "40:45-40:56",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Creatinine",
+                           "value" : "Cystatin C",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "2403",
-                        "locator" : "40:5-40:57",
+                        "localId" : "2685",
+                        "locator" : "41:5-41:56",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "2439",
+                           "localId" : "2721",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2440",
+                              "localId" : "2722",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "2441",
+                                 "localId" : "2723",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2442",
+                              "localId" : "2724",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "2443",
+                                 "localId" : "2725",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2444",
+                              "localId" : "2726",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "2445",
+                                 "localId" : "2727",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2446",
+                              "localId" : "2728",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "2447",
+                                 "localId" : "2729",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2448",
+                              "localId" : "2730",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "2449",
+                                 "localId" : "2731",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2450",
+                              "localId" : "2732",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "2451",
+                                 "localId" : "2733",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2452",
+                              "localId" : "2734",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "2453",
+                                 "localId" : "2735",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2454",
+                              "localId" : "2736",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "2455",
+                                 "localId" : "2737",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2456",
+                              "localId" : "2738",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "2457",
+                                 "localId" : "2739",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2458",
+                              "localId" : "2740",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "2459",
+                                 "localId" : "2741",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2460",
+                              "localId" : "2742",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "2461",
+                                 "localId" : "2743",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2462",
+                                    "localId" : "2744",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2463",
+                              "localId" : "2745",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "2464",
+                                 "localId" : "2746",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2465",
+                                    "localId" : "2747",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "2466",
+                                       "localId" : "2748",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "2467",
+                                          "localId" : "2749",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2468",
+                                             "localId" : "2750",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "2469",
+                                       "localId" : "2751",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "2470",
+                                          "localId" : "2752",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2471",
+                                             "localId" : "2753",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -15185,10 +16365,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "2472",
+                              "localId" : "2754",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "2473",
+                                 "localId" : "2755",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -15196,157 +16376,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "2399",
-                           "locator" : "40:31-40:42",
-                           "name" : "Cystatin C",
+                           "localId" : "2681",
+                           "locator" : "41:31-41:44",
+                           "name" : "D Dimer Test",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "2400",
+                              "localId" : "2682",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2401",
+                                 "localId" : "2683",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "2402",
-                           "locator" : "40:45-40:56",
+                           "localId" : "2684",
+                           "locator" : "41:47-41:55",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Cystatin C",
+                           "value" : "D Dimer",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "2497",
-                        "locator" : "41:5-41:56",
+                        "localId" : "2779",
+                        "locator" : "42:5-42:79",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "2533",
+                           "localId" : "2815",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2534",
+                              "localId" : "2816",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "2535",
+                                 "localId" : "2817",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2536",
+                              "localId" : "2818",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "2537",
+                                 "localId" : "2819",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2538",
+                              "localId" : "2820",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "2539",
+                                 "localId" : "2821",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2540",
+                              "localId" : "2822",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "2541",
+                                 "localId" : "2823",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2542",
+                              "localId" : "2824",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "2543",
+                                 "localId" : "2825",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2544",
+                              "localId" : "2826",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "2545",
+                                 "localId" : "2827",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2546",
+                              "localId" : "2828",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "2547",
+                                 "localId" : "2829",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2548",
+                              "localId" : "2830",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "2549",
+                                 "localId" : "2831",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2550",
+                              "localId" : "2832",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "2551",
+                                 "localId" : "2833",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2552",
+                              "localId" : "2834",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "2553",
+                                 "localId" : "2835",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2554",
+                              "localId" : "2836",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "2555",
+                                 "localId" : "2837",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2556",
+                                    "localId" : "2838",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2557",
+                              "localId" : "2839",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "2558",
+                                 "localId" : "2840",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2559",
+                                    "localId" : "2841",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "2560",
+                                       "localId" : "2842",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "2561",
+                                          "localId" : "2843",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2562",
+                                             "localId" : "2844",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "2563",
+                                       "localId" : "2845",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "2564",
+                                          "localId" : "2846",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2565",
+                                             "localId" : "2847",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -15355,10 +16535,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "2566",
+                              "localId" : "2848",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "2567",
+                                 "localId" : "2849",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -15366,157 +16546,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "2493",
-                           "locator" : "41:31-41:44",
-                           "name" : "D Dimer Test",
+                           "localId" : "2775",
+                           "locator" : "42:31-42:53",
+                           "name" : "Drugs of Abuse Screen",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "2494",
+                              "localId" : "2776",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2495",
+                                 "localId" : "2777",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "2496",
-                           "locator" : "41:47-41:55",
+                           "localId" : "2778",
+                           "locator" : "42:56-42:78",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "D Dimer",
+                           "value" : "Drugs of Abuse Screen",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "2591",
-                        "locator" : "42:5-42:79",
+                        "localId" : "2873",
+                        "locator" : "43:5-43:97",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "2627",
+                           "localId" : "2909",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2628",
+                              "localId" : "2910",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "2629",
+                                 "localId" : "2911",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2630",
+                              "localId" : "2912",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "2631",
+                                 "localId" : "2913",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2632",
+                              "localId" : "2914",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "2633",
+                                 "localId" : "2915",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2634",
+                              "localId" : "2916",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "2635",
+                                 "localId" : "2917",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2636",
+                              "localId" : "2918",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "2637",
+                                 "localId" : "2919",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2638",
+                              "localId" : "2920",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "2639",
+                                 "localId" : "2921",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2640",
+                              "localId" : "2922",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "2641",
+                                 "localId" : "2923",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2642",
+                              "localId" : "2924",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "2643",
+                                 "localId" : "2925",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2644",
+                              "localId" : "2926",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "2645",
+                                 "localId" : "2927",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2646",
+                              "localId" : "2928",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "2647",
+                                 "localId" : "2929",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2648",
+                              "localId" : "2930",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "2649",
+                                 "localId" : "2931",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2650",
+                                    "localId" : "2932",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2651",
+                              "localId" : "2933",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "2652",
+                                 "localId" : "2934",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2653",
+                                    "localId" : "2935",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "2654",
+                                       "localId" : "2936",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "2655",
+                                          "localId" : "2937",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2656",
+                                             "localId" : "2938",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "2657",
+                                       "localId" : "2939",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "2658",
+                                          "localId" : "2940",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2659",
+                                             "localId" : "2941",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -15525,10 +16705,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "2660",
+                              "localId" : "2942",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "2661",
+                                 "localId" : "2943",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -15536,157 +16716,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "2587",
-                           "locator" : "42:31-42:53",
-                           "name" : "Drugs of Abuse Screen",
+                           "localId" : "2869",
+                           "locator" : "43:31-43:62",
+                           "name" : "Erythrocyte Distribution Width",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "2588",
+                              "localId" : "2870",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2589",
+                                 "localId" : "2871",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "2590",
-                           "locator" : "42:56-42:78",
+                           "localId" : "2872",
+                           "locator" : "43:65-43:96",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Drugs of Abuse Screen",
+                           "value" : "Erythrocyte Distribution Width",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "2685",
-                        "locator" : "43:5-43:97",
+                        "localId" : "2967",
+                        "locator" : "44:5-44:116",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "2721",
+                           "localId" : "3003",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2722",
+                              "localId" : "3004",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "2723",
+                                 "localId" : "3005",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2724",
+                              "localId" : "3006",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "2725",
+                                 "localId" : "3007",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2726",
+                              "localId" : "3008",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "2727",
+                                 "localId" : "3009",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2728",
+                              "localId" : "3010",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "2729",
+                                 "localId" : "3011",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2730",
+                              "localId" : "3012",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "2731",
+                                 "localId" : "3013",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2732",
+                              "localId" : "3014",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "2733",
+                                 "localId" : "3015",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2734",
+                              "localId" : "3016",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "2735",
+                                 "localId" : "3017",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2736",
+                              "localId" : "3018",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "2737",
+                                 "localId" : "3019",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2738",
+                              "localId" : "3020",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "2739",
+                                 "localId" : "3021",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2740",
+                              "localId" : "3022",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "2741",
+                                 "localId" : "3023",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2742",
+                              "localId" : "3024",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "2743",
+                                 "localId" : "3025",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2744",
+                                    "localId" : "3026",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2745",
+                              "localId" : "3027",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "2746",
+                                 "localId" : "3028",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2747",
+                                    "localId" : "3029",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "2748",
+                                       "localId" : "3030",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "2749",
+                                          "localId" : "3031",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2750",
+                                             "localId" : "3032",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "2751",
+                                       "localId" : "3033",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "2752",
+                                          "localId" : "3034",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2753",
+                                             "localId" : "3035",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -15695,10 +16875,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "2754",
+                              "localId" : "3036",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "2755",
+                                 "localId" : "3037",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -15706,157 +16886,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "2681",
-                           "locator" : "43:31-43:62",
-                           "name" : "Erythrocyte Distribution Width",
+                           "localId" : "2963",
+                           "locator" : "44:31-44:75",
+                           "name" : "Erythrocyte Sedimentation Rate (ESR), Blood",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "2682",
+                              "localId" : "2964",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2683",
+                                 "localId" : "2965",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
-                        }, {
-                           "localId" : "2684",
-                           "locator" : "43:65-43:96",
+                        }, {
+                           "localId" : "2966",
+                           "locator" : "44:78-44:115",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Erythrocyte Distribution Width",
+                           "value" : "Erythrocyte Sedimentation Rate (ESR)",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "2779",
-                        "locator" : "44:5-44:116",
+                        "localId" : "3061",
+                        "locator" : "45:5-45:87",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "2815",
+                           "localId" : "3097",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2816",
+                              "localId" : "3098",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "2817",
+                                 "localId" : "3099",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2818",
+                              "localId" : "3100",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "2819",
+                                 "localId" : "3101",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2820",
+                              "localId" : "3102",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "2821",
+                                 "localId" : "3103",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2822",
+                              "localId" : "3104",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "2823",
+                                 "localId" : "3105",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2824",
+                              "localId" : "3106",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "2825",
+                                 "localId" : "3107",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2826",
+                              "localId" : "3108",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "2827",
+                                 "localId" : "3109",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2828",
+                              "localId" : "3110",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "2829",
+                                 "localId" : "3111",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2830",
+                              "localId" : "3112",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "2831",
+                                 "localId" : "3113",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2832",
+                              "localId" : "3114",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "2833",
+                                 "localId" : "3115",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2834",
+                              "localId" : "3116",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "2835",
+                                 "localId" : "3117",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2836",
+                              "localId" : "3118",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "2837",
+                                 "localId" : "3119",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2838",
+                                    "localId" : "3120",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2839",
+                              "localId" : "3121",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "2840",
+                                 "localId" : "3122",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2841",
+                                    "localId" : "3123",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "2842",
+                                       "localId" : "3124",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "2843",
+                                          "localId" : "3125",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2844",
+                                             "localId" : "3126",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "2845",
+                                       "localId" : "3127",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "2846",
+                                          "localId" : "3128",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2847",
+                                             "localId" : "3129",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -15865,10 +17045,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "2848",
+                              "localId" : "3130",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "2849",
+                                 "localId" : "3131",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -15876,157 +17056,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "2775",
-                           "locator" : "44:31-44:75",
-                           "name" : "Erythrocyte Sedimentation Rate (ESR), Blood",
+                           "localId" : "3057",
+                           "locator" : "45:31-45:57",
+                           "name" : "Estimated Average Glucose",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "2776",
+                              "localId" : "3058",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2777",
+                                 "localId" : "3059",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "2778",
-                           "locator" : "44:78-44:115",
+                           "localId" : "3060",
+                           "locator" : "45:60-45:86",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Erythrocyte Sedimentation Rate (ESR)",
+                           "value" : "Estimated Average Glucose",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "2873",
-                        "locator" : "45:5-45:87",
+                        "localId" : "3155",
+                        "locator" : "46:5-46:84",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "2909",
+                           "localId" : "3191",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2910",
+                              "localId" : "3192",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "2911",
+                                 "localId" : "3193",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2912",
+                              "localId" : "3194",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "2913",
+                                 "localId" : "3195",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2914",
+                              "localId" : "3196",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "2915",
+                                 "localId" : "3197",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2916",
+                              "localId" : "3198",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "2917",
+                                 "localId" : "3199",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2918",
+                              "localId" : "3200",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "2919",
+                                 "localId" : "3201",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2920",
+                              "localId" : "3202",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "2921",
+                                 "localId" : "3203",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2922",
+                              "localId" : "3204",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "2923",
+                                 "localId" : "3205",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2924",
+                              "localId" : "3206",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "2925",
+                                 "localId" : "3207",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2926",
+                              "localId" : "3208",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "2927",
+                                 "localId" : "3209",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2928",
+                              "localId" : "3210",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "2929",
+                                 "localId" : "3211",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2930",
+                              "localId" : "3212",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "2931",
+                                 "localId" : "3213",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2932",
+                                    "localId" : "3214",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2933",
+                              "localId" : "3215",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "2934",
+                                 "localId" : "3216",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2935",
+                                    "localId" : "3217",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "2936",
+                                       "localId" : "3218",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "2937",
+                                          "localId" : "3219",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2938",
+                                             "localId" : "3220",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "2939",
+                                       "localId" : "3221",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "2940",
+                                          "localId" : "3222",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2941",
+                                             "localId" : "3223",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -16035,10 +17215,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "2942",
+                              "localId" : "3224",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "2943",
+                                 "localId" : "3225",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -16046,157 +17226,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "2869",
-                           "locator" : "45:31-45:57",
-                           "name" : "Estimated Average Glucose",
+                           "localId" : "3151",
+                           "locator" : "46:31-46:75",
+                           "name" : "Estimated Glomerular Filtration Rate (eGFR)",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "2870",
+                              "localId" : "3152",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2871",
+                                 "localId" : "3153",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "2872",
-                           "locator" : "45:60-45:86",
+                           "localId" : "3154",
+                           "locator" : "46:78-46:83",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Estimated Average Glucose",
+                           "value" : "eGFR",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "2967",
-                        "locator" : "46:5-46:84",
+                        "localId" : "3249",
+                        "locator" : "47:5-47:79",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "3003",
+                           "localId" : "3285",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "3004",
+                              "localId" : "3286",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "3005",
+                                 "localId" : "3287",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3006",
+                              "localId" : "3288",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "3007",
+                                 "localId" : "3289",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3008",
+                              "localId" : "3290",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "3009",
+                                 "localId" : "3291",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3010",
+                              "localId" : "3292",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "3011",
+                                 "localId" : "3293",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3012",
+                              "localId" : "3294",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "3013",
+                                 "localId" : "3295",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3014",
+                              "localId" : "3296",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "3015",
+                                 "localId" : "3297",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3016",
+                              "localId" : "3298",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "3017",
+                                 "localId" : "3299",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3018",
+                              "localId" : "3300",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "3019",
+                                 "localId" : "3301",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3020",
+                              "localId" : "3302",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "3021",
+                                 "localId" : "3303",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3022",
+                              "localId" : "3304",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "3023",
+                                 "localId" : "3305",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3024",
+                              "localId" : "3306",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "3025",
+                                 "localId" : "3307",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3026",
+                                    "localId" : "3308",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "3027",
+                              "localId" : "3309",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "3028",
+                                 "localId" : "3310",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3029",
+                                    "localId" : "3311",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "3030",
+                                       "localId" : "3312",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "3031",
+                                          "localId" : "3313",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3032",
+                                             "localId" : "3314",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "3033",
+                                       "localId" : "3315",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "3034",
+                                          "localId" : "3316",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3035",
+                                             "localId" : "3317",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -16205,10 +17385,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "3036",
+                              "localId" : "3318",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "3037",
+                                 "localId" : "3319",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -16216,157 +17396,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "2963",
-                           "locator" : "46:31-46:75",
-                           "name" : "Estimated Glomerular Filtration Rate (eGFR)",
+                           "localId" : "3245",
+                           "locator" : "47:31-47:53",
+                           "name" : "Fasting Blood Glucose",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "2964",
+                              "localId" : "3246",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2965",
+                                 "localId" : "3247",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "2966",
-                           "locator" : "46:78-46:83",
+                           "localId" : "3248",
+                           "locator" : "47:56-47:78",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "eGFR",
+                           "value" : "Fasting Blood Glucose",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "3061",
-                        "locator" : "47:5-47:79",
+                        "localId" : "3349",
+                        "locator" : "48:5-48:53",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "3097",
+                           "localId" : "3385",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "3098",
+                              "localId" : "3386",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "3099",
+                                 "localId" : "3387",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3100",
+                              "localId" : "3388",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "3101",
+                                 "localId" : "3389",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3102",
+                              "localId" : "3390",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "3103",
+                                 "localId" : "3391",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3104",
+                              "localId" : "3392",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "3105",
+                                 "localId" : "3393",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3106",
+                              "localId" : "3394",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "3107",
+                                 "localId" : "3395",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3108",
+                              "localId" : "3396",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "3109",
+                                 "localId" : "3397",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3110",
+                              "localId" : "3398",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "3111",
+                                 "localId" : "3399",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3112",
+                              "localId" : "3400",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "3113",
+                                 "localId" : "3401",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3114",
+                              "localId" : "3402",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "3115",
+                                 "localId" : "3403",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3116",
+                              "localId" : "3404",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "3117",
+                                 "localId" : "3405",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3118",
+                              "localId" : "3406",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "3119",
+                                 "localId" : "3407",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3120",
+                                    "localId" : "3408",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "3121",
+                              "localId" : "3409",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "3122",
+                                 "localId" : "3410",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3123",
+                                    "localId" : "3411",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "3124",
+                                       "localId" : "3412",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "3125",
+                                          "localId" : "3413",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3126",
+                                             "localId" : "3414",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "3127",
+                                       "localId" : "3415",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "3128",
+                                          "localId" : "3416",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3129",
+                                             "localId" : "3417",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -16375,10 +17555,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "3130",
+                              "localId" : "3418",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "3131",
+                                 "localId" : "3419",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -16386,157 +17566,187 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3057",
-                           "locator" : "47:31-47:53",
-                           "name" : "Fasting Blood Glucose",
-                           "type" : "ExpressionRef",
+                           "localId" : "3345",
+                           "locator" : "48:31-48:40",
+                           "type" : "Query",
                            "resultTypeSpecifier" : {
-                              "localId" : "3058",
+                              "localId" : "3346",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "3059",
+                                 "localId" : "3347",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
-                           }
+                           },
+                           "source" : [ {
+                              "localId" : "3321",
+                              "locator" : "48:31-48:40",
+                              "alias" : "",
+                              "resultTypeSpecifier" : {
+                                 "localId" : "3343",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "3344",
+                                    "name" : "{http://hl7.org/fhir}Observation",
+                                    "type" : "NamedTypeSpecifier"
+                                 }
+                              },
+                              "expression" : {
+                                 "localId" : "3340",
+                                 "locator" : "48:31-48:38",
+                                 "name" : "Ferritin",
+                                 "type" : "ExpressionRef",
+                                 "resultTypeSpecifier" : {
+                                    "localId" : "3341",
+                                    "type" : "ListTypeSpecifier",
+                                    "elementType" : {
+                                       "localId" : "3342",
+                                       "name" : "{http://hl7.org/fhir}Observation",
+                                       "type" : "NamedTypeSpecifier"
+                                    }
+                                 }
+                              }
+                           } ],
+                           "let" : [ ],
+                           "relationship" : [ ]
                         }, {
-                           "localId" : "3060",
-                           "locator" : "47:56-47:78",
+                           "localId" : "3348",
+                           "locator" : "48:43-48:52",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Fasting Blood Glucose",
+                           "value" : "Ferritin",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "3161",
-                        "locator" : "48:5-48:53",
+                        "localId" : "3443",
+                        "locator" : "49:5-49:80",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "3197",
+                           "localId" : "3479",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "3198",
+                              "localId" : "3480",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "3199",
+                                 "localId" : "3481",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3200",
+                              "localId" : "3482",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "3201",
+                                 "localId" : "3483",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3202",
+                              "localId" : "3484",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "3203",
+                                 "localId" : "3485",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3204",
+                              "localId" : "3486",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "3205",
+                                 "localId" : "3487",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3206",
+                              "localId" : "3488",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "3207",
+                                 "localId" : "3489",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3208",
+                              "localId" : "3490",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "3209",
+                                 "localId" : "3491",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3210",
+                              "localId" : "3492",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "3211",
+                                 "localId" : "3493",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3212",
+                              "localId" : "3494",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "3213",
+                                 "localId" : "3495",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3214",
+                              "localId" : "3496",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "3215",
+                                 "localId" : "3497",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3216",
+                              "localId" : "3498",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "3217",
+                                 "localId" : "3499",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3218",
+                              "localId" : "3500",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "3219",
+                                 "localId" : "3501",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3220",
+                                    "localId" : "3502",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "3221",
+                              "localId" : "3503",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "3222",
+                                 "localId" : "3504",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3223",
+                                    "localId" : "3505",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "3224",
+                                       "localId" : "3506",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "3225",
+                                          "localId" : "3507",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3226",
+                                             "localId" : "3508",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "3227",
+                                       "localId" : "3509",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "3228",
+                                          "localId" : "3510",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3229",
+                                             "localId" : "3511",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -16545,10 +17755,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "3230",
+                              "localId" : "3512",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "3231",
+                                 "localId" : "3513",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -16556,187 +17766,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3157",
-                           "locator" : "48:31-48:40",
-                           "type" : "Query",
+                           "localId" : "3439",
+                           "locator" : "49:31-49:56",
+                           "name" : "Free T4 (Thyroxine) Test",
+                           "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "3158",
+                              "localId" : "3440",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "3159",
+                                 "localId" : "3441",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
-                           },
-                           "source" : [ {
-                              "localId" : "3133",
-                              "locator" : "48:31-48:40",
-                              "alias" : "",
-                              "resultTypeSpecifier" : {
-                                 "localId" : "3155",
-                                 "type" : "ListTypeSpecifier",
-                                 "elementType" : {
-                                    "localId" : "3156",
-                                    "name" : "{http://hl7.org/fhir}Observation",
-                                    "type" : "NamedTypeSpecifier"
-                                 }
-                              },
-                              "expression" : {
-                                 "localId" : "3152",
-                                 "locator" : "48:31-48:38",
-                                 "name" : "Ferritin",
-                                 "type" : "ExpressionRef",
-                                 "resultTypeSpecifier" : {
-                                    "localId" : "3153",
-                                    "type" : "ListTypeSpecifier",
-                                    "elementType" : {
-                                       "localId" : "3154",
-                                       "name" : "{http://hl7.org/fhir}Observation",
-                                       "type" : "NamedTypeSpecifier"
-                                    }
-                                 }
-                              }
-                           } ],
-                           "let" : [ ],
-                           "relationship" : [ ]
+                           }
                         }, {
-                           "localId" : "3160",
-                           "locator" : "48:43-48:52",
+                           "localId" : "3442",
+                           "locator" : "49:59-49:79",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Ferritin",
+                           "value" : "Free T4 (Thyroxine)",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "3255",
-                        "locator" : "49:5-49:80",
+                        "localId" : "3537",
+                        "locator" : "50:5-50:133",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "3291",
+                           "localId" : "3573",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "3292",
+                              "localId" : "3574",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "3293",
+                                 "localId" : "3575",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3294",
+                              "localId" : "3576",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "3295",
+                                 "localId" : "3577",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3296",
+                              "localId" : "3578",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "3297",
+                                 "localId" : "3579",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3298",
+                              "localId" : "3580",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "3299",
+                                 "localId" : "3581",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3300",
+                              "localId" : "3582",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "3301",
+                                 "localId" : "3583",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3302",
+                              "localId" : "3584",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "3303",
+                                 "localId" : "3585",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3304",
+                              "localId" : "3586",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "3305",
+                                 "localId" : "3587",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3306",
+                              "localId" : "3588",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "3307",
+                                 "localId" : "3589",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3308",
+                              "localId" : "3590",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "3309",
+                                 "localId" : "3591",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3310",
+                              "localId" : "3592",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "3311",
+                                 "localId" : "3593",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3312",
+                              "localId" : "3594",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "3313",
+                                 "localId" : "3595",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3314",
+                                    "localId" : "3596",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "3315",
+                              "localId" : "3597",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "3316",
+                                 "localId" : "3598",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3317",
+                                    "localId" : "3599",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "3318",
+                                       "localId" : "3600",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "3319",
+                                          "localId" : "3601",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3320",
+                                             "localId" : "3602",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "3321",
+                                       "localId" : "3603",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "3322",
+                                          "localId" : "3604",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3323",
+                                             "localId" : "3605",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -16745,10 +17925,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "3324",
+                              "localId" : "3606",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "3325",
+                                 "localId" : "3607",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -16756,157 +17936,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3251",
-                           "locator" : "49:31-49:56",
-                           "name" : "Free T4 (Thyroxine) Test",
+                           "localId" : "3533",
+                           "locator" : "50:31-50:93",
+                           "name" : "Gamma Glutamyl Transpeptidase (Ggt) in blood, serum or plasma",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "3252",
+                              "localId" : "3534",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "3253",
+                                 "localId" : "3535",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "3254",
-                           "locator" : "49:59-49:79",
+                           "localId" : "3536",
+                           "locator" : "50:96-50:132",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Free T4 (Thyroxine)",
+                           "value" : "Gamma Glutamyl Transpeptidase (Ggt)",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "3349",
-                        "locator" : "50:5-50:133",
+                        "localId" : "3631",
+                        "locator" : "51:5-51:93",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "3385",
+                           "localId" : "3667",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "3386",
+                              "localId" : "3668",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "3387",
+                                 "localId" : "3669",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3388",
+                              "localId" : "3670",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "3389",
+                                 "localId" : "3671",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3390",
+                              "localId" : "3672",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "3391",
+                                 "localId" : "3673",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3392",
+                              "localId" : "3674",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "3393",
+                                 "localId" : "3675",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3394",
+                              "localId" : "3676",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "3395",
+                                 "localId" : "3677",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3396",
+                              "localId" : "3678",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "3397",
+                                 "localId" : "3679",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3398",
+                              "localId" : "3680",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "3399",
+                                 "localId" : "3681",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3400",
+                              "localId" : "3682",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "3401",
+                                 "localId" : "3683",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3402",
+                              "localId" : "3684",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "3403",
+                                 "localId" : "3685",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3404",
+                              "localId" : "3686",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "3405",
+                                 "localId" : "3687",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3406",
+                              "localId" : "3688",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "3407",
+                                 "localId" : "3689",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3408",
+                                    "localId" : "3690",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "3409",
+                              "localId" : "3691",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "3410",
+                                 "localId" : "3692",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3411",
+                                    "localId" : "3693",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "3412",
+                                       "localId" : "3694",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "3413",
+                                          "localId" : "3695",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3414",
+                                             "localId" : "3696",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "3415",
+                                       "localId" : "3697",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "3416",
+                                          "localId" : "3698",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3417",
+                                             "localId" : "3699",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -16915,10 +18095,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "3418",
+                              "localId" : "3700",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "3419",
+                                 "localId" : "3701",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -16926,157 +18106,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3345",
-                           "locator" : "50:31-50:93",
-                           "name" : "Gamma Glutamyl Transpeptidase (Ggt) in blood, serum or plasma",
+                           "localId" : "3627",
+                           "locator" : "51:31-51:60",
+                           "name" : "Gastric Tissue Biopsy Report",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "3346",
+                              "localId" : "3628",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "3347",
+                                 "localId" : "3629",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "3348",
-                           "locator" : "50:96-50:132",
+                           "localId" : "3630",
+                           "locator" : "51:63-51:92",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Gamma Glutamyl Transpeptidase (Ggt)",
+                           "value" : "Gastric Tissue Biopsy Report",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "3443",
-                        "locator" : "51:5-51:93",
+                        "localId" : "3725",
+                        "locator" : "52:5-52:84",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "3479",
+                           "localId" : "3761",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "3480",
+                              "localId" : "3762",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "3481",
+                                 "localId" : "3763",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3482",
+                              "localId" : "3764",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "3483",
+                                 "localId" : "3765",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3484",
+                              "localId" : "3766",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "3485",
+                                 "localId" : "3767",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3486",
+                              "localId" : "3768",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "3487",
+                                 "localId" : "3769",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3488",
+                              "localId" : "3770",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "3489",
+                                 "localId" : "3771",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3490",
+                              "localId" : "3772",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "3491",
+                                 "localId" : "3773",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3492",
+                              "localId" : "3774",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "3493",
+                                 "localId" : "3775",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3494",
+                              "localId" : "3776",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "3495",
+                                 "localId" : "3777",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3496",
+                              "localId" : "3778",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "3497",
+                                 "localId" : "3779",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3498",
+                              "localId" : "3780",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "3499",
+                                 "localId" : "3781",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3500",
+                              "localId" : "3782",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "3501",
+                                 "localId" : "3783",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3502",
+                                    "localId" : "3784",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "3503",
+                              "localId" : "3785",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "3504",
+                                 "localId" : "3786",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3505",
+                                    "localId" : "3787",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "3506",
+                                       "localId" : "3788",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "3507",
+                                          "localId" : "3789",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3508",
+                                             "localId" : "3790",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "3509",
+                                       "localId" : "3791",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "3510",
+                                          "localId" : "3792",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3511",
+                                             "localId" : "3793",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -17085,10 +18265,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "3512",
+                              "localId" : "3794",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "3513",
+                                 "localId" : "3795",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -17096,157 +18276,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3439",
-                           "locator" : "51:31-51:60",
-                           "name" : "Gastric Tissue Biopsy Report",
+                           "localId" : "3721",
+                           "locator" : "52:31-52:62",
+                           "name" : "Glucose Tolerance Test Results",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "3440",
+                              "localId" : "3722",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "3441",
+                                 "localId" : "3723",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "3442",
-                           "locator" : "51:63-51:92",
+                           "localId" : "3724",
+                           "locator" : "52:65-52:83",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Gastric Tissue Biopsy Report",
+                           "value" : "Glucose Tolerance",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "3537",
-                        "locator" : "52:5-52:84",
+                        "localId" : "3819",
+                        "locator" : "53:5-53:57",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "3573",
+                           "localId" : "3855",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "3574",
+                              "localId" : "3856",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "3575",
+                                 "localId" : "3857",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3576",
+                              "localId" : "3858",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "3577",
+                                 "localId" : "3859",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3578",
+                              "localId" : "3860",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "3579",
+                                 "localId" : "3861",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3580",
+                              "localId" : "3862",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "3581",
+                                 "localId" : "3863",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3582",
+                              "localId" : "3864",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "3583",
+                                 "localId" : "3865",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3584",
+                              "localId" : "3866",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "3585",
+                                 "localId" : "3867",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3586",
+                              "localId" : "3868",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "3587",
+                                 "localId" : "3869",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3588",
+                              "localId" : "3870",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "3589",
+                                 "localId" : "3871",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3590",
+                              "localId" : "3872",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "3591",
+                                 "localId" : "3873",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3592",
+                              "localId" : "3874",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "3593",
+                                 "localId" : "3875",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3594",
+                              "localId" : "3876",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "3595",
+                                 "localId" : "3877",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3596",
+                                    "localId" : "3878",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "3597",
+                              "localId" : "3879",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "3598",
+                                 "localId" : "3880",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3599",
+                                    "localId" : "3881",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "3600",
+                                       "localId" : "3882",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "3601",
+                                          "localId" : "3883",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3602",
+                                             "localId" : "3884",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "3603",
+                                       "localId" : "3885",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "3604",
+                                          "localId" : "3886",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3605",
+                                             "localId" : "3887",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -17255,10 +18435,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "3606",
+                              "localId" : "3888",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "3607",
+                                 "localId" : "3889",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -17266,157 +18446,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3533",
-                           "locator" : "52:31-52:62",
-                           "name" : "Glucose Tolerance Test Results",
+                           "localId" : "3815",
+                           "locator" : "53:31-53:42",
+                           "name" : "Hematocrit",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "3534",
+                              "localId" : "3816",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "3535",
+                                 "localId" : "3817",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "3536",
-                           "locator" : "52:65-52:83",
+                           "localId" : "3818",
+                           "locator" : "53:45-53:56",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Glucose Tolerance",
+                           "value" : "Hematocrit",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "3631",
-                        "locator" : "53:5-53:57",
+                        "localId" : "3913",
+                        "locator" : "54:5-54:57",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "3667",
+                           "localId" : "3949",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "3668",
+                              "localId" : "3950",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "3669",
+                                 "localId" : "3951",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3670",
+                              "localId" : "3952",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "3671",
+                                 "localId" : "3953",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3672",
+                              "localId" : "3954",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "3673",
+                                 "localId" : "3955",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3674",
+                              "localId" : "3956",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "3675",
+                                 "localId" : "3957",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3676",
+                              "localId" : "3958",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "3677",
+                                 "localId" : "3959",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3678",
+                              "localId" : "3960",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "3679",
+                                 "localId" : "3961",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3680",
+                              "localId" : "3962",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "3681",
+                                 "localId" : "3963",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3682",
+                              "localId" : "3964",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "3683",
+                                 "localId" : "3965",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3684",
+                              "localId" : "3966",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "3685",
+                                 "localId" : "3967",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3686",
+                              "localId" : "3968",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "3687",
+                                 "localId" : "3969",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3688",
+                              "localId" : "3970",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "3689",
+                                 "localId" : "3971",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3690",
+                                    "localId" : "3972",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "3691",
+                              "localId" : "3973",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "3692",
+                                 "localId" : "3974",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3693",
+                                    "localId" : "3975",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "3694",
+                                       "localId" : "3976",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "3695",
+                                          "localId" : "3977",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3696",
+                                             "localId" : "3978",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "3697",
+                                       "localId" : "3979",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "3698",
+                                          "localId" : "3980",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3699",
+                                             "localId" : "3981",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -17425,10 +18605,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "3700",
+                              "localId" : "3982",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "3701",
+                                 "localId" : "3983",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -17436,157 +18616,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3627",
-                           "locator" : "53:31-53:42",
-                           "name" : "Hematocrit",
+                           "localId" : "3909",
+                           "locator" : "54:31-54:42",
+                           "name" : "Hemoglobin",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "3628",
+                              "localId" : "3910",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "3629",
+                                 "localId" : "3911",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "3630",
-                           "locator" : "53:45-53:56",
+                           "localId" : "3912",
+                           "locator" : "54:45-54:56",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Hematocrit",
+                           "value" : "Hemoglobin",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "3725",
-                        "locator" : "54:5-54:57",
+                        "localId" : "4007",
+                        "locator" : "55:5-55:67",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "3761",
+                           "localId" : "4043",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "3762",
+                              "localId" : "4044",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "3763",
+                                 "localId" : "4045",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3764",
+                              "localId" : "4046",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "3765",
+                                 "localId" : "4047",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3766",
+                              "localId" : "4048",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "3767",
+                                 "localId" : "4049",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3768",
+                              "localId" : "4050",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "3769",
+                                 "localId" : "4051",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3770",
+                              "localId" : "4052",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "3771",
+                                 "localId" : "4053",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3772",
+                              "localId" : "4054",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "3773",
+                                 "localId" : "4055",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3774",
+                              "localId" : "4056",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "3775",
+                                 "localId" : "4057",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3776",
+                              "localId" : "4058",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "3777",
+                                 "localId" : "4059",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3778",
+                              "localId" : "4060",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "3779",
+                                 "localId" : "4061",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3780",
+                              "localId" : "4062",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "3781",
+                                 "localId" : "4063",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3782",
+                              "localId" : "4064",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "3783",
+                                 "localId" : "4065",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3784",
+                                    "localId" : "4066",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "3785",
+                              "localId" : "4067",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "3786",
+                                 "localId" : "4068",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3787",
+                                    "localId" : "4069",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "3788",
+                                       "localId" : "4070",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "3789",
+                                          "localId" : "4071",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3790",
+                                             "localId" : "4072",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "3791",
+                                       "localId" : "4073",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "3792",
+                                          "localId" : "4074",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3793",
+                                             "localId" : "4075",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -17595,10 +18775,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "3794",
+                              "localId" : "4076",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "3795",
+                                 "localId" : "4077",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -17606,157 +18786,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3721",
-                           "locator" : "54:31-54:42",
-                           "name" : "Hemoglobin",
+                           "localId" : "4003",
+                           "locator" : "55:31-55:46",
+                           "name" : "Hemoglobin A1C",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "3722",
+                              "localId" : "4004",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "3723",
+                                 "localId" : "4005",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "3724",
-                           "locator" : "54:45-54:56",
+                           "localId" : "4006",
+                           "locator" : "55:49-55:66",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Hemoglobin",
+                           "value" : "Hemoglobin A1c %",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "3819",
-                        "locator" : "55:5-55:67",
+                        "localId" : "4101",
+                        "locator" : "56:5-56:76",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "3855",
+                           "localId" : "4137",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "3856",
+                              "localId" : "4138",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "3857",
+                                 "localId" : "4139",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3858",
+                              "localId" : "4140",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "3859",
+                                 "localId" : "4141",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3860",
+                              "localId" : "4142",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "3861",
+                                 "localId" : "4143",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3862",
+                              "localId" : "4144",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "3863",
+                                 "localId" : "4145",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3864",
+                              "localId" : "4146",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "3865",
+                                 "localId" : "4147",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3866",
+                              "localId" : "4148",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "3867",
+                                 "localId" : "4149",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3868",
+                              "localId" : "4150",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "3869",
+                                 "localId" : "4151",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3870",
+                              "localId" : "4152",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "3871",
+                                 "localId" : "4153",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3872",
+                              "localId" : "4154",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "3873",
+                                 "localId" : "4155",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3874",
+                              "localId" : "4156",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "3875",
+                                 "localId" : "4157",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3876",
+                              "localId" : "4158",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "3877",
+                                 "localId" : "4159",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3878",
+                                    "localId" : "4160",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "3879",
+                              "localId" : "4161",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "3880",
+                                 "localId" : "4162",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3881",
+                                    "localId" : "4163",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "3882",
+                                       "localId" : "4164",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "3883",
+                                          "localId" : "4165",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3884",
+                                             "localId" : "4166",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "3885",
+                                       "localId" : "4167",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "3886",
+                                          "localId" : "4168",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3887",
+                                             "localId" : "4169",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -17765,10 +18945,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "3888",
+                              "localId" : "4170",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "3889",
+                                 "localId" : "4171",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -17776,157 +18956,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3815",
-                           "locator" : "55:31-55:46",
-                           "name" : "Hemoglobin A1C",
+                           "localId" : "4097",
+                           "locator" : "56:31-56:56",
+                           "name" : "High Density Lipoprotein",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "3816",
+                              "localId" : "4098",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "3817",
+                                 "localId" : "4099",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "3818",
-                           "locator" : "55:49-55:66",
+                           "localId" : "4100",
+                           "locator" : "56:59-56:75",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Hemoglobin A1c %",
+                           "value" : "HDL Cholesterol",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "3913",
-                        "locator" : "56:5-56:76",
+                        "localId" : "4195",
+                        "locator" : "57:5-57:87",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "3949",
+                           "localId" : "4231",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "3950",
+                              "localId" : "4232",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "3951",
+                                 "localId" : "4233",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3952",
+                              "localId" : "4234",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "3953",
+                                 "localId" : "4235",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3954",
+                              "localId" : "4236",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "3955",
+                                 "localId" : "4237",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3956",
+                              "localId" : "4238",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "3957",
+                                 "localId" : "4239",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3958",
+                              "localId" : "4240",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "3959",
+                                 "localId" : "4241",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3960",
+                              "localId" : "4242",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "3961",
+                                 "localId" : "4243",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3962",
+                              "localId" : "4244",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "3963",
+                                 "localId" : "4245",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3964",
+                              "localId" : "4246",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "3965",
+                                 "localId" : "4247",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3966",
+                              "localId" : "4248",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "3967",
+                                 "localId" : "4249",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3968",
+                              "localId" : "4250",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "3969",
+                                 "localId" : "4251",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "3970",
+                              "localId" : "4252",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "3971",
+                                 "localId" : "4253",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3972",
+                                    "localId" : "4254",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "3973",
+                              "localId" : "4255",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "3974",
+                                 "localId" : "4256",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "3975",
+                                    "localId" : "4257",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "3976",
+                                       "localId" : "4258",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "3977",
+                                          "localId" : "4259",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3978",
+                                             "localId" : "4260",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "3979",
+                                       "localId" : "4261",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "3980",
+                                          "localId" : "4262",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "3981",
+                                             "localId" : "4263",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -17935,10 +19115,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "3982",
+                              "localId" : "4264",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "3983",
+                                 "localId" : "4265",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -17946,157 +19126,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "3909",
-                           "locator" : "56:31-56:56",
-                           "name" : "High Density Lipoprotein",
+                           "localId" : "4191",
+                           "locator" : "57:31-57:57",
+                           "name" : "High Sensitivity Troponin",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "3910",
+                              "localId" : "4192",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "3911",
+                                 "localId" : "4193",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "3912",
-                           "locator" : "56:59-56:75",
+                           "localId" : "4194",
+                           "locator" : "57:60-57:86",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "HDL Cholesterol",
+                           "value" : "High Sensitivity Troponin",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "4007",
-                        "locator" : "57:5-57:87",
+                        "localId" : "4289",
+                        "locator" : "58:5-58:43",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "4043",
+                           "localId" : "4325",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "4044",
+                              "localId" : "4326",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "4045",
+                                 "localId" : "4327",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4046",
+                              "localId" : "4328",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "4047",
+                                 "localId" : "4329",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4048",
+                              "localId" : "4330",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "4049",
+                                 "localId" : "4331",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4050",
+                              "localId" : "4332",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "4051",
+                                 "localId" : "4333",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4052",
+                              "localId" : "4334",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "4053",
+                                 "localId" : "4335",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4054",
+                              "localId" : "4336",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "4055",
+                                 "localId" : "4337",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4056",
+                              "localId" : "4338",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "4057",
+                                 "localId" : "4339",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4058",
+                              "localId" : "4340",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "4059",
+                                 "localId" : "4341",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4060",
+                              "localId" : "4342",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "4061",
+                                 "localId" : "4343",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4062",
+                              "localId" : "4344",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "4063",
+                                 "localId" : "4345",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4064",
+                              "localId" : "4346",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "4065",
+                                 "localId" : "4347",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4066",
+                                    "localId" : "4348",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "4067",
+                              "localId" : "4349",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "4068",
+                                 "localId" : "4350",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4069",
+                                    "localId" : "4351",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "4070",
+                                       "localId" : "4352",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "4071",
+                                          "localId" : "4353",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4072",
+                                             "localId" : "4354",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "4073",
+                                       "localId" : "4355",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "4074",
+                                          "localId" : "4356",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4075",
+                                             "localId" : "4357",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -18105,10 +19285,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "4076",
+                              "localId" : "4358",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "4077",
+                                 "localId" : "4359",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -18116,157 +19296,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "4003",
-                           "locator" : "57:31-57:57",
-                           "name" : "High Sensitivity Troponin",
+                           "localId" : "4285",
+                           "locator" : "58:31-58:35",
+                           "name" : "INR",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "4004",
+                              "localId" : "4286",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "4005",
+                                 "localId" : "4287",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "4006",
-                           "locator" : "57:60-57:86",
+                           "localId" : "4288",
+                           "locator" : "58:38-58:42",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "High Sensitivity Troponin",
+                           "value" : "INR",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "4101",
-                        "locator" : "58:5-58:43",
+                        "localId" : "4383",
+                        "locator" : "59:5-59:89",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "4137",
+                           "localId" : "4419",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "4138",
+                              "localId" : "4420",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "4139",
+                                 "localId" : "4421",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4140",
+                              "localId" : "4422",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "4141",
+                                 "localId" : "4423",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4142",
+                              "localId" : "4424",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "4143",
+                                 "localId" : "4425",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4144",
+                              "localId" : "4426",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "4145",
+                                 "localId" : "4427",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4146",
+                              "localId" : "4428",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "4147",
+                                 "localId" : "4429",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4148",
+                              "localId" : "4430",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "4149",
+                                 "localId" : "4431",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4150",
+                              "localId" : "4432",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "4151",
+                                 "localId" : "4433",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4152",
+                              "localId" : "4434",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "4153",
+                                 "localId" : "4435",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4154",
+                              "localId" : "4436",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "4155",
+                                 "localId" : "4437",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4156",
+                              "localId" : "4438",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "4157",
+                                 "localId" : "4439",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4158",
+                              "localId" : "4440",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "4159",
+                                 "localId" : "4441",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4160",
+                                    "localId" : "4442",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "4161",
+                              "localId" : "4443",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "4162",
+                                 "localId" : "4444",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4163",
+                                    "localId" : "4445",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "4164",
+                                       "localId" : "4446",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "4165",
+                                          "localId" : "4447",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4166",
+                                             "localId" : "4448",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "4167",
+                                       "localId" : "4449",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "4168",
+                                          "localId" : "4450",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4169",
+                                             "localId" : "4451",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -18275,10 +19455,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "4170",
+                              "localId" : "4452",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "4171",
+                                 "localId" : "4453",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -18286,157 +19466,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "4097",
-                           "locator" : "58:31-58:35",
-                           "name" : "INR",
+                           "localId" : "4379",
+                           "locator" : "59:31-59:58",
+                           "name" : "Intact Parathyroid Hormone",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "4098",
+                              "localId" : "4380",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "4099",
+                                 "localId" : "4381",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "4100",
-                           "locator" : "58:38-58:42",
+                           "localId" : "4382",
+                           "locator" : "59:61-59:88",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "INR",
+                           "value" : "Intact Parathyroid Hormone",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "4195",
-                        "locator" : "59:5-59:89",
+                        "localId" : "4477",
+                        "locator" : "60:5-60:97",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "4231",
+                           "localId" : "4513",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "4232",
+                              "localId" : "4514",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "4233",
+                                 "localId" : "4515",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4234",
+                              "localId" : "4516",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "4235",
+                                 "localId" : "4517",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4236",
+                              "localId" : "4518",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "4237",
+                                 "localId" : "4519",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4238",
+                              "localId" : "4520",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "4239",
+                                 "localId" : "4521",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4240",
+                              "localId" : "4522",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "4241",
+                                 "localId" : "4523",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4242",
+                              "localId" : "4524",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "4243",
+                                 "localId" : "4525",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4244",
+                              "localId" : "4526",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "4245",
+                                 "localId" : "4527",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4246",
+                              "localId" : "4528",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "4247",
+                                 "localId" : "4529",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4248",
+                              "localId" : "4530",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "4249",
+                                 "localId" : "4531",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4250",
+                              "localId" : "4532",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "4251",
+                                 "localId" : "4533",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4252",
+                              "localId" : "4534",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "4253",
+                                 "localId" : "4535",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4254",
+                                    "localId" : "4536",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "4255",
+                              "localId" : "4537",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "4256",
+                                 "localId" : "4538",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4257",
+                                    "localId" : "4539",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "4258",
+                                       "localId" : "4540",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "4259",
+                                          "localId" : "4541",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4260",
+                                             "localId" : "4542",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "4261",
+                                       "localId" : "4543",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "4262",
+                                          "localId" : "4544",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4263",
+                                             "localId" : "4545",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -18445,10 +19625,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "4264",
+                              "localId" : "4546",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "4265",
+                                 "localId" : "4547",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -18456,157 +19636,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "4191",
-                           "locator" : "59:31-59:58",
-                           "name" : "Intact Parathyroid Hormone",
+                           "localId" : "4473",
+                           "locator" : "60:31-60:77",
+                           "name" : "Iron Saturation (Transferrin Saturation/TSAT)",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "4192",
+                              "localId" : "4474",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "4193",
+                                 "localId" : "4475",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "4194",
-                           "locator" : "59:61-59:88",
+                           "localId" : "4476",
+                           "locator" : "60:80-60:96",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Intact Parathyroid Hormone",
+                           "value" : "Iron Saturation",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "4289",
-                        "locator" : "60:5-60:97",
+                        "localId" : "4571",
+                        "locator" : "61:5-61:77",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "4325",
+                           "localId" : "4607",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "4326",
+                              "localId" : "4608",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "4327",
+                                 "localId" : "4609",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4328",
+                              "localId" : "4610",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "4329",
+                                 "localId" : "4611",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4330",
+                              "localId" : "4612",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "4331",
+                                 "localId" : "4613",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4332",
+                              "localId" : "4614",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "4333",
+                                 "localId" : "4615",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4334",
+                              "localId" : "4616",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "4335",
+                                 "localId" : "4617",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4336",
+                              "localId" : "4618",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "4337",
+                                 "localId" : "4619",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4338",
+                              "localId" : "4620",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "4339",
+                                 "localId" : "4621",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4340",
+                              "localId" : "4622",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "4341",
+                                 "localId" : "4623",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4342",
+                              "localId" : "4624",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "4343",
+                                 "localId" : "4625",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4344",
+                              "localId" : "4626",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "4345",
+                                 "localId" : "4627",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4346",
+                              "localId" : "4628",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "4347",
+                                 "localId" : "4629",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4348",
+                                    "localId" : "4630",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "4349",
+                              "localId" : "4631",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "4350",
+                                 "localId" : "4632",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4351",
+                                    "localId" : "4633",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "4352",
+                                       "localId" : "4634",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "4353",
+                                          "localId" : "4635",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4354",
+                                             "localId" : "4636",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "4355",
+                                       "localId" : "4637",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "4356",
+                                          "localId" : "4638",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4357",
+                                             "localId" : "4639",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -18615,10 +19795,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "4358",
+                              "localId" : "4640",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "4359",
+                                 "localId" : "4641",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -18626,157 +19806,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "4285",
-                           "locator" : "60:31-60:77",
-                           "name" : "Iron Saturation (Transferrin Saturation/TSAT)",
+                           "localId" : "4567",
+                           "locator" : "61:31-61:52",
+                           "name" : "Kidney Biopsy Report",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "4286",
+                              "localId" : "4568",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "4287",
+                                 "localId" : "4569",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "4288",
-                           "locator" : "60:80-60:96",
+                           "localId" : "4570",
+                           "locator" : "61:55-61:76",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Iron Saturation",
+                           "value" : "Kidney Biopsy Report",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "4383",
+                        "localId" : "4665",
                         "locator" : "62:5-62:83",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "4419",
+                           "localId" : "4701",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "4420",
+                              "localId" : "4702",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "4421",
+                                 "localId" : "4703",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4422",
+                              "localId" : "4704",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "4423",
+                                 "localId" : "4705",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4424",
+                              "localId" : "4706",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "4425",
+                                 "localId" : "4707",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4426",
+                              "localId" : "4708",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "4427",
+                                 "localId" : "4709",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4428",
+                              "localId" : "4710",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "4429",
+                                 "localId" : "4711",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4430",
+                              "localId" : "4712",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "4431",
+                                 "localId" : "4713",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4432",
+                              "localId" : "4714",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "4433",
+                                 "localId" : "4715",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4434",
+                              "localId" : "4716",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "4435",
+                                 "localId" : "4717",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4436",
+                              "localId" : "4718",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "4437",
+                                 "localId" : "4719",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4438",
+                              "localId" : "4720",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "4439",
+                                 "localId" : "4721",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4440",
+                              "localId" : "4722",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "4441",
+                                 "localId" : "4723",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4442",
+                                    "localId" : "4724",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "4443",
+                              "localId" : "4725",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "4444",
+                                 "localId" : "4726",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4445",
+                                    "localId" : "4727",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "4446",
+                                       "localId" : "4728",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "4447",
+                                          "localId" : "4729",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4448",
+                                             "localId" : "4730",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "4449",
+                                       "localId" : "4731",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "4450",
+                                          "localId" : "4732",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4451",
+                                             "localId" : "4733",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -18785,10 +19965,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "4452",
+                              "localId" : "4734",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "4453",
+                                 "localId" : "4735",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -18796,21 +19976,21 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "4379",
+                           "localId" : "4661",
                            "locator" : "62:31-62:55",
                            "name" : "KT/V Hemodialysis Ratio",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "4380",
+                              "localId" : "4662",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "4381",
+                                 "localId" : "4663",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "4382",
+                           "localId" : "4664",
                            "locator" : "62:58-62:82",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -18818,135 +19998,135 @@
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "4477",
+                        "localId" : "4759",
                         "locator" : "63:5-63:75",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "4513",
+                           "localId" : "4795",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "4514",
+                              "localId" : "4796",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "4515",
+                                 "localId" : "4797",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4516",
+                              "localId" : "4798",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "4517",
+                                 "localId" : "4799",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4518",
+                              "localId" : "4800",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "4519",
+                                 "localId" : "4801",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4520",
+                              "localId" : "4802",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "4521",
+                                 "localId" : "4803",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4522",
+                              "localId" : "4804",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "4523",
+                                 "localId" : "4805",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4524",
+                              "localId" : "4806",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "4525",
+                                 "localId" : "4807",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4526",
+                              "localId" : "4808",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "4527",
+                                 "localId" : "4809",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4528",
+                              "localId" : "4810",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "4529",
+                                 "localId" : "4811",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4530",
+                              "localId" : "4812",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "4531",
+                                 "localId" : "4813",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4532",
+                              "localId" : "4814",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "4533",
+                                 "localId" : "4815",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4534",
+                              "localId" : "4816",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "4535",
+                                 "localId" : "4817",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4536",
+                                    "localId" : "4818",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "4537",
+                              "localId" : "4819",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "4538",
+                                 "localId" : "4820",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4539",
+                                    "localId" : "4821",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "4540",
+                                       "localId" : "4822",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "4541",
+                                          "localId" : "4823",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4542",
+                                             "localId" : "4824",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "4543",
+                                       "localId" : "4825",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "4544",
+                                          "localId" : "4826",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4545",
+                                             "localId" : "4827",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -18955,10 +20135,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "4546",
+                              "localId" : "4828",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "4547",
+                                 "localId" : "4829",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -18966,21 +20146,21 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "4473",
+                           "localId" : "4755",
                            "locator" : "63:31-63:55",
                            "name" : "Low Density Lipoprotein",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "4474",
+                              "localId" : "4756",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "4475",
+                                 "localId" : "4757",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "4476",
+                           "localId" : "4758",
                            "locator" : "63:58-63:74",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -18988,135 +20168,135 @@
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "4571",
+                        "localId" : "4853",
                         "locator" : "64:5-64:119",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "4607",
+                           "localId" : "4889",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "4608",
+                              "localId" : "4890",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "4609",
+                                 "localId" : "4891",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4610",
+                              "localId" : "4892",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "4611",
+                                 "localId" : "4893",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4612",
+                              "localId" : "4894",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "4613",
+                                 "localId" : "4895",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4614",
+                              "localId" : "4896",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "4615",
+                                 "localId" : "4897",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4616",
+                              "localId" : "4898",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "4617",
+                                 "localId" : "4899",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4618",
+                              "localId" : "4900",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "4619",
+                                 "localId" : "4901",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4620",
+                              "localId" : "4902",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "4621",
+                                 "localId" : "4903",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4622",
+                              "localId" : "4904",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "4623",
+                                 "localId" : "4905",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4624",
+                              "localId" : "4906",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "4625",
+                                 "localId" : "4907",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4626",
+                              "localId" : "4908",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "4627",
+                                 "localId" : "4909",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4628",
+                              "localId" : "4910",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "4629",
+                                 "localId" : "4911",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4630",
+                                    "localId" : "4912",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "4631",
+                              "localId" : "4913",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "4632",
+                                 "localId" : "4914",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4633",
+                                    "localId" : "4915",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "4634",
+                                       "localId" : "4916",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "4635",
+                                          "localId" : "4917",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4636",
+                                             "localId" : "4918",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "4637",
+                                       "localId" : "4919",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "4638",
+                                          "localId" : "4920",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4639",
+                                             "localId" : "4921",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -19125,10 +20305,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "4640",
+                              "localId" : "4922",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "4641",
+                                 "localId" : "4923",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -19136,21 +20316,21 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "4567",
+                           "localId" : "4849",
                            "locator" : "64:31-64:73",
                            "name" : "Mean Corpuscular Hemoglobin Concentration",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "4568",
+                              "localId" : "4850",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "4569",
+                                 "localId" : "4851",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "4570",
+                           "localId" : "4852",
                            "locator" : "64:76-64:118",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -19158,135 +20338,135 @@
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "4665",
+                        "localId" : "4947",
                         "locator" : "65:5-65:83",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "4701",
+                           "localId" : "4983",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "4702",
+                              "localId" : "4984",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "4703",
+                                 "localId" : "4985",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4704",
+                              "localId" : "4986",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "4705",
+                                 "localId" : "4987",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4706",
+                              "localId" : "4988",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "4707",
+                                 "localId" : "4989",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4708",
+                              "localId" : "4990",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "4709",
+                                 "localId" : "4991",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4710",
+                              "localId" : "4992",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "4711",
+                                 "localId" : "4993",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4712",
+                              "localId" : "4994",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "4713",
+                                 "localId" : "4995",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4714",
+                              "localId" : "4996",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "4715",
+                                 "localId" : "4997",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4716",
+                              "localId" : "4998",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "4717",
+                                 "localId" : "4999",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4718",
+                              "localId" : "5000",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "4719",
+                                 "localId" : "5001",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4720",
+                              "localId" : "5002",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "4721",
+                                 "localId" : "5003",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4722",
+                              "localId" : "5004",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "4723",
+                                 "localId" : "5005",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4724",
+                                    "localId" : "5006",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "4725",
+                              "localId" : "5007",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "4726",
+                                 "localId" : "5008",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4727",
+                                    "localId" : "5009",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "4728",
+                                       "localId" : "5010",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "4729",
+                                          "localId" : "5011",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4730",
+                                             "localId" : "5012",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "4731",
+                                       "localId" : "5013",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "4732",
+                                          "localId" : "5014",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4733",
+                                             "localId" : "5015",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -19295,10 +20475,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "4734",
+                              "localId" : "5016",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "4735",
+                                 "localId" : "5017",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -19306,21 +20486,21 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "4661",
+                           "localId" : "4943",
                            "locator" : "65:31-65:55",
                            "name" : "Mean Corpuscular Volume",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "4662",
+                              "localId" : "4944",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "4663",
+                                 "localId" : "4945",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "4664",
+                           "localId" : "4946",
                            "locator" : "65:58-65:82",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -19328,135 +20508,135 @@
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "4759",
+                        "localId" : "5041",
                         "locator" : "66:5-66:119",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "4795",
+                           "localId" : "5077",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "4796",
+                              "localId" : "5078",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "4797",
+                                 "localId" : "5079",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4798",
+                              "localId" : "5080",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "4799",
+                                 "localId" : "5081",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4800",
+                              "localId" : "5082",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "4801",
+                                 "localId" : "5083",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4802",
+                              "localId" : "5084",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "4803",
+                                 "localId" : "5085",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4804",
+                              "localId" : "5086",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "4805",
+                                 "localId" : "5087",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4806",
+                              "localId" : "5088",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "4807",
+                                 "localId" : "5089",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4808",
+                              "localId" : "5090",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "4809",
+                                 "localId" : "5091",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4810",
+                              "localId" : "5092",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "4811",
+                                 "localId" : "5093",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4812",
+                              "localId" : "5094",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "4813",
+                                 "localId" : "5095",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4814",
+                              "localId" : "5096",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "4815",
+                                 "localId" : "5097",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4816",
+                              "localId" : "5098",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "4817",
+                                 "localId" : "5099",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4818",
+                                    "localId" : "5100",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "4819",
+                              "localId" : "5101",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "4820",
+                                 "localId" : "5102",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4821",
+                                    "localId" : "5103",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "4822",
+                                       "localId" : "5104",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "4823",
+                                          "localId" : "5105",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4824",
+                                             "localId" : "5106",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "4825",
+                                       "localId" : "5107",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "4826",
+                                          "localId" : "5108",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4827",
+                                             "localId" : "5109",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -19465,10 +20645,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "4828",
+                              "localId" : "5110",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "4829",
+                                 "localId" : "5111",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -19476,21 +20656,21 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "4755",
+                           "localId" : "5037",
                            "locator" : "66:31-66:73",
                            "name" : "Microorganisms Detection by Blood Culture",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "4756",
+                              "localId" : "5038",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "4757",
+                                 "localId" : "5039",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "4758",
+                           "localId" : "5040",
                            "locator" : "66:76-66:118",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -19498,135 +20678,135 @@
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "4853",
+                        "localId" : "5135",
                         "locator" : "67:5-67:121",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "4889",
+                           "localId" : "5171",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "4890",
+                              "localId" : "5172",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "4891",
+                                 "localId" : "5173",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4892",
+                              "localId" : "5174",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "4893",
+                                 "localId" : "5175",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4894",
+                              "localId" : "5176",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "4895",
+                                 "localId" : "5177",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4896",
+                              "localId" : "5178",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "4897",
+                                 "localId" : "5179",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4898",
+                              "localId" : "5180",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "4899",
+                                 "localId" : "5181",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4900",
+                              "localId" : "5182",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "4901",
+                                 "localId" : "5183",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4902",
+                              "localId" : "5184",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "4903",
+                                 "localId" : "5185",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4904",
+                              "localId" : "5186",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "4905",
+                                 "localId" : "5187",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4906",
+                              "localId" : "5188",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "4907",
+                                 "localId" : "5189",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4908",
+                              "localId" : "5190",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "4909",
+                                 "localId" : "5191",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4910",
+                              "localId" : "5192",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "4911",
+                                 "localId" : "5193",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4912",
+                                    "localId" : "5194",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "4913",
+                              "localId" : "5195",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "4914",
+                                 "localId" : "5196",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "4915",
+                                    "localId" : "5197",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "4916",
+                                       "localId" : "5198",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "4917",
+                                          "localId" : "5199",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4918",
+                                             "localId" : "5200",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "4919",
+                                       "localId" : "5201",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "4920",
+                                          "localId" : "5202",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "4921",
+                                             "localId" : "5203",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -19635,10 +20815,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "4922",
+                              "localId" : "5204",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "4923",
+                                 "localId" : "5205",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -19646,21 +20826,21 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "4849",
+                           "localId" : "5131",
                            "locator" : "67:31-67:74",
                            "name" : "Microorganisms Detection by Sputum Culture",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "4850",
+                              "localId" : "5132",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "4851",
+                                 "localId" : "5133",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "4852",
+                           "localId" : "5134",
                            "locator" : "67:77-67:120",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -19668,135 +20848,135 @@
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "4947",
-                        "locator" : "69:5-69:157",
+                        "localId" : "5229",
+                        "locator" : "68:5-68:77",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "4983",
+                           "localId" : "5265",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "4984",
+                              "localId" : "5266",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "4985",
+                                 "localId" : "5267",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4986",
+                              "localId" : "5268",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "4987",
+                                 "localId" : "5269",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4988",
+                              "localId" : "5270",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "4989",
+                                 "localId" : "5271",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4990",
+                              "localId" : "5272",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "4991",
+                                 "localId" : "5273",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4992",
+                              "localId" : "5274",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "4993",
+                                 "localId" : "5275",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4994",
+                              "localId" : "5276",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "4995",
+                                 "localId" : "5277",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4996",
+                              "localId" : "5278",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "4997",
+                                 "localId" : "5279",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "4998",
+                              "localId" : "5280",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "4999",
+                                 "localId" : "5281",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5000",
+                              "localId" : "5282",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "5001",
+                                 "localId" : "5283",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5002",
+                              "localId" : "5284",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "5003",
+                                 "localId" : "5285",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5004",
+                              "localId" : "5286",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "5005",
+                                 "localId" : "5287",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5006",
+                                    "localId" : "5288",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "5007",
+                              "localId" : "5289",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "5008",
+                                 "localId" : "5290",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5009",
+                                    "localId" : "5291",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "5010",
+                                       "localId" : "5292",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "5011",
+                                          "localId" : "5293",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5012",
+                                             "localId" : "5294",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "5013",
+                                       "localId" : "5295",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "5014",
+                                          "localId" : "5296",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5015",
+                                             "localId" : "5297",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -19805,10 +20985,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "5016",
+                              "localId" : "5298",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "5017",
+                                 "localId" : "5299",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -19816,157 +20996,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "4943",
-                           "locator" : "69:31-69:111",
-                           "name" : "N Terminal Pro_B_Type Natriuretic Peptide [Nt_Probnp] in blood, serum or plasma",
+                           "localId" : "5225",
+                           "locator" : "68:31-68:52",
+                           "name" : "Muscle Biopsy Report",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "4944",
+                              "localId" : "5226",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "4945",
+                                 "localId" : "5227",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "4946",
-                           "locator" : "69:114-69:156",
+                           "localId" : "5228",
+                           "locator" : "68:55-68:76",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "N Terminal Pro_B_Type Natriuretic Peptide",
+                           "value" : "Muscle Biopsy Report",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5041",
-                        "locator" : "70:5-70:78",
+                        "localId" : "5323",
+                        "locator" : "69:5-69:157",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "5077",
+                           "localId" : "5359",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "5078",
+                              "localId" : "5360",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "5079",
+                                 "localId" : "5361",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5080",
+                              "localId" : "5362",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "5081",
+                                 "localId" : "5363",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5082",
+                              "localId" : "5364",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "5083",
+                                 "localId" : "5365",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5084",
+                              "localId" : "5366",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "5085",
+                                 "localId" : "5367",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5086",
+                              "localId" : "5368",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "5087",
+                                 "localId" : "5369",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5088",
+                              "localId" : "5370",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "5089",
+                                 "localId" : "5371",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5090",
+                              "localId" : "5372",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "5091",
+                                 "localId" : "5373",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5092",
+                              "localId" : "5374",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "5093",
+                                 "localId" : "5375",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5094",
+                              "localId" : "5376",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "5095",
+                                 "localId" : "5377",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5096",
+                              "localId" : "5378",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "5097",
+                                 "localId" : "5379",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5098",
+                              "localId" : "5380",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "5099",
+                                 "localId" : "5381",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5100",
+                                    "localId" : "5382",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "5101",
+                              "localId" : "5383",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "5102",
+                                 "localId" : "5384",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5103",
+                                    "localId" : "5385",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "5104",
+                                       "localId" : "5386",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "5105",
+                                          "localId" : "5387",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5106",
+                                             "localId" : "5388",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "5107",
+                                       "localId" : "5389",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "5108",
+                                          "localId" : "5390",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5109",
+                                             "localId" : "5391",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -19975,10 +21155,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "5110",
+                              "localId" : "5392",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "5111",
+                                 "localId" : "5393",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -19986,157 +21166,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5037",
-                           "locator" : "70:31-70:56",
-                           "name" : "Oxygen Saturation, Blood",
+                           "localId" : "5319",
+                           "locator" : "69:31-69:111",
+                           "name" : "N Terminal Pro_B_Type Natriuretic Peptide [Nt_Probnp] in blood, serum or plasma",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "5038",
+                              "localId" : "5320",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "5039",
+                                 "localId" : "5321",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "5040",
-                           "locator" : "70:59-70:77",
+                           "localId" : "5322",
+                           "locator" : "69:114-69:156",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Oxygen Saturation",
+                           "value" : "N Terminal Pro_B_Type Natriuretic Peptide",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5135",
-                        "locator" : "71:5-71:83",
+                        "localId" : "5417",
+                        "locator" : "70:5-70:78",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "5171",
+                           "localId" : "5453",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "5172",
+                              "localId" : "5454",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "5173",
+                                 "localId" : "5455",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5174",
+                              "localId" : "5456",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "5175",
+                                 "localId" : "5457",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5176",
+                              "localId" : "5458",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "5177",
+                                 "localId" : "5459",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5178",
+                              "localId" : "5460",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "5179",
+                                 "localId" : "5461",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5180",
+                              "localId" : "5462",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "5181",
+                                 "localId" : "5463",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5182",
+                              "localId" : "5464",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "5183",
+                                 "localId" : "5465",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5184",
+                              "localId" : "5466",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "5185",
+                                 "localId" : "5467",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5186",
+                              "localId" : "5468",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "5187",
+                                 "localId" : "5469",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5188",
+                              "localId" : "5470",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "5189",
+                                 "localId" : "5471",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5190",
+                              "localId" : "5472",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "5191",
+                                 "localId" : "5473",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5192",
+                              "localId" : "5474",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "5193",
+                                 "localId" : "5475",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5194",
+                                    "localId" : "5476",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "5195",
+                              "localId" : "5477",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "5196",
+                                 "localId" : "5478",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5197",
+                                    "localId" : "5479",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "5198",
+                                       "localId" : "5480",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "5199",
+                                          "localId" : "5481",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5200",
+                                             "localId" : "5482",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "5201",
+                                       "localId" : "5483",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "5202",
+                                          "localId" : "5484",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5203",
+                                             "localId" : "5485",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -20145,10 +21325,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "5204",
+                              "localId" : "5486",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "5205",
+                                 "localId" : "5487",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -20156,157 +21336,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5131",
-                           "locator" : "71:31-71:68",
-                           "name" : "Phosphorus in blood, serum or plasma",
+                           "localId" : "5413",
+                           "locator" : "70:31-70:56",
+                           "name" : "Oxygen Saturation, Blood",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "5132",
+                              "localId" : "5414",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "5133",
+                                 "localId" : "5415",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "5134",
-                           "locator" : "71:71-71:82",
+                           "localId" : "5416",
+                           "locator" : "70:59-70:77",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Phosphorus",
+                           "value" : "Oxygen Saturation",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5229",
-                        "locator" : "72:5-72:65",
+                        "localId" : "5511",
+                        "locator" : "71:5-71:83",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "5265",
+                           "localId" : "5547",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "5266",
+                              "localId" : "5548",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "5267",
+                                 "localId" : "5549",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5268",
+                              "localId" : "5550",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "5269",
+                                 "localId" : "5551",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5270",
+                              "localId" : "5552",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "5271",
+                                 "localId" : "5553",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5272",
+                              "localId" : "5554",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "5273",
+                                 "localId" : "5555",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5274",
+                              "localId" : "5556",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "5275",
+                                 "localId" : "5557",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5276",
+                              "localId" : "5558",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "5277",
+                                 "localId" : "5559",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5278",
+                              "localId" : "5560",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "5279",
+                                 "localId" : "5561",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5280",
+                              "localId" : "5562",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "5281",
+                                 "localId" : "5563",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5282",
+                              "localId" : "5564",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "5283",
+                                 "localId" : "5565",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5284",
+                              "localId" : "5566",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "5285",
+                                 "localId" : "5567",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5286",
+                              "localId" : "5568",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "5287",
+                                 "localId" : "5569",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5288",
+                                    "localId" : "5570",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "5289",
+                              "localId" : "5571",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "5290",
+                                 "localId" : "5572",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5291",
+                                    "localId" : "5573",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "5292",
+                                       "localId" : "5574",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "5293",
+                                          "localId" : "5575",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5294",
+                                             "localId" : "5576",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "5295",
+                                       "localId" : "5577",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "5296",
+                                          "localId" : "5578",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5297",
+                                             "localId" : "5579",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -20315,10 +21495,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "5298",
+                              "localId" : "5580",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "5299",
+                                 "localId" : "5581",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -20326,157 +21506,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5225",
-                           "locator" : "72:31-72:46",
-                           "name" : "Platelet Count",
+                           "localId" : "5507",
+                           "locator" : "71:31-71:68",
+                           "name" : "Phosphorus in blood, serum or plasma",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "5226",
+                              "localId" : "5508",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "5227",
+                                 "localId" : "5509",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "5228",
-                           "locator" : "72:49-72:64",
+                           "localId" : "5510",
+                           "locator" : "71:71-71:82",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Platelet Count",
+                           "value" : "Phosphorus",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5323",
-                        "locator" : "73:5-73:91",
+                        "localId" : "5605",
+                        "locator" : "72:5-72:65",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "5359",
+                           "localId" : "5641",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "5360",
+                              "localId" : "5642",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "5361",
+                                 "localId" : "5643",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5362",
+                              "localId" : "5644",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "5363",
+                                 "localId" : "5645",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5364",
+                              "localId" : "5646",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "5365",
+                                 "localId" : "5647",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5366",
+                              "localId" : "5648",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "5367",
+                                 "localId" : "5649",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5368",
+                              "localId" : "5650",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "5369",
+                                 "localId" : "5651",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5370",
+                              "localId" : "5652",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "5371",
+                                 "localId" : "5653",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5372",
+                              "localId" : "5654",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "5373",
+                                 "localId" : "5655",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5374",
+                              "localId" : "5656",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "5375",
+                                 "localId" : "5657",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5376",
+                              "localId" : "5658",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "5377",
+                                 "localId" : "5659",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5378",
+                              "localId" : "5660",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "5379",
+                                 "localId" : "5661",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5380",
+                              "localId" : "5662",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "5381",
+                                 "localId" : "5663",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5382",
+                                    "localId" : "5664",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "5383",
+                              "localId" : "5665",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "5384",
+                                 "localId" : "5666",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5385",
+                                    "localId" : "5667",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "5386",
+                                       "localId" : "5668",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "5387",
+                                          "localId" : "5669",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5388",
+                                             "localId" : "5670",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "5389",
+                                       "localId" : "5671",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "5390",
+                                          "localId" : "5672",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5391",
+                                             "localId" : "5673",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -20485,10 +21665,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "5392",
+                              "localId" : "5674",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "5393",
+                                 "localId" : "5675",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -20496,157 +21676,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5319",
-                           "locator" : "73:31-73:59",
-                           "name" : "Platelet Distribution Width",
+                           "localId" : "5601",
+                           "locator" : "72:31-72:46",
+                           "name" : "Platelet Count",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "5320",
+                              "localId" : "5602",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "5321",
+                                 "localId" : "5603",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "5322",
-                           "locator" : "73:62-73:90",
+                           "localId" : "5604",
+                           "locator" : "72:49-72:64",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Platelet Distribution Width",
+                           "value" : "Platelet Count",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5417",
-                        "locator" : "74:5-74:77",
+                        "localId" : "5699",
+                        "locator" : "73:5-73:91",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "5453",
+                           "localId" : "5735",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "5454",
+                              "localId" : "5736",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "5455",
+                                 "localId" : "5737",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5456",
+                              "localId" : "5738",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "5457",
+                                 "localId" : "5739",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5458",
+                              "localId" : "5740",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "5459",
+                                 "localId" : "5741",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5460",
+                              "localId" : "5742",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "5461",
+                                 "localId" : "5743",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5462",
+                              "localId" : "5744",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "5463",
+                                 "localId" : "5745",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5464",
+                              "localId" : "5746",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "5465",
+                                 "localId" : "5747",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5466",
+                              "localId" : "5748",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "5467",
+                                 "localId" : "5749",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5468",
+                              "localId" : "5750",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "5469",
+                                 "localId" : "5751",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5470",
+                              "localId" : "5752",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "5471",
+                                 "localId" : "5753",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5472",
+                              "localId" : "5754",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "5473",
+                                 "localId" : "5755",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5474",
+                              "localId" : "5756",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "5475",
+                                 "localId" : "5757",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5476",
+                                    "localId" : "5758",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "5477",
+                              "localId" : "5759",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "5478",
+                                 "localId" : "5760",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5479",
+                                    "localId" : "5761",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "5480",
+                                       "localId" : "5762",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "5481",
+                                          "localId" : "5763",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5482",
+                                             "localId" : "5764",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "5483",
+                                       "localId" : "5765",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "5484",
+                                          "localId" : "5766",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5485",
+                                             "localId" : "5767",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -20655,10 +21835,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "5486",
+                              "localId" : "5768",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "5487",
+                                 "localId" : "5769",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -20666,157 +21846,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5413",
-                           "locator" : "74:31-74:52",
-                           "name" : "Platelet Mean Volume",
+                           "localId" : "5695",
+                           "locator" : "73:31-73:59",
+                           "name" : "Platelet Distribution Width",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "5414",
+                              "localId" : "5696",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "5415",
+                                 "localId" : "5697",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "5416",
-                           "locator" : "74:55-74:76",
+                           "localId" : "5698",
+                           "locator" : "73:62-73:90",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Platelet Mean Volume",
+                           "value" : "Platelet Distribution Width",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5511",
-                        "locator" : "75:5-75:81",
+                        "localId" : "5793",
+                        "locator" : "74:5-74:77",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "5547",
+                           "localId" : "5829",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "5548",
+                              "localId" : "5830",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "5549",
+                                 "localId" : "5831",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5550",
+                              "localId" : "5832",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "5551",
+                                 "localId" : "5833",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5552",
+                              "localId" : "5834",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "5553",
+                                 "localId" : "5835",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5554",
+                              "localId" : "5836",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "5555",
+                                 "localId" : "5837",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5556",
+                              "localId" : "5838",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "5557",
+                                 "localId" : "5839",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5558",
+                              "localId" : "5840",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "5559",
+                                 "localId" : "5841",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5560",
+                              "localId" : "5842",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "5561",
+                                 "localId" : "5843",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5562",
+                              "localId" : "5844",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "5563",
+                                 "localId" : "5845",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5564",
+                              "localId" : "5846",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "5565",
+                                 "localId" : "5847",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5566",
+                              "localId" : "5848",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "5567",
+                                 "localId" : "5849",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5568",
+                              "localId" : "5850",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "5569",
+                                 "localId" : "5851",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5570",
+                                    "localId" : "5852",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "5571",
+                              "localId" : "5853",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "5572",
+                                 "localId" : "5854",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5573",
+                                    "localId" : "5855",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "5574",
+                                       "localId" : "5856",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "5575",
+                                          "localId" : "5857",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5576",
+                                             "localId" : "5858",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "5577",
+                                       "localId" : "5859",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "5578",
+                                          "localId" : "5860",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5579",
+                                             "localId" : "5861",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -20825,10 +22005,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "5580",
+                              "localId" : "5862",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "5581",
+                                 "localId" : "5863",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -20836,157 +22016,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5507",
-                           "locator" : "75:31-75:67",
-                           "name" : "Potassium in blood, serum or plasma",
+                           "localId" : "5789",
+                           "locator" : "74:31-74:52",
+                           "name" : "Platelet Mean Volume",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "5508",
+                              "localId" : "5790",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "5509",
+                                 "localId" : "5791",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "5510",
-                           "locator" : "75:70-75:80",
+                           "localId" : "5792",
+                           "locator" : "74:55-74:76",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Potassium",
+                           "value" : "Platelet Mean Volume",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5605",
-                        "locator" : "76:5-76:90",
+                        "localId" : "5887",
+                        "locator" : "75:5-75:81",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "5641",
+                           "localId" : "5923",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "5642",
+                              "localId" : "5924",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "5643",
+                                 "localId" : "5925",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5644",
+                              "localId" : "5926",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "5645",
+                                 "localId" : "5927",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5646",
+                              "localId" : "5928",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "5647",
+                                 "localId" : "5929",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5648",
+                              "localId" : "5930",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "5649",
+                                 "localId" : "5931",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5650",
+                              "localId" : "5932",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "5651",
+                                 "localId" : "5933",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5652",
+                              "localId" : "5934",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "5653",
+                                 "localId" : "5935",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5654",
+                              "localId" : "5936",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "5655",
+                                 "localId" : "5937",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5656",
+                              "localId" : "5938",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "5657",
+                                 "localId" : "5939",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5658",
+                              "localId" : "5940",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "5659",
+                                 "localId" : "5941",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5660",
+                              "localId" : "5942",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "5661",
+                                 "localId" : "5943",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5662",
+                              "localId" : "5944",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "5663",
+                                 "localId" : "5945",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5664",
+                                    "localId" : "5946",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "5665",
+                              "localId" : "5947",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "5666",
+                                 "localId" : "5948",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5667",
+                                    "localId" : "5949",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "5668",
+                                       "localId" : "5950",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "5669",
+                                          "localId" : "5951",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5670",
+                                             "localId" : "5952",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "5671",
+                                       "localId" : "5953",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "5672",
+                                          "localId" : "5954",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5673",
+                                             "localId" : "5955",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -20995,10 +22175,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "5674",
+                              "localId" : "5956",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "5675",
+                                 "localId" : "5957",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -21006,157 +22186,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5601",
-                           "locator" : "76:31-76:72",
-                           "name" : "Procalcitonin in Blood, Serum, or Plasma",
+                           "localId" : "5883",
+                           "locator" : "75:31-75:67",
+                           "name" : "Potassium in blood, serum or plasma",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "5602",
+                              "localId" : "5884",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "5603",
+                                 "localId" : "5885",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "5604",
-                           "locator" : "76:75-76:89",
+                           "localId" : "5886",
+                           "locator" : "75:70-75:80",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Procalcitonin",
+                           "value" : "Potassium",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5699",
-                        "locator" : "77:5-77:87",
+                        "localId" : "5981",
+                        "locator" : "76:5-76:90",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "5735",
+                           "localId" : "6017",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "5736",
+                              "localId" : "6018",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "5737",
+                                 "localId" : "6019",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5738",
+                              "localId" : "6020",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "5739",
+                                 "localId" : "6021",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5740",
+                              "localId" : "6022",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "5741",
+                                 "localId" : "6023",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5742",
+                              "localId" : "6024",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "5743",
+                                 "localId" : "6025",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5744",
+                              "localId" : "6026",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "5745",
+                                 "localId" : "6027",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5746",
+                              "localId" : "6028",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "5747",
+                                 "localId" : "6029",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5748",
+                              "localId" : "6030",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "5749",
+                                 "localId" : "6031",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5750",
+                              "localId" : "6032",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "5751",
+                                 "localId" : "6033",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5752",
+                              "localId" : "6034",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "5753",
+                                 "localId" : "6035",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5754",
+                              "localId" : "6036",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "5755",
+                                 "localId" : "6037",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5756",
+                              "localId" : "6038",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "5757",
+                                 "localId" : "6039",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5758",
+                                    "localId" : "6040",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "5759",
+                              "localId" : "6041",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "5760",
+                                 "localId" : "6042",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5761",
+                                    "localId" : "6043",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "5762",
+                                       "localId" : "6044",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "5763",
+                                          "localId" : "6045",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5764",
+                                             "localId" : "6046",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "5765",
+                                       "localId" : "6047",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "5766",
+                                          "localId" : "6048",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5767",
+                                             "localId" : "6049",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -21165,10 +22345,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "5768",
+                              "localId" : "6050",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "5769",
+                                 "localId" : "6051",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -21176,157 +22356,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5695",
-                           "locator" : "77:31-77:57",
-                           "name" : "Random Blood Glucose Test",
+                           "localId" : "5977",
+                           "locator" : "76:31-76:72",
+                           "name" : "Procalcitonin in Blood, Serum, or Plasma",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "5696",
+                              "localId" : "5978",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "5697",
+                                 "localId" : "5979",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "5698",
-                           "locator" : "77:60-77:86",
+                           "localId" : "5980",
+                           "locator" : "76:75-76:89",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Random Blood Glucose Test",
+                           "value" : "Procalcitonin",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5793",
-                        "locator" : "78:5-78:107",
+                        "localId" : "6075",
+                        "locator" : "77:5-77:87",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "5829",
+                           "localId" : "6111",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "5830",
+                              "localId" : "6112",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "5831",
+                                 "localId" : "6113",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5832",
+                              "localId" : "6114",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "5833",
+                                 "localId" : "6115",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5834",
+                              "localId" : "6116",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "5835",
+                                 "localId" : "6117",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5836",
+                              "localId" : "6118",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "5837",
+                                 "localId" : "6119",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5838",
+                              "localId" : "6120",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "5839",
+                                 "localId" : "6121",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5840",
+                              "localId" : "6122",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "5841",
+                                 "localId" : "6123",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5842",
+                              "localId" : "6124",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "5843",
+                                 "localId" : "6125",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5844",
+                              "localId" : "6126",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "5845",
+                                 "localId" : "6127",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5846",
+                              "localId" : "6128",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "5847",
+                                 "localId" : "6129",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5848",
+                              "localId" : "6130",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "5849",
+                                 "localId" : "6131",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5850",
+                              "localId" : "6132",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "5851",
+                                 "localId" : "6133",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5852",
+                                    "localId" : "6134",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "5853",
+                              "localId" : "6135",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "5854",
+                                 "localId" : "6136",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5855",
+                                    "localId" : "6137",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "5856",
+                                       "localId" : "6138",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "5857",
+                                          "localId" : "6139",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5858",
+                                             "localId" : "6140",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "5859",
+                                       "localId" : "6141",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "5860",
+                                          "localId" : "6142",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5861",
+                                             "localId" : "6143",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -21335,10 +22515,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "5862",
+                              "localId" : "6144",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "5863",
+                                 "localId" : "6145",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -21346,157 +22526,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5789",
-                           "locator" : "78:31-78:67",
-                           "name" : "Red Blood Cell Count (Erythrocytes)",
+                           "localId" : "6071",
+                           "locator" : "77:31-77:57",
+                           "name" : "Random Blood Glucose Test",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "5790",
+                              "localId" : "6072",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "5791",
+                                 "localId" : "6073",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "5792",
-                           "locator" : "78:70-78:106",
+                           "localId" : "6074",
+                           "locator" : "77:60-77:86",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Red Blood Cell Count (Erythrocytes)",
+                           "value" : "Random Blood Glucose Test",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5887",
-                        "locator" : "79:5-79:83",
+                        "localId" : "6169",
+                        "locator" : "78:5-78:107",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "5923",
+                           "localId" : "6205",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "5924",
+                              "localId" : "6206",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "5925",
+                                 "localId" : "6207",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5926",
+                              "localId" : "6208",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "5927",
+                                 "localId" : "6209",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5928",
+                              "localId" : "6210",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "5929",
+                                 "localId" : "6211",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5930",
+                              "localId" : "6212",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "5931",
+                                 "localId" : "6213",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5932",
+                              "localId" : "6214",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "5933",
+                                 "localId" : "6215",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5934",
+                              "localId" : "6216",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "5935",
+                                 "localId" : "6217",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5936",
+                              "localId" : "6218",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "5937",
+                                 "localId" : "6219",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5938",
+                              "localId" : "6220",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "5939",
+                                 "localId" : "6221",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5940",
+                              "localId" : "6222",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "5941",
+                                 "localId" : "6223",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5942",
+                              "localId" : "6224",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "5943",
+                                 "localId" : "6225",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "5944",
+                              "localId" : "6226",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "5945",
+                                 "localId" : "6227",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5946",
+                                    "localId" : "6228",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "5947",
+                              "localId" : "6229",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "5948",
+                                 "localId" : "6230",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "5949",
+                                    "localId" : "6231",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "5950",
+                                       "localId" : "6232",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "5951",
+                                          "localId" : "6233",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5952",
+                                             "localId" : "6234",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "5953",
+                                       "localId" : "6235",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "5954",
+                                          "localId" : "6236",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "5955",
+                                             "localId" : "6237",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -21505,10 +22685,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "5956",
+                              "localId" : "6238",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "5957",
+                                 "localId" : "6239",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -21516,157 +22696,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5883",
-                           "locator" : "79:31-79:55",
-                           "name" : "Serum Rheumatoid Factor",
+                           "localId" : "6165",
+                           "locator" : "78:31-78:67",
+                           "name" : "Red Blood Cell Count (Erythrocytes)",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "5884",
+                              "localId" : "6166",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "5885",
+                                 "localId" : "6167",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "5886",
-                           "locator" : "79:58-79:82",
+                           "localId" : "6168",
+                           "locator" : "78:70-78:106",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Serum Rheumatoid Factor",
+                           "value" : "Red Blood Cell Count (Erythrocytes)",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "5981",
-                        "locator" : "81:5-81:75",
+                        "localId" : "6263",
+                        "locator" : "79:5-79:83",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "6017",
+                           "localId" : "6299",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "6018",
+                              "localId" : "6300",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "6019",
+                                 "localId" : "6301",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6020",
+                              "localId" : "6302",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "6021",
+                                 "localId" : "6303",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6022",
+                              "localId" : "6304",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "6023",
+                                 "localId" : "6305",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6024",
+                              "localId" : "6306",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "6025",
+                                 "localId" : "6307",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6026",
+                              "localId" : "6308",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "6027",
+                                 "localId" : "6309",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6028",
+                              "localId" : "6310",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "6029",
+                                 "localId" : "6311",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6030",
+                              "localId" : "6312",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "6031",
+                                 "localId" : "6313",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6032",
+                              "localId" : "6314",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "6033",
+                                 "localId" : "6315",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6034",
+                              "localId" : "6316",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "6035",
+                                 "localId" : "6317",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6036",
+                              "localId" : "6318",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "6037",
+                                 "localId" : "6319",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6038",
+                              "localId" : "6320",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "6039",
+                                 "localId" : "6321",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6040",
+                                    "localId" : "6322",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "6041",
+                              "localId" : "6323",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "6042",
+                                 "localId" : "6324",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6043",
+                                    "localId" : "6325",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "6044",
+                                       "localId" : "6326",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "6045",
+                                          "localId" : "6327",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6046",
+                                             "localId" : "6328",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "6047",
+                                       "localId" : "6329",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "6048",
+                                          "localId" : "6330",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6049",
+                                             "localId" : "6331",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -21675,10 +22855,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "6050",
+                              "localId" : "6332",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "6051",
+                                 "localId" : "6333",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -21686,157 +22866,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "5977",
-                           "locator" : "81:31-81:64",
-                           "name" : "Sodium in blood, serum or plasma",
+                           "localId" : "6259",
+                           "locator" : "79:31-79:55",
+                           "name" : "Serum Rheumatoid Factor",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "5978",
+                              "localId" : "6260",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "5979",
+                                 "localId" : "6261",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "5980",
-                           "locator" : "81:67-81:74",
+                           "localId" : "6262",
+                           "locator" : "79:58-79:82",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Sodium",
+                           "value" : "Serum Rheumatoid Factor",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "6075",
-                        "locator" : "82:5-82:108",
+                        "localId" : "6357",
+                        "locator" : "80:5-80:73",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "6111",
+                           "localId" : "6393",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "6112",
+                              "localId" : "6394",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "6113",
+                                 "localId" : "6395",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6114",
+                              "localId" : "6396",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "6115",
+                                 "localId" : "6397",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6116",
+                              "localId" : "6398",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "6117",
+                                 "localId" : "6399",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6118",
+                              "localId" : "6400",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "6119",
+                                 "localId" : "6401",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6120",
+                              "localId" : "6402",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "6121",
+                                 "localId" : "6403",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6122",
+                              "localId" : "6404",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "6123",
+                                 "localId" : "6405",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6124",
+                              "localId" : "6406",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "6125",
+                                 "localId" : "6407",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6126",
+                              "localId" : "6408",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "6127",
+                                 "localId" : "6409",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6128",
+                              "localId" : "6410",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "6129",
+                                 "localId" : "6411",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6130",
+                              "localId" : "6412",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "6131",
+                                 "localId" : "6413",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6132",
+                              "localId" : "6414",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "6133",
+                                 "localId" : "6415",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6134",
+                                    "localId" : "6416",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "6135",
+                              "localId" : "6417",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "6136",
+                                 "localId" : "6418",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6137",
+                                    "localId" : "6419",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "6138",
+                                       "localId" : "6420",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "6139",
+                                          "localId" : "6421",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6140",
+                                             "localId" : "6422",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "6141",
+                                       "localId" : "6423",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "6142",
+                                          "localId" : "6424",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6143",
+                                             "localId" : "6425",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -21845,10 +23025,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "6144",
+                              "localId" : "6426",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "6145",
+                                 "localId" : "6427",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -21856,157 +23036,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "6071",
-                           "locator" : "82:31-82:70",
-                           "name" : "Thyroid Stimulating Hormone (TSH) Test",
+                           "localId" : "6353",
+                           "locator" : "80:31-80:50",
+                           "name" : "Skin Biopsy Report",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "6072",
+                              "localId" : "6354",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "6073",
+                                 "localId" : "6355",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "6074",
-                           "locator" : "82:73-82:107",
+                           "localId" : "6356",
+                           "locator" : "80:53-80:72",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Thyroid Stimulating Hormone (TSH)",
+                           "value" : "Skin Biopsy Report",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "6169",
-                        "locator" : "83:5-83:133",
+                        "localId" : "6451",
+                        "locator" : "81:5-81:75",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "6205",
+                           "localId" : "6487",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "6206",
+                              "localId" : "6488",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "6207",
+                                 "localId" : "6489",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6208",
+                              "localId" : "6490",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "6209",
+                                 "localId" : "6491",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6210",
+                              "localId" : "6492",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "6211",
+                                 "localId" : "6493",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6212",
+                              "localId" : "6494",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "6213",
+                                 "localId" : "6495",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6214",
+                              "localId" : "6496",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "6215",
+                                 "localId" : "6497",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6216",
+                              "localId" : "6498",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "6217",
+                                 "localId" : "6499",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6218",
+                              "localId" : "6500",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "6219",
+                                 "localId" : "6501",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6220",
+                              "localId" : "6502",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "6221",
+                                 "localId" : "6503",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6222",
+                              "localId" : "6504",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "6223",
+                                 "localId" : "6505",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6224",
+                              "localId" : "6506",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "6225",
+                                 "localId" : "6507",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6226",
+                              "localId" : "6508",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "6227",
+                                 "localId" : "6509",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6228",
+                                    "localId" : "6510",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "6229",
+                              "localId" : "6511",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "6230",
+                                 "localId" : "6512",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6231",
+                                    "localId" : "6513",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "6232",
+                                       "localId" : "6514",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "6233",
+                                          "localId" : "6515",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6234",
+                                             "localId" : "6516",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "6235",
+                                       "localId" : "6517",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "6236",
+                                          "localId" : "6518",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6237",
+                                             "localId" : "6519",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -22015,10 +23195,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "6238",
+                              "localId" : "6520",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "6239",
+                                 "localId" : "6521",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -22026,157 +23206,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "6165",
-                           "locator" : "83:31-83:93",
-                           "name" : "Total Carbon Dioxide or Bicarbonate in blood, serum or plasma",
+                           "localId" : "6447",
+                           "locator" : "81:31-81:64",
+                           "name" : "Sodium in blood, serum or plasma",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "6166",
+                              "localId" : "6448",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "6167",
+                                 "localId" : "6449",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "6168",
-                           "locator" : "83:96-83:132",
+                           "localId" : "6450",
+                           "locator" : "81:67-81:74",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Total Carbon Dioxide or Bicarbonate",
+                           "value" : "Sodium",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "6263",
-                        "locator" : "84:5-84:71",
+                        "localId" : "6545",
+                        "locator" : "82:5-82:108",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "6299",
+                           "localId" : "6581",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "6300",
+                              "localId" : "6582",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "6301",
+                                 "localId" : "6583",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6302",
+                              "localId" : "6584",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "6303",
+                                 "localId" : "6585",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6304",
+                              "localId" : "6586",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "6305",
+                                 "localId" : "6587",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6306",
+                              "localId" : "6588",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "6307",
+                                 "localId" : "6589",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6308",
+                              "localId" : "6590",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "6309",
+                                 "localId" : "6591",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6310",
+                              "localId" : "6592",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "6311",
+                                 "localId" : "6593",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6312",
+                              "localId" : "6594",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "6313",
+                                 "localId" : "6595",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6314",
+                              "localId" : "6596",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "6315",
+                                 "localId" : "6597",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6316",
+                              "localId" : "6598",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "6317",
+                                 "localId" : "6599",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6318",
+                              "localId" : "6600",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "6319",
+                                 "localId" : "6601",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6320",
+                              "localId" : "6602",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "6321",
+                                 "localId" : "6603",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6322",
+                                    "localId" : "6604",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "6323",
+                              "localId" : "6605",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "6324",
+                                 "localId" : "6606",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6325",
+                                    "localId" : "6607",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "6326",
+                                       "localId" : "6608",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "6327",
+                                          "localId" : "6609",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6328",
+                                             "localId" : "6610",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "6329",
+                                       "localId" : "6611",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "6330",
+                                          "localId" : "6612",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6331",
+                                             "localId" : "6613",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -22185,10 +23365,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "6332",
+                              "localId" : "6614",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "6333",
+                                 "localId" : "6615",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -22196,157 +23376,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "6259",
-                           "locator" : "84:31-84:49",
-                           "name" : "Total Cholesterol",
+                           "localId" : "6541",
+                           "locator" : "82:31-82:70",
+                           "name" : "Thyroid Stimulating Hormone (TSH) Test",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "6260",
+                              "localId" : "6542",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "6261",
+                                 "localId" : "6543",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "6262",
-                           "locator" : "84:52-84:70",
+                           "localId" : "6544",
+                           "locator" : "82:73-82:107",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Total Cholesterol",
+                           "value" : "Thyroid Stimulating Hormone (TSH)",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "6357",
-                        "locator" : "85:5-85:88",
+                        "localId" : "6639",
+                        "locator" : "83:5-83:133",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "6393",
+                           "localId" : "6675",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "6394",
+                              "localId" : "6676",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "6395",
+                                 "localId" : "6677",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6396",
+                              "localId" : "6678",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "6397",
+                                 "localId" : "6679",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6398",
+                              "localId" : "6680",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "6399",
+                                 "localId" : "6681",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6400",
+                              "localId" : "6682",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "6401",
+                                 "localId" : "6683",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6402",
+                              "localId" : "6684",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "6403",
+                                 "localId" : "6685",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6404",
+                              "localId" : "6686",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "6405",
+                                 "localId" : "6687",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6406",
+                              "localId" : "6688",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "6407",
+                                 "localId" : "6689",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6408",
+                              "localId" : "6690",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "6409",
+                                 "localId" : "6691",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6410",
+                              "localId" : "6692",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "6411",
+                                 "localId" : "6693",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6412",
+                              "localId" : "6694",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "6413",
+                                 "localId" : "6695",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6414",
+                              "localId" : "6696",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "6415",
+                                 "localId" : "6697",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6416",
+                                    "localId" : "6698",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "6417",
+                              "localId" : "6699",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "6418",
+                                 "localId" : "6700",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6419",
+                                    "localId" : "6701",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "6420",
+                                       "localId" : "6702",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "6421",
+                                          "localId" : "6703",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6422",
+                                             "localId" : "6704",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "6423",
+                                       "localId" : "6705",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "6424",
+                                          "localId" : "6706",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6425",
+                                             "localId" : "6707",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -22355,10 +23535,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "6426",
+                              "localId" : "6708",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "6427",
+                                 "localId" : "6709",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -22366,157 +23546,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "6353",
-                           "locator" : "85:31-85:70",
-                           "name" : "Triglyceride in blood, serum or plasma",
+                           "localId" : "6635",
+                           "locator" : "83:31-83:93",
+                           "name" : "Total Carbon Dioxide or Bicarbonate in blood, serum or plasma",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "6354",
+                              "localId" : "6636",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "6355",
+                                 "localId" : "6637",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "6356",
-                           "locator" : "85:73-85:87",
+                           "localId" : "6638",
+                           "locator" : "83:96-83:132",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Triglycerides",
+                           "value" : "Total Carbon Dioxide or Bicarbonate",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "6451",
-                        "locator" : "86:5-86:88",
+                        "localId" : "6733",
+                        "locator" : "84:5-84:71",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "6487",
+                           "localId" : "6769",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "6488",
+                              "localId" : "6770",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "6489",
+                                 "localId" : "6771",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6490",
+                              "localId" : "6772",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "6491",
+                                 "localId" : "6773",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6492",
+                              "localId" : "6774",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "6493",
+                                 "localId" : "6775",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6494",
+                              "localId" : "6776",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "6495",
+                                 "localId" : "6777",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6496",
+                              "localId" : "6778",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "6497",
+                                 "localId" : "6779",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6498",
+                              "localId" : "6780",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "6499",
+                                 "localId" : "6781",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6500",
+                              "localId" : "6782",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "6501",
+                                 "localId" : "6783",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6502",
+                              "localId" : "6784",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "6503",
+                                 "localId" : "6785",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6504",
+                              "localId" : "6786",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "6505",
+                                 "localId" : "6787",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6506",
+                              "localId" : "6788",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "6507",
+                                 "localId" : "6789",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6508",
+                              "localId" : "6790",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "6509",
+                                 "localId" : "6791",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6510",
+                                    "localId" : "6792",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "6511",
+                              "localId" : "6793",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "6512",
+                                 "localId" : "6794",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6513",
+                                    "localId" : "6795",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "6514",
+                                       "localId" : "6796",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "6515",
+                                          "localId" : "6797",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6516",
+                                             "localId" : "6798",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "6517",
+                                       "localId" : "6799",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "6518",
+                                          "localId" : "6800",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6519",
+                                             "localId" : "6801",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -22525,10 +23705,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "6520",
+                              "localId" : "6802",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "6521",
+                                 "localId" : "6803",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -22536,157 +23716,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "6447",
-                           "locator" : "86:31-86:67",
-                           "name" : "Triiodothyronine in serum or plasma",
+                           "localId" : "6729",
+                           "locator" : "84:31-84:49",
+                           "name" : "Total Cholesterol",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "6448",
+                              "localId" : "6730",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "6449",
+                                 "localId" : "6731",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "6450",
-                           "locator" : "86:70-86:87",
+                           "localId" : "6732",
+                           "locator" : "84:52-84:70",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Triiodothyronine",
+                           "value" : "Total Cholesterol",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "6545",
-                        "locator" : "87:5-87:71",
+                        "localId" : "6827",
+                        "locator" : "85:5-85:88",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "6581",
+                           "localId" : "6863",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "6582",
+                              "localId" : "6864",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "6583",
+                                 "localId" : "6865",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6584",
+                              "localId" : "6866",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "6585",
+                                 "localId" : "6867",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6586",
+                              "localId" : "6868",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "6587",
+                                 "localId" : "6869",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6588",
+                              "localId" : "6870",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "6589",
+                                 "localId" : "6871",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6590",
+                              "localId" : "6872",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "6591",
+                                 "localId" : "6873",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6592",
+                              "localId" : "6874",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "6593",
+                                 "localId" : "6875",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6594",
+                              "localId" : "6876",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "6595",
+                                 "localId" : "6877",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6596",
+                              "localId" : "6878",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "6597",
+                                 "localId" : "6879",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6598",
+                              "localId" : "6880",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "6599",
+                                 "localId" : "6881",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6600",
+                              "localId" : "6882",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "6601",
+                                 "localId" : "6883",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6602",
+                              "localId" : "6884",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "6603",
+                                 "localId" : "6885",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6604",
+                                    "localId" : "6886",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "6605",
+                              "localId" : "6887",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "6606",
+                                 "localId" : "6888",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6607",
+                                    "localId" : "6889",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "6608",
+                                       "localId" : "6890",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "6609",
+                                          "localId" : "6891",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6610",
+                                             "localId" : "6892",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "6611",
+                                       "localId" : "6893",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "6612",
+                                          "localId" : "6894",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6613",
+                                             "localId" : "6895",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -22695,10 +23875,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "6614",
+                              "localId" : "6896",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "6615",
+                                 "localId" : "6897",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -22706,157 +23886,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "6541",
-                           "locator" : "87:31-87:56",
-                           "name" : "Troponin I, Bld/Ser/Plas",
+                           "localId" : "6823",
+                           "locator" : "85:31-85:70",
+                           "name" : "Triglyceride in blood, serum or plasma",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "6542",
+                              "localId" : "6824",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "6543",
+                                 "localId" : "6825",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "6544",
-                           "locator" : "87:59-87:70",
+                           "localId" : "6826",
+                           "locator" : "85:73-85:87",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Troponin I",
+                           "value" : "Triglycerides",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "6639",
-                        "locator" : "88:5-88:70",
+                        "localId" : "6921",
+                        "locator" : "86:5-86:88",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "6675",
+                           "localId" : "6957",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "6676",
+                              "localId" : "6958",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "6677",
+                                 "localId" : "6959",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6678",
+                              "localId" : "6960",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "6679",
+                                 "localId" : "6961",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6680",
+                              "localId" : "6962",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "6681",
+                                 "localId" : "6963",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6682",
+                              "localId" : "6964",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "6683",
+                                 "localId" : "6965",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6684",
+                              "localId" : "6966",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "6685",
+                                 "localId" : "6967",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6686",
+                              "localId" : "6968",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "6687",
+                                 "localId" : "6969",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6688",
+                              "localId" : "6970",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "6689",
+                                 "localId" : "6971",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6690",
+                              "localId" : "6972",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "6691",
+                                 "localId" : "6973",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6692",
+                              "localId" : "6974",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "6693",
+                                 "localId" : "6975",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6694",
+                              "localId" : "6976",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "6695",
+                                 "localId" : "6977",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6696",
+                              "localId" : "6978",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "6697",
+                                 "localId" : "6979",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6698",
+                                    "localId" : "6980",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "6699",
+                              "localId" : "6981",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "6700",
+                                 "localId" : "6982",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6701",
+                                    "localId" : "6983",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "6702",
+                                       "localId" : "6984",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "6703",
+                                          "localId" : "6985",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6704",
+                                             "localId" : "6986",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "6705",
+                                       "localId" : "6987",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "6706",
+                                          "localId" : "6988",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6707",
+                                             "localId" : "6989",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -22865,10 +24045,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "6708",
+                              "localId" : "6990",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "6709",
+                                 "localId" : "6991",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -22876,157 +24056,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "6635",
-                           "locator" : "88:31-88:55",
-                           "name" : "Troponin T, Bld/Ser/Pla",
+                           "localId" : "6917",
+                           "locator" : "86:31-86:67",
+                           "name" : "Triiodothyronine in serum or plasma",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "6636",
+                              "localId" : "6918",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "6637",
+                                 "localId" : "6919",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "6638",
-                           "locator" : "88:58-88:69",
+                           "localId" : "6920",
+                           "locator" : "86:70-86:87",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Troponin T",
+                           "value" : "Triiodothyronine",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "6733",
-                        "locator" : "89:5-89:77",
+                        "localId" : "7015",
+                        "locator" : "87:5-87:71",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "6769",
+                           "localId" : "7051",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "6770",
+                              "localId" : "7052",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "6771",
+                                 "localId" : "7053",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6772",
+                              "localId" : "7054",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "6773",
+                                 "localId" : "7055",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6774",
+                              "localId" : "7056",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "6775",
+                                 "localId" : "7057",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6776",
+                              "localId" : "7058",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "6777",
+                                 "localId" : "7059",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6778",
+                              "localId" : "7060",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "6779",
+                                 "localId" : "7061",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6780",
+                              "localId" : "7062",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "6781",
+                                 "localId" : "7063",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6782",
+                              "localId" : "7064",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "6783",
+                                 "localId" : "7065",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6784",
+                              "localId" : "7066",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "6785",
+                                 "localId" : "7067",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6786",
+                              "localId" : "7068",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "6787",
+                                 "localId" : "7069",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6788",
+                              "localId" : "7070",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "6789",
+                                 "localId" : "7071",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6790",
+                              "localId" : "7072",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "6791",
+                                 "localId" : "7073",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6792",
+                                    "localId" : "7074",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "6793",
+                              "localId" : "7075",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "6794",
+                                 "localId" : "7076",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6795",
+                                    "localId" : "7077",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "6796",
+                                       "localId" : "7078",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "6797",
+                                          "localId" : "7079",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6798",
+                                             "localId" : "7080",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "6799",
+                                       "localId" : "7081",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "6800",
+                                          "localId" : "7082",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6801",
+                                             "localId" : "7083",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -23035,10 +24215,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "6802",
+                              "localId" : "7084",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "6803",
+                                 "localId" : "7085",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -23046,157 +24226,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "6729",
-                           "locator" : "89:31-89:52",
-                           "name" : "Urea Reduction Ratio",
+                           "localId" : "7011",
+                           "locator" : "87:31-87:56",
+                           "name" : "Troponin I, Bld/Ser/Plas",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "6730",
+                              "localId" : "7012",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "6731",
+                                 "localId" : "7013",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "6732",
-                           "locator" : "89:55-89:76",
+                           "localId" : "7014",
+                           "locator" : "87:59-87:70",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Urea Reduction Ratio",
+                           "value" : "Troponin I",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "6827",
-                        "locator" : "90:5-90:97",
+                        "localId" : "7109",
+                        "locator" : "88:5-88:70",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "6863",
+                           "localId" : "7145",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "6864",
+                              "localId" : "7146",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "6865",
+                                 "localId" : "7147",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6866",
+                              "localId" : "7148",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "6867",
+                                 "localId" : "7149",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6868",
+                              "localId" : "7150",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "6869",
+                                 "localId" : "7151",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6870",
+                              "localId" : "7152",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "6871",
+                                 "localId" : "7153",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6872",
+                              "localId" : "7154",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "6873",
+                                 "localId" : "7155",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6874",
+                              "localId" : "7156",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "6875",
+                                 "localId" : "7157",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6876",
+                              "localId" : "7158",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "6877",
+                                 "localId" : "7159",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6878",
+                              "localId" : "7160",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "6879",
+                                 "localId" : "7161",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6880",
+                              "localId" : "7162",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "6881",
+                                 "localId" : "7163",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6882",
+                              "localId" : "7164",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "6883",
+                                 "localId" : "7165",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6884",
+                              "localId" : "7166",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "6885",
+                                 "localId" : "7167",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6886",
+                                    "localId" : "7168",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "6887",
+                              "localId" : "7169",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "6888",
+                                 "localId" : "7170",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6889",
+                                    "localId" : "7171",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "6890",
+                                       "localId" : "7172",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "6891",
+                                          "localId" : "7173",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6892",
+                                             "localId" : "7174",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "6893",
+                                       "localId" : "7175",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "6894",
+                                          "localId" : "7176",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6895",
+                                             "localId" : "7177",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -23205,10 +24385,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "6896",
+                              "localId" : "7178",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "6897",
+                                 "localId" : "7179",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -23216,157 +24396,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "6823",
-                           "locator" : "90:31-90:75",
-                           "name" : "Uric Acid (Urate) in blood, serum or plasma",
+                           "localId" : "7105",
+                           "locator" : "88:31-88:55",
+                           "name" : "Troponin T, Bld/Ser/Pla",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "6824",
+                              "localId" : "7106",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "6825",
+                                 "localId" : "7107",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "6826",
-                           "locator" : "90:78-90:96",
+                           "localId" : "7108",
+                           "locator" : "88:58-88:69",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Uric Acid (Urate)",
+                           "value" : "Troponin T",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "6921",
-                        "locator" : "91:5-91:97",
+                        "localId" : "7203",
+                        "locator" : "89:5-89:77",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "6957",
+                           "localId" : "7239",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "6958",
+                              "localId" : "7240",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "6959",
+                                 "localId" : "7241",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6960",
+                              "localId" : "7242",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "6961",
+                                 "localId" : "7243",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6962",
+                              "localId" : "7244",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "6963",
+                                 "localId" : "7245",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6964",
+                              "localId" : "7246",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "6965",
+                                 "localId" : "7247",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6966",
+                              "localId" : "7248",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "6967",
+                                 "localId" : "7249",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6968",
+                              "localId" : "7250",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "6969",
+                                 "localId" : "7251",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6970",
+                              "localId" : "7252",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "6971",
+                                 "localId" : "7253",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6972",
+                              "localId" : "7254",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "6973",
+                                 "localId" : "7255",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6974",
+                              "localId" : "7256",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "6975",
+                                 "localId" : "7257",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6976",
+                              "localId" : "7258",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "6977",
+                                 "localId" : "7259",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "6978",
+                              "localId" : "7260",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "6979",
+                                 "localId" : "7261",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6980",
+                                    "localId" : "7262",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "6981",
+                              "localId" : "7263",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "6982",
+                                 "localId" : "7264",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "6983",
+                                    "localId" : "7265",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "6984",
+                                       "localId" : "7266",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "6985",
+                                          "localId" : "7267",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6986",
+                                             "localId" : "7268",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "6987",
+                                       "localId" : "7269",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "6988",
+                                          "localId" : "7270",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "6989",
+                                             "localId" : "7271",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -23375,10 +24555,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "6990",
+                              "localId" : "7272",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "6991",
+                                 "localId" : "7273",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -23386,157 +24566,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "6917",
-                           "locator" : "91:31-91:62",
-                           "name" : "Urine Albumin Creatinine Ratio",
+                           "localId" : "7199",
+                           "locator" : "89:31-89:52",
+                           "name" : "Urea Reduction Ratio",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "6918",
+                              "localId" : "7200",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "6919",
+                                 "localId" : "7201",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "6920",
-                           "locator" : "91:65-91:96",
+                           "localId" : "7202",
+                           "locator" : "89:55-89:76",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Urine Albumin Creatinine Ratio",
+                           "value" : "Urea Reduction Ratio",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "7015",
-                        "locator" : "92:5-92:117",
+                        "localId" : "7297",
+                        "locator" : "90:5-90:97",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "7051",
+                           "localId" : "7333",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "7052",
+                              "localId" : "7334",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "7053",
+                                 "localId" : "7335",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7054",
+                              "localId" : "7336",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "7055",
+                                 "localId" : "7337",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7056",
+                              "localId" : "7338",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "7057",
+                                 "localId" : "7339",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7058",
+                              "localId" : "7340",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "7059",
+                                 "localId" : "7341",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7060",
+                              "localId" : "7342",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "7061",
+                                 "localId" : "7343",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7062",
+                              "localId" : "7344",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "7063",
+                                 "localId" : "7345",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7064",
+                              "localId" : "7346",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "7065",
+                                 "localId" : "7347",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7066",
+                              "localId" : "7348",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "7067",
+                                 "localId" : "7349",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7068",
+                              "localId" : "7350",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "7069",
+                                 "localId" : "7351",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7070",
+                              "localId" : "7352",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "7071",
+                                 "localId" : "7353",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7072",
+                              "localId" : "7354",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "7073",
+                                 "localId" : "7355",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7074",
+                                    "localId" : "7356",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "7075",
+                              "localId" : "7357",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "7076",
+                                 "localId" : "7358",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7077",
+                                    "localId" : "7359",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "7078",
+                                       "localId" : "7360",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "7079",
+                                          "localId" : "7361",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "7080",
+                                             "localId" : "7362",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "7081",
+                                       "localId" : "7363",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "7082",
+                                          "localId" : "7364",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "7083",
+                                             "localId" : "7365",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -23545,10 +24725,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "7084",
+                              "localId" : "7366",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "7085",
+                                 "localId" : "7367",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -23556,157 +24736,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "7011",
-                           "locator" : "92:31-92:72",
-                           "name" : "Urine Protein to Creatinine Ratio (UPCR)",
+                           "localId" : "7293",
+                           "locator" : "90:31-90:75",
+                           "name" : "Uric Acid (Urate) in blood, serum or plasma",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "7012",
+                              "localId" : "7294",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "7013",
+                                 "localId" : "7295",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "7014",
-                           "locator" : "92:75-92:116",
+                           "localId" : "7296",
+                           "locator" : "90:78-90:96",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Urine Protein to Creatinine Ratio (UPCR)",
+                           "value" : "Uric Acid (Urate)",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "7109",
-                        "locator" : "93:5-93:65",
+                        "localId" : "7391",
+                        "locator" : "91:5-91:97",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "7145",
+                           "localId" : "7427",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "7146",
+                              "localId" : "7428",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "7147",
+                                 "localId" : "7429",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7148",
+                              "localId" : "7430",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "7149",
+                                 "localId" : "7431",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7150",
+                              "localId" : "7432",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "7151",
+                                 "localId" : "7433",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7152",
+                              "localId" : "7434",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "7153",
+                                 "localId" : "7435",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7154",
+                              "localId" : "7436",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "7155",
+                                 "localId" : "7437",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7156",
+                              "localId" : "7438",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "7157",
+                                 "localId" : "7439",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7158",
+                              "localId" : "7440",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "7159",
+                                 "localId" : "7441",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7160",
+                              "localId" : "7442",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "7161",
+                                 "localId" : "7443",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7162",
+                              "localId" : "7444",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "7163",
+                                 "localId" : "7445",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7164",
+                              "localId" : "7446",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "7165",
+                                 "localId" : "7447",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7166",
+                              "localId" : "7448",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "7167",
+                                 "localId" : "7449",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7168",
+                                    "localId" : "7450",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "7169",
+                              "localId" : "7451",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "7170",
+                                 "localId" : "7452",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7171",
+                                    "localId" : "7453",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "7172",
+                                       "localId" : "7454",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "7173",
+                                          "localId" : "7455",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "7174",
+                                             "localId" : "7456",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "7175",
+                                       "localId" : "7457",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "7176",
+                                          "localId" : "7458",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "7177",
+                                             "localId" : "7459",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -23715,10 +24895,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "7178",
+                              "localId" : "7460",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "7179",
+                                 "localId" : "7461",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -23726,157 +24906,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "7105",
-                           "locator" : "93:31-93:46",
-                           "name" : "Urine Sediment",
+                           "localId" : "7387",
+                           "locator" : "91:31-91:62",
+                           "name" : "Urine Albumin Creatinine Ratio",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "7106",
+                              "localId" : "7388",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "7107",
+                                 "localId" : "7389",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "7108",
-                           "locator" : "93:49-93:64",
+                           "localId" : "7390",
+                           "locator" : "91:65-91:96",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Urine Sediment",
+                           "value" : "Urine Albumin Creatinine Ratio",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "7203",
-                        "locator" : "94:5-94:75",
+                        "localId" : "7485",
+                        "locator" : "92:5-92:117",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "7239",
+                           "localId" : "7521",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "7240",
+                              "localId" : "7522",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "7241",
+                                 "localId" : "7523",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7242",
+                              "localId" : "7524",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "7243",
+                                 "localId" : "7525",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7244",
+                              "localId" : "7526",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "7245",
+                                 "localId" : "7527",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7246",
+                              "localId" : "7528",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "7247",
+                                 "localId" : "7529",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7248",
+                              "localId" : "7530",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "7249",
+                                 "localId" : "7531",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7250",
+                              "localId" : "7532",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "7251",
+                                 "localId" : "7533",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7252",
+                              "localId" : "7534",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "7253",
+                                 "localId" : "7535",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7254",
+                              "localId" : "7536",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "7255",
+                                 "localId" : "7537",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7256",
+                              "localId" : "7538",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "7257",
+                                 "localId" : "7539",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7258",
+                              "localId" : "7540",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "7259",
+                                 "localId" : "7541",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7260",
+                              "localId" : "7542",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "7261",
+                                 "localId" : "7543",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7262",
+                                    "localId" : "7544",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "7263",
+                              "localId" : "7545",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "7264",
+                                 "localId" : "7546",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7265",
+                                    "localId" : "7547",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "7266",
+                                       "localId" : "7548",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "7267",
+                                          "localId" : "7549",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "7268",
+                                             "localId" : "7550",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "7269",
+                                       "localId" : "7551",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "7270",
+                                          "localId" : "7552",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "7271",
+                                             "localId" : "7553",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -23885,10 +25065,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "7272",
+                              "localId" : "7554",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "7273",
+                                 "localId" : "7555",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -23896,157 +25076,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "7199",
-                           "locator" : "94:31-94:51",
-                           "name" : "Urine Urea Nitrogen",
+                           "localId" : "7481",
+                           "locator" : "92:31-92:72",
+                           "name" : "Urine Protein to Creatinine Ratio (UPCR)",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "7200",
+                              "localId" : "7482",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "7201",
+                                 "localId" : "7483",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "7202",
-                           "locator" : "94:54-94:74",
+                           "localId" : "7484",
+                           "locator" : "92:75-92:116",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Urine Urea Nitrogen",
+                           "value" : "Urine Protein to Creatinine Ratio (UPCR)",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "7297",
-                        "locator" : "95:5-95:61",
+                        "localId" : "7579",
+                        "locator" : "93:5-93:65",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "7333",
+                           "localId" : "7615",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "7334",
+                              "localId" : "7616",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "7335",
+                                 "localId" : "7617",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7336",
+                              "localId" : "7618",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "7337",
+                                 "localId" : "7619",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7338",
+                              "localId" : "7620",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "7339",
+                                 "localId" : "7621",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7340",
+                              "localId" : "7622",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "7341",
+                                 "localId" : "7623",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7342",
+                              "localId" : "7624",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "7343",
+                                 "localId" : "7625",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7344",
+                              "localId" : "7626",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "7345",
+                                 "localId" : "7627",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7346",
+                              "localId" : "7628",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "7347",
+                                 "localId" : "7629",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7348",
+                              "localId" : "7630",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "7349",
+                                 "localId" : "7631",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7350",
+                              "localId" : "7632",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "7351",
+                                 "localId" : "7633",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7352",
+                              "localId" : "7634",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "7353",
+                                 "localId" : "7635",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7354",
+                              "localId" : "7636",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "7355",
+                                 "localId" : "7637",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7356",
+                                    "localId" : "7638",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "7357",
+                              "localId" : "7639",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "7358",
+                                 "localId" : "7640",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7359",
+                                    "localId" : "7641",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "7360",
+                                       "localId" : "7642",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "7361",
+                                          "localId" : "7643",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "7362",
+                                             "localId" : "7644",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "7363",
+                                       "localId" : "7645",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "7364",
+                                          "localId" : "7646",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "7365",
+                                             "localId" : "7647",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -24055,10 +25235,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "7366",
+                              "localId" : "7648",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "7367",
+                                 "localId" : "7649",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -24066,157 +25246,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "7293",
-                           "locator" : "95:31-95:44",
-                           "name" : "Uroflowmetry",
+                           "localId" : "7575",
+                           "locator" : "93:31-93:46",
+                           "name" : "Urine Sediment",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "7294",
+                              "localId" : "7576",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "7295",
+                                 "localId" : "7577",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "7296",
-                           "locator" : "95:47-95:60",
+                           "localId" : "7578",
+                           "locator" : "93:49-93:64",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Uroflowmetry",
+                           "value" : "Urine Sediment",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "7391",
-                        "locator" : "96:5-96:62",
+                        "localId" : "7673",
+                        "locator" : "94:5-94:75",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "7427",
+                           "localId" : "7709",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "7428",
+                              "localId" : "7710",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "7429",
+                                 "localId" : "7711",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7430",
+                              "localId" : "7712",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "7431",
+                                 "localId" : "7713",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7432",
+                              "localId" : "7714",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "7433",
+                                 "localId" : "7715",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7434",
+                              "localId" : "7716",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "7435",
+                                 "localId" : "7717",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7436",
+                              "localId" : "7718",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "7437",
+                                 "localId" : "7719",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7438",
+                              "localId" : "7720",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "7439",
+                                 "localId" : "7721",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7440",
+                              "localId" : "7722",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "7441",
+                                 "localId" : "7723",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7442",
+                              "localId" : "7724",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "7443",
+                                 "localId" : "7725",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7444",
+                              "localId" : "7726",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "7445",
+                                 "localId" : "7727",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7446",
+                              "localId" : "7728",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "7447",
+                                 "localId" : "7729",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7448",
+                              "localId" : "7730",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "7449",
+                                 "localId" : "7731",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7450",
+                                    "localId" : "7732",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "7451",
+                              "localId" : "7733",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "7452",
+                                 "localId" : "7734",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7453",
+                                    "localId" : "7735",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "7454",
+                                       "localId" : "7736",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "7455",
+                                          "localId" : "7737",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "7456",
+                                             "localId" : "7738",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "7457",
+                                       "localId" : "7739",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "7458",
+                                          "localId" : "7740",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "7459",
+                                             "localId" : "7741",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -24225,10 +25405,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "7460",
+                              "localId" : "7742",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "7461",
+                                 "localId" : "7743",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -24236,157 +25416,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "7387",
-                           "locator" : "96:31-96:48",
-                           "name" : "Vitamin D Levels",
+                           "localId" : "7669",
+                           "locator" : "94:31-94:51",
+                           "name" : "Urine Urea Nitrogen",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "7388",
+                              "localId" : "7670",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "7389",
+                                 "localId" : "7671",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "7390",
-                           "locator" : "96:51-96:61",
+                           "localId" : "7672",
+                           "locator" : "94:54-94:74",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "Vitamin D",
+                           "value" : "Urine Urea Nitrogen",
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "7485",
-                        "locator" : "97:5-97:107",
+                        "localId" : "7767",
+                        "locator" : "95:5-95:61",
                         "name" : "ReportMostRecentResult",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "7521",
+                           "localId" : "7803",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "7522",
+                              "localId" : "7804",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "7523",
+                                 "localId" : "7805",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7524",
+                              "localId" : "7806",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "7525",
+                                 "localId" : "7807",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7526",
+                              "localId" : "7808",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "7527",
+                                 "localId" : "7809",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7528",
+                              "localId" : "7810",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "7529",
+                                 "localId" : "7811",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7530",
+                              "localId" : "7812",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "7531",
+                                 "localId" : "7813",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7532",
+                              "localId" : "7814",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "7533",
+                                 "localId" : "7815",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7534",
+                              "localId" : "7816",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "7535",
+                                 "localId" : "7817",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7536",
+                              "localId" : "7818",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "7537",
+                                 "localId" : "7819",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7538",
+                              "localId" : "7820",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "7539",
+                                 "localId" : "7821",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7540",
+                              "localId" : "7822",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "7541",
+                                 "localId" : "7823",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7542",
+                              "localId" : "7824",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "7543",
+                                 "localId" : "7825",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7544",
+                                    "localId" : "7826",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "7545",
+                              "localId" : "7827",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "7546",
+                                 "localId" : "7828",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7547",
+                                    "localId" : "7829",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "7548",
+                                       "localId" : "7830",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "7549",
+                                          "localId" : "7831",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "7550",
+                                             "localId" : "7832",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "7551",
+                                       "localId" : "7833",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "7552",
+                                          "localId" : "7834",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "7553",
+                                             "localId" : "7835",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -24395,10 +25575,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "7554",
+                              "localId" : "7836",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "7555",
+                                 "localId" : "7837",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -24406,173 +25586,157 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "7481",
-                           "locator" : "97:31-97:67",
-                           "name" : "White Blood Cell (Leukocytes) Count",
+                           "localId" : "7763",
+                           "locator" : "95:31-95:44",
+                           "name" : "Uroflowmetry",
                            "type" : "ExpressionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "7482",
+                              "localId" : "7764",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "7483",
+                                 "localId" : "7765",
                                  "name" : "{http://hl7.org/fhir}Observation",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "7484",
-                           "locator" : "97:70-97:106",
+                           "localId" : "7766",
+                           "locator" : "95:47-95:60",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
-                           "value" : "White Blood Cell (Leukocytes) Count",
+                           "value" : "Uroflowmetry",
                            "type" : "Literal"
                         } ]
-                     } ]
-                  }
-               } ],
-               "let" : [ ],
-               "relationship" : [ ],
-               "where" : {
-                  "localId" : "7701",
-                  "locator" : "100:13-100:36",
-                  "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
-                  "type" : "Not",
-                  "signature" : [ ],
-                  "operand" : {
-                     "localId" : "7700",
-                     "locator" : "100:19-100:36",
-                     "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
-                     "type" : "IsNull",
-                     "signature" : [ ],
-                     "operand" : {
-                        "localId" : "7664",
-                        "locator" : "100:19-100:24",
-                        "name" : "Result",
-                        "type" : "AliasRef",
+                     }, {
+                        "localId" : "7861",
+                        "locator" : "96:5-96:62",
+                        "name" : "ReportMostRecentResult",
+                        "libraryName" : "DE",
+                        "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "7665",
+                           "localId" : "7897",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "7666",
+                              "localId" : "7898",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "7667",
+                                 "localId" : "7899",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7668",
+                              "localId" : "7900",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "7669",
+                                 "localId" : "7901",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7670",
+                              "localId" : "7902",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "7671",
+                                 "localId" : "7903",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7672",
+                              "localId" : "7904",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "7673",
+                                 "localId" : "7905",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7674",
+                              "localId" : "7906",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "7675",
+                                 "localId" : "7907",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7676",
+                              "localId" : "7908",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "7677",
+                                 "localId" : "7909",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7678",
+                              "localId" : "7910",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "7679",
+                                 "localId" : "7911",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7680",
+                              "localId" : "7912",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "7681",
+                                 "localId" : "7913",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7682",
+                              "localId" : "7914",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "7683",
+                                 "localId" : "7915",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7684",
+                              "localId" : "7916",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "7685",
+                                 "localId" : "7917",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "7686",
+                              "localId" : "7918",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "7687",
+                                 "localId" : "7919",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7688",
+                                    "localId" : "7920",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "7689",
+                              "localId" : "7921",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "7690",
+                                 "localId" : "7922",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "7691",
+                                    "localId" : "7923",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "7692",
+                                       "localId" : "7924",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "7693",
+                                          "localId" : "7925",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "7694",
+                                             "localId" : "7926",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "7695",
+                                       "localId" : "7927",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "7696",
+                                          "localId" : "7928",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "7697",
+                                             "localId" : "7929",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -24581,546 +25745,407 @@
                                  }
                               }
                            }, {
-                              "localId" : "7698",
-                              "name" : "LearnMore",
-                              "elementType" : {
-                                 "localId" : "7699",
-                                 "name" : "{urn:hl7-org:elm-types:r1}String",
-                                 "type" : "NamedTypeSpecifier"
-                              }
-                           } ]
-                        }
-                     }
-                  }
-               }
-            }
-         }, {
-            "localId" : "7806",
-            "locator" : "177:1-178:59",
-            "name" : "Bone Biopsy Report",
-            "context" : "Patient",
-            "accessLevel" : "Public",
-            "annotation" : [ {
-               "type" : "Annotation",
-               "s" : {
-                  "r" : "7806",
-                  "s" : [ {
-                     "value" : [ "","define ","\"Bone Biopsy Report\"",":\n  " ]
-                  }, {
-                     "r" : "7816",
-                     "s" : [ {
-                        "r" : "7807",
-                        "s" : [ {
-                           "value" : [ "DE" ]
-                        } ]
-                     }, {
-                        "value" : [ "." ]
-                     }, {
-                        "r" : "7816",
-                        "s" : [ {
-                           "value" : [ "SelectByStatus","(" ]
-                        }, {
-                           "r" : "7811",
-                           "s" : [ {
-                              "value" : [ "[","Observation",": " ]
-                           }, {
-                              "s" : [ {
-                                 "value" : [ "Cx",".","\"Bone Biopsy Report\"" ]
-                              } ]
-                           }, {
-                              "value" : [ "]" ]
-                           } ]
-                        }, {
-                           "value" : [ ")" ]
-                        } ]
-                     } ]
-                  } ]
-               }
-            } ],
-            "resultTypeSpecifier" : {
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-               "type" : "ListTypeSpecifier",
-               "elementType" : {
-                  "localId" : "7822",
-                  "name" : "{http://hl7.org/fhir}Observation",
-                  "type" : "NamedTypeSpecifier"
-               }
-            },
-            "expression" : {
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-               "locator" : "178:3-178:59",
-               "name" : "SelectByStatus",
-               "libraryName" : "DE",
-               "type" : "FunctionRef",
-               "resultTypeSpecifier" : {
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-                  "type" : "ListTypeSpecifier",
-                  "elementType" : {
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-                     "name" : "{http://hl7.org/fhir}Observation",
-                     "type" : "NamedTypeSpecifier"
-                  }
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-               "operand" : [ {
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-                  "locator" : "178:21-178:58",
-                  "dataType" : "{http://hl7.org/fhir}Observation",
-                  "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
-                  "codeProperty" : "code",
-                  "codeComparator" : "in",
-                  "type" : "Retrieve",
-                  "resultTypeSpecifier" : {
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-                     "type" : "ListTypeSpecifier",
-                     "elementType" : {
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-                        "name" : "{http://hl7.org/fhir}Observation",
-                        "type" : "NamedTypeSpecifier"
-                     }
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-                     "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "Bone Biopsy Report",
-                     "libraryName" : "Cx",
-                     "type" : "ValueSetRef"
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-                  "codeFilter" : [ ],
-                  "dateFilter" : [ ],
-                  "otherFilter" : [ ]
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-            }
-         }, {
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-            "locator" : "195:1-196:73",
-            "name" : "Complete Blood Count (with Diff)",
-            "context" : "Patient",
-            "accessLevel" : "Public",
-            "annotation" : [ {
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-                  "s" : [ {
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-                  }, {
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-                     "s" : [ {
-                        "r" : "7835",
-                        "s" : [ {
-                           "value" : [ "DE" ]
-                        } ]
-                     }, {
-                        "value" : [ "." ]
-                     }, {
-                        "r" : "7844",
-                        "s" : [ {
-                           "value" : [ "SelectByStatus","(" ]
-                        }, {
-                           "r" : "7839",
-                           "s" : [ {
-                              "value" : [ "[","Observation",": " ]
-                           }, {
-                              "s" : [ {
-                                 "value" : [ "Cx",".","\"Complete Blood Count (with Diff)\"" ]
-                              } ]
-                           }, {
-                              "value" : [ "]" ]
-                           } ]
-                        }, {
-                           "value" : [ ")" ]
-                        } ]
-                     } ]
-                  } ]
-               }
-            } ],
-            "resultTypeSpecifier" : {
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-               "type" : "ListTypeSpecifier",
-               "elementType" : {
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-                  "name" : "{http://hl7.org/fhir}Observation",
-                  "type" : "NamedTypeSpecifier"
-               }
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-               "locator" : "196:3-196:73",
-               "name" : "SelectByStatus",
-               "libraryName" : "DE",
-               "type" : "FunctionRef",
-               "resultTypeSpecifier" : {
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-                  "type" : "ListTypeSpecifier",
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-                  "codeProperty" : "code",
-                  "codeComparator" : "in",
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-                        "name" : "{http://hl7.org/fhir}Observation",
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-                  "dateFilter" : [ ],
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-            "locator" : "198:1-199:76",
-            "name" : "Comprehensive Metabolic Panel (CMP)",
-            "context" : "Patient",
-            "accessLevel" : "Public",
-            "annotation" : [ {
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-                  }, {
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-                     "s" : [ {
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-                        "s" : [ {
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-                        } ]
-                     }, {
-                        "value" : [ "." ]
-                     }, {
-                        "r" : "7862",
-                        "s" : [ {
-                           "value" : [ "SelectByStatus","(" ]
-                        }, {
-                           "r" : "7857",
-                           "s" : [ {
-                              "value" : [ "[","Observation",": " ]
-                           }, {
-                              "s" : [ {
-                                 "value" : [ "Cx",".","\"Comprehensive Metabolic Panel (CMP)\"" ]
-                              } ]
-                           }, {
-                              "value" : [ "]" ]
+                              "localId" : "7930",
+                              "name" : "LearnMore",
+                              "elementType" : {
+                                 "localId" : "7931",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
                            } ]
+                        },
+                        "signature" : [ ],
+                        "operand" : [ {
+                           "localId" : "7857",
+                           "locator" : "96:31-96:48",
+                           "name" : "Vitamin D Levels",
+                           "type" : "ExpressionRef",
+                           "resultTypeSpecifier" : {
+                              "localId" : "7858",
+                              "type" : "ListTypeSpecifier",
+                              "elementType" : {
+                                 "localId" : "7859",
+                                 "name" : "{http://hl7.org/fhir}Observation",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }
                         }, {
-                           "value" : [ ")" ]
-                        } ]
-                     } ]
-                  } ]
-               }
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-            "resultTypeSpecifier" : {
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-            "locator" : "204:1-205:103",
-            "name" : "COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests",
-            "context" : "Patient",
-            "accessLevel" : "Public",
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-                  }, {
-                     "r" : "7882",
-                     "s" : [ {
-                        "r" : "7873",
-                        "s" : [ {
-                           "value" : [ "DE" ]
+                           "localId" : "7860",
+                           "locator" : "96:51-96:61",
+                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
+                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
+                           "value" : "Vitamin D",
+                           "type" : "Literal"
                         } ]
                      }, {
-                        "value" : [ "." ]
-                     }, {
-                        "r" : "7882",
-                        "s" : [ {
-                           "value" : [ "SelectByStatus","(" ]
-                        }, {
-                           "r" : "7877",
-                           "s" : [ {
-                              "value" : [ "[","Observation",": " ]
+                        "localId" : "7955",
+                        "locator" : "97:5-97:107",
+                        "name" : "ReportMostRecentResult",
+                        "libraryName" : "DE",
+                        "type" : "FunctionRef",
+                        "resultTypeSpecifier" : {
+                           "localId" : "7991",
+                           "type" : "TupleTypeSpecifier",
+                           "element" : [ {
+                              "localId" : "7992",
+                              "name" : "DisplayName",
+                              "elementType" : {
+                                 "localId" : "7993",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
                            }, {
-                              "s" : [ {
-                                 "value" : [ "Cx",".","\"COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests\"" ]
-                              } ]
+                              "localId" : "7994",
+                              "name" : "ConceptName",
+                              "elementType" : {
+                                 "localId" : "7995",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
                            }, {
-                              "value" : [ "]" ]
-                           } ]
-                        }, {
-                           "value" : [ ")" ]
-                        } ]
-                     } ]
-                  } ]
-               }
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-                     "elementType" : {
-                        "localId" : "7881",
-                        "name" : "{http://hl7.org/fhir}Observation",
-                        "type" : "NamedTypeSpecifier"
-                     }
-                  },
-                  "codes" : {
-                     "localId" : "7876",
-                     "locator" : "205:35-205:101",
-                     "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests",
-                     "libraryName" : "Cx",
-                     "type" : "ValueSetRef"
-                  },
-                  "include" : [ ],
-                  "codeFilter" : [ ],
-                  "dateFilter" : [ ],
-                  "otherFilter" : [ ]
-               } ]
-            }
-         }, {
-            "localId" : "7936",
-            "locator" : "276:1-277:61",
-            "name" : "Kidney Biopsy Report",
-            "context" : "Patient",
-            "accessLevel" : "Public",
-            "annotation" : [ {
-               "type" : "Annotation",
-               "s" : {
-                  "r" : "7936",
-                  "s" : [ {
-                     "value" : [ "","define ","\"Kidney Biopsy Report\"",":\n  " ]
-                  }, {
-                     "r" : "7946",
-                     "s" : [ {
-                        "r" : "7937",
-                        "s" : [ {
-                           "value" : [ "DE" ]
-                        } ]
-                     }, {
-                        "value" : [ "." ]
-                     }, {
-                        "r" : "7946",
-                        "s" : [ {
-                           "value" : [ "SelectByStatus","(" ]
-                        }, {
-                           "r" : "7941",
-                           "s" : [ {
-                              "value" : [ "[","Observation",": " ]
+                              "localId" : "7996",
+                              "name" : "Date",
+                              "elementType" : {
+                                 "localId" : "7997",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
                            }, {
-                              "s" : [ {
-                                 "value" : [ "Cx",".","\"Kidney Biopsy Report\"" ]
-                              } ]
+                              "localId" : "7998",
+                              "name" : "ResultText",
+                              "elementType" : {
+                                 "localId" : "7999",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8000",
+                              "name" : "ResultValue",
+                              "elementType" : {
+                                 "localId" : "8001",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Decimal",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8002",
+                              "name" : "ResultUnits",
+                              "elementType" : {
+                                 "localId" : "8003",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8004",
+                              "name" : "ReferenceRange",
+                              "elementType" : {
+                                 "localId" : "8005",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8006",
+                              "name" : "Interpretation",
+                              "elementType" : {
+                                 "localId" : "8007",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8008",
+                              "name" : "Flag",
+                              "elementType" : {
+                                 "localId" : "8009",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Boolean",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8010",
+                              "name" : "Performer",
+                              "elementType" : {
+                                 "localId" : "8011",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8012",
+                              "name" : "Notes",
+                              "elementType" : {
+                                 "localId" : "8013",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "8014",
+                                    "name" : "{urn:hl7-org:elm-types:r1}String",
+                                    "type" : "NamedTypeSpecifier"
+                                 }
+                              }
                            }, {
-                              "value" : [ "]" ]
+                              "localId" : "8015",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "8016",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "8017",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "8018",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "8019",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "8020",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    }, {
+                                       "localId" : "8021",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "8022",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "8023",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "8024",
+                              "name" : "LearnMore",
+                              "elementType" : {
+                                 "localId" : "8025",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
                            } ]
+                        },
+                        "signature" : [ ],
+                        "operand" : [ {
+                           "localId" : "7951",
+                           "locator" : "97:31-97:67",
+                           "name" : "White Blood Cell (Leukocytes) Count",
+                           "type" : "ExpressionRef",
+                           "resultTypeSpecifier" : {
+                              "localId" : "7952",
+                              "type" : "ListTypeSpecifier",
+                              "elementType" : {
+                                 "localId" : "7953",
+                                 "name" : "{http://hl7.org/fhir}Observation",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }
                         }, {
-                           "value" : [ ")" ]
+                           "localId" : "7954",
+                           "locator" : "97:70-97:106",
+                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
+                           "valueType" : "{urn:hl7-org:elm-types:r1}String",
+                           "value" : "White Blood Cell (Leukocytes) Count",
+                           "type" : "Literal"
                         } ]
                      } ]
-                  } ]
-               }
-            } ],
-            "resultTypeSpecifier" : {
-               "localId" : "7951",
-               "type" : "ListTypeSpecifier",
-               "elementType" : {
-                  "localId" : "7952",
-                  "name" : "{http://hl7.org/fhir}Observation",
-                  "type" : "NamedTypeSpecifier"
-               }
-            },
-            "expression" : {
-               "localId" : "7946",
-               "locator" : "277:3-277:61",
-               "name" : "SelectByStatus",
-               "libraryName" : "DE",
-               "type" : "FunctionRef",
-               "resultTypeSpecifier" : {
-                  "localId" : "7949",
-                  "type" : "ListTypeSpecifier",
-                  "elementType" : {
-                     "localId" : "7950",
-                     "name" : "{http://hl7.org/fhir}Observation",
-                     "type" : "NamedTypeSpecifier"
                   }
-               },
-               "signature" : [ ],
-               "operand" : [ {
-                  "localId" : "7941",
-                  "locator" : "277:21-277:60",
-                  "dataType" : "{http://hl7.org/fhir}Observation",
-                  "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
-                  "codeProperty" : "code",
-                  "codeComparator" : "in",
-                  "type" : "Retrieve",
-                  "resultTypeSpecifier" : {
-                     "localId" : "7944",
-                     "type" : "ListTypeSpecifier",
-                     "elementType" : {
-                        "localId" : "7945",
-                        "name" : "{http://hl7.org/fhir}Observation",
-                        "type" : "NamedTypeSpecifier"
+               } ],
+               "let" : [ ],
+               "relationship" : [ ],
+               "where" : {
+                  "localId" : "8171",
+                  "locator" : "100:13-100:36",
+                  "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
+                  "type" : "Not",
+                  "signature" : [ ],
+                  "operand" : {
+                     "localId" : "8170",
+                     "locator" : "100:19-100:36",
+                     "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
+                     "type" : "IsNull",
+                     "signature" : [ ],
+                     "operand" : {
+                        "localId" : "8134",
+                        "locator" : "100:19-100:24",
+                        "name" : "Result",
+                        "type" : "AliasRef",
+                        "resultTypeSpecifier" : {
+                           "localId" : "8135",
+                           "type" : "TupleTypeSpecifier",
+                           "element" : [ {
+                              "localId" : "8136",
+                              "name" : "DisplayName",
+                              "elementType" : {
+                                 "localId" : "8137",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8138",
+                              "name" : "ConceptName",
+                              "elementType" : {
+                                 "localId" : "8139",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8140",
+                              "name" : "Date",
+                              "elementType" : {
+                                 "localId" : "8141",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8142",
+                              "name" : "ResultText",
+                              "elementType" : {
+                                 "localId" : "8143",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8144",
+                              "name" : "ResultValue",
+                              "elementType" : {
+                                 "localId" : "8145",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Decimal",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8146",
+                              "name" : "ResultUnits",
+                              "elementType" : {
+                                 "localId" : "8147",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8148",
+                              "name" : "ReferenceRange",
+                              "elementType" : {
+                                 "localId" : "8149",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8150",
+                              "name" : "Interpretation",
+                              "elementType" : {
+                                 "localId" : "8151",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8152",
+                              "name" : "Flag",
+                              "elementType" : {
+                                 "localId" : "8153",
+                                 "name" : "{urn:hl7-org:elm-types:r1}Boolean",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8154",
+                              "name" : "Performer",
+                              "elementType" : {
+                                 "localId" : "8155",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           }, {
+                              "localId" : "8156",
+                              "name" : "Notes",
+                              "elementType" : {
+                                 "localId" : "8157",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "8158",
+                                    "name" : "{urn:hl7-org:elm-types:r1}String",
+                                    "type" : "NamedTypeSpecifier"
+                                 }
+                              }
+                           }, {
+                              "localId" : "8159",
+                              "name" : "Provenance",
+                              "elementType" : {
+                                 "localId" : "8160",
+                                 "type" : "ListTypeSpecifier",
+                                 "elementType" : {
+                                    "localId" : "8161",
+                                    "type" : "TupleTypeSpecifier",
+                                    "element" : [ {
+                                       "localId" : "8162",
+                                       "name" : "Transmitter",
+                                       "elementType" : {
+                                          "localId" : "8163",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "8164",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    }, {
+                                       "localId" : "8165",
+                                       "name" : "Author",
+                                       "elementType" : {
+                                          "localId" : "8166",
+                                          "type" : "ListTypeSpecifier",
+                                          "elementType" : {
+                                             "localId" : "8167",
+                                             "name" : "{urn:hl7-org:elm-types:r1}String",
+                                             "type" : "NamedTypeSpecifier"
+                                          }
+                                       }
+                                    } ]
+                                 }
+                              }
+                           }, {
+                              "localId" : "8168",
+                              "name" : "LearnMore",
+                              "elementType" : {
+                                 "localId" : "8169",
+                                 "name" : "{urn:hl7-org:elm-types:r1}String",
+                                 "type" : "NamedTypeSpecifier"
+                              }
+                           } ]
+                        }
                      }
-                  },
-                  "codes" : {
-                     "localId" : "7940",
-                     "locator" : "277:35-277:59",
-                     "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "Kidney Biopsy Report",
-                     "libraryName" : "Cx",
-                     "type" : "ValueSetRef"
-                  },
-                  "include" : [ ],
-                  "codeFilter" : [ ],
-                  "dateFilter" : [ ],
-                  "otherFilter" : [ ]
-               } ]
+                  }
+               }
             }
          }, {
-            "localId" : "7966",
-            "locator" : "297:1-298:61",
-            "name" : "Muscle Biopsy Report",
+            "localId" : "8288",
+            "locator" : "195:1-196:73",
+            "name" : "Complete Blood Count (with Diff)",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "7966",
+                  "r" : "8288",
                   "s" : [ {
-                     "value" : [ "","define ","\"Muscle Biopsy Report\"",":\n  " ]
+                     "value" : [ "","define ","\"Complete Blood Count (with Diff)\"",":\n  " ]
                   }, {
-                     "r" : "7976",
+                     "r" : "8298",
                      "s" : [ {
-                        "r" : "7967",
+                        "r" : "8289",
                         "s" : [ {
                            "value" : [ "DE" ]
                         } ]
                      }, {
                         "value" : [ "." ]
                      }, {
-                        "r" : "7976",
+                        "r" : "8298",
                         "s" : [ {
                            "value" : [ "SelectByStatus","(" ]
                         }, {
-                           "r" : "7971",
+                           "r" : "8293",
                            "s" : [ {
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Muscle Biopsy Report\"" ]
+                                 "value" : [ "Cx",".","\"Complete Blood Count (with Diff)\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -25133,52 +26158,52 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "7981",
+               "localId" : "8303",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "7982",
+                  "localId" : "8304",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "7976",
-               "locator" : "298:3-298:61",
+               "localId" : "8298",
+               "locator" : "196:3-196:73",
                "name" : "SelectByStatus",
                "libraryName" : "DE",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
-                  "localId" : "7979",
+                  "localId" : "8301",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
-                     "localId" : "7980",
+                     "localId" : "8302",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
                "signature" : [ ],
                "operand" : [ {
-                  "localId" : "7971",
-                  "locator" : "298:21-298:60",
+                  "localId" : "8293",
+                  "locator" : "196:21-196:72",
                   "dataType" : "{http://hl7.org/fhir}Observation",
                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                   "codeProperty" : "code",
                   "codeComparator" : "in",
                   "type" : "Retrieve",
                   "resultTypeSpecifier" : {
-                     "localId" : "7974",
+                     "localId" : "8296",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "7975",
+                        "localId" : "8297",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "codes" : {
-                     "localId" : "7970",
-                     "locator" : "298:35-298:59",
+                     "localId" : "8292",
+                     "locator" : "196:35-196:71",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "Muscle Biopsy Report",
+                     "name" : "Complete Blood Count (with Diff)",
                      "libraryName" : "Cx",
                      "type" : "ValueSetRef"
                   },
@@ -25189,37 +26214,37 @@
                } ]
             }
          }, {
-            "localId" : "8006",
-            "locator" : "333:1-334:59",
-            "name" : "Skin Biopsy Report",
+            "localId" : "8306",
+            "locator" : "198:1-199:76",
+            "name" : "Comprehensive Metabolic Panel (CMP)",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "8006",
+                  "r" : "8306",
                   "s" : [ {
-                     "value" : [ "","define ","\"Skin Biopsy Report\"",":\n  " ]
+                     "value" : [ "","define ","\"Comprehensive Metabolic Panel (CMP)\"",":\n  " ]
                   }, {
-                     "r" : "8016",
+                     "r" : "8316",
                      "s" : [ {
-                        "r" : "8007",
+                        "r" : "8307",
                         "s" : [ {
                            "value" : [ "DE" ]
                         } ]
                      }, {
                         "value" : [ "." ]
                      }, {
-                        "r" : "8016",
+                        "r" : "8316",
                         "s" : [ {
                            "value" : [ "SelectByStatus","(" ]
                         }, {
-                           "r" : "8011",
+                           "r" : "8311",
                            "s" : [ {
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Skin Biopsy Report\"" ]
+                                 "value" : [ "Cx",".","\"Comprehensive Metabolic Panel (CMP)\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -25232,52 +26257,52 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "8021",
+               "localId" : "8321",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "8022",
+                  "localId" : "8322",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "8016",
-               "locator" : "334:3-334:59",
+               "localId" : "8316",
+               "locator" : "199:3-199:76",
                "name" : "SelectByStatus",
                "libraryName" : "DE",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
-                  "localId" : "8019",
+                  "localId" : "8319",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
-                     "localId" : "8020",
+                     "localId" : "8320",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
                "signature" : [ ],
                "operand" : [ {
-                  "localId" : "8011",
-                  "locator" : "334:21-334:58",
+                  "localId" : "8311",
+                  "locator" : "199:21-199:75",
                   "dataType" : "{http://hl7.org/fhir}Observation",
                   "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                   "codeProperty" : "code",
                   "codeComparator" : "in",
                   "type" : "Retrieve",
                   "resultTypeSpecifier" : {
-                     "localId" : "8014",
+                     "localId" : "8314",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "8015",
+                        "localId" : "8315",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "codes" : {
-                     "localId" : "8010",
-                     "locator" : "334:35-334:57",
+                     "localId" : "8310",
+                     "locator" : "199:35-199:74",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
-                     "name" : "Skin Biopsy Report",
+                     "name" : "Comprehensive Metabolic Panel (CMP)",
                      "libraryName" : "Cx",
                      "type" : "ValueSetRef"
                   },
diff --git a/src/data-services/mccCqlService.ts b/src/data-services/mccCqlService.ts
index 3394e13..1df1e3f 100644
--- a/src/data-services/mccCqlService.ts
+++ b/src/data-services/mccCqlService.ts
@@ -42,7 +42,7 @@ const extractConditionSummary = (fhirData?: FHIRData): ConditionSummary[] | unde
 
   // console.log("CQL Results in extractConditionSummary: " + JSON.stringify(extractedSummary))
   // console.log("ConditionSummary: ", extractedSummary.ConditionSummary)
-  return extractedSummary.ConditionSummary
+  return extractedSummary?.ConditionSummary
 }
 export const getConditionSummaries = (fhirDataCollection?: FHIRData[]): ConditionSummary[][] | undefined => {
   if (fhirDataCollection === undefined) { return undefined }
@@ -68,7 +68,7 @@ const extractGoalSummary = (fhirData?: FHIRData): GoalSummary[] | undefined => {
 
   // console.log("CQL extractedSummary: ", extractedSummary)
   // console.log("CQL extractedSummary.GoalSummary: ", extractedSummary.GoalSummary)
-  return extractedSummary.GoalSummary
+  return extractedSummary?.GoalSummary
 }
 export const getGoalSummaries = (fhirDataCollection?: FHIRData[]): GoalSummary[][] | undefined => {
   if (fhirDataCollection === undefined) { return undefined }
@@ -88,7 +88,7 @@ const extractLabResultSummary = (fhirData?: FHIRData): ObservationSummary[] | un
 
   // console.log("CQL Results in extractLabResultSummary: " + JSON.stringify(extractedSummary))
   // console.log("LabResultSummary: ", JSON.stringify(extractedSummary.LabResultSummary))
-  return extractedSummary.LabResultSummary
+  return extractedSummary?.LabResultSummary
 }
 export const getLabResultSummaries = (fhirDataCollection?: FHIRData[]): ObservationSummary[][] | undefined => {
   if (fhirDataCollection === undefined) { return undefined }
@@ -108,7 +108,7 @@ const extractMedicationSummary = (fhirData?: FHIRData): MedicationSummary[] | un
 
   // console.log("CQL Results in extractMedicationSummary: " + JSON.stringify(extractedSummary))
   // console.log("MedicationSummary: ", JSON.stringify(extractedSummary.MedicationSummary))
-  return extractedSummary.MedicationSummary
+  return extractedSummary?.MedicationSummary
 }
 export const getMedicationSummaries = (fhirDataCollection?: FHIRData[]): MedicationSummary[][] | undefined => {
   if (fhirDataCollection === undefined) { return undefined }
@@ -128,7 +128,7 @@ const extractVitalSignSummary = (fhirData?: FHIRData): ObservationSummary[] | un
 
   // console.log("CQL Results in extractVitalSignSummary: " + JSON.stringify(extractedSummary))
   // console.log("VitalSignsSummary: ", JSON.stringify(extractedSummary.VitalSignsSummary))
-  return extractedSummary.VitalSignsSummary
+  return extractedSummary?.VitalSignsSummary
 }
 export const getVitalSignSummaries = (fhirDataCollection?: FHIRData[]): ObservationSummary[][] | undefined => {
   if (fhirDataCollection === undefined) { return undefined }
@@ -142,11 +142,17 @@ export const getVitalSignSummaries = (fhirDataCollection?: FHIRData[]): Observat
 }
 
 const executeLibrary = (library: any, codeService: any, patientSource: any): any => {
-  const executor = new cql.Executor(library, codeService)
-  const results = executor.exec(patientSource)
-  // Note: This array index of 0 is not related to multi providers. It was setup this way prior to multi proviuders.
-  const extractedSummary = results.patientResults[Object.keys(results.patientResults)[0]]
-  // console.log("CQL Results in executeLibrary: ", JSON.stringify(extractedSummary));
-
-  return extractedSummary
+  try {
+    const executor = new cql.Executor(library, codeService)
+    const results = executor.exec(patientSource)
+    // Note: This array index of 0 is not related to multi providers. It was setup this way prior to multi proviuders.
+    const extractedSummary = results.patientResults[Object.keys(results.patientResults)[0]]
+    // console.log("CQL Results in executeLibrary: ", JSON.stringify(extractedSummary));
+
+    return extractedSummary
+  }
+  catch (err) {
+    console.log("Error executing CQL: " + err)
+    return undefined
+  }
 }

From 912faa4b7ae28286c9f8eb4234f3af51722ae956 Mon Sep 17 00:00:00 2001
From: David Carlson <dcarlson@clinicalcloud.solutions>
Date: Mon, 22 Jul 2024 16:54:40 -0600
Subject: [PATCH 13/20] Add Provenance to ServiceRequest and Immunization
 lists.

---
 .../mcc-provenance-pnoelle-immunizations.json | 49 +++++++++++++++++++
 src/components/summaries/ImmunizationList.tsx | 19 +++----
 .../summaries/ServiceRequestList.tsx          | 25 +++++-----
 src/data-services/models/fhirResources.ts     | 14 ++++++
 4 files changed, 86 insertions(+), 21 deletions(-)
 create mode 100644 dev-data-files/mcc-provenance-pnoelle-immunizations.json

diff --git a/dev-data-files/mcc-provenance-pnoelle-immunizations.json b/dev-data-files/mcc-provenance-pnoelle-immunizations.json
new file mode 100644
index 0000000..a06037e
--- /dev/null
+++ b/dev-data-files/mcc-provenance-pnoelle-immunizations.json
@@ -0,0 +1,49 @@
+{
+    "resourceType": "Provenance",
+    "id": "mcc-provenance-pnoelle-servicerequest",
+    "target": [
+        {
+            "reference": "ServiceRequest/mcc-service-pnoelle-phq4"
+        },
+        {
+            "reference": "ServiceRequest/mcc-service-pnoelle-edu-diet"
+        }
+    ],
+    "recorded": "2024-07-21T21:43:09Z",
+    "agent": [
+        {
+            "type": {
+                "coding": [
+                    {
+                        "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
+                        "code": "author",
+                        "display": "Author"
+                    }
+                ],
+                "text": "Author"
+            },
+            "who": {
+                "reference":"Practitioner/mcc-prac-carlson-john",
+                "display":"Dr. John Carlson, MD"
+            },
+            "onBehalfOf": {
+                "display": "Sample Hospital A"
+            }
+        },
+        {
+            "type": {
+                "coding": [
+                    {
+                        "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type",
+                        "code": "transmitter",
+                        "display": "Transmitter"
+                    }
+                ],
+                "text": "Transmitter"
+            },
+            "who": {
+                "display": "Sample Hospital A"
+            }
+        }
+    ]
+}
\ No newline at end of file
diff --git a/src/components/summaries/ImmunizationList.tsx b/src/components/summaries/ImmunizationList.tsx
index 724ad31..22bfcc7 100644
--- a/src/components/summaries/ImmunizationList.tsx
+++ b/src/components/summaries/ImmunizationList.tsx
@@ -1,5 +1,5 @@
 import React, { FC, useState, useEffect } from 'react';
-import { FHIRData, displayDate } from '../../data-services/models/fhirResources';
+import { FHIRData, displayDate, displayTransmitter } from '../../data-services/models/fhirResources';
 import { Summary, SummaryRowItem, SummaryRowItems } from './Summary';
 import { Immunization } from '../../data-services/fhir-types/fhir-r4';
 import { BusySpinner } from '../busy-spinner/BusySpinner';
@@ -15,7 +15,7 @@ export const ImmunizationList: FC<ImmunizationListProps> = ({ fhirDataCollection
   const [showModal, setShowModal] = useState<boolean>(false);
   const [sortOption, setSortOption] = useState<string>('');
   const [filterOption, setFilterOption] = useState<string[]>([]);
-  const [sortedAndFilteredImmunizations, setSortedAndFilteredImmunizations] = useState<{ immunization: Immunization, provider: string }[]>([]);
+  const [sortedAndFilteredImmunizations, setSortedAndFilteredImmunizations] = useState<{ immunization: Immunization, provider: string, provenance?: string }[]>([]);
   const [filteringOptions, setFilteringOptions] = useState<{ value: string; label: string }[]>([]);
 
   useEffect(() => {
@@ -63,12 +63,13 @@ export const ImmunizationList: FC<ImmunizationListProps> = ({ fhirDataCollection
   const applySortingAndFiltering = () => {
     if (!fhirDataCollection) return;
 
-    let combinedImmunizations: { immunization: Immunization, provider: string }[] = [];
+    let combinedImmunizations: { immunization: Immunization, provider: string, provenance?: string }[] = [];
 
     fhirDataCollection.forEach((data, providerIndex) => {
       const providerName = data.serverName || 'Unknown';
       (data.immunizations || []).forEach(immunization => {
-        combinedImmunizations.push({ immunization, provider: providerName });
+        let provenance = data.provenanceMap?.get("Immunization/" + immunization.id ?? 'missingId')?.[0]
+        combinedImmunizations.push({ immunization, provider: providerName, provenance: displayTransmitter(provenance) });
       });
     });
 
@@ -150,8 +151,8 @@ export const ImmunizationList: FC<ImmunizationListProps> = ({ fhirDataCollection
         {sortedAndFilteredImmunizations.length === 0 ? (
           <p>No records found.</p>
         ) : (
-          sortedAndFilteredImmunizations.map(({ immunization, provider }, index) => (
-            <Summary key={index} id={index} rows={buildRows(immunization, provider)} />
+          sortedAndFilteredImmunizations.map(({ immunization, provider, provenance }, index) => (
+            <Summary key={index} id={index} rows={buildRows(immunization, provider, provenance)} />
           ))
         )}
       </div>
@@ -159,7 +160,7 @@ export const ImmunizationList: FC<ImmunizationListProps> = ({ fhirDataCollection
   );
 };
 
-const buildRows = (imm: Immunization, theSource?: string): SummaryRowItems => {
+const buildRows = (imm: Immunization, theSource?: string, provenance?: string): SummaryRowItems => {
   let rows: SummaryRowItems = [
     {
       isHeader: true,
@@ -195,11 +196,11 @@ const buildRows = (imm: Immunization, theSource?: string): SummaryRowItems => {
     rows = rows.concat(notes);
   }
 
-  if (theSource) {
+  if (theSource || (provenance !== undefined)) {
     const source: SummaryRowItem = {
       isHeader: false,
       twoColumns: false,
-      data1: 'From ' + theSource,
+      data1: 'Source: ' + (provenance !== undefined ? provenance : theSource),
       data2: '',
     };
     rows.push(source);
diff --git a/src/components/summaries/ServiceRequestList.tsx b/src/components/summaries/ServiceRequestList.tsx
index 46c4f3b..2faf5c1 100644
--- a/src/components/summaries/ServiceRequestList.tsx
+++ b/src/components/summaries/ServiceRequestList.tsx
@@ -1,7 +1,7 @@
 import '../../Home.css';
 import React, { FC, useState, useEffect } from 'react';
-import { FHIRData, displayTiming, displayConcept } from '../../data-services/models/fhirResources';
-import { ServiceRequest } from '../../data-services/fhir-types/fhir-r4';
+import { FHIRData, displayTiming, displayConcept, displayTransmitter } from '../../data-services/models/fhirResources';
+import { ServiceRequest, Provenance } from '../../data-services/fhir-types/fhir-r4';
 import { Summary, SummaryRowItem, SummaryRowItems } from './Summary';
 import { BusySpinner } from '../busy-spinner/BusySpinner';
 import { SortModal } from '../sort-modal/sortModal';
@@ -17,7 +17,7 @@ export const ServiceRequestList: FC<ServiceRequestListProps> = ({ fhirDataCollec
   const [showModal, setShowModal] = useState<boolean>(false);
   const [sortOption, setSortOption] = useState<string>('');
   const [filterOption, setFilterOption] = useState<string[]>([]);
-  const [sortedAndFilteredServiceRequests, setSortedAndFilteredServiceRequests] = useState<{ serviceRequest: ServiceRequest, provider: string }[]>([]);
+  const [sortedAndFilteredServiceRequests, setSortedAndFilteredServiceRequests] = useState<{ serviceRequest: ServiceRequest, provider: string, provenance?: string }[]>([]);
   const [filteringOptions, setFilteringOptions] = useState<{ value: string; label: string }[]>([]);
 
   useEffect(() => {
@@ -65,12 +65,13 @@ export const ServiceRequestList: FC<ServiceRequestListProps> = ({ fhirDataCollec
   const applySortingAndFiltering = () => {
     if (!fhirDataCollection) return;
 
-    let combinedServiceRequests: { serviceRequest: ServiceRequest, provider: string }[] = [];
+    let combinedServiceRequests: { serviceRequest: ServiceRequest, provider: string, provenance?: string }[] = [];
 
     fhirDataCollection.forEach((data, providerIndex) => {
       const providerName = data.serverName || 'Unknown';
       (data.serviceRequests || []).forEach(serviceRequest => {
-        combinedServiceRequests.push({ serviceRequest, provider: providerName });
+        let provenance = data.provenanceMap?.get("ServiceRequest/" + serviceRequest.id ?? 'missingId')?.[0]
+        combinedServiceRequests.push({ serviceRequest, provider: providerName, provenance: displayTransmitter(provenance) });
       });
     });
 
@@ -223,8 +224,8 @@ export const ServiceRequestList: FC<ServiceRequestListProps> = ({ fhirDataCollec
         {sortedAndFilteredServiceRequests.length === 0 ? (
           <p>No records found.</p>
         ) : (
-          sortedAndFilteredServiceRequests.map(({ serviceRequest, provider }, index) => (
-            <Summary key={index} id={index} rows={buildRows(serviceRequest, provider)} />
+          sortedAndFilteredServiceRequests.map(({ serviceRequest, provider, provenance }, index) => (
+            <Summary key={index} id={index} rows={buildRows(serviceRequest, provider, provenance)} />
           ))
         )}
       </div>
@@ -232,7 +233,7 @@ export const ServiceRequestList: FC<ServiceRequestListProps> = ({ fhirDataCollec
   );
 };
 
-const buildRows = (service: ServiceRequest, theSource?: string): SummaryRowItems => {
+const buildRows = (service: ServiceRequest, theSource?: string, provenance?: string): SummaryRowItems => {
   let rows: SummaryRowItems = [
     {
       isHeader: true,
@@ -271,14 +272,14 @@ const buildRows = (service: ServiceRequest, theSource?: string): SummaryRowItems
     rows = rows.concat(notes);
   }
 
-  if (theSource) {
-    const rowItem: SummaryRowItem = {
+  if (theSource || (provenance !== undefined)) {
+    const source: SummaryRowItem = {
       isHeader: false,
       twoColumns: false,
-      data1: "From " + theSource,
+      data1: 'Source: ' + (provenance !== undefined ? provenance : theSource),
       data2: '',
     };
-    rows.push(rowItem);
+    rows.push(source);
   }
 
   return rows;
diff --git a/src/data-services/models/fhirResources.ts b/src/data-services/models/fhirResources.ts
index 11ef862..ec44c0f 100644
--- a/src/data-services/models/fhirResources.ts
+++ b/src/data-services/models/fhirResources.ts
@@ -114,3 +114,17 @@ export function displayValue(obs: Observation): string | undefined {
 
   return display
 }
+
+export function displayTransmitter(prov: Provenance | undefined): string | undefined {
+  var display: string | undefined
+
+  prov?.agent?.forEach( agent => {
+    agent.type?.coding?.forEach( coding => {
+      if (coding.code === 'transmitter') {
+        display = agent.who?.display
+      }
+    })
+  })
+
+  return display
+}

From aa5d64bfc8fb69c186e247f68175f2ebd6a61836 Mon Sep 17 00:00:00 2001
From: sravandigitalhie <sravan@digitalhie.com>
Date: Wed, 24 Jul 2024 17:26:18 -0400
Subject: [PATCH 14/20] Refactored the Edit Goals to use Button

---
 src/components/summaries/GoalList.tsx | 19 +++++++++++++++++--
 1 file changed, 17 insertions(+), 2 deletions(-)

diff --git a/src/components/summaries/GoalList.tsx b/src/components/summaries/GoalList.tsx
index 63f2471..163d614 100644
--- a/src/components/summaries/GoalList.tsx
+++ b/src/components/summaries/GoalList.tsx
@@ -1,6 +1,7 @@
 import '../../Home.css';
 import React, { FC, useEffect, useState } from 'react';
 import { Link } from 'react-router-dom';
+import { useHistory } from 'react-router-dom';
 import { FHIRData } from '../../data-services/models/fhirResources';
 import { GoalSummary, GoalTarget } from '../../data-services/models/cqlSummary';
 import { Summary, SummaryRowItem, SummaryRowItems } from './Summary';
@@ -8,6 +9,7 @@ import { BusySpinner } from '../busy-spinner/BusySpinner';
 import { SortModal } from '../sort-modal/sortModal';
 import { SortOnlyModal } from '../sort-only-modal/sortOnlyModal';
 import EditIcon from '@mui/icons-material/Edit';
+import Button from '@mui/material/Button';
 
 interface GoalListProps {
   fhirDataCollection?: FHIRData[];
@@ -16,6 +18,7 @@ interface GoalListProps {
 }
 
 export const GoalList: FC<GoalListProps> = ({ fhirDataCollection, goalSummaryMatrix, canShareData }) => {
+  const history = useHistory();
   process.env.REACT_APP_DEBUG_LOG === "true" && console.log("GoalList component RENDERED!")
   const [showModal, setShowModal] = useState(false);
   const [sortingOption, setSortingOption] = useState<string>('');
@@ -105,6 +108,18 @@ export const GoalList: FC<GoalListProps> = ({ fhirDataCollection, goalSummaryMat
     setSortedAndFilteredGoals(combinedGoals);
   };
 
+  const handleEditClick = (goal: GoalSummary) => {
+    history.push({
+      pathname: '/goal-edit',
+      state: {
+        goalData: goal,
+        prepopulatedDescription: goal.Description,
+        prepopulatedDate: goal.StartDate || null,
+        prepopulatedDueDate: goal?.Target?.[0]?.DueDate || null
+      }
+    });
+  };
+
   return (
     <div className="home-view">
       <div className="welcome">
@@ -119,9 +134,9 @@ export const GoalList: FC<GoalListProps> = ({ fhirDataCollection, goalSummaryMat
 
         {canShareData && (
           <p>
-            <Link to={{ pathname: '/goal-edit', state: { fhirDataCollection } }}>
+            <Button variant="contained" color="primary" onClick={() => handleEditClick({} as GoalSummary)}>
               Add a New Goal
-            </Link>
+            </Button>
           </p>
         )}
 

From c0d682a75668162bb994cfa349ed714ab459c52c Mon Sep 17 00:00:00 2001
From: David Carlson <dcarlson@clinicalcloud.solutions>
Date: Wed, 24 Jul 2024 15:53:59 -0600
Subject: [PATCH 15/20] Update Epic OIDs for Home Blood Pressure codes

---
 src/data-services/cql/mcc/MCCConcepts.cql    |    9 +-
 src/data-services/cql/mcc/MCCConcepts.json   | 1534 ++++----
 src/data-services/cql/mcc/MCCVitalSigns.cql  |    6 +-
 src/data-services/cql/mcc/MCCVitalSigns.json | 3380 +++++++++---------
 4 files changed, 2570 insertions(+), 2359 deletions(-)

diff --git a/src/data-services/cql/mcc/MCCConcepts.cql b/src/data-services/cql/mcc/MCCConcepts.cql
index b387854..d2af236 100644
--- a/src/data-services/cql/mcc/MCCConcepts.cql
+++ b/src/data-services/cql/mcc/MCCConcepts.cql
@@ -6,7 +6,8 @@ codesystem "LOINC": 'http://loinc.org'
 codesystem "SNOMEDCT": 'http://snomed.info/sct'
 codesystem "Race": 'urn:oid:2.16.840.1.113883.6.238'
 
-codesystem "Epic": 'urn:oid:1.2.840.114350.1.13.135.3.7.2.707679'
+codesystem "EpicPOC": 'urn:oid:1.2.840.114350.1.13.135.3.7.2.707679'
+codesystem "EpicPROD": 'urn:oid:1.2.840.114350.1.13.135.2.7.2.707679'
 
 // ## Value sets ##
 
@@ -330,5 +331,7 @@ code "Body weight": '29463-7' from "LOINC" display 'Body weight'
 code "Body mass index": '39156-5' from "LOINC" display 'Body mass index'
 code "Inhaled oxygen flow rate": '3151-8' from "LOINC" display 'Inhaled oxygen flow rate'
 
-code "Epic Systolic blood pressure": '7585' from "Epic" display 'Systolic blood pressure'
-code "Epic Diastolic blood pressure": '7586' from "Epic" display 'Diastolic blood pressure'
\ No newline at end of file
+code "Epic POC Systolic blood pressure": '7585' from "EpicPOC" display 'Systolic blood pressure'
+code "Epic POC Diastolic blood pressure": '7586' from "EpicPOC" display 'Diastolic blood pressure'
+code "Epic PROD Systolic blood pressure": '7585' from "EpicPROD" display 'Systolic blood pressure'
+code "Epic PROD Diastolic blood pressure": '7586' from "EpicPROD" display 'Diastolic blood pressure'
\ No newline at end of file
diff --git a/src/data-services/cql/mcc/MCCConcepts.json b/src/data-services/cql/mcc/MCCConcepts.json
index 1fbe0e3..e7dc948 100644
--- a/src/data-services/cql/mcc/MCCConcepts.json
+++ b/src/data-services/cql/mcc/MCCConcepts.json
@@ -9,7 +9,7 @@
       }, {
          "type" : "Annotation",
          "s" : {
-            "r" : "447",
+            "r" : "452",
             "s" : [ {
                "value" : [ "","library MCCConcepts version '1.0.0'" ]
             } ]
@@ -81,9 +81,9 @@
             } ]
          }, {
             "localId" : "209",
-            "locator" : "9:1-9:65",
+            "locator" : "9:1-9:68",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
-            "name" : "Epic",
+            "name" : "EpicPOC",
             "id" : "urn:oid:1.2.840.114350.1.13.135.3.7.2.707679",
             "accessLevel" : "Public",
             "annotation" : [ {
@@ -91,7 +91,23 @@
                "s" : {
                   "r" : "209",
                   "s" : [ {
-                     "value" : [ "","codesystem ","\"Epic\"",": ","'urn:oid:1.2.840.114350.1.13.135.3.7.2.707679'" ]
+                     "value" : [ "","codesystem ","\"EpicPOC\"",": ","'urn:oid:1.2.840.114350.1.13.135.3.7.2.707679'" ]
+                  } ]
+               }
+            } ]
+         }, {
+            "localId" : "210",
+            "locator" : "10:1-10:69",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
+            "name" : "EpicPROD",
+            "id" : "urn:oid:1.2.840.114350.1.13.135.2.7.2.707679",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "210",
+                  "s" : [ {
+                     "value" : [ "","codesystem ","\"EpicPROD\"",": ","'urn:oid:1.2.840.114350.1.13.135.2.7.2.707679'" ]
                   } ]
                }
             } ]
@@ -99,8 +115,8 @@
       },
       "valueSets" : {
          "def" : [ {
-            "localId" : "210",
-            "locator" : "20:1-20:100",
+            "localId" : "211",
+            "locator" : "21:1-21:100",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Arthritis Disorders",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.81",
@@ -108,7 +124,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "210",
+                  "r" : "211",
                   "s" : [ {
                      "value" : [ "// ## Value sets ##\n\n// ******************************\n// Condition value sets\n// ******************************\n\n//\n// Arthritis Conditions\n//\n","valueset ","\"Arthritis Disorders\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.81'" ]
                   } ]
@@ -116,8 +132,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "211",
-            "locator" : "21:1-21:102",
+            "localId" : "212",
+            "locator" : "22:1-22:102",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Infectious Arthritis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.654",
@@ -125,7 +141,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "211",
+                  "r" : "212",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Infectious Arthritis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.654'" ]
                   } ]
@@ -133,8 +149,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "212",
-            "locator" : "22:1-22:96",
+            "localId" : "213",
+            "locator" : "23:1-23:96",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Osteoarthritis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.648",
@@ -142,7 +158,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "212",
+                  "r" : "213",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Osteoarthritis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.648'" ]
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@@ -150,8 +166,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "213",
-            "locator" : "23:1-23:101",
+            "localId" : "214",
+            "locator" : "24:1-24:101",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Psoriatic Arthritis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.587",
@@ -159,7 +175,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "213",
+                  "r" : "214",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Psoriatic Arthritis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.587'" ]
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@@ -167,8 +183,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "214",
-            "locator" : "24:1-24:100",
+            "localId" : "215",
+            "locator" : "25:1-25:100",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Reactive Arthritis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.588",
@@ -176,7 +192,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "214",
+                  "r" : "215",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Reactive Arthritis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.588'" ]
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@@ -184,8 +200,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "215",
-            "locator" : "25:1-25:102",
+            "localId" : "216",
+            "locator" : "26:1-26:102",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Rheumatoid Arthritis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.651",
@@ -193,7 +209,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "215",
+                  "r" : "216",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Rheumatoid Arthritis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.651'" ]
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@@ -201,8 +217,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "216",
-            "locator" : "30:1-30:108",
+            "localId" : "217",
+            "locator" : "31:1-31:108",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Acute Coronary Syndromes",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3157.2000.10",
@@ -210,7 +226,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "216",
+                  "r" : "217",
                   "s" : [ {
                      "value" : [ "//\n// Cardiovascular Conditions\n//\n","valueset ","\"Acute Coronary Syndromes\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3157.2000.10'" ]
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@@ -218,8 +234,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "217",
-            "locator" : "31:1-31:109",
+            "localId" : "218",
+            "locator" : "32:1-32:109",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Acute Myocardial Infarction",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.3011",
@@ -227,7 +243,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "217",
+                  "r" : "218",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Acute Myocardial Infarction\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.3011'" ]
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@@ -235,8 +251,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "218",
-            "locator" : "32:1-32:128",
+            "localId" : "219",
+            "locator" : "33:1-33:128",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "American Heart Association Heart Failure Stage",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.581",
@@ -244,7 +260,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "218",
+                  "r" : "219",
                   "s" : [ {
                      "value" : [ "","valueset ","\"American Heart Association Heart Failure Stage\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.581'" ]
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@@ -252,8 +268,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "219",
-            "locator" : "33:1-33:90",
+            "localId" : "220",
+            "locator" : "34:1-34:90",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Aneurysm",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.627",
@@ -261,7 +277,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "219",
+                  "r" : "220",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Aneurysm\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.627'" ]
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@@ -269,8 +285,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "220",
-            "locator" : "34:1-34:88",
+            "localId" : "221",
+            "locator" : "35:1-35:88",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Angina",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.608",
@@ -278,7 +294,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "220",
+                  "r" : "221",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Angina\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.608'" ]
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@@ -286,8 +302,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "221",
-            "locator" : "35:1-35:96",
+            "localId" : "222",
+            "locator" : "36:1-36:96",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Aortic Disease",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.636",
@@ -295,7 +311,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "221",
+                  "r" : "222",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Aortic Disease\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.636'" ]
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@@ -303,8 +319,8 @@
             } ],
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-            "localId" : "222",
-            "locator" : "36:1-36:91",
+            "localId" : "223",
+            "locator" : "37:1-37:91",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Arrhythmia",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.366",
@@ -312,7 +328,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "222",
+                  "r" : "223",
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                      "value" : [ "","valueset ","\"Arrhythmia\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.366'" ]
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@@ -320,8 +336,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "223",
-            "locator" : "37:1-37:120",
+            "localId" : "224",
+            "locator" : "38:1-38:120",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Atherosclerotic Cardiovascular Disease",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.584",
@@ -329,7 +345,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "223",
+                  "r" : "224",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Atherosclerotic Cardiovascular Disease\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.584'" ]
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@@ -337,8 +353,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "224",
-            "locator" : "38:1-38:96",
+            "localId" : "225",
+            "locator" : "39:1-39:96",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Cardiomyopathy",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.579",
@@ -346,7 +362,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "224",
+                  "r" : "225",
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                      "value" : [ "","valueset ","\"Cardiomyopathy\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.579'" ]
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@@ -354,8 +370,8 @@
             } ],
             "codeSystem" : [ ]
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-            "localId" : "225",
-            "locator" : "39:1-39:98",
+            "localId" : "226",
+            "locator" : "40:1-40:98",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Carotid Stenosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.639",
@@ -363,7 +379,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "225",
+                  "r" : "226",
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                      "value" : [ "","valueset ","\"Carotid Stenosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.639'" ]
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@@ -371,8 +387,8 @@
             } ],
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          }, {
-            "localId" : "226",
-            "locator" : "40:1-40:106",
+            "localId" : "227",
+            "locator" : "41:1-41:106",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Cerebrovascular Disease",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1524",
@@ -380,7 +396,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "226",
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                      "value" : [ "","valueset ","\"Cerebrovascular Disease\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1524'" ]
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@@ -388,8 +404,8 @@
             } ],
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-            "localId" : "227",
-            "locator" : "41:1-41:115",
+            "localId" : "228",
+            "locator" : "42:1-42:115",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Congestive heart failure Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.369",
@@ -397,7 +413,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "227",
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@@ -405,8 +421,8 @@
             } ],
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-            "localId" : "228",
-            "locator" : "42:1-42:112",
+            "localId" : "229",
+            "locator" : "43:1-43:112",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Coronary Artery Disease No MI",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1540",
@@ -414,7 +430,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "228",
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@@ -422,8 +438,8 @@
             } ],
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-            "localId" : "229",
-            "locator" : "43:1-43:96",
+            "localId" : "230",
+            "locator" : "44:1-44:96",
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             "name" : "Heart Failure",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1543",
@@ -431,7 +447,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "229",
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@@ -439,8 +455,8 @@
             } ],
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-            "localId" : "230",
-            "locator" : "44:1-44:107",
+            "localId" : "231",
+            "locator" : "45:1-45:107",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hypertension, Persistent",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1563",
@@ -448,7 +464,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "230",
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@@ -456,8 +472,8 @@
             } ],
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-            "localId" : "231",
-            "locator" : "45:1-45:117",
+            "localId" : "232",
+            "locator" : "46:1-46:117",
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             "name" : "Hypertension, Primary and Secondary",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.571",
@@ -465,7 +481,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "231",
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@@ -473,8 +489,8 @@
             } ],
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-            "localId" : "232",
-            "locator" : "46:1-46:100",
+            "localId" : "233",
+            "locator" : "47:1-47:100",
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             "name" : "Hypertension Stage",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.566",
@@ -482,7 +498,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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@@ -490,8 +506,8 @@
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-            "localId" : "233",
-            "locator" : "47:1-47:117",
+            "localId" : "234",
+            "locator" : "48:1-48:117",
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             "name" : "Hypertension, Essential or Primary",
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@@ -499,7 +515,7 @@
             "annotation" : [ {
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@@ -507,8 +523,8 @@
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-            "localId" : "234",
-            "locator" : "48:1-48:118",
+            "localId" : "235",
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@@ -516,7 +532,7 @@
             "annotation" : [ {
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@@ -524,8 +540,8 @@
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-            "locator" : "49:1-49:105",
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+            "locator" : "50:1-50:105",
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@@ -533,7 +549,7 @@
             "annotation" : [ {
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@@ -541,8 +557,8 @@
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-            "localId" : "236",
-            "locator" : "50:1-50:103",
+            "localId" : "237",
+            "locator" : "51:1-51:103",
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             "name" : "Intracranial Stenosis",
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@@ -550,7 +566,7 @@
             "annotation" : [ {
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-                  "r" : "236",
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@@ -558,8 +574,8 @@
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-            "localId" : "237",
-            "locator" : "51:1-51:104",
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             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.615",
@@ -567,7 +583,7 @@
             "annotation" : [ {
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@@ -575,8 +591,8 @@
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-            "locator" : "52:1-52:110",
+            "localId" : "239",
+            "locator" : "53:1-53:110",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Left Ventricular Hypertrophy",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.580",
@@ -584,7 +600,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "238",
+                  "r" : "239",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Left Ventricular Hypertrophy\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.580'" ]
                   } ]
@@ -592,8 +608,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "239",
-            "locator" : "53:1-53:126",
+            "localId" : "240",
+            "locator" : "54:1-54:126",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "NYHA Heart Failure Functional Classifications",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.27",
@@ -601,7 +617,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "239",
+                  "r" : "240",
                   "s" : [ {
                      "value" : [ "","valueset ","\"NYHA Heart Failure Functional Classifications\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.27'" ]
                   } ]
@@ -609,8 +625,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "240",
-            "locator" : "54:1-54:110",
+            "localId" : "241",
+            "locator" : "55:1-55:110",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Peripheral Vascular Disease",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1488",
@@ -618,7 +634,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "240",
+                  "r" : "241",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Peripheral Vascular Disease\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1488'" ]
                   } ]
@@ -626,8 +642,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "241",
-            "locator" : "55:1-55:128",
+            "localId" : "242",
+            "locator" : "56:1-56:128",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Postural tachycardia syndrome (POTS) Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.645",
@@ -635,7 +651,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "241",
+                  "r" : "242",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Postural tachycardia syndrome (POTS) Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.645'" ]
                   } ]
@@ -643,8 +659,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "242",
-            "locator" : "56:1-56:97",
+            "localId" : "243",
+            "locator" : "57:1-57:97",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Pulmonary Edema",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.611",
@@ -652,7 +668,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "242",
+                  "r" : "243",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Pulmonary Edema\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.611'" ]
                   } ]
@@ -660,8 +676,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "243",
-            "locator" : "57:1-57:106",
+            "localId" : "244",
+            "locator" : "58:1-58:106",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Stroke History",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.104.12.1017",
@@ -669,7 +685,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "243",
+                  "r" : "244",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Stroke History\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.104.12.1017'" ]
                   } ]
@@ -677,8 +693,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "244",
-            "locator" : "62:1-62:102",
+            "localId" : "245",
+            "locator" : "63:1-63:102",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Acute Renal Failure",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1534",
@@ -686,7 +702,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "244",
+                  "r" : "245",
                   "s" : [ {
                      "value" : [ "//\n// Chronic Kidney Disease (CKD) Conditions\n//\n","valueset ","\"Acute Renal Failure\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1534'" ]
                   } ]
@@ -694,8 +710,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "245",
-            "locator" : "63:1-63:115",
+            "localId" : "246",
+            "locator" : "64:1-64:115",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Chronic Kidney Disease All Stages",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.157",
@@ -703,7 +719,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "245",
+                  "r" : "246",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Chronic Kidney Disease All Stages\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.157'" ]
                   } ]
@@ -711,8 +727,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "246",
-            "locator" : "64:1-64:116",
+            "localId" : "247",
+            "locator" : "65:1-65:116",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Chronic Kidney Disease Type or Cause",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.6",
@@ -720,7 +736,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "246",
+                  "r" : "247",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Chronic Kidney Disease Type or Cause\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.6'" ]
                   } ]
@@ -728,8 +744,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "247",
-            "locator" : "74:1-74:102",
+            "localId" : "248",
+            "locator" : "75:1-75:102",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Acanthosis Nigricans",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.556",
@@ -737,7 +753,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "247",
+                  "r" : "248",
                   "s" : [ {
                      "value" : [ "//\n// Cognitive and Neurological Conditions\n//\n\n\n//\n// Diabetes Conditions\n//\n","valueset ","\"Acanthosis Nigricans\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.556'" ]
                   } ]
@@ -745,8 +761,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "248",
-            "locator" : "75:1-75:112",
+            "localId" : "249",
+            "locator" : "76:1-76:112",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Amputated Limb (Not Traumatic)",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.563",
@@ -754,7 +770,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "248",
+                  "r" : "249",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Amputated Limb (Not Traumatic)\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.563'" ]
                   } ]
@@ -762,8 +778,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "249",
-            "locator" : "76:1-76:101",
+            "localId" : "250",
+            "locator" : "77:1-77:101",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Blindness",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.115.12.1089",
@@ -771,7 +787,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "249",
+                  "r" : "250",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Blindness\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.115.12.1089'" ]
                   } ]
@@ -779,8 +795,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "250",
-            "locator" : "77:1-77:101",
+            "localId" : "251",
+            "locator" : "78:1-78:101",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Cataract of the eye",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.498",
@@ -788,7 +804,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "250",
+                  "r" : "251",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Cataract of the eye\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.498'" ]
                   } ]
@@ -796,8 +812,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "251",
-            "locator" : "78:1-78:92",
+            "localId" : "252",
+            "locator" : "79:1-79:92",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Cellulitis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.533",
@@ -805,7 +821,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "251",
+                  "r" : "252",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Cellulitis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.533'" ]
                   } ]
@@ -813,8 +829,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "252",
-            "locator" : "79:1-79:94",
+            "localId" : "253",
+            "locator" : "80:1-80:94",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Charcot Foot",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.531",
@@ -822,7 +838,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "252",
+                  "r" : "253",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Charcot Foot\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.531'" ]
                   } ]
@@ -830,8 +846,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "253",
-            "locator" : "80:1-80:120",
+            "localId" : "254",
+            "locator" : "81:1-81:120",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Complication due to Diabetes Mellitus",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1537",
@@ -839,7 +855,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "253",
+                  "r" : "254",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Complication due to Diabetes Mellitus\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1537'" ]
                   } ]
@@ -847,8 +863,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "254",
-            "locator" : "81:1-81:95",
+            "localId" : "255",
+            "locator" : "82:1-82:95",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Diabetic Coma",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.482",
@@ -856,7 +872,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "254",
+                  "r" : "255",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Diabetic Coma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.482'" ]
                   } ]
@@ -864,8 +880,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "255",
-            "locator" : "82:1-82:95",
+            "localId" : "256",
+            "locator" : "83:1-83:95",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Diabetic Foot",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.523",
@@ -873,7 +889,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "255",
+                  "r" : "256",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Diabetic Foot\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.523'" ]
                   } ]
@@ -881,8 +897,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "256",
-            "locator" : "83:1-83:101",
+            "localId" : "257",
+            "locator" : "84:1-84:101",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Diabetic Foot Ulcer",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.526",
@@ -890,7 +906,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "256",
+                  "r" : "257",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Diabetic Foot Ulcer\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.526'" ]
                   } ]
@@ -898,8 +914,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "257",
-            "locator" : "84:1-84:123",
+            "localId" : "258",
+            "locator" : "85:1-85:123",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Diabetic hand/ Diabetic cheiroarthropathy",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.535",
@@ -907,7 +923,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "257",
+                  "r" : "258",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Diabetic hand/ Diabetic cheiroarthropathy\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.535'" ]
                   } ]
@@ -915,8 +931,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "258",
-            "locator" : "85:1-85:111",
+            "localId" : "259",
+            "locator" : "86:1-86:111",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Diabetic Neuropathy Conditions",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.33",
@@ -924,7 +940,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "258",
+                  "r" : "259",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Diabetic Neuropathy Conditions\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.33'" ]
                   } ]
@@ -932,8 +948,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "259",
-            "locator" : "86:1-86:112",
+            "localId" : "260",
+            "locator" : "87:1-87:112",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Diabetic Peripheral Angiopathy",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.492",
@@ -941,7 +957,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "259",
+                  "r" : "260",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Diabetic Peripheral Angiopathy\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.492'" ]
                   } ]
@@ -949,8 +965,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "260",
-            "locator" : "87:1-87:101",
+            "localId" : "261",
+            "locator" : "88:1-88:101",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Diabetic Retinopathy",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.327",
@@ -958,7 +974,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "260",
+                  "r" : "261",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Diabetic Retinopathy\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.327'" ]
                   } ]
@@ -966,8 +982,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "261",
-            "locator" : "88:1-88:105",
+            "localId" : "262",
+            "locator" : "89:1-89:105",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Dupuytren's Contracture",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.546",
@@ -975,7 +991,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "261",
+                  "r" : "262",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Dupuytren's Contracture\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.546'" ]
                   } ]
@@ -983,8 +999,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "262",
-            "locator" : "89:1-89:128",
+            "localId" : "263",
+            "locator" : "90:1-90:128",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Emotional Distress caused by Chronic Condition",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.508",
@@ -992,7 +1008,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "262",
+                  "r" : "263",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Emotional Distress caused by Chronic Condition\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.508'" ]
                   } ]
@@ -1000,8 +1016,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "263",
-            "locator" : "90:1-90:104",
+            "localId" : "264",
+            "locator" : "91:1-91:104",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Eruptive Xanthomatosis",
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@@ -1009,7 +1025,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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@@ -1017,8 +1033,8 @@
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-            "locator" : "91:1-91:90",
+            "localId" : "265",
+            "locator" : "92:1-92:90",
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             "name" : "Gangrene",
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@@ -1026,7 +1042,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "264",
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@@ -1034,8 +1050,8 @@
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-            "localId" : "265",
-            "locator" : "92:1-92:101",
+            "localId" : "266",
+            "locator" : "93:1-93:101",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Gestational Diabetes",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.90",
@@ -1043,7 +1059,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "265",
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@@ -1051,8 +1067,8 @@
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-            "localId" : "266",
-            "locator" : "93:1-93:133",
+            "localId" : "267",
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             "name" : "Hyperglycemic Hyperosmolar Nonketotic Syndrome HHNS",
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@@ -1060,7 +1076,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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@@ -1068,8 +1084,8 @@
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-            "localId" : "267",
-            "locator" : "94:1-94:106",
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+            "locator" : "95:1-95:106",
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             "name" : "Hypoglycemia unawareness",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.514",
@@ -1077,7 +1093,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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@@ -1085,8 +1101,8 @@
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-            "localId" : "268",
-            "locator" : "95:1-95:100",
+            "localId" : "269",
+            "locator" : "96:1-96:100",
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             "name" : "Hypoglycemic event",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.513",
@@ -1094,7 +1110,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "268",
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@@ -1102,8 +1118,8 @@
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-            "localId" : "269",
-            "locator" : "96:1-96:94",
+            "localId" : "270",
+            "locator" : "97:1-97:94",
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             "name" : "Ketoacidosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.520",
@@ -1111,7 +1127,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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@@ -1119,8 +1135,8 @@
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-            "localId" : "270",
-            "locator" : "97:1-97:125",
+            "localId" : "271",
+            "locator" : "98:1-98:125",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Maturity Onset Diabetes of the Young (MODY)",
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@@ -1128,7 +1144,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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@@ -1136,8 +1152,8 @@
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-            "localId" : "271",
-            "locator" : "98:1-98:118",
+            "localId" : "272",
+            "locator" : "99:1-99:118",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Necrobiosis Lipoidica (Skin Lesions)",
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@@ -1145,7 +1161,7 @@
             "annotation" : [ {
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@@ -1153,8 +1169,8 @@
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-            "localId" : "272",
-            "locator" : "99:1-99:95",
+            "localId" : "273",
+            "locator" : "100:1-100:95",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Periodontitis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.560",
@@ -1162,7 +1178,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "272",
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                      "value" : [ "","valueset ","\"Periodontitis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.560'" ]
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@@ -1170,8 +1186,8 @@
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-            "localId" : "273",
-            "locator" : "100:1-100:115",
+            "localId" : "274",
+            "locator" : "101:1-101:115",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Prediabetes (borderline diabetes)",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.419",
@@ -1179,7 +1195,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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                      "value" : [ "","valueset ","\"Prediabetes (borderline diabetes)\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.419'" ]
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@@ -1187,8 +1203,8 @@
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-            "localId" : "274",
-            "locator" : "101:1-101:97",
+            "localId" : "275",
+            "locator" : "102:1-102:97",
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             "name" : "Rubeosis Iridis",
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@@ -1196,7 +1212,7 @@
             "annotation" : [ {
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@@ -1204,8 +1220,8 @@
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-            "localId" : "275",
-            "locator" : "102:1-102:116",
+            "localId" : "276",
+            "locator" : "103:1-103:116",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Scleroderma or Thick Skin Syndrome",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.549",
@@ -1213,7 +1229,7 @@
             "annotation" : [ {
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-                  "r" : "275",
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                      "value" : [ "","valueset ","\"Scleroderma or Thick Skin Syndrome\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.549'" ]
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@@ -1221,8 +1237,8 @@
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-            "localId" : "276",
-            "locator" : "103:1-103:107",
+            "localId" : "277",
+            "locator" : "104:1-104:107",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Type 1 Diabetes",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.103.12.1020",
@@ -1230,7 +1246,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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@@ -1238,8 +1254,8 @@
             } ],
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-            "localId" : "277",
-            "locator" : "104:1-104:108",
+            "localId" : "278",
+            "locator" : "105:1-105:108",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Type II Diabetes",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.103.12.1021",
@@ -1247,7 +1263,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "277",
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@@ -1255,8 +1271,8 @@
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-            "localId" : "278",
-            "locator" : "137:1-137:88",
+            "localId" : "279",
+            "locator" : "138:1-138:88",
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             "name" : "Anxiety",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.52",
@@ -1264,7 +1280,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "278",
+                  "r" : "279",
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                      "value" : [ "//\n// Digestive System/Gastrointestinal Conditions\n//\n\n//\n// Dissimilar Conditions\n//\n\n//\n// Functional Health Conditions\n//\n\n//\n// Genitourinary Conditions\n//\n\n//\n// Hormonal Conditions\n//\n\n//\n// Infectious Disease Conditions\n//\n\n//\n// Long Covid Diagnosis Condition\n//\n\n//\n// Mental Health Conditions\n//\n","valueset ","\"Anxiety\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1032.52'" ]
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@@ -1272,8 +1288,8 @@
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-            "localId" : "279",
-            "locator" : "138:1-138:96",
+            "localId" : "280",
+            "locator" : "139:1-139:96",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Bipolar Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.450",
@@ -1281,7 +1297,7 @@
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@@ -1289,8 +1305,8 @@
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-            "localId" : "280",
-            "locator" : "139:1-139:99",
+            "localId" : "281",
+            "locator" : "140:1-140:99",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Depression Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.145",
@@ -1298,7 +1314,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "280",
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                      "value" : [ "","valueset ","\"Depression Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.145'" ]
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@@ -1306,8 +1322,8 @@
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-            "localId" : "281",
-            "locator" : "140:1-140:95",
+            "localId" : "282",
+            "locator" : "141:1-141:95",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Dysthymia",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.67.1.101.1.254",
@@ -1315,7 +1331,7 @@
             "annotation" : [ {
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-                  "r" : "281",
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@@ -1323,8 +1339,8 @@
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-            "localId" : "282",
-            "locator" : "141:1-141:112",
+            "localId" : "283",
+            "locator" : "142:1-142:112",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Experience of Traumatic Events",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.590",
@@ -1332,7 +1348,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "282",
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                      "value" : [ "","valueset ","\"Experience of Traumatic Events\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.590'" ]
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@@ -1340,8 +1356,8 @@
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-            "localId" : "283",
-            "locator" : "142:1-142:95",
+            "localId" : "284",
+            "locator" : "143:1-143:95",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Grief or Loss",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.690",
@@ -1349,7 +1365,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "283",
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@@ -1357,8 +1373,8 @@
             } ],
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-            "localId" : "284",
-            "locator" : "143:1-143:108",
+            "localId" : "285",
+            "locator" : "144:1-144:108",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Major Depression",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.105.12.1007",
@@ -1366,7 +1382,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "284",
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                      "value" : [ "","valueset ","\"Major Depression\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.105.12.1007'" ]
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@@ -1374,8 +1390,8 @@
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-            "localId" : "285",
-            "locator" : "144:1-144:104",
+            "localId" : "286",
+            "locator" : "145:1-145:104",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Post Partum Depression",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.681",
@@ -1383,7 +1399,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "285",
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                      "value" : [ "","valueset ","\"Post Partum Depression\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.681'" ]
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@@ -1391,8 +1407,8 @@
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-            "localId" : "286",
-            "locator" : "145:1-145:116",
+            "localId" : "287",
+            "locator" : "146:1-146:116",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "PostTraumatic Stress Disorder PTSD",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.103",
@@ -1400,7 +1416,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "286",
+                  "r" : "287",
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                      "value" : [ "","valueset ","\"PostTraumatic Stress Disorder PTSD\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.103'" ]
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@@ -1408,8 +1424,8 @@
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-            "localId" : "287",
-            "locator" : "146:1-146:102",
+            "localId" : "288",
+            "locator" : "147:1-147:102",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Psychological Trauma",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.687",
@@ -1417,7 +1433,7 @@
             "annotation" : [ {
                "type" : "Annotation",
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-                  "r" : "287",
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                      "value" : [ "","valueset ","\"Psychological Trauma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.687'" ]
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@@ -1425,8 +1441,8 @@
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-            "localId" : "288",
-            "locator" : "147:1-147:102",
+            "localId" : "289",
+            "locator" : "148:1-148:102",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Psychotic Depression",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.678",
@@ -1434,7 +1450,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "288",
+                  "r" : "289",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Psychotic Depression\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.678'" ]
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@@ -1442,8 +1458,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "289",
-            "locator" : "148:1-148:109",
+            "localId" : "290",
+            "locator" : "149:1-149:109",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Seasonal Affective Disorder",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.684",
@@ -1451,7 +1467,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "289",
+                  "r" : "290",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Seasonal Affective Disorder\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.684'" ]
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@@ -1459,8 +1475,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "290",
-            "locator" : "149:1-149:94",
+            "localId" : "291",
+            "locator" : "150:1-150:94",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Suicide Risk",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.693",
@@ -1468,7 +1484,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "290",
+                  "r" : "291",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Suicide Risk\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.693'" ]
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@@ -1476,8 +1492,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "291",
-            "locator" : "158:1-158:123",
+            "localId" : "292",
+            "locator" : "159:1-159:123",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Alkaline Phosphatase Deficiency Conditions",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.93",
@@ -1485,7 +1501,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "291",
+                  "r" : "292",
                   "s" : [ {
                      "value" : [ "//\n// Musculoskeletal Conditions\n//\n\n//\n// Nutrition / Metabolic Conditions\n//\n","valueset ","\"Alkaline Phosphatase Deficiency Conditions\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.93'" ]
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@@ -1493,8 +1509,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "292",
-            "locator" : "159:1-159:98",
+            "localId" : "293",
+            "locator" : "160:1-160:98",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Anemia Conditions",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.53",
@@ -1502,7 +1518,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "292",
+                  "r" : "293",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Anemia Conditions\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.53'" ]
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@@ -1510,8 +1526,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "293",
-            "locator" : "160:1-160:111",
+            "localId" : "294",
+            "locator" : "161:1-161:111",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Familial Hypercholesterolemia",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.100",
@@ -1519,7 +1535,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "293",
+                  "r" : "294",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Familial Hypercholesterolemia\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.100'" ]
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@@ -1527,8 +1543,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "294",
-            "locator" : "161:1-161:86",
+            "localId" : "295",
+            "locator" : "162:1-162:86",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Gout",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.586",
@@ -1536,7 +1552,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "294",
+                  "r" : "295",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Gout\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.586'" ]
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@@ -1544,8 +1560,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "295",
-            "locator" : "162:1-162:105",
+            "localId" : "296",
+            "locator" : "163:1-163:105",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hypercalcemia Conditions",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.60",
@@ -1553,7 +1569,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "295",
+                  "r" : "296",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Hypercalcemia Conditions\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.60'" ]
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@@ -1561,8 +1577,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "296",
-            "locator" : "163:1-163:104",
+            "localId" : "297",
+            "locator" : "164:1-164:104",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hyperkalemia Conditions",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.50",
@@ -1570,7 +1586,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "296",
+                  "r" : "297",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Hyperkalemia Conditions\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.50'" ]
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@@ -1578,8 +1594,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "297",
-            "locator" : "164:1-164:106",
+            "localId" : "298",
+            "locator" : "165:1-165:106",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hyperlipidemia Conditions",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.73",
@@ -1587,7 +1603,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "297",
+                  "r" : "298",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Hyperlipidemia Conditions\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.73'" ]
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@@ -1595,8 +1611,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "298",
-            "locator" : "165:1-165:109",
+            "localId" : "299",
+            "locator" : "166:1-166:109",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hyperphosphatemia Conditions",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.66",
@@ -1604,7 +1620,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "298",
+                  "r" : "299",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Hyperphosphatemia Conditions\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.66'" ]
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@@ -1612,8 +1628,8 @@
             } ],
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          }, {
-            "localId" : "299",
-            "locator" : "166:1-166:102",
+            "localId" : "300",
+            "locator" : "167:1-167:102",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hypertriglyceridemia",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.742",
@@ -1621,7 +1637,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "299",
+                  "r" : "300",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Hypertriglyceridemia\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.742'" ]
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@@ -1629,8 +1645,8 @@
             } ],
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          }, {
-            "localId" : "300",
-            "locator" : "167:1-167:105",
+            "localId" : "301",
+            "locator" : "168:1-168:105",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hyperuricemia Conditions",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.85",
@@ -1638,7 +1654,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "300",
+                  "r" : "301",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Hyperuricemia Conditions\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.85'" ]
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@@ -1646,8 +1662,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "301",
-            "locator" : "168:1-168:107",
+            "localId" : "302",
+            "locator" : "169:1-169:107",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hypoalbuminemia Conditions",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.47",
@@ -1655,7 +1671,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "301",
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                      "value" : [ "","valueset ","\"Hypoalbuminemia Conditions\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.47'" ]
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@@ -1663,8 +1679,8 @@
             } ],
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          }, {
-            "localId" : "302",
-            "locator" : "169:1-169:104",
+            "localId" : "303",
+            "locator" : "170:1-170:104",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Hypocalcemia Conditions",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.61",
@@ -1672,7 +1688,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "302",
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                   "s" : [ {
                      "value" : [ "","valueset ","\"Hypocalcemia Conditions\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.61'" ]
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@@ -1680,8 +1696,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "303",
-            "locator" : "170:1-170:105",
+            "localId" : "304",
+            "locator" : "171:1-171:105",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Malnutrition Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1517",
@@ -1689,7 +1705,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "303",
+                  "r" : "304",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Malnutrition Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1517'" ]
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@@ -1697,8 +1713,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "304",
-            "locator" : "171:1-171:110",
+            "localId" : "305",
+            "locator" : "172:1-172:110",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Metabolic Acidosis Conditions",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.70",
@@ -1706,7 +1722,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "304",
+                  "r" : "305",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Metabolic Acidosis Conditions\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.70'" ]
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@@ -1714,8 +1730,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "305",
-            "locator" : "172:1-172:101",
+            "localId" : "306",
+            "locator" : "173:1-173:101",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Metabolic syndrome",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1561",
@@ -1723,7 +1739,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "305",
+                  "r" : "306",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Metabolic syndrome\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1561'" ]
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@@ -1731,8 +1747,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "306",
-            "locator" : "173:1-173:99",
+            "localId" : "307",
+            "locator" : "174:1-174:99",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Obesity Conditions",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.36",
@@ -1740,7 +1756,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "306",
+                  "r" : "307",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Obesity Conditions\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.36'" ]
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@@ -1748,8 +1764,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "307",
-            "locator" : "174:1-174:112",
+            "localId" : "308",
+            "locator" : "175:1-175:112",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Vitamin D Deficiency Conditions",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.90",
@@ -1757,7 +1773,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "307",
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                      "value" : [ "","valueset ","\"Vitamin D Deficiency Conditions\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.90'" ]
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@@ -1765,8 +1781,8 @@
             } ],
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          }, {
-            "localId" : "308",
-            "locator" : "179:1-179:104",
+            "localId" : "309",
+            "locator" : "180:1-180:104",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Chronic Pain Conditions",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.76",
@@ -1774,7 +1790,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "308",
+                  "r" : "309",
                   "s" : [ {
                      "value" : [ "//\n// Pain Conditions\n//\n","valueset ","\"Chronic Pain Conditions\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.76'" ]
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@@ -1782,8 +1798,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "309",
-            "locator" : "180:1-180:96",
+            "localId" : "310",
+            "locator" : "181:1-181:96",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Low Back Pain",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1558",
@@ -1791,7 +1807,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "309",
+                  "r" : "310",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Low Back Pain\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1558'" ]
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@@ -1799,8 +1815,8 @@
             } ],
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          }, {
-            "localId" : "310",
-            "locator" : "181:1-181:91",
+            "localId" : "311",
+            "locator" : "182:1-182:91",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Migraine",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1552",
@@ -1808,7 +1824,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "310",
+                  "r" : "311",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Migraine\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1552'" ]
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@@ -1816,8 +1832,8 @@
             } ],
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          }, {
-            "localId" : "311",
-            "locator" : "182:1-182:122",
+            "localId" : "312",
+            "locator" : "183:1-183:122",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Chronic Tension-type Headache diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1555",
@@ -1825,7 +1841,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "311",
+                  "r" : "312",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Chronic Tension-type Headache diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1555'" ]
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@@ -1833,8 +1849,8 @@
             } ],
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          }, {
-            "localId" : "312",
-            "locator" : "183:1-183:110",
+            "localId" : "313",
+            "locator" : "184:1-184:110",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Neuropathic Pain (Neuralgia)",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.663",
@@ -1842,7 +1858,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "312",
+                  "r" : "313",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Neuropathic Pain (Neuralgia)\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.663'" ]
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@@ -1850,8 +1866,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "313",
-            "locator" : "184:1-184:94",
+            "localId" : "314",
+            "locator" : "185:1-185:94",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Phantom Pain",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.669",
@@ -1859,7 +1875,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "313",
+                  "r" : "314",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Phantom Pain\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.669'" ]
                   } ]
@@ -1867,8 +1883,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "314",
-            "locator" : "189:1-189:99",
+            "localId" : "315",
+            "locator" : "190:1-190:99",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Asthma Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1472",
@@ -1876,7 +1892,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "314",
+                  "r" : "315",
                   "s" : [ {
                      "value" : [ "//\n// Respiratory Conditions\n//\n","valueset ","\"Asthma Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1472'" ]
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@@ -1884,8 +1900,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "315",
-            "locator" : "190:1-190:107",
+            "localId" : "316",
+            "locator" : "191:1-191:107",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Bronchiectasis Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1463",
@@ -1893,7 +1909,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "315",
+                  "r" : "316",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Bronchiectasis Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1463'" ]
                   } ]
@@ -1901,8 +1917,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "316",
-            "locator" : "191:1-191:137",
+            "localId" : "317",
+            "locator" : "192:1-192:137",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Chronic obstructive pulmonary disease (COPD) Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1466",
@@ -1910,7 +1926,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "316",
+                  "r" : "317",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Chronic obstructive pulmonary disease (COPD) Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1466'" ]
                   } ]
@@ -1918,8 +1934,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "317",
-            "locator" : "192:1-192:118",
+            "localId" : "318",
+            "locator" : "193:1-193:118",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Interstitial lung disease Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1469",
@@ -1927,7 +1943,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "317",
+                  "r" : "318",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Interstitial lung disease Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1469'" ]
                   } ]
@@ -1935,8 +1951,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "318",
-            "locator" : "193:1-193:111",
+            "localId" : "319",
+            "locator" : "194:1-194:111",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Pulmonary embolism Diagnosis",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1481",
@@ -1944,7 +1960,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "318",
+                  "r" : "319",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Pulmonary embolism Diagnosis\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1481'" ]
                   } ]
@@ -1952,8 +1968,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "319",
-            "locator" : "194:1-194:103",
+            "localId" : "320",
+            "locator" : "195:1-195:103",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Sleep Apnea Disorders",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.102",
@@ -1961,7 +1977,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "319",
+                  "r" : "320",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Sleep Apnea Disorders\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.102'" ]
                   } ]
@@ -1969,8 +1985,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "320",
-            "locator" : "199:1-199:111",
+            "localId" : "321",
+            "locator" : "200:1-200:111",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Social Determinants of Health",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.788",
@@ -1978,7 +1994,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "320",
+                  "r" : "321",
                   "s" : [ {
                      "value" : [ "//\n// Social Determinants of Health Conditions\n//\n","valueset ","\"Social Determinants of Health\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.788'" ]
                   } ]
@@ -1986,8 +2002,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "321",
-            "locator" : "207:1-207:113",
+            "localId" : "322",
+            "locator" : "208:1-208:113",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "24 Hour Urine Protein Excretion",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.792",
@@ -1995,7 +2011,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "321",
+                  "r" : "322",
                   "s" : [ {
                      "value" : [ "// ******************************\n// Lab result value sets\n// ******************************\n\n// MCC eCare Plan IG value sets\n","valueset ","\"24 Hour Urine Protein Excretion\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.792'" ]
                   } ]
@@ -2003,8 +2019,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "322",
-            "locator" : "208:1-208:102",
+            "localId" : "323",
+            "locator" : "209:1-209:102",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "24 Hour Urine Volume",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.791",
@@ -2012,7 +2028,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "322",
+                  "r" : "323",
                   "s" : [ {
                      "value" : [ "","valueset ","\"24 Hour Urine Volume\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.791'" ]
                   } ]
@@ -2020,8 +2036,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "323",
-            "locator" : "209:1-209:137",
+            "localId" : "324",
+            "locator" : "210:1-210:137",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Alanine Aminotransferase (ALT), Bld/Ser/Plas",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5001",
@@ -2029,7 +2045,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "323",
+                  "r" : "324",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Alanine Aminotransferase (ALT), Bld/Ser/Plas\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5001'" ]
                   } ]
@@ -2037,8 +2053,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "324",
-            "locator" : "210:1-210:116",
+            "localId" : "325",
+            "locator" : "211:1-211:116",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Albumin in Blood, Plasma, or Serum",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.151",
@@ -2046,7 +2062,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "324",
+                  "r" : "325",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Albumin in Blood, Plasma, or Serum\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.151'" ]
                   } ]
@@ -2054,8 +2070,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "325",
-            "locator" : "211:1-211:105",
+            "localId" : "326",
+            "locator" : "212:1-212:105",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Aldosterone/Renin Ratio",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.811",
@@ -2063,7 +2079,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "325",
+                  "r" : "326",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Aldosterone/Renin Ratio\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.811'" ]
                   } ]
@@ -2071,8 +2087,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "326",
-            "locator" : "212:1-212:134",
+            "localId" : "327",
+            "locator" : "213:1-213:134",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Alkaline Phosphatase (Alp) in Blood, Serum or Plasma",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.805",
@@ -2080,7 +2096,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "326",
+                  "r" : "327",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Alkaline Phosphatase (Alp) in Blood, Serum or Plasma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.805'" ]
                   } ]
@@ -2088,8 +2104,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "327",
-            "locator" : "213:1-213:91",
+            "localId" : "328",
+            "locator" : "214:1-214:91",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Anion Gap",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.153",
@@ -2097,7 +2113,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "327",
+                  "r" : "328",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Anion Gap\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.153'" ]
                   } ]
@@ -2105,8 +2121,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "328",
-            "locator" : "214:1-214:107",
+            "localId" : "329",
+            "locator" : "215:1-215:107",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Arterial Blood Gas (ABG)",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1575",
@@ -2114,7 +2130,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "328",
+                  "r" : "329",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Arterial Blood Gas (ABG)\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.1575'" ]
                   } ]
@@ -2122,8 +2138,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "329",
-            "locator" : "215:1-215:135",
+            "localId" : "330",
+            "locator" : "216:1-216:135",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Aspartate Aminotransferase (AST), Ser/Plas",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5006",
@@ -2131,7 +2147,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "329",
+                  "r" : "330",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Aspartate Aminotransferase (AST), Ser/Plas\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5006'" ]
                   } ]
@@ -2139,8 +2155,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "330",
-            "locator" : "216:1-216:138",
+            "localId" : "331",
+            "locator" : "217:1-217:138",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Aspartate Transaminase or Alanine Aminotransferase Ratio",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.804",
@@ -2148,7 +2164,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "330",
+                  "r" : "331",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Aspartate Transaminase or Alanine Aminotransferase Ratio\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.804'" ]
                   } ]
@@ -2156,8 +2172,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "331",
-            "locator" : "217:1-217:140",
+            "localId" : "332",
+            "locator" : "218:1-218:140",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "B Type Natriuretic Peptide [Bnp] in Blood, Serum or Plasma",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.795",
@@ -2165,7 +2181,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "331",
+                  "r" : "332",
                   "s" : [ {
                      "value" : [ "","valueset ","\"B Type Natriuretic Peptide [Bnp] in Blood, Serum or Plasma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.795'" ]
                   } ]
@@ -2173,8 +2189,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "332",
-            "locator" : "218:1-218:119",
+            "localId" : "333",
+            "locator" : "219:1-219:119",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Bicarbonate in blood, serum or plasma",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.130",
@@ -2182,7 +2198,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "332",
+                  "r" : "333",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Bicarbonate in blood, serum or plasma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.130'" ]
                   } ]
@@ -2190,8 +2206,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "333",
-            "locator" : "219:1-219:123",
+            "localId" : "334",
+            "locator" : "220:1-220:123",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Bilirubin, Total, Bld/Ser/Plas",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5007",
@@ -2199,7 +2215,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "333",
+                  "r" : "334",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Bilirubin, Total, Bld/Ser/Plas\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5007'" ]
                   } ]
@@ -2207,8 +2223,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "334",
-            "locator" : "220:1-220:101",
+            "localId" : "335",
+            "locator" : "221:1-221:101",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Blood Ethanol Level",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.813",
@@ -2216,7 +2232,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "334",
+                  "r" : "335",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Blood Ethanol Level\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.813'" ]
                   } ]
@@ -2224,8 +2240,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "335",
-            "locator" : "221:1-221:101",
+            "localId" : "336",
+            "locator" : "222:1-222:101",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Blood Urea Nitrogen",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.113",
@@ -2233,7 +2249,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "335",
+                  "r" : "336",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Blood Urea Nitrogen\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.113'" ]
                   } ]
@@ -2241,8 +2257,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "336",
-            "locator" : "222:1-222:100",
+            "localId" : "337",
+            "locator" : "223:1-223:100",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Bone Biopsy Report",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.870",
@@ -2250,7 +2266,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "336",
+                  "r" : "337",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Bone Biopsy Report\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.870'" ]
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@@ -2258,8 +2274,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "337",
-            "locator" : "223:1-223:131",
+            "localId" : "338",
+            "locator" : "224:1-224:131",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "C reactive Protein (CRP), Bld/Ser/Plas",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5015",
@@ -2267,7 +2283,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "337",
+                  "r" : "338",
                   "s" : [ {
                      "value" : [ "","valueset ","\"C reactive Protein (CRP), Bld/Ser/Plas\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5015'" ]
                   } ]
@@ -2275,8 +2291,8 @@
             } ],
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@@ -2284,7 +2300,7 @@
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@@ -2318,7 +2334,7 @@
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@@ -2522,7 +2538,7 @@
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@@ -2547,8 +2563,8 @@
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@@ -2564,8 +2580,8 @@
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@@ -2717,8 +2733,8 @@
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                      "value" : [ "","valueset ","\"Serum Rheumatoid Factor\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.812'" ]
                   } ]
@@ -3125,8 +3141,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "388",
-            "locator" : "274:1-274:100",
+            "localId" : "389",
+            "locator" : "275:1-275:100",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Skin Biopsy Report",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.867",
@@ -3134,7 +3150,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "388",
+                  "r" : "389",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Skin Biopsy Report\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.867'" ]
                   } ]
@@ -3142,8 +3158,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "389",
-            "locator" : "275:1-275:114",
+            "localId" : "390",
+            "locator" : "276:1-276:114",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Sodium in blood, serum or plasma",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.131",
@@ -3151,7 +3167,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "389",
+                  "r" : "390",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Sodium in blood, serum or plasma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.131'" ]
                   } ]
@@ -3159,8 +3175,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "390",
-            "locator" : "276:1-276:121",
+            "localId" : "391",
+            "locator" : "277:1-277:121",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Thyroid Stimulating Hormone (TSH) Test",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.7643.3.1024",
@@ -3168,7 +3184,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "390",
+                  "r" : "391",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Thyroid Stimulating Hormone (TSH) Test\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.7643.3.1024'" ]
                   } ]
@@ -3176,8 +3192,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "391",
-            "locator" : "277:1-277:143",
+            "localId" : "392",
+            "locator" : "278:1-278:143",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Total Carbon Dioxide or Bicarbonate in blood, serum or plasma",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.793",
@@ -3185,7 +3201,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "391",
+                  "r" : "392",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Total Carbon Dioxide or Bicarbonate in blood, serum or plasma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.793'" ]
                   } ]
@@ -3193,8 +3209,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "392",
-            "locator" : "278:1-278:99",
+            "localId" : "393",
+            "locator" : "279:1-279:99",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Total Cholesterol",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.139",
@@ -3202,7 +3218,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "392",
+                  "r" : "393",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Total Cholesterol\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.139'" ]
                   } ]
@@ -3210,8 +3226,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "393",
-            "locator" : "279:1-279:120",
+            "localId" : "394",
+            "locator" : "280:1-280:120",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Triglyceride in blood, serum or plasma",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.137",
@@ -3219,7 +3235,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "393",
+                  "r" : "394",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Triglyceride in blood, serum or plasma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.137'" ]
                   } ]
@@ -3227,8 +3243,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "394",
-            "locator" : "280:1-280:117",
+            "localId" : "395",
+            "locator" : "281:1-281:117",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Triiodothyronine in serum or plasma",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.807",
@@ -3236,7 +3252,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "394",
+                  "r" : "395",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Triiodothyronine in serum or plasma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.807'" ]
                   } ]
@@ -3244,8 +3260,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "395",
-            "locator" : "281:1-281:117",
+            "localId" : "396",
+            "locator" : "282:1-282:117",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Troponin I, Bld/Ser/Plas",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5061",
@@ -3253,7 +3269,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "395",
+                  "r" : "396",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Troponin I, Bld/Ser/Plas\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5061'" ]
                   } ]
@@ -3261,8 +3277,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "396",
-            "locator" : "282:1-282:116",
+            "localId" : "397",
+            "locator" : "283:1-283:116",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Troponin T, Bld/Ser/Pla",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5062",
@@ -3270,7 +3286,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "396",
+                  "r" : "397",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Troponin T, Bld/Ser/Pla\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.3616.200.110.102.5062'" ]
                   } ]
@@ -3278,8 +3294,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "397",
-            "locator" : "283:1-283:102",
+            "localId" : "398",
+            "locator" : "284:1-284:102",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Urea Reduction Ratio",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.819",
@@ -3287,7 +3303,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "397",
+                  "r" : "398",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Urea Reduction Ratio\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.819'" ]
                   } ]
@@ -3295,8 +3311,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "398",
-            "locator" : "284:1-284:125",
+            "localId" : "399",
+            "locator" : "285:1-285:125",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Uric Acid (Urate) in blood, serum or plasma",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.810",
@@ -3304,7 +3320,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "398",
+                  "r" : "399",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Uric Acid (Urate) in blood, serum or plasma\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.810'" ]
                   } ]
@@ -3312,8 +3328,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "399",
-            "locator" : "285:1-285:113",
+            "localId" : "400",
+            "locator" : "286:1-286:113",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Urine Albumin Creatinine Ratio",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.6929.2.1002",
@@ -3321,7 +3337,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "399",
+                  "r" : "400",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Urine Albumin Creatinine Ratio\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.6929.2.1002'" ]
                   } ]
@@ -3329,8 +3345,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "400",
-            "locator" : "286:1-286:122",
+            "localId" : "401",
+            "locator" : "287:1-287:122",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Urine Protein to Creatinine Ratio (UPCR)",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.790",
@@ -3338,7 +3354,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "400",
+                  "r" : "401",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Urine Protein to Creatinine Ratio (UPCR)\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.790'" ]
                   } ]
@@ -3346,8 +3362,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "401",
-            "locator" : "287:1-287:96",
+            "localId" : "402",
+            "locator" : "288:1-288:96",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Urine Sediment",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.176",
@@ -3355,7 +3371,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "401",
+                  "r" : "402",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Urine Sediment\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.176'" ]
                   } ]
@@ -3363,8 +3379,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "402",
-            "locator" : "288:1-288:101",
+            "localId" : "403",
+            "locator" : "289:1-289:101",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Urine Urea Nitrogen",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.154",
@@ -3372,7 +3388,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "402",
+                  "r" : "403",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Urine Urea Nitrogen\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.154'" ]
                   } ]
@@ -3380,8 +3396,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "403",
-            "locator" : "289:1-289:94",
+            "localId" : "404",
+            "locator" : "290:1-290:94",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Uroflowmetry",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.823",
@@ -3389,7 +3405,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "403",
+                  "r" : "404",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Uroflowmetry\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.823'" ]
                   } ]
@@ -3397,8 +3413,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "404",
-            "locator" : "290:1-290:98",
+            "localId" : "405",
+            "locator" : "291:1-291:98",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Vitamin D Levels",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.126",
@@ -3406,7 +3422,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "404",
+                  "r" : "405",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Vitamin D Levels\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.126'" ]
                   } ]
@@ -3414,8 +3430,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "405",
-            "locator" : "291:1-291:117",
+            "localId" : "406",
+            "locator" : "292:1-292:117",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "White Blood Cell (Leukocytes) Count",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.142",
@@ -3423,7 +3439,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "405",
+                  "r" : "406",
                   "s" : [ {
                      "value" : [ "","valueset ","\"White Blood Cell (Leukocytes) Count\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1222.142'" ]
                   } ]
@@ -3431,8 +3447,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "406",
-            "locator" : "296:1-296:95",
+            "localId" : "407",
+            "locator" : "297:1-297:95",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "ACEis and ARBs",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1213.11",
@@ -3440,7 +3456,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "406",
+                  "r" : "407",
                   "s" : [ {
                      "value" : [ "// ******************************\n// Medication value sets\n// ******************************\n","valueset ","\"ACEis and ARBs\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1213.11'" ]
                   } ]
@@ -3448,8 +3464,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "407",
-            "locator" : "297:1-297:114",
+            "localId" : "408",
+            "locator" : "298:1-298:114",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Erythropoiesis Stimulating Agent",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.307",
@@ -3457,7 +3473,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "407",
+                  "r" : "408",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Erythropoiesis Stimulating Agent\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.307'" ]
                   } ]
@@ -3465,8 +3481,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "408",
-            "locator" : "298:1-298:97",
+            "localId" : "409",
+            "locator" : "299:1-299:97",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Iron Supplement",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.308",
@@ -3474,7 +3490,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "408",
+                  "r" : "409",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Iron Supplement\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.308'" ]
                   } ]
@@ -3482,8 +3498,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "409",
-            "locator" : "299:1-299:99",
+            "localId" : "410",
+            "locator" : "300:1-300:99",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Phosphate Binders",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.305",
@@ -3491,7 +3507,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "409",
+                  "r" : "410",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Phosphate Binders\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.305'" ]
                   } ]
@@ -3499,8 +3515,8 @@
             } ],
             "codeSystem" : [ ]
          }, {
-            "localId" : "410",
-            "locator" : "300:1-300:91",
+            "localId" : "411",
+            "locator" : "301:1-301:91",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}ValueSet",
             "name" : "Vitamin D",
             "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.306",
@@ -3508,7 +3524,7 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "410",
+                  "r" : "411",
                   "s" : [ {
                      "value" : [ "","valueset ","\"Vitamin D\"",": ","'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.306'" ]
                   } ]
@@ -3519,8 +3535,8 @@
       },
       "codes" : {
          "def" : [ {
-            "localId" : "411",
-            "locator" : "313:1-313:90",
+            "localId" : "412",
+            "locator" : "314:1-314:90",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Black or African American",
             "id" : "2054-5",
@@ -3529,11 +3545,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "411",
+                  "r" : "412",
                   "s" : [ {
                      "value" : [ "//Iron Supplement\n\n// ******************************\n// ## Individual codes ##\n// ******************************\n\n// list individual codes from code systems used directly in the CQL logic. Individual codes are used when there is\n// a single code from a particular vocabulary standard used to represent a clinical concept. It is considered\n// best-practice not to create value sets containing a single code.\n\n","code ","\"Black or African American\"",": ","'2054-5'"," from " ]
                   }, {
-                     "r" : "412",
+                     "r" : "413",
                      "s" : [ {
                         "value" : [ "\"Race\"" ]
                      } ]
@@ -3543,14 +3559,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "412",
-               "locator" : "313:49-313:54",
+               "localId" : "413",
+               "locator" : "314:49-314:54",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "Race"
             }
          }, {
-            "localId" : "413",
-            "locator" : "314:1-314:50",
+            "localId" : "414",
+            "locator" : "315:1-315:50",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "White",
             "id" : "2106-3",
@@ -3559,11 +3575,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "413",
+                  "r" : "414",
                   "s" : [ {
                      "value" : [ "","code ","\"White\"",": ","'2106-3'"," from " ]
                   }, {
-                     "r" : "414",
+                     "r" : "415",
                      "s" : [ {
                         "value" : [ "\"Race\"" ]
                      } ]
@@ -3573,14 +3589,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "414",
-               "locator" : "314:29-314:34",
+               "localId" : "415",
+               "locator" : "315:29-315:34",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "Race"
             }
          }, {
-            "localId" : "415",
-            "locator" : "316:1-316:89",
+            "localId" : "416",
+            "locator" : "317:1-317:89",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Left (qualifier value)",
             "id" : "7771000",
@@ -3589,11 +3605,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "415",
+                  "r" : "416",
                   "s" : [ {
                      "value" : [ "","code ","\"Left (qualifier value)\"",": ","'7771000'"," from " ]
                   }, {
-                     "r" : "416",
+                     "r" : "417",
                      "s" : [ {
                         "value" : [ "\"SNOMEDCT\"" ]
                      } ]
@@ -3603,14 +3619,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "416",
-               "locator" : "316:47-316:56",
+               "localId" : "417",
+               "locator" : "317:47-317:56",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "SNOMEDCT"
             }
          }, {
-            "localId" : "417",
-            "locator" : "317:1-317:92",
+            "localId" : "418",
+            "locator" : "318:1-318:92",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Right (qualifier value)",
             "id" : "24028007",
@@ -3619,11 +3635,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "417",
+                  "r" : "418",
                   "s" : [ {
                      "value" : [ "","code ","\"Right (qualifier value)\"",": ","'24028007'"," from " ]
                   }, {
-                     "r" : "418",
+                     "r" : "419",
                      "s" : [ {
                         "value" : [ "\"SNOMEDCT\"" ]
                      } ]
@@ -3633,14 +3649,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "418",
-               "locator" : "317:49-317:58",
+               "localId" : "419",
+               "locator" : "318:49-318:58",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "SNOMEDCT"
             }
          }, {
-            "localId" : "419",
-            "locator" : "319:1-319:93",
+            "localId" : "420",
+            "locator" : "320:1-320:93",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Blood pressure",
             "id" : "85354-9",
@@ -3649,11 +3665,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "419",
+                  "r" : "420",
                   "s" : [ {
                      "value" : [ "","code ","\"Blood pressure\"",": ","'85354-9'"," from " ]
                   }, {
-                     "r" : "420",
+                     "r" : "421",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -3663,14 +3679,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "420",
-               "locator" : "319:39-319:45",
+               "localId" : "421",
+               "locator" : "320:39-320:45",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "421",
-            "locator" : "320:1-320:96",
+            "localId" : "422",
+            "locator" : "321:1-321:96",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Blood pressure home reading",
             "id" : "72076-3",
@@ -3679,11 +3695,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "421",
+                  "r" : "422",
                   "s" : [ {
                      "value" : [ "","code ","\"Blood pressure home reading\"",": ","'72076-3'"," from " ]
                   }, {
-                     "r" : "422",
+                     "r" : "423",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -3693,14 +3709,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "422",
-               "locator" : "320:52-320:58",
+               "localId" : "423",
+               "locator" : "321:52-321:58",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "423",
-            "locator" : "321:1-321:87",
+            "localId" : "424",
+            "locator" : "322:1-322:87",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Systolic blood pressure",
             "id" : "8480-6",
@@ -3709,11 +3725,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "423",
+                  "r" : "424",
                   "s" : [ {
                      "value" : [ "","code ","\"Systolic blood pressure\"",": ","'8480-6'"," from " ]
                   }, {
-                     "r" : "424",
+                     "r" : "425",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -3723,14 +3739,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "424",
-               "locator" : "321:47-321:53",
+               "localId" : "425",
+               "locator" : "322:47-322:53",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "425",
-            "locator" : "322:1-322:89",
+            "localId" : "426",
+            "locator" : "323:1-323:89",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Diastolic blood pressure",
             "id" : "8462-4",
@@ -3739,11 +3755,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "425",
+                  "r" : "426",
                   "s" : [ {
                      "value" : [ "","code ","\"Diastolic blood pressure\"",": ","'8462-4'"," from " ]
                   }, {
-                     "r" : "426",
+                     "r" : "427",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -3753,14 +3769,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "426",
-               "locator" : "322:48-322:54",
+               "localId" : "427",
+               "locator" : "323:48-323:54",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "427",
-            "locator" : "323:1-323:61",
+            "localId" : "428",
+            "locator" : "324:1-324:61",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Heart rate",
             "id" : "8867-4",
@@ -3769,11 +3785,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "427",
+                  "r" : "428",
                   "s" : [ {
                      "value" : [ "","code ","\"Heart rate\"",": ","'8867-4'"," from " ]
                   }, {
-                     "r" : "428",
+                     "r" : "429",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -3783,14 +3799,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "428",
-               "locator" : "323:34-323:40",
+               "localId" : "429",
+               "locator" : "324:34-324:40",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "429",
-            "locator" : "324:1-324:75",
+            "localId" : "430",
+            "locator" : "325:1-325:75",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Oxygen saturation",
             "id" : "2708-6",
@@ -3799,11 +3815,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "429",
+                  "r" : "430",
                   "s" : [ {
                      "value" : [ "","code ","\"Oxygen saturation\"",": ","'2708-6'"," from " ]
                   }, {
-                     "r" : "430",
+                     "r" : "431",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -3813,14 +3829,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "430",
-               "locator" : "324:41-324:47",
+               "localId" : "431",
+               "locator" : "325:41-325:47",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "431",
-            "locator" : "325:1-325:107",
+            "localId" : "432",
+            "locator" : "326:1-326:107",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Pulse oximetry",
             "id" : "59408-5",
@@ -3829,11 +3845,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "431",
+                  "r" : "432",
                   "s" : [ {
                      "value" : [ "","code ","\"Pulse oximetry\"",": ","'59408-5'"," from " ]
                   }, {
-                     "r" : "432",
+                     "r" : "433",
                      "s" : [ {
                         "value" : [ "LOINC" ]
                      } ]
@@ -3843,14 +3859,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "432",
-               "locator" : "325:39-325:43",
+               "localId" : "433",
+               "locator" : "326:39-326:43",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "433",
-            "locator" : "326:1-326:73",
+            "localId" : "434",
+            "locator" : "327:1-327:73",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Respiratory rate",
             "id" : "9279-1",
@@ -3859,11 +3875,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "433",
+                  "r" : "434",
                   "s" : [ {
                      "value" : [ "","code ","\"Respiratory rate\"",": ","'9279-1'"," from " ]
                   }, {
-                     "r" : "434",
+                     "r" : "435",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -3873,14 +3889,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "434",
-               "locator" : "326:40-326:46",
+               "localId" : "435",
+               "locator" : "327:40-327:46",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "435",
-            "locator" : "327:1-327:73",
+            "localId" : "436",
+            "locator" : "328:1-328:73",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Body temperature",
             "id" : "8310-5",
@@ -3889,11 +3905,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "435",
+                  "r" : "436",
                   "s" : [ {
                      "value" : [ "","code ","\"Body temperature\"",": ","'8310-5'"," from " ]
                   }, {
-                     "r" : "436",
+                     "r" : "437",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -3903,14 +3919,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "436",
-               "locator" : "327:40-327:46",
+               "localId" : "437",
+               "locator" : "328:40-328:46",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "437",
-            "locator" : "328:1-328:63",
+            "localId" : "438",
+            "locator" : "329:1-329:63",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Body height",
             "id" : "8302-2",
@@ -3919,11 +3935,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "437",
+                  "r" : "438",
                   "s" : [ {
                      "value" : [ "","code ","\"Body height\"",": ","'8302-2'"," from " ]
                   }, {
-                     "r" : "438",
+                     "r" : "439",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -3933,14 +3949,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "438",
-               "locator" : "328:35-328:41",
+               "localId" : "439",
+               "locator" : "329:35-329:41",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "439",
-            "locator" : "329:1-329:64",
+            "localId" : "440",
+            "locator" : "330:1-330:64",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Body weight",
             "id" : "29463-7",
@@ -3949,11 +3965,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "439",
+                  "r" : "440",
                   "s" : [ {
                      "value" : [ "","code ","\"Body weight\"",": ","'29463-7'"," from " ]
                   }, {
-                     "r" : "440",
+                     "r" : "441",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -3963,14 +3979,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "440",
-               "locator" : "329:36-329:42",
+               "localId" : "441",
+               "locator" : "330:36-330:42",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "441",
-            "locator" : "330:1-330:72",
+            "localId" : "442",
+            "locator" : "331:1-331:72",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Body mass index",
             "id" : "39156-5",
@@ -3979,11 +3995,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "441",
+                  "r" : "442",
                   "s" : [ {
                      "value" : [ "","code ","\"Body mass index\"",": ","'39156-5'"," from " ]
                   }, {
-                     "r" : "442",
+                     "r" : "443",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -3993,14 +4009,14 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "442",
-               "locator" : "330:40-330:46",
+               "localId" : "443",
+               "locator" : "331:40-331:46",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "443",
-            "locator" : "331:1-331:89",
+            "localId" : "444",
+            "locator" : "332:1-332:89",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
             "name" : "Inhaled oxygen flow rate",
             "id" : "3151-8",
@@ -4009,11 +4025,11 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "443",
+                  "r" : "444",
                   "s" : [ {
                      "value" : [ "","code ","\"Inhaled oxygen flow rate\"",": ","'3151-8'"," from " ]
                   }, {
-                     "r" : "444",
+                     "r" : "445",
                      "s" : [ {
                         "value" : [ "\"LOINC\"" ]
                      } ]
@@ -4023,29 +4039,89 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "444",
-               "locator" : "331:48-331:54",
+               "localId" : "445",
+               "locator" : "332:48-332:54",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
                "name" : "LOINC"
             }
          }, {
-            "localId" : "445",
-            "locator" : "333:1-333:89",
+            "localId" : "446",
+            "locator" : "334:1-334:96",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
+            "name" : "Epic POC Systolic blood pressure",
+            "id" : "7585",
+            "display" : "Systolic blood pressure",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "446",
+                  "s" : [ {
+                     "value" : [ "","code ","\"Epic POC Systolic blood pressure\"",": ","'7585'"," from " ]
+                  }, {
+                     "r" : "447",
+                     "s" : [ {
+                        "value" : [ "\"EpicPOC\"" ]
+                     } ]
+                  }, {
+                     "value" : [ " display ","'Systolic blood pressure'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : {
+               "localId" : "447",
+               "locator" : "334:54-334:62",
+               "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
+               "name" : "EpicPOC"
+            }
+         }, {
+            "localId" : "448",
+            "locator" : "335:1-335:98",
+            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
+            "name" : "Epic POC Diastolic blood pressure",
+            "id" : "7586",
+            "display" : "Diastolic blood pressure",
+            "accessLevel" : "Public",
+            "annotation" : [ {
+               "type" : "Annotation",
+               "s" : {
+                  "r" : "448",
+                  "s" : [ {
+                     "value" : [ "","code ","\"Epic POC Diastolic blood pressure\"",": ","'7586'"," from " ]
+                  }, {
+                     "r" : "449",
+                     "s" : [ {
+                        "value" : [ "\"EpicPOC\"" ]
+                     } ]
+                  }, {
+                     "value" : [ " display ","'Diastolic blood pressure'" ]
+                  } ]
+               }
+            } ],
+            "codeSystem" : {
+               "localId" : "449",
+               "locator" : "335:55-335:63",
+               "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
+               "name" : "EpicPOC"
+            }
+         }, {
+            "localId" : "450",
+            "locator" : "336:1-336:98",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
-            "name" : "Epic Systolic blood pressure",
+            "name" : "Epic PROD Systolic blood pressure",
             "id" : "7585",
             "display" : "Systolic blood pressure",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "445",
+                  "r" : "450",
                   "s" : [ {
-                     "value" : [ "","code ","\"Epic Systolic blood pressure\"",": ","'7585'"," from " ]
+                     "value" : [ "","code ","\"Epic PROD Systolic blood pressure\"",": ","'7585'"," from " ]
                   }, {
-                     "r" : "446",
+                     "r" : "451",
                      "s" : [ {
-                        "value" : [ "\"Epic\"" ]
+                        "value" : [ "\"EpicPROD\"" ]
                      } ]
                   }, {
                      "value" : [ " display ","'Systolic blood pressure'" ]
@@ -4053,29 +4129,29 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "446",
-               "locator" : "333:50-333:55",
+               "localId" : "451",
+               "locator" : "336:55-336:64",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
-               "name" : "Epic"
+               "name" : "EpicPROD"
             }
          }, {
-            "localId" : "447",
-            "locator" : "334:1-334:91",
+            "localId" : "452",
+            "locator" : "337:1-337:100",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
-            "name" : "Epic Diastolic blood pressure",
+            "name" : "Epic PROD Diastolic blood pressure",
             "id" : "7586",
             "display" : "Diastolic blood pressure",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "447",
+                  "r" : "452",
                   "s" : [ {
-                     "value" : [ "","code ","\"Epic Diastolic blood pressure\"",": ","'7586'"," from " ]
+                     "value" : [ "","code ","\"Epic PROD Diastolic blood pressure\"",": ","'7586'"," from " ]
                   }, {
-                     "r" : "448",
+                     "r" : "453",
                      "s" : [ {
-                        "value" : [ "\"Epic\"" ]
+                        "value" : [ "\"EpicPROD\"" ]
                      } ]
                   }, {
                      "value" : [ " display ","'Diastolic blood pressure'" ]
@@ -4083,10 +4159,10 @@
                }
             } ],
             "codeSystem" : {
-               "localId" : "448",
-               "locator" : "334:51-334:56",
+               "localId" : "453",
+               "locator" : "337:56-337:65",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
-               "name" : "Epic"
+               "name" : "EpicPROD"
             }
          } ]
       }
diff --git a/src/data-services/cql/mcc/MCCVitalSigns.cql b/src/data-services/cql/mcc/MCCVitalSigns.cql
index c2e6848..b67a3a0 100644
--- a/src/data-services/cql/mcc/MCCVitalSigns.cql
+++ b/src/data-services/cql/mcc/MCCVitalSigns.cql
@@ -67,11 +67,13 @@ that are returned as separate observations.
 
 define "Systolic Blood Pressure":
   SortDescending( [Observation: Cx."Systolic blood pressure"]
-    union [Observation: Cx."Epic Systolic blood pressure"])
+    union [Observation: Cx."Epic POC Systolic blood pressure"]
+    union [Observation: Cx."Epic PROD Systolic blood pressure"])
 
 define "Diastolic Blood Pressure":
   SortDescending([Observation: Cx."Diastolic blood pressure"]
-    union [Observation: Cx."Epic Diastolic blood pressure"])
+    union [Observation: Cx."Epic POC Diastolic blood pressure"]
+    union [Observation: Cx."Epic PROD Diastolic blood pressure"])
 
 // Use when Systolic and Diastolic BP are reported as an independent Observations (not recommended)
 define "Combined Blood Pressure Observations":
diff --git a/src/data-services/cql/mcc/MCCVitalSigns.json b/src/data-services/cql/mcc/MCCVitalSigns.json
index a4b114e..fae5075 100644
--- a/src/data-services/cql/mcc/MCCVitalSigns.json
+++ b/src/data-services/cql/mcc/MCCVitalSigns.json
@@ -193,10 +193,10 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "2343",
+               "localId" : "2371",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "2344",
+                  "localId" : "2372",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
@@ -297,10 +297,10 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "2347",
+               "localId" : "2375",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "2348",
+                  "localId" : "2376",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
@@ -401,10 +401,10 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "2349",
+               "localId" : "2377",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "2350",
+                  "localId" : "2378",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
@@ -505,10 +505,10 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "2351",
+               "localId" : "2379",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "2352",
+                  "localId" : "2380",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
@@ -609,10 +609,10 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "2345",
+               "localId" : "2373",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "2346",
+                  "localId" : "2374",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
@@ -713,10 +713,10 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "2353",
+               "localId" : "2381",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "2354",
+                  "localId" : "2382",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
@@ -817,10 +817,10 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "2355",
+               "localId" : "2383",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "2356",
+                  "localId" : "2384",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
@@ -921,10 +921,10 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "2357",
+               "localId" : "2385",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "2358",
+                  "localId" : "2386",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
@@ -1226,69 +1226,69 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "2326",
+               "localId" : "2354",
                "type" : "TupleTypeSpecifier",
                "element" : [ {
-                  "localId" : "2327",
+                  "localId" : "2355",
                   "name" : "BloodPressure",
                   "elementType" : {
-                     "localId" : "2328",
+                     "localId" : "2356",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "2329",
+                  "localId" : "2357",
                   "name" : "BodyHeight",
                   "elementType" : {
-                     "localId" : "2330",
+                     "localId" : "2358",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "2331",
+                  "localId" : "2359",
                   "name" : "BodyWeight",
                   "elementType" : {
-                     "localId" : "2332",
+                     "localId" : "2360",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "2333",
+                  "localId" : "2361",
                   "name" : "BodyMassIndex",
                   "elementType" : {
-                     "localId" : "2334",
+                     "localId" : "2362",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "2335",
+                  "localId" : "2363",
                   "name" : "BodyTemperature",
                   "elementType" : {
-                     "localId" : "2336",
+                     "localId" : "2364",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "2337",
+                  "localId" : "2365",
                   "name" : "HeartRate",
                   "elementType" : {
-                     "localId" : "2338",
+                     "localId" : "2366",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "2339",
+                  "localId" : "2367",
                   "name" : "OxygenSaturation",
                   "elementType" : {
-                     "localId" : "2340",
+                     "localId" : "2368",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                }, {
-                  "localId" : "2341",
+                  "localId" : "2369",
                   "name" : "RespiratoryRate",
                   "elementType" : {
-                     "localId" : "2342",
+                     "localId" : "2370",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
@@ -1579,7 +1579,7 @@
             }
          }, {
             "localId" : "555",
-            "locator" : "108:1-124:5",
+            "locator" : "110:1-126:5",
             "name" : "ReportHomeBP",
             "context" : "Patient",
             "accessLevel" : "Public",
@@ -1591,14 +1591,14 @@
                   "s" : [ {
                      "value" : [ "","define function ReportHomeBP():\n  " ]
                   }, {
-                     "r" : "2807",
+                     "r" : "2835",
                      "s" : [ {
-                        "r" : "2807",
+                        "r" : "2835",
                         "s" : [ {
                            "s" : [ {
-                              "r" : "2528",
+                              "r" : "2556",
                               "s" : [ {
-                                 "r" : "2529",
+                                 "r" : "2557",
                                  "s" : [ {
                                     "s" : [ {
                                        "value" : [ "\"Combined Blood Pressure Observations\"" ]
@@ -1611,18 +1611,18 @@
                         }, {
                            "value" : [ "\n    " ]
                         }, {
-                           "r" : "2578",
+                           "r" : "2606",
                            "s" : [ {
                               "value" : [ "return " ]
                            }, {
-                              "r" : "2579",
+                              "r" : "2607",
                               "s" : [ {
                                  "value" : [ "{\n      " ]
                               }, {
                                  "s" : [ {
                                     "value" : [ "DisplayName",": " ]
                                  }, {
-                                    "r" : "2580",
+                                    "r" : "2608",
                                     "s" : [ {
                                        "value" : [ "'Home Blood Pressure'" ]
                                     } ]
@@ -1631,7 +1631,7 @@
                                  "value" : [ ",\n      " ]
                               }, {
                                  "s" : [ {
-                                    "r" : "2581",
+                                    "r" : "2609",
                                     "value" : [ "ConceptName",": ","null" ]
                                  } ]
                               }, {
@@ -1640,20 +1640,20 @@
                                  "s" : [ {
                                     "value" : [ "Date",": " ]
                                  }, {
-                                    "r" : "2609",
+                                    "r" : "2637",
                                     "s" : [ {
                                        "value" : [ "ToString","(" ]
                                     }, {
-                                       "r" : "2606",
+                                       "r" : "2634",
                                        "s" : [ {
-                                          "r" : "2582",
+                                          "r" : "2610",
                                           "s" : [ {
                                              "value" : [ "bp" ]
                                           } ]
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "2606",
+                                          "r" : "2634",
                                           "s" : [ {
                                              "value" : [ "Date" ]
                                           } ]
@@ -1668,16 +1668,16 @@
                                  "s" : [ {
                                     "value" : [ "ResultText",": " ]
                                  }, {
-                                    "r" : "2634",
+                                    "r" : "2662",
                                     "s" : [ {
-                                       "r" : "2610",
+                                       "r" : "2638",
                                        "s" : [ {
                                           "value" : [ "bp" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "2634",
+                                       "r" : "2662",
                                        "s" : [ {
                                           "value" : [ "Display" ]
                                        } ]
@@ -1687,35 +1687,35 @@
                                  "value" : [ ",\n      " ]
                               }, {
                                  "s" : [ {
-                                    "r" : "2635",
+                                    "r" : "2663",
                                     "value" : [ "ResultValue",": ","null" ]
                                  } ]
                               }, {
                                  "value" : [ ",\n      " ]
                               }, {
                                  "s" : [ {
-                                    "r" : "2636",
+                                    "r" : "2664",
                                     "value" : [ "ResultUnits",": ","null" ]
                                  } ]
                               }, {
                                  "value" : [ ",\n      " ]
                               }, {
                                  "s" : [ {
-                                    "r" : "2637",
+                                    "r" : "2665",
                                     "value" : [ "ReferenceRange",": ","null" ]
                                  } ]
                               }, {
                                  "value" : [ ",\n      " ]
                               }, {
                                  "s" : [ {
-                                    "r" : "2638",
+                                    "r" : "2666",
                                     "value" : [ "Interpretation",": ","null" ]
                                  } ]
                               }, {
                                  "value" : [ ",\n      " ]
                               }, {
                                  "s" : [ {
-                                    "r" : "2639",
+                                    "r" : "2667",
                                     "value" : [ "Flag",": ","null" ]
                                  } ]
                               }, {
@@ -1724,16 +1724,16 @@
                                  "s" : [ {
                                     "value" : [ "Performer",": " ]
                                  }, {
-                                    "r" : "2664",
+                                    "r" : "2692",
                                     "s" : [ {
-                                       "r" : "2640",
+                                       "r" : "2668",
                                        "s" : [ {
                                           "value" : [ "bp" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "2664",
+                                       "r" : "2692",
                                        "s" : [ {
                                           "value" : [ "Performer" ]
                                        } ]
@@ -1745,16 +1745,16 @@
                                  "s" : [ {
                                     "value" : [ "Notes",": " ]
                                  }, {
-                                    "r" : "2689",
+                                    "r" : "2717",
                                     "s" : [ {
-                                       "r" : "2665",
+                                       "r" : "2693",
                                        "s" : [ {
                                           "value" : [ "bp" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "2689",
+                                       "r" : "2717",
                                        "s" : [ {
                                           "value" : [ "Notes" ]
                                        } ]
@@ -1766,16 +1766,16 @@
                                  "s" : [ {
                                     "value" : [ "Provenance",": " ]
                                  }, {
-                                    "r" : "2718",
+                                    "r" : "2746",
                                     "s" : [ {
-                                       "r" : "2694",
+                                       "r" : "2722",
                                        "s" : [ {
                                           "value" : [ "bp" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "2718",
+                                       "r" : "2746",
                                        "s" : [ {
                                           "value" : [ "Provenance" ]
                                        } ]
@@ -1785,7 +1785,7 @@
                                  "value" : [ ",\n      " ]
                               }, {
                                  "s" : [ {
-                                    "r" : "2735",
+                                    "r" : "2763",
                                     "value" : [ "LearnMore",": ","null" ]
                                  } ]
                               }, {
@@ -1798,132 +1798,132 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "2880",
+               "localId" : "2908",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "2881",
+                  "localId" : "2909",
                   "type" : "TupleTypeSpecifier",
                   "element" : [ {
-                     "localId" : "2882",
+                     "localId" : "2910",
                      "name" : "DisplayName",
                      "elementType" : {
-                        "localId" : "2883",
+                        "localId" : "2911",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2884",
+                     "localId" : "2912",
                      "name" : "ConceptName",
                      "elementType" : {
-                        "localId" : "2885",
+                        "localId" : "2913",
                         "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2886",
+                     "localId" : "2914",
                      "name" : "Date",
                      "elementType" : {
-                        "localId" : "2887",
+                        "localId" : "2915",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2888",
+                     "localId" : "2916",
                      "name" : "ResultText",
                      "elementType" : {
-                        "localId" : "2889",
+                        "localId" : "2917",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2890",
+                     "localId" : "2918",
                      "name" : "ResultValue",
                      "elementType" : {
-                        "localId" : "2891",
+                        "localId" : "2919",
                         "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2892",
+                     "localId" : "2920",
                      "name" : "ResultUnits",
                      "elementType" : {
-                        "localId" : "2893",
+                        "localId" : "2921",
                         "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2894",
+                     "localId" : "2922",
                      "name" : "ReferenceRange",
                      "elementType" : {
-                        "localId" : "2895",
+                        "localId" : "2923",
                         "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2896",
+                     "localId" : "2924",
                      "name" : "Interpretation",
                      "elementType" : {
-                        "localId" : "2897",
+                        "localId" : "2925",
                         "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2898",
+                     "localId" : "2926",
                      "name" : "Flag",
                      "elementType" : {
-                        "localId" : "2899",
+                        "localId" : "2927",
                         "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2900",
+                     "localId" : "2928",
                      "name" : "Performer",
                      "elementType" : {
-                        "localId" : "2901",
+                        "localId" : "2929",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2902",
+                     "localId" : "2930",
                      "name" : "Notes",
                      "elementType" : {
-                        "localId" : "2903",
+                        "localId" : "2931",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "2904",
+                           "localId" : "2932",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }
                   }, {
-                     "localId" : "2905",
+                     "localId" : "2933",
                      "name" : "Provenance",
                      "elementType" : {
-                        "localId" : "2906",
+                        "localId" : "2934",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "2907",
+                           "localId" : "2935",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2908",
+                              "localId" : "2936",
                               "name" : "Transmitter",
                               "elementType" : {
-                                 "localId" : "2909",
+                                 "localId" : "2937",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2910",
+                                    "localId" : "2938",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2911",
+                              "localId" : "2939",
                               "name" : "Author",
                               "elementType" : {
-                                 "localId" : "2912",
+                                 "localId" : "2940",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2913",
+                                    "localId" : "2941",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
@@ -1932,10 +1932,10 @@
                         }
                      }
                   }, {
-                     "localId" : "2914",
+                     "localId" : "2942",
                      "name" : "LearnMore",
                      "elementType" : {
-                        "localId" : "2915",
+                        "localId" : "2943",
                         "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
@@ -1943,136 +1943,136 @@
                }
             },
             "expression" : {
-               "localId" : "2807",
-               "locator" : "109:3-124:5",
+               "localId" : "2835",
+               "locator" : "111:3-126:5",
                "type" : "Query",
                "resultTypeSpecifier" : {
-                  "localId" : "2844",
+                  "localId" : "2872",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
-                     "localId" : "2845",
+                     "localId" : "2873",
                      "type" : "TupleTypeSpecifier",
                      "element" : [ {
-                        "localId" : "2846",
+                        "localId" : "2874",
                         "name" : "DisplayName",
                         "elementType" : {
-                           "localId" : "2847",
+                           "localId" : "2875",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2848",
+                        "localId" : "2876",
                         "name" : "ConceptName",
                         "elementType" : {
-                           "localId" : "2849",
+                           "localId" : "2877",
                            "name" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2850",
+                        "localId" : "2878",
                         "name" : "Date",
                         "elementType" : {
-                           "localId" : "2851",
+                           "localId" : "2879",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2852",
+                        "localId" : "2880",
                         "name" : "ResultText",
                         "elementType" : {
-                           "localId" : "2853",
+                           "localId" : "2881",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2854",
+                        "localId" : "2882",
                         "name" : "ResultValue",
                         "elementType" : {
-                           "localId" : "2855",
+                           "localId" : "2883",
                            "name" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2856",
+                        "localId" : "2884",
                         "name" : "ResultUnits",
                         "elementType" : {
-                           "localId" : "2857",
+                           "localId" : "2885",
                            "name" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2858",
+                        "localId" : "2886",
                         "name" : "ReferenceRange",
                         "elementType" : {
-                           "localId" : "2859",
+                           "localId" : "2887",
                            "name" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2860",
+                        "localId" : "2888",
                         "name" : "Interpretation",
                         "elementType" : {
-                           "localId" : "2861",
+                           "localId" : "2889",
                            "name" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2862",
+                        "localId" : "2890",
                         "name" : "Flag",
                         "elementType" : {
-                           "localId" : "2863",
+                           "localId" : "2891",
                            "name" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2864",
+                        "localId" : "2892",
                         "name" : "Performer",
                         "elementType" : {
-                           "localId" : "2865",
+                           "localId" : "2893",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2866",
+                        "localId" : "2894",
                         "name" : "Notes",
                         "elementType" : {
-                           "localId" : "2867",
+                           "localId" : "2895",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "2868",
+                              "localId" : "2896",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }
                      }, {
-                        "localId" : "2869",
+                        "localId" : "2897",
                         "name" : "Provenance",
                         "elementType" : {
-                           "localId" : "2870",
+                           "localId" : "2898",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "2871",
+                              "localId" : "2899",
                               "type" : "TupleTypeSpecifier",
                               "element" : [ {
-                                 "localId" : "2872",
+                                 "localId" : "2900",
                                  "name" : "Transmitter",
                                  "elementType" : {
-                                    "localId" : "2873",
+                                    "localId" : "2901",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "2874",
+                                       "localId" : "2902",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }
                               }, {
-                                 "localId" : "2875",
+                                 "localId" : "2903",
                                  "name" : "Author",
                                  "elementType" : {
-                                    "localId" : "2876",
+                                    "localId" : "2904",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "2877",
+                                       "localId" : "2905",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -2081,10 +2081,10 @@
                            }
                         }
                      }, {
-                        "localId" : "2878",
+                        "localId" : "2906",
                         "name" : "LearnMore",
                         "elementType" : {
-                           "localId" : "2879",
+                           "localId" : "2907",
                            "name" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "NamedTypeSpecifier"
                         }
@@ -2092,96 +2092,96 @@
                   }
                },
                "source" : [ {
-                  "localId" : "2528",
-                  "locator" : "109:3-109:43",
+                  "localId" : "2556",
+                  "locator" : "111:3-111:43",
                   "alias" : "bp",
                   "resultTypeSpecifier" : {
-                     "localId" : "2554",
+                     "localId" : "2582",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "2555",
+                        "localId" : "2583",
                         "type" : "TupleTypeSpecifier",
                         "element" : [ {
-                           "localId" : "2556",
+                           "localId" : "2584",
                            "name" : "Date",
                            "elementType" : {
-                              "localId" : "2557",
+                              "localId" : "2585",
                               "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2558",
+                           "localId" : "2586",
                            "name" : "Systolic",
                            "elementType" : {
-                              "localId" : "2559",
+                              "localId" : "2587",
                               "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2560",
+                           "localId" : "2588",
                            "name" : "Diastolic",
                            "elementType" : {
-                              "localId" : "2561",
+                              "localId" : "2589",
                               "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2562",
+                           "localId" : "2590",
                            "name" : "Display",
                            "elementType" : {
-                              "localId" : "2563",
+                              "localId" : "2591",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2564",
+                           "localId" : "2592",
                            "name" : "Performer",
                            "elementType" : {
-                              "localId" : "2565",
+                              "localId" : "2593",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2566",
+                           "localId" : "2594",
                            "name" : "Notes",
                            "elementType" : {
-                              "localId" : "2567",
+                              "localId" : "2595",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2568",
+                                 "localId" : "2596",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "2569",
+                           "localId" : "2597",
                            "name" : "Provenance",
                            "elementType" : {
-                              "localId" : "2570",
+                              "localId" : "2598",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2571",
+                                 "localId" : "2599",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
-                                    "localId" : "2572",
+                                    "localId" : "2600",
                                     "name" : "Transmitter",
                                     "elementType" : {
-                                       "localId" : "2573",
+                                       "localId" : "2601",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "2574",
+                                          "localId" : "2602",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
                                     }
                                  }, {
-                                    "localId" : "2575",
+                                    "localId" : "2603",
                                     "name" : "Author",
                                     "elementType" : {
-                                       "localId" : "2576",
+                                       "localId" : "2604",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "2577",
+                                          "localId" : "2605",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
@@ -2193,97 +2193,97 @@
                      }
                   },
                   "expression" : {
-                     "localId" : "2529",
-                     "locator" : "109:3-109:40",
+                     "localId" : "2557",
+                     "locator" : "111:3-111:40",
                      "name" : "Combined Blood Pressure Observations",
                      "type" : "ExpressionRef",
                      "resultTypeSpecifier" : {
-                        "localId" : "2530",
+                        "localId" : "2558",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "2531",
+                           "localId" : "2559",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2532",
+                              "localId" : "2560",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "2533",
+                                 "localId" : "2561",
                                  "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2534",
+                              "localId" : "2562",
                               "name" : "Systolic",
                               "elementType" : {
-                                 "localId" : "2535",
+                                 "localId" : "2563",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2536",
+                              "localId" : "2564",
                               "name" : "Diastolic",
                               "elementType" : {
-                                 "localId" : "2537",
+                                 "localId" : "2565",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2538",
+                              "localId" : "2566",
                               "name" : "Display",
                               "elementType" : {
-                                 "localId" : "2539",
+                                 "localId" : "2567",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2540",
+                              "localId" : "2568",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "2541",
+                                 "localId" : "2569",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2542",
+                              "localId" : "2570",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "2543",
+                                 "localId" : "2571",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2544",
+                                    "localId" : "2572",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2545",
+                              "localId" : "2573",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "2546",
+                                 "localId" : "2574",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2547",
+                                    "localId" : "2575",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "2548",
+                                       "localId" : "2576",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "2549",
+                                          "localId" : "2577",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2550",
+                                             "localId" : "2578",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "2551",
+                                       "localId" : "2579",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "2552",
+                                          "localId" : "2580",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2553",
+                                             "localId" : "2581",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -2299,135 +2299,135 @@
                "let" : [ ],
                "relationship" : [ ],
                "return" : {
-                  "localId" : "2578",
-                  "locator" : "110:5-124:5",
+                  "localId" : "2606",
+                  "locator" : "112:5-126:5",
                   "resultTypeSpecifier" : {
-                     "localId" : "2771",
+                     "localId" : "2799",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "2772",
+                        "localId" : "2800",
                         "type" : "TupleTypeSpecifier",
                         "element" : [ {
-                           "localId" : "2773",
+                           "localId" : "2801",
                            "name" : "DisplayName",
                            "elementType" : {
-                              "localId" : "2774",
+                              "localId" : "2802",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2775",
+                           "localId" : "2803",
                            "name" : "ConceptName",
                            "elementType" : {
-                              "localId" : "2776",
+                              "localId" : "2804",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2777",
+                           "localId" : "2805",
                            "name" : "Date",
                            "elementType" : {
-                              "localId" : "2778",
+                              "localId" : "2806",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2779",
+                           "localId" : "2807",
                            "name" : "ResultText",
                            "elementType" : {
-                              "localId" : "2780",
+                              "localId" : "2808",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2781",
+                           "localId" : "2809",
                            "name" : "ResultValue",
                            "elementType" : {
-                              "localId" : "2782",
+                              "localId" : "2810",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2783",
+                           "localId" : "2811",
                            "name" : "ResultUnits",
                            "elementType" : {
-                              "localId" : "2784",
+                              "localId" : "2812",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2785",
+                           "localId" : "2813",
                            "name" : "ReferenceRange",
                            "elementType" : {
-                              "localId" : "2786",
+                              "localId" : "2814",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2787",
+                           "localId" : "2815",
                            "name" : "Interpretation",
                            "elementType" : {
-                              "localId" : "2788",
+                              "localId" : "2816",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2789",
+                           "localId" : "2817",
                            "name" : "Flag",
                            "elementType" : {
-                              "localId" : "2790",
+                              "localId" : "2818",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2791",
+                           "localId" : "2819",
                            "name" : "Performer",
                            "elementType" : {
-                              "localId" : "2792",
+                              "localId" : "2820",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2793",
+                           "localId" : "2821",
                            "name" : "Notes",
                            "elementType" : {
-                              "localId" : "2794",
+                              "localId" : "2822",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2795",
+                                 "localId" : "2823",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "2796",
+                           "localId" : "2824",
                            "name" : "Provenance",
                            "elementType" : {
-                              "localId" : "2797",
+                              "localId" : "2825",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2798",
+                                 "localId" : "2826",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
-                                    "localId" : "2799",
+                                    "localId" : "2827",
                                     "name" : "Transmitter",
                                     "elementType" : {
-                                       "localId" : "2800",
+                                       "localId" : "2828",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "2801",
+                                          "localId" : "2829",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
                                     }
                                  }, {
-                                    "localId" : "2802",
+                                    "localId" : "2830",
                                     "name" : "Author",
                                     "elementType" : {
-                                       "localId" : "2803",
+                                       "localId" : "2831",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "2804",
+                                          "localId" : "2832",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
@@ -2436,10 +2436,10 @@
                               }
                            }
                         }, {
-                           "localId" : "2805",
+                           "localId" : "2833",
                            "name" : "LearnMore",
                            "elementType" : {
-                              "localId" : "2806",
+                              "localId" : "2834",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
@@ -2447,133 +2447,133 @@
                      }
                   },
                   "expression" : {
-                     "localId" : "2579",
-                     "locator" : "110:12-124:5",
+                     "localId" : "2607",
+                     "locator" : "112:12-126:5",
                      "type" : "Tuple",
                      "resultTypeSpecifier" : {
-                        "localId" : "2736",
+                        "localId" : "2764",
                         "type" : "TupleTypeSpecifier",
                         "element" : [ {
-                           "localId" : "2737",
+                           "localId" : "2765",
                            "name" : "DisplayName",
                            "elementType" : {
-                              "localId" : "2738",
+                              "localId" : "2766",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2739",
+                           "localId" : "2767",
                            "name" : "ConceptName",
                            "elementType" : {
-                              "localId" : "2740",
+                              "localId" : "2768",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2741",
+                           "localId" : "2769",
                            "name" : "Date",
                            "elementType" : {
-                              "localId" : "2742",
+                              "localId" : "2770",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2743",
+                           "localId" : "2771",
                            "name" : "ResultText",
                            "elementType" : {
-                              "localId" : "2744",
+                              "localId" : "2772",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2745",
+                           "localId" : "2773",
                            "name" : "ResultValue",
                            "elementType" : {
-                              "localId" : "2746",
+                              "localId" : "2774",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2747",
+                           "localId" : "2775",
                            "name" : "ResultUnits",
                            "elementType" : {
-                              "localId" : "2748",
+                              "localId" : "2776",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2749",
+                           "localId" : "2777",
                            "name" : "ReferenceRange",
                            "elementType" : {
-                              "localId" : "2750",
+                              "localId" : "2778",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2751",
+                           "localId" : "2779",
                            "name" : "Interpretation",
                            "elementType" : {
-                              "localId" : "2752",
+                              "localId" : "2780",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2753",
+                           "localId" : "2781",
                            "name" : "Flag",
                            "elementType" : {
-                              "localId" : "2754",
+                              "localId" : "2782",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2755",
+                           "localId" : "2783",
                            "name" : "Performer",
                            "elementType" : {
-                              "localId" : "2756",
+                              "localId" : "2784",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2757",
+                           "localId" : "2785",
                            "name" : "Notes",
                            "elementType" : {
-                              "localId" : "2758",
+                              "localId" : "2786",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2759",
+                                 "localId" : "2787",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "2760",
+                           "localId" : "2788",
                            "name" : "Provenance",
                            "elementType" : {
-                              "localId" : "2761",
+                              "localId" : "2789",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2762",
+                                 "localId" : "2790",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
-                                    "localId" : "2763",
+                                    "localId" : "2791",
                                     "name" : "Transmitter",
                                     "elementType" : {
-                                       "localId" : "2764",
+                                       "localId" : "2792",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "2765",
+                                          "localId" : "2793",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
                                     }
                                  }, {
-                                    "localId" : "2766",
+                                    "localId" : "2794",
                                     "name" : "Author",
                                     "elementType" : {
-                                       "localId" : "2767",
+                                       "localId" : "2795",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "2768",
+                                          "localId" : "2796",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
@@ -2582,10 +2582,10 @@
                               }
                            }
                         }, {
-                           "localId" : "2769",
+                           "localId" : "2797",
                            "name" : "LearnMore",
                            "elementType" : {
-                              "localId" : "2770",
+                              "localId" : "2798",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
@@ -2594,8 +2594,8 @@
                      "element" : [ {
                         "name" : "DisplayName",
                         "value" : {
-                           "localId" : "2580",
-                           "locator" : "111:20-111:40",
+                           "localId" : "2608",
+                           "locator" : "113:20-113:40",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
                            "value" : "Home Blood Pressure",
@@ -2604,22 +2604,22 @@
                      }, {
                         "name" : "ConceptName",
                         "value" : {
-                           "localId" : "2581",
-                           "locator" : "112:20-112:23",
+                           "localId" : "2609",
+                           "locator" : "114:20-114:23",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "Null"
                         }
                      }, {
                         "name" : "Date",
                         "value" : {
-                           "localId" : "2609",
-                           "locator" : "113:13-113:29",
+                           "localId" : "2637",
+                           "locator" : "115:13-115:29",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "ToString",
                            "signature" : [ ],
                            "operand" : {
-                              "localId" : "2606",
-                              "locator" : "113:22-113:28",
+                              "localId" : "2634",
+                              "locator" : "115:22-115:28",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                               "path" : "Date",
                               "scope" : "bp",
@@ -2629,8 +2629,8 @@
                      }, {
                         "name" : "ResultText",
                         "value" : {
-                           "localId" : "2634",
-                           "locator" : "114:19-114:28",
+                           "localId" : "2662",
+                           "locator" : "116:19-116:28",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "Display",
                            "scope" : "bp",
@@ -2639,48 +2639,48 @@
                      }, {
                         "name" : "ResultValue",
                         "value" : {
-                           "localId" : "2635",
-                           "locator" : "115:20-115:23",
+                           "localId" : "2663",
+                           "locator" : "117:20-117:23",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "Null"
                         }
                      }, {
                         "name" : "ResultUnits",
                         "value" : {
-                           "localId" : "2636",
-                           "locator" : "116:20-116:23",
+                           "localId" : "2664",
+                           "locator" : "118:20-118:23",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "Null"
                         }
                      }, {
                         "name" : "ReferenceRange",
                         "value" : {
-                           "localId" : "2637",
-                           "locator" : "117:23-117:26",
+                           "localId" : "2665",
+                           "locator" : "119:23-119:26",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "Null"
                         }
                      }, {
                         "name" : "Interpretation",
                         "value" : {
-                           "localId" : "2638",
-                           "locator" : "118:23-118:26",
+                           "localId" : "2666",
+                           "locator" : "120:23-120:26",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "Null"
                         }
                      }, {
                         "name" : "Flag",
                         "value" : {
-                           "localId" : "2639",
-                           "locator" : "119:13-119:16",
+                           "localId" : "2667",
+                           "locator" : "121:13-121:16",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "Null"
                         }
                      }, {
                         "name" : "Performer",
                         "value" : {
-                           "localId" : "2664",
-                           "locator" : "120:18-120:29",
+                           "localId" : "2692",
+                           "locator" : "122:18-122:29",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "Performer",
                            "scope" : "bp",
@@ -2689,16 +2689,16 @@
                      }, {
                         "name" : "Notes",
                         "value" : {
-                           "localId" : "2689",
-                           "locator" : "121:14-121:21",
+                           "localId" : "2717",
+                           "locator" : "123:14-123:21",
                            "path" : "Notes",
                            "scope" : "bp",
                            "type" : "Property",
                            "resultTypeSpecifier" : {
-                              "localId" : "2692",
+                              "localId" : "2720",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2693",
+                                 "localId" : "2721",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -2707,37 +2707,37 @@
                      }, {
                         "name" : "Provenance",
                         "value" : {
-                           "localId" : "2718",
-                           "locator" : "122:19-122:31",
+                           "localId" : "2746",
+                           "locator" : "124:19-124:31",
                            "path" : "Provenance",
                            "scope" : "bp",
                            "type" : "Property",
                            "resultTypeSpecifier" : {
-                              "localId" : "2727",
+                              "localId" : "2755",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2728",
+                                 "localId" : "2756",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
-                                    "localId" : "2729",
+                                    "localId" : "2757",
                                     "name" : "Transmitter",
                                     "elementType" : {
-                                       "localId" : "2730",
+                                       "localId" : "2758",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "2731",
+                                          "localId" : "2759",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
                                     }
                                  }, {
-                                    "localId" : "2732",
+                                    "localId" : "2760",
                                     "name" : "Author",
                                     "elementType" : {
-                                       "localId" : "2733",
+                                       "localId" : "2761",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "2734",
+                                          "localId" : "2762",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
@@ -2749,8 +2749,8 @@
                      }, {
                         "name" : "LearnMore",
                         "value" : {
-                           "localId" : "2735",
-                           "locator" : "123:18-123:21",
+                           "localId" : "2763",
+                           "locator" : "125:18-125:21",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "Null"
                         }
@@ -2760,8 +2760,8 @@
             },
             "operand" : [ ]
          }, {
-            "localId" : "588",
-            "locator" : "99:1-106:58",
+            "localId" : "602",
+            "locator" : "101:1-108:58",
             "name" : "SortDescending",
             "context" : "Patient",
             "accessLevel" : "Public",
@@ -2769,18 +2769,18 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "588",
+                  "r" : "602",
                   "s" : [ {
                      "value" : [ "","define function SortDescending(observations List<Observation>):\n  " ]
                   }, {
-                     "r" : "2521",
+                     "r" : "2549",
                      "s" : [ {
-                        "r" : "2521",
+                        "r" : "2549",
                         "s" : [ {
                            "s" : [ {
-                              "r" : "2428",
+                              "r" : "2456",
                               "s" : [ {
-                                 "r" : "2429",
+                                 "r" : "2457",
                                  "s" : [ {
                                     "s" : [ {
                                        "value" : [ "observations" ]
@@ -2793,32 +2793,32 @@
                         }, {
                            "value" : [ "\n    // Note: Cannot use FindDate() because execution engine cannot sort by result of a function.\n    " ]
                         }, {
-                           "r" : "2517",
+                           "r" : "2545",
                            "s" : [ {
                               "value" : [ "sort by " ]
                            }, {
-                              "r" : "2516",
+                              "r" : "2544",
                               "s" : [ {
-                                 "r" : "2515",
+                                 "r" : "2543",
                                  "s" : [ {
                                     "value" : [ "Coalesce","(\n      " ]
                                  }, {
-                                    "r" : "2483",
+                                    "r" : "2511",
                                     "s" : [ {
-                                       "r" : "2475",
+                                       "r" : "2503",
                                        "s" : [ {
                                           "value" : [ "(" ]
                                        }, {
-                                          "r" : "2475",
+                                          "r" : "2503",
                                           "s" : [ {
-                                             "r" : "2476",
+                                             "r" : "2504",
                                              "s" : [ {
                                                 "value" : [ "effective" ]
                                              } ]
                                           }, {
                                              "value" : [ " as " ]
                                           }, {
-                                             "r" : "2482",
+                                             "r" : "2510",
                                              "s" : [ {
                                                 "value" : [ "FHIR",".","dateTime" ]
                                              } ]
@@ -2829,7 +2829,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "2483",
+                                       "r" : "2511",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -2837,22 +2837,22 @@
                                  }, {
                                     "value" : [ ",\n      " ]
                                  }, {
-                                    "r" : "2492",
+                                    "r" : "2520",
                                     "s" : [ {
-                                       "r" : "2484",
+                                       "r" : "2512",
                                        "s" : [ {
                                           "value" : [ "(" ]
                                        }, {
-                                          "r" : "2484",
+                                          "r" : "2512",
                                           "s" : [ {
-                                             "r" : "2485",
+                                             "r" : "2513",
                                              "s" : [ {
                                                 "value" : [ "effective" ]
                                              } ]
                                           }, {
                                              "value" : [ " as " ]
                                           }, {
-                                             "r" : "2491",
+                                             "r" : "2519",
                                              "s" : [ {
                                                 "value" : [ "FHIR",".","instant" ]
                                              } ]
@@ -2863,7 +2863,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "2492",
+                                       "r" : "2520",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -2871,24 +2871,24 @@
                                  }, {
                                     "value" : [ ",\n      " ]
                                  }, {
-                                    "r" : "2502",
+                                    "r" : "2530",
                                     "s" : [ {
-                                       "r" : "2501",
+                                       "r" : "2529",
                                        "s" : [ {
-                                          "r" : "2493",
+                                          "r" : "2521",
                                           "s" : [ {
                                              "value" : [ "(" ]
                                           }, {
-                                             "r" : "2493",
+                                             "r" : "2521",
                                              "s" : [ {
-                                                "r" : "2494",
+                                                "r" : "2522",
                                                 "s" : [ {
                                                    "value" : [ "effective" ]
                                                 } ]
                                              }, {
                                                 "value" : [ " as " ]
                                              }, {
-                                                "r" : "2500",
+                                                "r" : "2528",
                                                 "s" : [ {
                                                    "value" : [ "FHIR",".","Period" ]
                                                 } ]
@@ -2899,7 +2899,7 @@
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "2501",
+                                          "r" : "2529",
                                           "s" : [ {
                                              "value" : [ "\"end\"" ]
                                           } ]
@@ -2907,7 +2907,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "2502",
+                                       "r" : "2530",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -2915,24 +2915,24 @@
                                  }, {
                                     "value" : [ ",\n      " ]
                                  }, {
-                                    "r" : "2512",
+                                    "r" : "2540",
                                     "s" : [ {
-                                       "r" : "2511",
+                                       "r" : "2539",
                                        "s" : [ {
-                                          "r" : "2503",
+                                          "r" : "2531",
                                           "s" : [ {
                                              "value" : [ "(" ]
                                           }, {
-                                             "r" : "2503",
+                                             "r" : "2531",
                                              "s" : [ {
-                                                "r" : "2504",
+                                                "r" : "2532",
                                                 "s" : [ {
                                                    "value" : [ "effective" ]
                                                 } ]
                                              }, {
                                                 "value" : [ " as " ]
                                              }, {
-                                                "r" : "2510",
+                                                "r" : "2538",
                                                 "s" : [ {
                                                    "value" : [ "FHIR",".","Period" ]
                                                 } ]
@@ -2943,7 +2943,7 @@
                                        }, {
                                           "value" : [ "." ]
                                        }, {
-                                          "r" : "2511",
+                                          "r" : "2539",
                                           "s" : [ {
                                              "value" : [ "\"start\"" ]
                                           } ]
@@ -2951,7 +2951,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "2512",
+                                       "r" : "2540",
                                        "s" : [ {
                                           "value" : [ "value" ]
                                        } ]
@@ -2969,50 +2969,50 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "2526",
+               "localId" : "2554",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "2527",
+                  "localId" : "2555",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "2521",
-               "locator" : "100:3-106:58",
+               "localId" : "2549",
+               "locator" : "102:3-108:58",
                "type" : "Query",
                "resultTypeSpecifier" : {
-                  "localId" : "2524",
+                  "localId" : "2552",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
-                     "localId" : "2525",
+                     "localId" : "2553",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
                "source" : [ {
-                  "localId" : "2428",
-                  "locator" : "100:3-100:16",
+                  "localId" : "2456",
+                  "locator" : "102:3-102:16",
                   "alias" : "O",
                   "resultTypeSpecifier" : {
-                     "localId" : "2432",
+                     "localId" : "2460",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "2433",
+                        "localId" : "2461",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "expression" : {
-                     "localId" : "2429",
-                     "locator" : "100:3-100:14",
+                     "localId" : "2457",
+                     "locator" : "102:3-102:14",
                      "name" : "observations",
                      "type" : "OperandRef",
                      "resultTypeSpecifier" : {
-                        "localId" : "2430",
+                        "localId" : "2458",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "2431",
+                           "localId" : "2459",
                            "name" : "{http://hl7.org/fhir}Observation",
                            "type" : "NamedTypeSpecifier"
                         }
@@ -3022,168 +3022,168 @@
                "let" : [ ],
                "relationship" : [ ],
                "sort" : {
-                  "localId" : "2517",
-                  "locator" : "102:5-106:58",
+                  "localId" : "2545",
+                  "locator" : "104:5-108:58",
                   "by" : [ {
-                     "localId" : "2516",
-                     "locator" : "102:13-106:58",
+                     "localId" : "2544",
+                     "locator" : "104:13-108:58",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                      "direction" : "descending",
                      "type" : "ByExpression",
                      "expression" : {
-                        "localId" : "2515",
-                        "locator" : "102:13-106:47",
+                        "localId" : "2543",
+                        "locator" : "104:13-108:47",
                         "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                         "type" : "Coalesce",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "2483",
-                           "locator" : "103:7-103:40",
+                           "localId" : "2511",
+                           "locator" : "105:7-105:40",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "2475",
-                              "locator" : "103:7-103:34",
+                              "localId" : "2503",
+                              "locator" : "105:7-105:34",
                               "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                               "strict" : false,
                               "type" : "As",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "2476",
-                                 "locator" : "103:8-103:16",
+                                 "localId" : "2504",
+                                 "locator" : "105:8-105:16",
                                  "name" : "effective",
                                  "type" : "IdentifierRef",
                                  "resultTypeSpecifier" : {
-                                    "localId" : "2477",
+                                    "localId" : "2505",
                                     "type" : "ChoiceTypeSpecifier",
                                     "type" : [ ],
                                     "choice" : [ {
-                                       "localId" : "2478",
+                                       "localId" : "2506",
                                        "name" : "{http://hl7.org/fhir}dateTime",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "2479",
+                                       "localId" : "2507",
                                        "name" : "{http://hl7.org/fhir}Period",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "2480",
+                                       "localId" : "2508",
                                        "name" : "{http://hl7.org/fhir}Timing",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "2481",
+                                       "localId" : "2509",
                                        "name" : "{http://hl7.org/fhir}instant",
                                        "type" : "NamedTypeSpecifier"
                                     } ]
                                  }
                               },
                               "asTypeSpecifier" : {
-                                 "localId" : "2482",
-                                 "locator" : "103:21-103:33",
+                                 "localId" : "2510",
+                                 "locator" : "105:21-105:33",
                                  "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                                  "name" : "{http://hl7.org/fhir}dateTime",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "2492",
-                           "locator" : "104:7-104:39",
+                           "localId" : "2520",
+                           "locator" : "106:7-106:39",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "2484",
-                              "locator" : "104:7-104:33",
+                              "localId" : "2512",
+                              "locator" : "106:7-106:33",
                               "resultTypeName" : "{http://hl7.org/fhir}instant",
                               "strict" : false,
                               "type" : "As",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "2485",
-                                 "locator" : "104:8-104:16",
+                                 "localId" : "2513",
+                                 "locator" : "106:8-106:16",
                                  "name" : "effective",
                                  "type" : "IdentifierRef",
                                  "resultTypeSpecifier" : {
-                                    "localId" : "2486",
+                                    "localId" : "2514",
                                     "type" : "ChoiceTypeSpecifier",
                                     "type" : [ ],
                                     "choice" : [ {
-                                       "localId" : "2487",
+                                       "localId" : "2515",
                                        "name" : "{http://hl7.org/fhir}dateTime",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "2488",
+                                       "localId" : "2516",
                                        "name" : "{http://hl7.org/fhir}Period",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "2489",
+                                       "localId" : "2517",
                                        "name" : "{http://hl7.org/fhir}Timing",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "2490",
+                                       "localId" : "2518",
                                        "name" : "{http://hl7.org/fhir}instant",
                                        "type" : "NamedTypeSpecifier"
                                     } ]
                                  }
                               },
                               "asTypeSpecifier" : {
-                                 "localId" : "2491",
-                                 "locator" : "104:21-104:32",
+                                 "localId" : "2519",
+                                 "locator" : "106:21-106:32",
                                  "resultTypeName" : "{http://hl7.org/fhir}instant",
                                  "name" : "{http://hl7.org/fhir}instant",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "2502",
-                           "locator" : "105:7-105:44",
+                           "localId" : "2530",
+                           "locator" : "107:7-107:44",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "2501",
-                              "locator" : "105:7-105:38",
+                              "localId" : "2529",
+                              "locator" : "107:7-107:38",
                               "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                               "path" : "end",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "2493",
-                                 "locator" : "105:7-105:32",
+                                 "localId" : "2521",
+                                 "locator" : "107:7-107:32",
                                  "resultTypeName" : "{http://hl7.org/fhir}Period",
                                  "strict" : false,
                                  "type" : "As",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "2494",
-                                    "locator" : "105:8-105:16",
+                                    "localId" : "2522",
+                                    "locator" : "107:8-107:16",
                                     "name" : "effective",
                                     "type" : "IdentifierRef",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "2495",
+                                       "localId" : "2523",
                                        "type" : "ChoiceTypeSpecifier",
                                        "type" : [ ],
                                        "choice" : [ {
-                                          "localId" : "2496",
+                                          "localId" : "2524",
                                           "name" : "{http://hl7.org/fhir}dateTime",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "2497",
+                                          "localId" : "2525",
                                           "name" : "{http://hl7.org/fhir}Period",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "2498",
+                                          "localId" : "2526",
                                           "name" : "{http://hl7.org/fhir}Timing",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "2499",
+                                          "localId" : "2527",
                                           "name" : "{http://hl7.org/fhir}instant",
                                           "type" : "NamedTypeSpecifier"
                                        } ]
                                     }
                                  },
                                  "asTypeSpecifier" : {
-                                    "localId" : "2500",
-                                    "locator" : "105:21-105:31",
+                                    "localId" : "2528",
+                                    "locator" : "107:21-107:31",
                                     "resultTypeName" : "{http://hl7.org/fhir}Period",
                                     "name" : "{http://hl7.org/fhir}Period",
                                     "type" : "NamedTypeSpecifier"
@@ -3191,55 +3191,55 @@
                               }
                            }
                         }, {
-                           "localId" : "2512",
-                           "locator" : "106:7-106:46",
+                           "localId" : "2540",
+                           "locator" : "108:7-108:46",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "2511",
-                              "locator" : "106:7-106:40",
+                              "localId" : "2539",
+                              "locator" : "108:7-108:40",
                               "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                               "path" : "start",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "2503",
-                                 "locator" : "106:7-106:32",
+                                 "localId" : "2531",
+                                 "locator" : "108:7-108:32",
                                  "resultTypeName" : "{http://hl7.org/fhir}Period",
                                  "strict" : false,
                                  "type" : "As",
                                  "signature" : [ ],
                                  "operand" : {
-                                    "localId" : "2504",
-                                    "locator" : "106:8-106:16",
+                                    "localId" : "2532",
+                                    "locator" : "108:8-108:16",
                                     "name" : "effective",
                                     "type" : "IdentifierRef",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "2505",
+                                       "localId" : "2533",
                                        "type" : "ChoiceTypeSpecifier",
                                        "type" : [ ],
                                        "choice" : [ {
-                                          "localId" : "2506",
+                                          "localId" : "2534",
                                           "name" : "{http://hl7.org/fhir}dateTime",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "2507",
+                                          "localId" : "2535",
                                           "name" : "{http://hl7.org/fhir}Period",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "2508",
+                                          "localId" : "2536",
                                           "name" : "{http://hl7.org/fhir}Timing",
                                           "type" : "NamedTypeSpecifier"
                                        }, {
-                                          "localId" : "2509",
+                                          "localId" : "2537",
                                           "name" : "{http://hl7.org/fhir}instant",
                                           "type" : "NamedTypeSpecifier"
                                        } ]
                                     }
                                  },
                                  "asTypeSpecifier" : {
-                                    "localId" : "2510",
-                                    "locator" : "106:21-106:31",
+                                    "localId" : "2538",
+                                    "locator" : "108:21-108:31",
                                     "resultTypeName" : "{http://hl7.org/fhir}Period",
                                     "name" : "{http://hl7.org/fhir}Period",
                                     "type" : "NamedTypeSpecifier"
@@ -3252,24 +3252,24 @@
                }
             },
             "operand" : [ {
-               "localId" : "593",
+               "localId" : "607",
                "name" : "observations",
                "operandTypeSpecifier" : {
-                  "localId" : "589",
-                  "locator" : "99:45-99:61",
+                  "localId" : "603",
+                  "locator" : "101:45-101:61",
                   "type" : "ListTypeSpecifier",
                   "resultTypeSpecifier" : {
-                     "localId" : "591",
+                     "localId" : "605",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "592",
+                        "localId" : "606",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "elementType" : {
-                     "localId" : "590",
-                     "locator" : "99:50-99:60",
+                     "localId" : "604",
+                     "locator" : "101:50-101:60",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
@@ -3278,7 +3278,7 @@
             } ]
          }, {
             "localId" : "562",
-            "locator" : "68:1-70:59",
+            "locator" : "68:1-71:64",
             "name" : "Systolic Blood Pressure",
             "context" : "Patient",
             "accessLevel" : "Public",
@@ -3289,31 +3289,47 @@
                   "s" : [ {
                      "value" : [ "/*\nThe following functions were added to support OHSU Epic data for Home Blood Pressure\nthat are returned as separate observations.\n*/\n\n","define ","\"Systolic Blood Pressure\"",":\n  " ]
                   }, {
-                     "r" : "594",
+                     "r" : "608",
                      "s" : [ {
                         "value" : [ "SortDescending","( " ]
                      }, {
-                        "r" : "585",
+                        "r" : "599",
                         "s" : [ {
-                           "r" : "566",
+                           "r" : "585",
                            "s" : [ {
-                              "value" : [ "[","Observation",": " ]
-                           }, {
+                              "r" : "566",
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Systolic blood pressure\"" ]
+                                 "value" : [ "[","Observation",": " ]
+                              }, {
+                                 "s" : [ {
+                                    "value" : [ "Cx",".","\"Systolic blood pressure\"" ]
+                                 } ]
+                              }, {
+                                 "value" : [ "]" ]
                               } ]
                            }, {
-                              "value" : [ "]" ]
+                              "value" : [ "\n    union " ]
+                           }, {
+                              "r" : "577",
+                              "s" : [ {
+                                 "value" : [ "[","Observation",": " ]
+                              }, {
+                                 "s" : [ {
+                                    "value" : [ "Cx",".","\"Epic POC Systolic blood pressure\"" ]
+                                 } ]
+                              }, {
+                                 "value" : [ "]" ]
+                              } ]
                            } ]
                         }, {
                            "value" : [ "\n    union " ]
                         }, {
-                           "r" : "577",
+                           "r" : "591",
                            "s" : [ {
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Epic Systolic blood pressure\"" ]
+                                 "value" : [ "Cx",".","\"Epic PROD Systolic blood pressure\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -3326,103 +3342,152 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "2359",
+               "localId" : "2387",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "2360",
+                  "localId" : "2388",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "594",
-               "locator" : "69:3-70:59",
+               "localId" : "608",
+               "locator" : "69:3-71:64",
                "name" : "SortDescending",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
-                  "localId" : "693",
+                  "localId" : "707",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
-                     "localId" : "694",
+                     "localId" : "708",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
                "signature" : [ ],
                "operand" : [ {
-                  "localId" : "585",
-                  "locator" : "69:19-70:58",
+                  "localId" : "599",
+                  "locator" : "69:19-71:63",
                   "type" : "Union",
                   "resultTypeSpecifier" : {
-                     "localId" : "586",
+                     "localId" : "600",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "587",
+                        "localId" : "601",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "566",
-                     "locator" : "69:19-69:61",
-                     "dataType" : "{http://hl7.org/fhir}Observation",
-                     "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
-                     "codeProperty" : "code",
-                     "codeComparator" : "~",
-                     "type" : "Retrieve",
+                     "localId" : "585",
+                     "locator" : "69:19-70:62",
+                     "type" : "Union",
                      "resultTypeSpecifier" : {
-                        "localId" : "572",
+                        "localId" : "586",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "573",
+                           "localId" : "587",
                            "name" : "{http://hl7.org/fhir}Observation",
                            "type" : "NamedTypeSpecifier"
                         }
                      },
-                     "codes" : {
-                        "localId" : "571",
-                        "type" : "ToList",
-                        "signature" : [ ],
-                        "operand" : {
-                           "localId" : "565",
-                           "locator" : "69:33-69:60",
-                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
-                           "name" : "Systolic blood pressure",
-                           "libraryName" : "Cx",
-                           "type" : "CodeRef"
-                        }
-                     },
-                     "include" : [ ],
-                     "codeFilter" : [ ],
-                     "dateFilter" : [ ],
-                     "otherFilter" : [ ]
+                     "signature" : [ ],
+                     "operand" : [ {
+                        "localId" : "566",
+                        "locator" : "69:19-69:61",
+                        "dataType" : "{http://hl7.org/fhir}Observation",
+                        "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
+                        "codeProperty" : "code",
+                        "codeComparator" : "~",
+                        "type" : "Retrieve",
+                        "resultTypeSpecifier" : {
+                           "localId" : "572",
+                           "type" : "ListTypeSpecifier",
+                           "elementType" : {
+                              "localId" : "573",
+                              "name" : "{http://hl7.org/fhir}Observation",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        },
+                        "codes" : {
+                           "localId" : "571",
+                           "type" : "ToList",
+                           "signature" : [ ],
+                           "operand" : {
+                              "localId" : "565",
+                              "locator" : "69:33-69:60",
+                              "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
+                              "name" : "Systolic blood pressure",
+                              "libraryName" : "Cx",
+                              "type" : "CodeRef"
+                           }
+                        },
+                        "include" : [ ],
+                        "codeFilter" : [ ],
+                        "dateFilter" : [ ],
+                        "otherFilter" : [ ]
+                     }, {
+                        "localId" : "577",
+                        "locator" : "70:11-70:62",
+                        "dataType" : "{http://hl7.org/fhir}Observation",
+                        "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
+                        "codeProperty" : "code",
+                        "codeComparator" : "~",
+                        "type" : "Retrieve",
+                        "resultTypeSpecifier" : {
+                           "localId" : "583",
+                           "type" : "ListTypeSpecifier",
+                           "elementType" : {
+                              "localId" : "584",
+                              "name" : "{http://hl7.org/fhir}Observation",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        },
+                        "codes" : {
+                           "localId" : "582",
+                           "type" : "ToList",
+                           "signature" : [ ],
+                           "operand" : {
+                              "localId" : "576",
+                              "locator" : "70:25-70:61",
+                              "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
+                              "name" : "Epic POC Systolic blood pressure",
+                              "libraryName" : "Cx",
+                              "type" : "CodeRef"
+                           }
+                        },
+                        "include" : [ ],
+                        "codeFilter" : [ ],
+                        "dateFilter" : [ ],
+                        "otherFilter" : [ ]
+                     } ]
                   }, {
-                     "localId" : "577",
-                     "locator" : "70:11-70:58",
+                     "localId" : "591",
+                     "locator" : "71:11-71:63",
                      "dataType" : "{http://hl7.org/fhir}Observation",
                      "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                      "codeProperty" : "code",
                      "codeComparator" : "~",
                      "type" : "Retrieve",
                      "resultTypeSpecifier" : {
-                        "localId" : "583",
+                        "localId" : "597",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "584",
+                           "localId" : "598",
                            "name" : "{http://hl7.org/fhir}Observation",
                            "type" : "NamedTypeSpecifier"
                         }
                      },
                      "codes" : {
-                        "localId" : "582",
+                        "localId" : "596",
                         "type" : "ToList",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "576",
-                           "locator" : "70:25-70:57",
+                           "localId" : "590",
+                           "locator" : "71:25-71:62",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
-                           "name" : "Epic Systolic blood pressure",
+                           "name" : "Epic PROD Systolic blood pressure",
                            "libraryName" : "Cx",
                            "type" : "CodeRef"
                         }
@@ -3435,8 +3500,8 @@
                } ]
             }
          }, {
-            "localId" : "704",
-            "locator" : "93:1-97:3",
+            "localId" : "718",
+            "locator" : "95:1-99:3",
             "resultTypeName" : "{http://hl7.org/fhir}Observation",
             "name" : "MatchingDiastolic",
             "context" : "Patient",
@@ -3445,22 +3510,22 @@
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "704",
+                  "r" : "718",
                   "s" : [ {
                      "value" : [ "","define function MatchingDiastolic(systolicBP FHIR.Observation):\n  " ]
                   }, {
-                     "r" : "2427",
+                     "r" : "2455",
                      "s" : [ {
-                        "r" : "2427",
+                        "r" : "2455",
                         "s" : [ {
                            "value" : [ "First","(\n    " ]
                         }, {
-                           "r" : "2422",
+                           "r" : "2450",
                            "s" : [ {
                               "s" : [ {
-                                 "r" : "2387",
+                                 "r" : "2415",
                                  "s" : [ {
-                                    "r" : "2388",
+                                    "r" : "2416",
                                     "s" : [ {
                                        "s" : [ {
                                           "value" : [ "\"Diastolic Blood Pressure\"" ]
@@ -3473,28 +3538,28 @@
                            }, {
                               "value" : [ "\n      " ]
                            }, {
-                              "r" : "2393",
+                              "r" : "2421",
                               "s" : [ {
                                  "value" : [ "where " ]
                               }, {
-                                 "r" : "2393",
+                                 "r" : "2421",
                                  "s" : [ {
-                                    "r" : "2394",
+                                    "r" : "2422",
                                     "s" : [ {
                                        "value" : [ "(" ]
                                     }, {
-                                       "r" : "2394",
+                                       "r" : "2422",
                                        "s" : [ {
-                                          "r" : "2396",
+                                          "r" : "2424",
                                           "s" : [ {
-                                             "r" : "2395",
+                                             "r" : "2423",
                                              "s" : [ {
                                                 "value" : [ "diastolicBP" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "2396",
+                                             "r" : "2424",
                                              "s" : [ {
                                                 "value" : [ "effective" ]
                                              } ]
@@ -3502,7 +3567,7 @@
                                        }, {
                                           "value" : [ " as " ]
                                        }, {
-                                          "r" : "2407",
+                                          "r" : "2435",
                                           "s" : [ {
                                              "value" : [ "FHIR",".","dateTime" ]
                                           } ]
@@ -3513,22 +3578,22 @@
                                  }, {
                                     "value" : [ " ","="," " ]
                                  }, {
-                                    "r" : "2408",
+                                    "r" : "2436",
                                     "s" : [ {
                                        "value" : [ "(" ]
                                     }, {
-                                       "r" : "2408",
+                                       "r" : "2436",
                                        "s" : [ {
-                                          "r" : "2410",
+                                          "r" : "2438",
                                           "s" : [ {
-                                             "r" : "2409",
+                                             "r" : "2437",
                                              "s" : [ {
                                                 "value" : [ "systolicBP" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "2410",
+                                             "r" : "2438",
                                              "s" : [ {
                                                 "value" : [ "effective" ]
                                              } ]
@@ -3536,7 +3601,7 @@
                                        }, {
                                           "value" : [ " as " ]
                                        }, {
-                                          "r" : "2421",
+                                          "r" : "2449",
                                           "s" : [ {
                                              "value" : [ "FHIR",".","dateTime" ]
                                           } ]
@@ -3555,47 +3620,47 @@
                }
             } ],
             "expression" : {
-               "localId" : "2427",
-               "locator" : "94:3-97:3",
+               "localId" : "2455",
+               "locator" : "96:3-99:3",
                "resultTypeName" : "{http://hl7.org/fhir}Observation",
                "type" : "First",
                "signature" : [ ],
                "source" : {
-                  "localId" : "2422",
-                  "locator" : "95:5-96:94",
+                  "localId" : "2450",
+                  "locator" : "97:5-98:94",
                   "type" : "Query",
                   "resultTypeSpecifier" : {
-                     "localId" : "2423",
+                     "localId" : "2451",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "2424",
+                        "localId" : "2452",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "source" : [ {
-                     "localId" : "2387",
-                     "locator" : "95:5-95:42",
+                     "localId" : "2415",
+                     "locator" : "97:5-97:42",
                      "alias" : "diastolicBP",
                      "resultTypeSpecifier" : {
-                        "localId" : "2391",
+                        "localId" : "2419",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "2392",
+                           "localId" : "2420",
                            "name" : "{http://hl7.org/fhir}Observation",
                            "type" : "NamedTypeSpecifier"
                         }
                      },
                      "expression" : {
-                        "localId" : "2388",
-                        "locator" : "95:5-95:30",
+                        "localId" : "2416",
+                        "locator" : "97:5-97:30",
                         "name" : "Diastolic Blood Pressure",
                         "type" : "ExpressionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "2389",
+                           "localId" : "2417",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "2390",
+                              "localId" : "2418",
                               "name" : "{http://hl7.org/fhir}Observation",
                               "type" : "NamedTypeSpecifier"
                            }
@@ -3605,99 +3670,99 @@
                   "let" : [ ],
                   "relationship" : [ ],
                   "where" : {
-                     "localId" : "2393",
-                     "locator" : "96:7-96:94",
+                     "localId" : "2421",
+                     "locator" : "98:7-98:94",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "Equal",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "2394",
-                        "locator" : "96:13-96:52",
+                        "localId" : "2422",
+                        "locator" : "98:13-98:52",
                         "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                         "strict" : false,
                         "type" : "As",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "2396",
-                           "locator" : "96:14-96:34",
+                           "localId" : "2424",
+                           "locator" : "98:14-98:34",
                            "path" : "effective",
                            "scope" : "diastolicBP",
                            "type" : "Property",
                            "resultTypeSpecifier" : {
-                              "localId" : "2402",
+                              "localId" : "2430",
                               "type" : "ChoiceTypeSpecifier",
                               "type" : [ ],
                               "choice" : [ {
-                                 "localId" : "2403",
+                                 "localId" : "2431",
                                  "name" : "{http://hl7.org/fhir}dateTime",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "2404",
+                                 "localId" : "2432",
                                  "name" : "{http://hl7.org/fhir}Period",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "2405",
+                                 "localId" : "2433",
                                  "name" : "{http://hl7.org/fhir}Timing",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "2406",
+                                 "localId" : "2434",
                                  "name" : "{http://hl7.org/fhir}instant",
                                  "type" : "NamedTypeSpecifier"
                               } ]
                            }
                         },
                         "asTypeSpecifier" : {
-                           "localId" : "2407",
-                           "locator" : "96:39-96:51",
+                           "localId" : "2435",
+                           "locator" : "98:39-98:51",
                            "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                            "name" : "{http://hl7.org/fhir}dateTime",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2408",
-                        "locator" : "96:56-96:94",
+                        "localId" : "2436",
+                        "locator" : "98:56-98:94",
                         "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                         "strict" : false,
                         "type" : "As",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "2410",
-                           "locator" : "96:57-96:76",
+                           "localId" : "2438",
+                           "locator" : "98:57-98:76",
                            "path" : "effective",
                            "type" : "Property",
                            "resultTypeSpecifier" : {
-                              "localId" : "2416",
+                              "localId" : "2444",
                               "type" : "ChoiceTypeSpecifier",
                               "type" : [ ],
                               "choice" : [ {
-                                 "localId" : "2417",
+                                 "localId" : "2445",
                                  "name" : "{http://hl7.org/fhir}dateTime",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "2418",
+                                 "localId" : "2446",
                                  "name" : "{http://hl7.org/fhir}Period",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "2419",
+                                 "localId" : "2447",
                                  "name" : "{http://hl7.org/fhir}Timing",
                                  "type" : "NamedTypeSpecifier"
                               }, {
-                                 "localId" : "2420",
+                                 "localId" : "2448",
                                  "name" : "{http://hl7.org/fhir}instant",
                                  "type" : "NamedTypeSpecifier"
                               } ]
                            },
                            "source" : {
-                              "localId" : "2409",
-                              "locator" : "96:57-96:66",
+                              "localId" : "2437",
+                              "locator" : "98:57-98:66",
                               "resultTypeName" : "{http://hl7.org/fhir}Observation",
                               "name" : "systolicBP",
                               "type" : "OperandRef"
                            }
                         },
                         "asTypeSpecifier" : {
-                           "localId" : "2421",
-                           "locator" : "96:81-96:93",
+                           "localId" : "2449",
+                           "locator" : "98:81-98:93",
                            "resultTypeName" : "{http://hl7.org/fhir}dateTime",
                            "name" : "{http://hl7.org/fhir}dateTime",
                            "type" : "NamedTypeSpecifier"
@@ -3707,54 +3772,70 @@
                }
             },
             "operand" : [ {
-               "localId" : "706",
+               "localId" : "720",
                "name" : "systolicBP",
                "operandTypeSpecifier" : {
-                  "localId" : "705",
-                  "locator" : "93:46-93:61",
+                  "localId" : "719",
+                  "locator" : "95:46-95:61",
                   "resultTypeName" : "{http://hl7.org/fhir}Observation",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             } ]
          }, {
-            "localId" : "710",
-            "locator" : "72:1-74:60",
+            "localId" : "724",
+            "locator" : "73:1-76:65",
             "name" : "Diastolic Blood Pressure",
             "context" : "Patient",
             "accessLevel" : "Public",
             "annotation" : [ {
                "type" : "Annotation",
                "s" : {
-                  "r" : "710",
+                  "r" : "724",
                   "s" : [ {
                      "value" : [ "","define ","\"Diastolic Blood Pressure\"",":\n  " ]
                   }, {
-                     "r" : "736",
+                     "r" : "764",
                      "s" : [ {
                         "value" : [ "SortDescending","(" ]
                      }, {
-                        "r" : "733",
+                        "r" : "761",
                         "s" : [ {
-                           "r" : "714",
+                           "r" : "747",
                            "s" : [ {
-                              "value" : [ "[","Observation",": " ]
-                           }, {
+                              "r" : "728",
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Diastolic blood pressure\"" ]
+                                 "value" : [ "[","Observation",": " ]
+                              }, {
+                                 "s" : [ {
+                                    "value" : [ "Cx",".","\"Diastolic blood pressure\"" ]
+                                 } ]
+                              }, {
+                                 "value" : [ "]" ]
                               } ]
                            }, {
-                              "value" : [ "]" ]
+                              "value" : [ "\n    union " ]
+                           }, {
+                              "r" : "739",
+                              "s" : [ {
+                                 "value" : [ "[","Observation",": " ]
+                              }, {
+                                 "s" : [ {
+                                    "value" : [ "Cx",".","\"Epic POC Diastolic blood pressure\"" ]
+                                 } ]
+                              }, {
+                                 "value" : [ "]" ]
+                              } ]
                            } ]
                         }, {
                            "value" : [ "\n    union " ]
                         }, {
-                           "r" : "725",
+                           "r" : "753",
                            "s" : [ {
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Epic Diastolic blood pressure\"" ]
+                                 "value" : [ "Cx",".","\"Epic PROD Diastolic blood pressure\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -3767,103 +3848,152 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "2361",
+               "localId" : "2389",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "2362",
+                  "localId" : "2390",
                   "name" : "{http://hl7.org/fhir}Observation",
                   "type" : "NamedTypeSpecifier"
                }
             },
             "expression" : {
-               "localId" : "736",
-               "locator" : "73:3-74:60",
+               "localId" : "764",
+               "locator" : "74:3-76:65",
                "name" : "SortDescending",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
-                  "localId" : "737",
+                  "localId" : "765",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
-                     "localId" : "738",
+                     "localId" : "766",
                      "name" : "{http://hl7.org/fhir}Observation",
                      "type" : "NamedTypeSpecifier"
                   }
                },
                "signature" : [ ],
                "operand" : [ {
-                  "localId" : "733",
-                  "locator" : "73:18-74:59",
+                  "localId" : "761",
+                  "locator" : "74:18-76:64",
                   "type" : "Union",
                   "resultTypeSpecifier" : {
-                     "localId" : "734",
+                     "localId" : "762",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "735",
+                        "localId" : "763",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "signature" : [ ],
                   "operand" : [ {
-                     "localId" : "714",
-                     "locator" : "73:18-73:61",
-                     "dataType" : "{http://hl7.org/fhir}Observation",
-                     "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
-                     "codeProperty" : "code",
-                     "codeComparator" : "~",
-                     "type" : "Retrieve",
+                     "localId" : "747",
+                     "locator" : "74:18-75:63",
+                     "type" : "Union",
                      "resultTypeSpecifier" : {
-                        "localId" : "720",
+                        "localId" : "748",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "721",
+                           "localId" : "749",
                            "name" : "{http://hl7.org/fhir}Observation",
                            "type" : "NamedTypeSpecifier"
                         }
                      },
-                     "codes" : {
-                        "localId" : "719",
-                        "type" : "ToList",
-                        "signature" : [ ],
-                        "operand" : {
-                           "localId" : "713",
-                           "locator" : "73:32-73:60",
-                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
-                           "name" : "Diastolic blood pressure",
-                           "libraryName" : "Cx",
-                           "type" : "CodeRef"
-                        }
-                     },
-                     "include" : [ ],
-                     "codeFilter" : [ ],
-                     "dateFilter" : [ ],
-                     "otherFilter" : [ ]
+                     "signature" : [ ],
+                     "operand" : [ {
+                        "localId" : "728",
+                        "locator" : "74:18-74:61",
+                        "dataType" : "{http://hl7.org/fhir}Observation",
+                        "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
+                        "codeProperty" : "code",
+                        "codeComparator" : "~",
+                        "type" : "Retrieve",
+                        "resultTypeSpecifier" : {
+                           "localId" : "734",
+                           "type" : "ListTypeSpecifier",
+                           "elementType" : {
+                              "localId" : "735",
+                              "name" : "{http://hl7.org/fhir}Observation",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        },
+                        "codes" : {
+                           "localId" : "733",
+                           "type" : "ToList",
+                           "signature" : [ ],
+                           "operand" : {
+                              "localId" : "727",
+                              "locator" : "74:32-74:60",
+                              "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
+                              "name" : "Diastolic blood pressure",
+                              "libraryName" : "Cx",
+                              "type" : "CodeRef"
+                           }
+                        },
+                        "include" : [ ],
+                        "codeFilter" : [ ],
+                        "dateFilter" : [ ],
+                        "otherFilter" : [ ]
+                     }, {
+                        "localId" : "739",
+                        "locator" : "75:11-75:63",
+                        "dataType" : "{http://hl7.org/fhir}Observation",
+                        "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
+                        "codeProperty" : "code",
+                        "codeComparator" : "~",
+                        "type" : "Retrieve",
+                        "resultTypeSpecifier" : {
+                           "localId" : "745",
+                           "type" : "ListTypeSpecifier",
+                           "elementType" : {
+                              "localId" : "746",
+                              "name" : "{http://hl7.org/fhir}Observation",
+                              "type" : "NamedTypeSpecifier"
+                           }
+                        },
+                        "codes" : {
+                           "localId" : "744",
+                           "type" : "ToList",
+                           "signature" : [ ],
+                           "operand" : {
+                              "localId" : "738",
+                              "locator" : "75:25-75:62",
+                              "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
+                              "name" : "Epic POC Diastolic blood pressure",
+                              "libraryName" : "Cx",
+                              "type" : "CodeRef"
+                           }
+                        },
+                        "include" : [ ],
+                        "codeFilter" : [ ],
+                        "dateFilter" : [ ],
+                        "otherFilter" : [ ]
+                     } ]
                   }, {
-                     "localId" : "725",
-                     "locator" : "74:11-74:59",
+                     "localId" : "753",
+                     "locator" : "76:11-76:64",
                      "dataType" : "{http://hl7.org/fhir}Observation",
                      "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                      "codeProperty" : "code",
                      "codeComparator" : "~",
                      "type" : "Retrieve",
                      "resultTypeSpecifier" : {
-                        "localId" : "731",
+                        "localId" : "759",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "732",
+                           "localId" : "760",
                            "name" : "{http://hl7.org/fhir}Observation",
                            "type" : "NamedTypeSpecifier"
                         }
                      },
                      "codes" : {
-                        "localId" : "730",
+                        "localId" : "758",
                         "type" : "ToList",
                         "signature" : [ ],
                         "operand" : {
-                           "localId" : "724",
-                           "locator" : "74:25-74:58",
+                           "localId" : "752",
+                           "locator" : "76:25-76:63",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
-                           "name" : "Epic Diastolic blood pressure",
+                           "name" : "Epic PROD Diastolic blood pressure",
                            "libraryName" : "Cx",
                            "type" : "CodeRef"
                         }
@@ -3877,7 +4007,7 @@
             }
          }, {
             "localId" : "559",
-            "locator" : "77:1-91:5",
+            "locator" : "79:1-93:5",
             "name" : "Combined Blood Pressure Observations",
             "context" : "Patient",
             "accessLevel" : "Public",
@@ -3888,12 +4018,12 @@
                   "s" : [ {
                      "value" : [ "// Use when Systolic and Diastolic BP are reported as an independent Observations (not recommended)\n","define ","\"Combined Blood Pressure Observations\"",":\n  " ]
                   }, {
-                     "r" : "989",
+                     "r" : "1017",
                      "s" : [ {
                         "s" : [ {
                            "r" : "560",
                            "s" : [ {
-                              "r" : "697",
+                              "r" : "711",
                               "s" : [ {
                                  "s" : [ {
                                     "value" : [ "\"Systolic Blood Pressure\"" ]
@@ -3909,15 +4039,15 @@
                         "s" : [ {
                            "value" : [ "let " ]
                         }, {
-                           "r" : "702",
+                           "r" : "716",
                            "s" : [ {
                               "value" : [ "DiastolicObs",": " ]
                            }, {
-                              "r" : "707",
+                              "r" : "721",
                               "s" : [ {
                                  "value" : [ "MatchingDiastolic","(" ]
                               }, {
-                                 "r" : "703",
+                                 "r" : "717",
                                  "s" : [ {
                                     "value" : [ "systolicBP" ]
                                  } ]
@@ -3928,32 +4058,32 @@
                         }, {
                            "value" : [ ",\n          " ]
                         }, {
-                           "r" : "781",
+                           "r" : "809",
                            "s" : [ {
                               "value" : [ "SystolicValue",": " ]
                            }, {
-                              "r" : "814",
+                              "r" : "842",
                               "s" : [ {
                                  "value" : [ "Round","(" ]
                               }, {
-                                 "r" : "810",
+                                 "r" : "838",
                                  "s" : [ {
-                                    "r" : "782",
+                                    "r" : "810",
                                     "s" : [ {
                                        "value" : [ "(" ]
                                     }, {
-                                       "r" : "782",
+                                       "r" : "810",
                                        "s" : [ {
-                                          "r" : "784",
+                                          "r" : "812",
                                           "s" : [ {
-                                             "r" : "783",
+                                             "r" : "811",
                                              "s" : [ {
                                                 "value" : [ "systolicBP" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "784",
+                                             "r" : "812",
                                              "s" : [ {
                                                 "value" : [ "value" ]
                                              } ]
@@ -3961,7 +4091,7 @@
                                        }, {
                                           "value" : [ " as " ]
                                        }, {
-                                          "r" : "809",
+                                          "r" : "837",
                                           "s" : [ {
                                              "value" : [ "FHIR",".","Quantity" ]
                                           } ]
@@ -3972,7 +4102,7 @@
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "810",
+                                    "r" : "838",
                                     "s" : [ {
                                        "value" : [ "value" ]
                                     } ]
@@ -3984,29 +4114,29 @@
                         }, {
                            "value" : [ ",\n          " ]
                         }, {
-                           "r" : "816",
+                           "r" : "844",
                            "s" : [ {
                               "value" : [ "DiastolicValue",": " ]
                            }, {
-                              "r" : "850",
+                              "r" : "878",
                               "s" : [ {
                                  "value" : [ "Round","(" ]
                               }, {
-                                 "r" : "846",
+                                 "r" : "874",
                                  "s" : [ {
-                                    "r" : "817",
+                                    "r" : "845",
                                     "s" : [ {
                                        "value" : [ "(" ]
                                     }, {
-                                       "r" : "817",
+                                       "r" : "845",
                                        "s" : [ {
-                                          "r" : "820",
+                                          "r" : "848",
                                           "s" : [ {
-                                             "r" : "819",
+                                             "r" : "847",
                                              "s" : [ {
                                                 "value" : [ "MatchingDiastolic","(" ]
                                              }, {
-                                                "r" : "818",
+                                                "r" : "846",
                                                 "s" : [ {
                                                    "value" : [ "systolicBP" ]
                                                 } ]
@@ -4016,7 +4146,7 @@
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "820",
+                                             "r" : "848",
                                              "s" : [ {
                                                 "value" : [ "value" ]
                                              } ]
@@ -4024,7 +4154,7 @@
                                        }, {
                                           "value" : [ " as " ]
                                        }, {
-                                          "r" : "845",
+                                          "r" : "873",
                                           "s" : [ {
                                              "value" : [ "FHIR",".","Quantity" ]
                                           } ]
@@ -4035,7 +4165,7 @@
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "846",
+                                    "r" : "874",
                                     "s" : [ {
                                        "value" : [ "value" ]
                                     } ]
@@ -4047,24 +4177,24 @@
                         }, {
                            "value" : [ ",\n          " ]
                         }, {
-                           "r" : "852",
+                           "r" : "880",
                            "s" : [ {
                               "value" : [ "ResultDate",": " ]
                            }, {
-                              "r" : "855",
+                              "r" : "883",
                               "s" : [ {
-                                 "r" : "853",
+                                 "r" : "881",
                                  "s" : [ {
                                     "value" : [ "DE" ]
                                  } ]
                               }, {
                                  "value" : [ "." ]
                               }, {
-                                 "r" : "855",
+                                 "r" : "883",
                                  "s" : [ {
                                     "value" : [ "FindDate","(" ]
                                  }, {
-                                    "r" : "854",
+                                    "r" : "882",
                                     "s" : [ {
                                        "value" : [ "systolicBP" ]
                                     } ]
@@ -4077,18 +4207,18 @@
                      }, {
                         "value" : [ "\n    " ]
                      }, {
-                        "r" : "856",
+                        "r" : "884",
                         "s" : [ {
                            "value" : [ "return " ]
                         }, {
-                           "r" : "857",
+                           "r" : "885",
                            "s" : [ {
                               "value" : [ "{\n      " ]
                            }, {
                               "s" : [ {
                                  "value" : [ "\"Date\"",": " ]
                               }, {
-                                 "r" : "858",
+                                 "r" : "886",
                                  "s" : [ {
                                     "value" : [ "ResultDate" ]
                                  } ]
@@ -4099,7 +4229,7 @@
                               "s" : [ {
                                  "value" : [ "\"Systolic\"",": " ]
                               }, {
-                                 "r" : "859",
+                                 "r" : "887",
                                  "s" : [ {
                                     "value" : [ "SystolicValue" ]
                                  } ]
@@ -4110,7 +4240,7 @@
                               "s" : [ {
                                  "value" : [ "\"Diastolic\"",": " ]
                               }, {
-                                 "r" : "860",
+                                 "r" : "888",
                                  "s" : [ {
                                     "value" : [ "DiastolicValue" ]
                                  } ]
@@ -4121,21 +4251,21 @@
                               "s" : [ {
                                  "value" : [ "\"Display\"",": " ]
                               }, {
-                                 "r" : "884",
+                                 "r" : "912",
                                  "s" : [ {
-                                    "r" : "882",
+                                    "r" : "910",
                                     "s" : [ {
-                                       "r" : "873",
+                                       "r" : "901",
                                        "s" : [ {
-                                          "r" : "871",
+                                          "r" : "899",
                                           "s" : [ {
                                              "value" : [ "Coalesce","(" ]
                                           }, {
-                                             "r" : "867",
+                                             "r" : "895",
                                              "s" : [ {
                                                 "value" : [ "ToString","(" ]
                                              }, {
-                                                "r" : "864",
+                                                "r" : "892",
                                                 "s" : [ {
                                                    "value" : [ "SystolicValue" ]
                                                 } ]
@@ -4145,7 +4275,7 @@
                                           }, {
                                              "value" : [ ", " ]
                                           }, {
-                                             "r" : "868",
+                                             "r" : "896",
                                              "s" : [ {
                                                 "value" : [ "'-'" ]
                                              } ]
@@ -4155,7 +4285,7 @@
                                        }, {
                                           "value" : [ " + " ]
                                        }, {
-                                          "r" : "872",
+                                          "r" : "900",
                                           "s" : [ {
                                              "value" : [ "'/'" ]
                                           } ]
@@ -4163,15 +4293,15 @@
                                     }, {
                                        "value" : [ " + " ]
                                     }, {
-                                       "r" : "881",
+                                       "r" : "909",
                                        "s" : [ {
                                           "value" : [ "Coalesce","(" ]
                                        }, {
-                                          "r" : "877",
+                                          "r" : "905",
                                           "s" : [ {
                                              "value" : [ "ToString","(" ]
                                           }, {
-                                             "r" : "874",
+                                             "r" : "902",
                                              "s" : [ {
                                                 "value" : [ "DiastolicValue" ]
                                              } ]
@@ -4181,7 +4311,7 @@
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "878",
+                                          "r" : "906",
                                           "s" : [ {
                                              "value" : [ "'-'" ]
                                           } ]
@@ -4192,7 +4322,7 @@
                                  }, {
                                     "value" : [ " + " ]
                                  }, {
-                                    "r" : "883",
+                                    "r" : "911",
                                     "s" : [ {
                                        "value" : [ "' mmHg'" ]
                                     } ]
@@ -4204,24 +4334,24 @@
                               "s" : [ {
                                  "value" : [ "\"Performer\"",": " ]
                               }, {
-                                 "r" : "895",
+                                 "r" : "923",
                                  "s" : [ {
-                                    "r" : "894",
+                                    "r" : "922",
                                     "s" : [ {
-                                       "r" : "893",
+                                       "r" : "921",
                                        "s" : [ {
                                           "value" : [ "First","(" ]
                                        }, {
-                                          "r" : "886",
+                                          "r" : "914",
                                           "s" : [ {
-                                             "r" : "885",
+                                             "r" : "913",
                                              "s" : [ {
                                                 "value" : [ "systolicBP" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "886",
+                                             "r" : "914",
                                              "s" : [ {
                                                 "value" : [ "performer" ]
                                              } ]
@@ -4232,7 +4362,7 @@
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "894",
+                                       "r" : "922",
                                        "s" : [ {
                                           "value" : [ "display" ]
                                        } ]
@@ -4240,7 +4370,7 @@
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "895",
+                                    "r" : "923",
                                     "s" : [ {
                                        "value" : [ "value" ]
                                     } ]
@@ -4252,31 +4382,31 @@
                               "s" : [ {
                                  "value" : [ "\"Notes\"",": " ]
                               }, {
-                                 "r" : "920",
+                                 "r" : "948",
                                  "s" : [ {
-                                    "r" : "903",
+                                    "r" : "931",
                                     "s" : [ {
-                                       "r" : "896",
+                                       "r" : "924",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "903",
+                                       "r" : "931",
                                        "s" : [ {
                                           "value" : [ "ToString","(" ]
                                        }, {
-                                          "r" : "898",
+                                          "r" : "926",
                                           "s" : [ {
-                                             "r" : "897",
+                                             "r" : "925",
                                              "s" : [ {
                                                 "value" : [ "systolicBP" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "898",
+                                             "r" : "926",
                                              "s" : [ {
                                                 "value" : [ "note" ]
                                              } ]
@@ -4288,29 +4418,29 @@
                                  }, {
                                     "value" : [ " union " ]
                                  }, {
-                                    "r" : "915",
+                                    "r" : "943",
                                     "s" : [ {
-                                       "r" : "908",
+                                       "r" : "936",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "915",
+                                       "r" : "943",
                                        "s" : [ {
                                           "value" : [ "ToString","(" ]
                                        }, {
-                                          "r" : "910",
+                                          "r" : "938",
                                           "s" : [ {
-                                             "r" : "909",
+                                             "r" : "937",
                                              "s" : [ {
                                                 "value" : [ "DiastolicObs" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "910",
+                                             "r" : "938",
                                              "s" : [ {
                                                 "value" : [ "note" ]
                                              } ]
@@ -4327,20 +4457,20 @@
                               "s" : [ {
                                  "value" : [ "\"Provenance\"",": " ]
                               }, {
-                                 "r" : "925",
+                                 "r" : "953",
                                  "s" : [ {
-                                    "r" : "923",
+                                    "r" : "951",
                                     "s" : [ {
                                        "value" : [ "DE" ]
                                     } ]
                                  }, {
                                     "value" : [ "." ]
                                  }, {
-                                    "r" : "925",
+                                    "r" : "953",
                                     "s" : [ {
                                        "value" : [ "ReportProvenance","(" ]
                                     }, {
-                                       "r" : "924",
+                                       "r" : "952",
                                        "s" : [ {
                                           "value" : [ "systolicBP" ]
                                        } ]
@@ -4358,92 +4488,92 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "2363",
+               "localId" : "2391",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "2364",
+                  "localId" : "2392",
                   "type" : "TupleTypeSpecifier",
                   "element" : [ {
-                     "localId" : "2365",
+                     "localId" : "2393",
                      "name" : "Date",
                      "elementType" : {
-                        "localId" : "2366",
+                        "localId" : "2394",
                         "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2367",
+                     "localId" : "2395",
                      "name" : "Systolic",
                      "elementType" : {
-                        "localId" : "2368",
+                        "localId" : "2396",
                         "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2369",
+                     "localId" : "2397",
                      "name" : "Diastolic",
                      "elementType" : {
-                        "localId" : "2370",
+                        "localId" : "2398",
                         "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2371",
+                     "localId" : "2399",
                      "name" : "Display",
                      "elementType" : {
-                        "localId" : "2372",
+                        "localId" : "2400",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2373",
+                     "localId" : "2401",
                      "name" : "Performer",
                      "elementType" : {
-                        "localId" : "2374",
+                        "localId" : "2402",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2375",
+                     "localId" : "2403",
                      "name" : "Notes",
                      "elementType" : {
-                        "localId" : "2376",
+                        "localId" : "2404",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "2377",
+                           "localId" : "2405",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }
                   }, {
-                     "localId" : "2378",
+                     "localId" : "2406",
                      "name" : "Provenance",
                      "elementType" : {
-                        "localId" : "2379",
+                        "localId" : "2407",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "2380",
+                           "localId" : "2408",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2381",
+                              "localId" : "2409",
                               "name" : "Transmitter",
                               "elementType" : {
-                                 "localId" : "2382",
+                                 "localId" : "2410",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2383",
+                                    "localId" : "2411",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2384",
+                              "localId" : "2412",
                               "name" : "Author",
                               "elementType" : {
-                                 "localId" : "2385",
+                                 "localId" : "2413",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2386",
+                                    "localId" : "2414",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
@@ -4455,96 +4585,96 @@
                }
             },
             "expression" : {
-               "localId" : "989",
-               "locator" : "78:3-91:5",
+               "localId" : "1017",
+               "locator" : "80:3-93:5",
                "type" : "Query",
                "resultTypeSpecifier" : {
-                  "localId" : "990",
+                  "localId" : "1018",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
-                     "localId" : "991",
+                     "localId" : "1019",
                      "type" : "TupleTypeSpecifier",
                      "element" : [ {
-                        "localId" : "992",
+                        "localId" : "1020",
                         "name" : "Date",
                         "elementType" : {
-                           "localId" : "993",
+                           "localId" : "1021",
                            "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "994",
+                        "localId" : "1022",
                         "name" : "Systolic",
                         "elementType" : {
-                           "localId" : "995",
+                           "localId" : "1023",
                            "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "996",
+                        "localId" : "1024",
                         "name" : "Diastolic",
                         "elementType" : {
-                           "localId" : "997",
+                           "localId" : "1025",
                            "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "998",
+                        "localId" : "1026",
                         "name" : "Display",
                         "elementType" : {
-                           "localId" : "999",
+                           "localId" : "1027",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "1000",
+                        "localId" : "1028",
                         "name" : "Performer",
                         "elementType" : {
-                           "localId" : "1001",
+                           "localId" : "1029",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "1002",
+                        "localId" : "1030",
                         "name" : "Notes",
                         "elementType" : {
-                           "localId" : "1003",
+                           "localId" : "1031",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "1004",
+                              "localId" : "1032",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }
                      }, {
-                        "localId" : "1005",
+                        "localId" : "1033",
                         "name" : "Provenance",
                         "elementType" : {
-                           "localId" : "1006",
+                           "localId" : "1034",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "1007",
+                              "localId" : "1035",
                               "type" : "TupleTypeSpecifier",
                               "element" : [ {
-                                 "localId" : "1008",
+                                 "localId" : "1036",
                                  "name" : "Transmitter",
                                  "elementType" : {
-                                    "localId" : "1009",
+                                    "localId" : "1037",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "1010",
+                                       "localId" : "1038",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }
                               }, {
-                                 "localId" : "1011",
+                                 "localId" : "1039",
                                  "name" : "Author",
                                  "elementType" : {
-                                    "localId" : "1012",
+                                    "localId" : "1040",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "1013",
+                                       "localId" : "1041",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -4557,27 +4687,27 @@
                },
                "source" : [ {
                   "localId" : "560",
-                  "locator" : "78:3-78:38",
+                  "locator" : "80:3-80:38",
                   "alias" : "systolicBP",
                   "resultTypeSpecifier" : {
-                     "localId" : "700",
+                     "localId" : "714",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "701",
+                        "localId" : "715",
                         "name" : "{http://hl7.org/fhir}Observation",
                         "type" : "NamedTypeSpecifier"
                      }
                   },
                   "expression" : {
-                     "localId" : "697",
-                     "locator" : "78:3-78:27",
+                     "localId" : "711",
+                     "locator" : "80:3-80:27",
                      "name" : "Systolic Blood Pressure",
                      "type" : "ExpressionRef",
                      "resultTypeSpecifier" : {
-                        "localId" : "698",
+                        "localId" : "712",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "699",
+                           "localId" : "713",
                            "name" : "{http://hl7.org/fhir}Observation",
                            "type" : "NamedTypeSpecifier"
                         }
@@ -4585,115 +4715,115 @@
                   }
                } ],
                "let" : [ {
-                  "localId" : "702",
-                  "locator" : "79:11-79:53",
+                  "localId" : "716",
+                  "locator" : "81:11-81:53",
                   "resultTypeName" : "{http://hl7.org/fhir}Observation",
                   "identifier" : "DiastolicObs",
                   "expression" : {
-                     "localId" : "707",
-                     "locator" : "79:25-79:53",
+                     "localId" : "721",
+                     "locator" : "81:25-81:53",
                      "resultTypeName" : "{http://hl7.org/fhir}Observation",
                      "name" : "MatchingDiastolic",
                      "type" : "FunctionRef",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "703",
-                        "locator" : "79:43-79:52",
+                        "localId" : "717",
+                        "locator" : "81:43-81:52",
                         "resultTypeName" : "{http://hl7.org/fhir}Observation",
                         "name" : "systolicBP",
                         "type" : "AliasRef"
                      } ]
                   }
                }, {
-                  "localId" : "781",
-                  "locator" : "80:11-80:73",
+                  "localId" : "809",
+                  "locator" : "82:11-82:73",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                   "identifier" : "SystolicValue",
                   "expression" : {
-                     "localId" : "814",
-                     "locator" : "80:26-80:73",
+                     "localId" : "842",
+                     "locator" : "82:26-82:73",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                      "type" : "Round",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "815",
+                        "localId" : "843",
                         "name" : "ToDecimal",
                         "libraryName" : "FHIRHelpers",
                         "type" : "FunctionRef",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "810",
-                           "locator" : "80:32-80:72",
+                           "localId" : "838",
+                           "locator" : "82:32-82:72",
                            "resultTypeName" : "{http://hl7.org/fhir}decimal",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "782",
-                              "locator" : "80:32-80:66",
+                              "localId" : "810",
+                              "locator" : "82:32-82:66",
                               "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                               "strict" : false,
                               "type" : "As",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "784",
-                                 "locator" : "80:33-80:48",
+                                 "localId" : "812",
+                                 "locator" : "82:33-82:48",
                                  "path" : "value",
                                  "scope" : "systolicBP",
                                  "type" : "Property",
                                  "resultTypeSpecifier" : {
-                                    "localId" : "797",
+                                    "localId" : "825",
                                     "type" : "ChoiceTypeSpecifier",
                                     "type" : [ ],
                                     "choice" : [ {
-                                       "localId" : "798",
+                                       "localId" : "826",
                                        "name" : "{http://hl7.org/fhir}Quantity",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "799",
+                                       "localId" : "827",
                                        "name" : "{http://hl7.org/fhir}CodeableConcept",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "800",
+                                       "localId" : "828",
                                        "name" : "{http://hl7.org/fhir}string",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "801",
+                                       "localId" : "829",
                                        "name" : "{http://hl7.org/fhir}boolean",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "802",
+                                       "localId" : "830",
                                        "name" : "{http://hl7.org/fhir}integer",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "803",
+                                       "localId" : "831",
                                        "name" : "{http://hl7.org/fhir}Range",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "804",
+                                       "localId" : "832",
                                        "name" : "{http://hl7.org/fhir}Ratio",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "805",
+                                       "localId" : "833",
                                        "name" : "{http://hl7.org/fhir}SampledData",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "806",
+                                       "localId" : "834",
                                        "name" : "{http://hl7.org/fhir}time",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "807",
+                                       "localId" : "835",
                                        "name" : "{http://hl7.org/fhir}dateTime",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "808",
+                                       "localId" : "836",
                                        "name" : "{http://hl7.org/fhir}Period",
                                        "type" : "NamedTypeSpecifier"
                                     } ]
                                  }
                               },
                               "asTypeSpecifier" : {
-                                 "localId" : "809",
-                                 "locator" : "80:53-80:65",
+                                 "localId" : "837",
+                                 "locator" : "82:53-82:65",
                                  "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                  "name" : "{http://hl7.org/fhir}Quantity",
                                  "type" : "NamedTypeSpecifier"
@@ -4703,100 +4833,100 @@
                      }
                   }
                }, {
-                  "localId" : "816",
-                  "locator" : "81:11-81:93",
+                  "localId" : "844",
+                  "locator" : "83:11-83:93",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                   "identifier" : "DiastolicValue",
                   "expression" : {
-                     "localId" : "850",
-                     "locator" : "81:27-81:93",
+                     "localId" : "878",
+                     "locator" : "83:27-83:93",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                      "type" : "Round",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "851",
+                        "localId" : "879",
                         "name" : "ToDecimal",
                         "libraryName" : "FHIRHelpers",
                         "type" : "FunctionRef",
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "846",
-                           "locator" : "81:33-81:92",
+                           "localId" : "874",
+                           "locator" : "83:33-83:92",
                            "resultTypeName" : "{http://hl7.org/fhir}decimal",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "817",
-                              "locator" : "81:33-81:86",
+                              "localId" : "845",
+                              "locator" : "83:33-83:86",
                               "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                               "strict" : false,
                               "type" : "As",
                               "signature" : [ ],
                               "operand" : {
-                                 "localId" : "820",
-                                 "locator" : "81:34-81:68",
+                                 "localId" : "848",
+                                 "locator" : "83:34-83:68",
                                  "path" : "value",
                                  "type" : "Property",
                                  "resultTypeSpecifier" : {
-                                    "localId" : "833",
+                                    "localId" : "861",
                                     "type" : "ChoiceTypeSpecifier",
                                     "type" : [ ],
                                     "choice" : [ {
-                                       "localId" : "834",
+                                       "localId" : "862",
                                        "name" : "{http://hl7.org/fhir}Quantity",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "835",
+                                       "localId" : "863",
                                        "name" : "{http://hl7.org/fhir}CodeableConcept",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "836",
+                                       "localId" : "864",
                                        "name" : "{http://hl7.org/fhir}string",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "837",
+                                       "localId" : "865",
                                        "name" : "{http://hl7.org/fhir}boolean",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "838",
+                                       "localId" : "866",
                                        "name" : "{http://hl7.org/fhir}integer",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "839",
+                                       "localId" : "867",
                                        "name" : "{http://hl7.org/fhir}Range",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "840",
+                                       "localId" : "868",
                                        "name" : "{http://hl7.org/fhir}Ratio",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "841",
+                                       "localId" : "869",
                                        "name" : "{http://hl7.org/fhir}SampledData",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "842",
+                                       "localId" : "870",
                                        "name" : "{http://hl7.org/fhir}time",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "843",
+                                       "localId" : "871",
                                        "name" : "{http://hl7.org/fhir}dateTime",
                                        "type" : "NamedTypeSpecifier"
                                     }, {
-                                       "localId" : "844",
+                                       "localId" : "872",
                                        "name" : "{http://hl7.org/fhir}Period",
                                        "type" : "NamedTypeSpecifier"
                                     } ]
                                  },
                                  "source" : {
-                                    "localId" : "819",
-                                    "locator" : "81:34-81:62",
+                                    "localId" : "847",
+                                    "locator" : "83:34-83:62",
                                     "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                     "name" : "MatchingDiastolic",
                                     "type" : "FunctionRef",
                                     "signature" : [ ],
                                     "operand" : [ {
-                                       "localId" : "818",
-                                       "locator" : "81:52-81:61",
+                                       "localId" : "846",
+                                       "locator" : "83:52-83:61",
                                        "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                        "name" : "systolicBP",
                                        "type" : "AliasRef"
@@ -4804,8 +4934,8 @@
                                  }
                               },
                               "asTypeSpecifier" : {
-                                 "localId" : "845",
-                                 "locator" : "81:73-81:85",
+                                 "localId" : "873",
+                                 "locator" : "83:73-83:85",
                                  "resultTypeName" : "{http://hl7.org/fhir}Quantity",
                                  "name" : "{http://hl7.org/fhir}Quantity",
                                  "type" : "NamedTypeSpecifier"
@@ -4815,21 +4945,21 @@
                      }
                   }
                }, {
-                  "localId" : "852",
-                  "locator" : "82:11-82:45",
+                  "localId" : "880",
+                  "locator" : "84:11-84:45",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                   "identifier" : "ResultDate",
                   "expression" : {
-                     "localId" : "855",
-                     "locator" : "82:23-82:45",
+                     "localId" : "883",
+                     "locator" : "84:23-84:45",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                      "name" : "FindDate",
                      "libraryName" : "DE",
                      "type" : "FunctionRef",
                      "signature" : [ ],
                      "operand" : [ {
-                        "localId" : "854",
-                        "locator" : "82:35-82:44",
+                        "localId" : "882",
+                        "locator" : "84:35-84:44",
                         "resultTypeName" : "{http://hl7.org/fhir}Observation",
                         "name" : "systolicBP",
                         "type" : "AliasRef"
@@ -4838,95 +4968,95 @@
                } ],
                "relationship" : [ ],
                "return" : {
-                  "localId" : "856",
-                  "locator" : "83:5-91:5",
+                  "localId" : "884",
+                  "locator" : "85:5-93:5",
                   "resultTypeSpecifier" : {
-                     "localId" : "965",
+                     "localId" : "993",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "966",
+                        "localId" : "994",
                         "type" : "TupleTypeSpecifier",
                         "element" : [ {
-                           "localId" : "967",
+                           "localId" : "995",
                            "name" : "Date",
                            "elementType" : {
-                              "localId" : "968",
+                              "localId" : "996",
                               "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "969",
+                           "localId" : "997",
                            "name" : "Systolic",
                            "elementType" : {
-                              "localId" : "970",
+                              "localId" : "998",
                               "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "971",
+                           "localId" : "999",
                            "name" : "Diastolic",
                            "elementType" : {
-                              "localId" : "972",
+                              "localId" : "1000",
                               "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "973",
+                           "localId" : "1001",
                            "name" : "Display",
                            "elementType" : {
-                              "localId" : "974",
+                              "localId" : "1002",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "975",
+                           "localId" : "1003",
                            "name" : "Performer",
                            "elementType" : {
-                              "localId" : "976",
+                              "localId" : "1004",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "977",
+                           "localId" : "1005",
                            "name" : "Notes",
                            "elementType" : {
-                              "localId" : "978",
+                              "localId" : "1006",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "979",
+                                 "localId" : "1007",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "980",
+                           "localId" : "1008",
                            "name" : "Provenance",
                            "elementType" : {
-                              "localId" : "981",
+                              "localId" : "1009",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "982",
+                                 "localId" : "1010",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
-                                    "localId" : "983",
+                                    "localId" : "1011",
                                     "name" : "Transmitter",
                                     "elementType" : {
-                                       "localId" : "984",
+                                       "localId" : "1012",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "985",
+                                          "localId" : "1013",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
                                     }
                                  }, {
-                                    "localId" : "986",
+                                    "localId" : "1014",
                                     "name" : "Author",
                                     "elementType" : {
-                                       "localId" : "987",
+                                       "localId" : "1015",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "988",
+                                          "localId" : "1016",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
@@ -4938,93 +5068,93 @@
                      }
                   },
                   "expression" : {
-                     "localId" : "857",
-                     "locator" : "83:12-91:5",
+                     "localId" : "885",
+                     "locator" : "85:12-93:5",
                      "type" : "Tuple",
                      "resultTypeSpecifier" : {
-                        "localId" : "942",
+                        "localId" : "970",
                         "type" : "TupleTypeSpecifier",
                         "element" : [ {
-                           "localId" : "943",
+                           "localId" : "971",
                            "name" : "Date",
                            "elementType" : {
-                              "localId" : "944",
+                              "localId" : "972",
                               "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "945",
+                           "localId" : "973",
                            "name" : "Systolic",
                            "elementType" : {
-                              "localId" : "946",
+                              "localId" : "974",
                               "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "947",
+                           "localId" : "975",
                            "name" : "Diastolic",
                            "elementType" : {
-                              "localId" : "948",
+                              "localId" : "976",
                               "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "949",
+                           "localId" : "977",
                            "name" : "Display",
                            "elementType" : {
-                              "localId" : "950",
+                              "localId" : "978",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "951",
+                           "localId" : "979",
                            "name" : "Performer",
                            "elementType" : {
-                              "localId" : "952",
+                              "localId" : "980",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "953",
+                           "localId" : "981",
                            "name" : "Notes",
                            "elementType" : {
-                              "localId" : "954",
+                              "localId" : "982",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "955",
+                                 "localId" : "983",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "956",
+                           "localId" : "984",
                            "name" : "Provenance",
                            "elementType" : {
-                              "localId" : "957",
+                              "localId" : "985",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "958",
+                                 "localId" : "986",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
-                                    "localId" : "959",
+                                    "localId" : "987",
                                     "name" : "Transmitter",
                                     "elementType" : {
-                                       "localId" : "960",
+                                       "localId" : "988",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "961",
+                                          "localId" : "989",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
                                     }
                                  }, {
-                                    "localId" : "962",
+                                    "localId" : "990",
                                     "name" : "Author",
                                     "elementType" : {
-                                       "localId" : "963",
+                                       "localId" : "991",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "964",
+                                          "localId" : "992",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
@@ -5037,8 +5167,8 @@
                      "element" : [ {
                         "name" : "Date",
                         "value" : {
-                           "localId" : "858",
-                           "locator" : "84:15-84:24",
+                           "localId" : "886",
+                           "locator" : "86:15-86:24",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}DateTime",
                            "name" : "ResultDate",
                            "type" : "QueryLetRef"
@@ -5046,8 +5176,8 @@
                      }, {
                         "name" : "Systolic",
                         "value" : {
-                           "localId" : "859",
-                           "locator" : "85:19-85:31",
+                           "localId" : "887",
+                           "locator" : "87:19-87:31",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                            "name" : "SystolicValue",
                            "type" : "QueryLetRef"
@@ -5055,8 +5185,8 @@
                      }, {
                         "name" : "Diastolic",
                         "value" : {
-                           "localId" : "860",
-                           "locator" : "86:20-86:33",
+                           "localId" : "888",
+                           "locator" : "88:20-88:33",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                            "name" : "DiastolicValue",
                            "type" : "QueryLetRef"
@@ -5064,80 +5194,80 @@
                      }, {
                         "name" : "Display",
                         "value" : {
-                           "localId" : "884",
-                           "locator" : "87:18-87:113",
+                           "localId" : "912",
+                           "locator" : "89:18-89:113",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "Concatenate",
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "882",
-                              "locator" : "87:18-87:103",
+                              "localId" : "910",
+                              "locator" : "89:18-89:103",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "Concatenate",
                               "signature" : [ ],
                               "operand" : [ {
-                                 "localId" : "873",
-                                 "locator" : "87:18-87:61",
+                                 "localId" : "901",
+                                 "locator" : "89:18-89:61",
                                  "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "Concatenate",
                                  "signature" : [ ],
                                  "operand" : [ {
-                                    "localId" : "871",
-                                    "locator" : "87:18-87:55",
+                                    "localId" : "899",
+                                    "locator" : "89:18-89:55",
                                     "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "Coalesce",
                                     "signature" : [ ],
                                     "operand" : [ {
-                                       "localId" : "867",
-                                       "locator" : "87:27-87:49",
+                                       "localId" : "895",
+                                       "locator" : "89:27-89:49",
                                        "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "ToString",
                                        "signature" : [ ],
                                        "operand" : {
-                                          "localId" : "864",
-                                          "locator" : "87:36-87:48",
+                                          "localId" : "892",
+                                          "locator" : "89:36-89:48",
                                           "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                                           "name" : "SystolicValue",
                                           "type" : "QueryLetRef"
                                        }
                                     }, {
-                                       "localId" : "868",
-                                       "locator" : "87:52-87:54",
+                                       "localId" : "896",
+                                       "locator" : "89:52-89:54",
                                        "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                                        "valueType" : "{urn:hl7-org:elm-types:r1}String",
                                        "value" : "-",
                                        "type" : "Literal"
                                     } ]
                                  }, {
-                                    "localId" : "872",
-                                    "locator" : "87:59-87:61",
+                                    "localId" : "900",
+                                    "locator" : "89:59-89:61",
                                     "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                                     "valueType" : "{urn:hl7-org:elm-types:r1}String",
                                     "value" : "/",
                                     "type" : "Literal"
                                  } ]
                               }, {
-                                 "localId" : "881",
-                                 "locator" : "87:65-87:103",
+                                 "localId" : "909",
+                                 "locator" : "89:65-89:103",
                                  "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "Coalesce",
                                  "signature" : [ ],
                                  "operand" : [ {
-                                    "localId" : "877",
-                                    "locator" : "87:74-87:97",
+                                    "localId" : "905",
+                                    "locator" : "89:74-89:97",
                                     "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "ToString",
                                     "signature" : [ ],
                                     "operand" : {
-                                       "localId" : "874",
-                                       "locator" : "87:83-87:96",
+                                       "localId" : "902",
+                                       "locator" : "89:83-89:96",
                                        "resultTypeName" : "{urn:hl7-org:elm-types:r1}Decimal",
                                        "name" : "DiastolicValue",
                                        "type" : "QueryLetRef"
                                     }
                                  }, {
-                                    "localId" : "878",
-                                    "locator" : "87:100-87:102",
+                                    "localId" : "906",
+                                    "locator" : "89:100-89:102",
                                     "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                                     "valueType" : "{urn:hl7-org:elm-types:r1}String",
                                     "value" : "-",
@@ -5145,8 +5275,8 @@
                                  } ]
                               } ]
                            }, {
-                              "localId" : "883",
-                              "locator" : "87:107-87:113",
+                              "localId" : "911",
+                              "locator" : "89:107-89:113",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                               "valueType" : "{urn:hl7-org:elm-types:r1}String",
                               "value" : " mmHg",
@@ -5156,34 +5286,34 @@
                      }, {
                         "name" : "Performer",
                         "value" : {
-                           "localId" : "895",
-                           "locator" : "88:20-88:60",
+                           "localId" : "923",
+                           "locator" : "90:20-90:60",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "path" : "value",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "894",
-                              "locator" : "88:20-88:54",
+                              "localId" : "922",
+                              "locator" : "90:20-90:54",
                               "resultTypeName" : "{http://hl7.org/fhir}string",
                               "path" : "display",
                               "type" : "Property",
                               "source" : {
-                                 "localId" : "893",
-                                 "locator" : "88:20-88:46",
+                                 "localId" : "921",
+                                 "locator" : "90:20-90:46",
                                  "resultTypeName" : "{http://hl7.org/fhir}Reference",
                                  "type" : "First",
                                  "signature" : [ ],
                                  "source" : {
-                                    "localId" : "886",
-                                    "locator" : "88:26-88:45",
+                                    "localId" : "914",
+                                    "locator" : "90:26-90:45",
                                     "path" : "performer",
                                     "scope" : "systolicBP",
                                     "type" : "Property",
                                     "resultTypeSpecifier" : {
-                                       "localId" : "889",
+                                       "localId" : "917",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "890",
+                                          "localId" : "918",
                                           "name" : "{http://hl7.org/fhir}Reference",
                                           "type" : "NamedTypeSpecifier"
                                        }
@@ -5195,84 +5325,84 @@
                      }, {
                         "name" : "Notes",
                         "value" : {
-                           "localId" : "920",
-                           "locator" : "89:16-89:80",
+                           "localId" : "948",
+                           "locator" : "91:16-91:80",
                            "type" : "Union",
                            "resultTypeSpecifier" : {
-                              "localId" : "921",
+                              "localId" : "949",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "922",
+                                 "localId" : "950",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            },
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "903",
-                              "locator" : "89:16-89:43",
+                              "localId" : "931",
+                              "locator" : "91:16-91:43",
                               "name" : "ToString",
                               "libraryName" : "DE",
                               "type" : "FunctionRef",
                               "resultTypeSpecifier" : {
-                                 "localId" : "906",
+                                 "localId" : "934",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "907",
+                                    "localId" : "935",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               },
                               "signature" : [ ],
                               "operand" : [ {
-                                 "localId" : "898",
-                                 "locator" : "89:28-89:42",
+                                 "localId" : "926",
+                                 "locator" : "91:28-91:42",
                                  "path" : "note",
                                  "scope" : "systolicBP",
                                  "type" : "Property",
                                  "resultTypeSpecifier" : {
-                                    "localId" : "901",
+                                    "localId" : "929",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "902",
+                                       "localId" : "930",
                                        "name" : "{http://hl7.org/fhir}Annotation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }
                               } ]
                            }, {
-                              "localId" : "915",
-                              "locator" : "89:51-89:80",
+                              "localId" : "943",
+                              "locator" : "91:51-91:80",
                               "name" : "ToString",
                               "libraryName" : "DE",
                               "type" : "FunctionRef",
                               "resultTypeSpecifier" : {
-                                 "localId" : "918",
+                                 "localId" : "946",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "919",
+                                    "localId" : "947",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               },
                               "signature" : [ ],
                               "operand" : [ {
-                                 "localId" : "910",
-                                 "locator" : "89:63-89:79",
+                                 "localId" : "938",
+                                 "locator" : "91:63-91:79",
                                  "path" : "note",
                                  "type" : "Property",
                                  "resultTypeSpecifier" : {
-                                    "localId" : "913",
+                                    "localId" : "941",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "914",
+                                       "localId" : "942",
                                        "name" : "{http://hl7.org/fhir}Annotation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  },
                                  "source" : {
-                                    "localId" : "909",
-                                    "locator" : "89:63-89:74",
+                                    "localId" : "937",
+                                    "locator" : "91:63-91:74",
                                     "resultTypeName" : "{http://hl7.org/fhir}Observation",
                                     "name" : "DiastolicObs",
                                     "type" : "QueryLetRef"
@@ -5283,37 +5413,37 @@
                      }, {
                         "name" : "Provenance",
                         "value" : {
-                           "localId" : "925",
-                           "locator" : "90:21-90:51",
+                           "localId" : "953",
+                           "locator" : "92:21-92:51",
                            "name" : "ReportProvenance",
                            "libraryName" : "DE",
                            "type" : "FunctionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "934",
+                              "localId" : "962",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "935",
+                                 "localId" : "963",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
-                                    "localId" : "936",
+                                    "localId" : "964",
                                     "name" : "Transmitter",
                                     "elementType" : {
-                                       "localId" : "937",
+                                       "localId" : "965",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "938",
+                                          "localId" : "966",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
                                     }
                                  }, {
-                                    "localId" : "939",
+                                    "localId" : "967",
                                     "name" : "Author",
                                     "elementType" : {
-                                       "localId" : "940",
+                                       "localId" : "968",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "941",
+                                          "localId" : "969",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
@@ -5323,8 +5453,8 @@
                            },
                            "signature" : [ ],
                            "operand" : [ {
-                              "localId" : "924",
-                              "locator" : "90:41-90:50",
+                              "localId" : "952",
+                              "locator" : "92:41-92:50",
                               "resultTypeName" : "{http://hl7.org/fhir}Observation",
                               "name" : "systolicBP",
                               "type" : "AliasRef"
@@ -5347,7 +5477,7 @@
                   "s" : [ {
                      "value" : [ "// View summary tuple for each vital sign data element\n","define ","VitalSignsSummary",": \n  " ]
                   }, {
-                     "r" : "2253",
+                     "r" : "2281",
                      "s" : [ {
                         "s" : [ {
                            "r" : "216",
@@ -5401,7 +5531,7 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "1427",
+                                    "r" : "1455",
                                     "s" : [ {
                                        "value" : [ "First","(" ]
                                     }, {
@@ -5415,29 +5545,29 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "1484",
+                                    "r" : "1512",
                                     "s" : [ {
-                                       "r" : "1463",
+                                       "r" : "1491",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "1484",
+                                       "r" : "1512",
                                        "s" : [ {
                                           "value" : [ "ReportObservation","(" ]
                                        }, {
-                                          "r" : "1482",
+                                          "r" : "1510",
                                           "s" : [ {
-                                             "r" : "1464",
+                                             "r" : "1492",
                                              "s" : [ {
                                                 "value" : [ "VitalSigns" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "1482",
+                                             "r" : "1510",
                                              "s" : [ {
                                                 "value" : [ "BodyHeight" ]
                                              } ]
@@ -5445,7 +5575,7 @@
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "1483",
+                                          "r" : "1511",
                                           "s" : [ {
                                              "value" : [ "'Height'" ]
                                           } ]
@@ -5456,29 +5586,29 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "1576",
+                                    "r" : "1604",
                                     "s" : [ {
-                                       "r" : "1555",
+                                       "r" : "1583",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "1576",
+                                       "r" : "1604",
                                        "s" : [ {
                                           "value" : [ "ReportObservation","(" ]
                                        }, {
-                                          "r" : "1574",
+                                          "r" : "1602",
                                           "s" : [ {
-                                             "r" : "1556",
+                                             "r" : "1584",
                                              "s" : [ {
                                                 "value" : [ "VitalSigns" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "1574",
+                                             "r" : "1602",
                                              "s" : [ {
                                                 "value" : [ "BodyWeight" ]
                                              } ]
@@ -5486,7 +5616,7 @@
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "1575",
+                                          "r" : "1603",
                                           "s" : [ {
                                              "value" : [ "'Weight'" ]
                                           } ]
@@ -5497,29 +5627,29 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "1668",
+                                    "r" : "1696",
                                     "s" : [ {
-                                       "r" : "1647",
+                                       "r" : "1675",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "1668",
+                                       "r" : "1696",
                                        "s" : [ {
                                           "value" : [ "ReportObservation","(" ]
                                        }, {
-                                          "r" : "1666",
+                                          "r" : "1694",
                                           "s" : [ {
-                                             "r" : "1648",
+                                             "r" : "1676",
                                              "s" : [ {
                                                 "value" : [ "VitalSigns" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "1666",
+                                             "r" : "1694",
                                              "s" : [ {
                                                 "value" : [ "BodyMassIndex" ]
                                              } ]
@@ -5527,7 +5657,7 @@
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "1667",
+                                          "r" : "1695",
                                           "s" : [ {
                                              "value" : [ "'BMI'" ]
                                           } ]
@@ -5538,29 +5668,29 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "1760",
+                                    "r" : "1788",
                                     "s" : [ {
-                                       "r" : "1739",
+                                       "r" : "1767",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "1760",
+                                       "r" : "1788",
                                        "s" : [ {
                                           "value" : [ "ReportObservation","(" ]
                                        }, {
-                                          "r" : "1758",
+                                          "r" : "1786",
                                           "s" : [ {
-                                             "r" : "1740",
+                                             "r" : "1768",
                                              "s" : [ {
                                                 "value" : [ "VitalSigns" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "1758",
+                                             "r" : "1786",
                                              "s" : [ {
                                                 "value" : [ "BodyTemperature" ]
                                              } ]
@@ -5568,7 +5698,7 @@
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "1759",
+                                          "r" : "1787",
                                           "s" : [ {
                                              "value" : [ "'Temperature'" ]
                                           } ]
@@ -5579,29 +5709,29 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "1852",
+                                    "r" : "1880",
                                     "s" : [ {
-                                       "r" : "1831",
+                                       "r" : "1859",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "1852",
+                                       "r" : "1880",
                                        "s" : [ {
                                           "value" : [ "ReportObservation","(" ]
                                        }, {
-                                          "r" : "1850",
+                                          "r" : "1878",
                                           "s" : [ {
-                                             "r" : "1832",
+                                             "r" : "1860",
                                              "s" : [ {
                                                 "value" : [ "VitalSigns" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "1850",
+                                             "r" : "1878",
                                              "s" : [ {
                                                 "value" : [ "HeartRate" ]
                                              } ]
@@ -5609,7 +5739,7 @@
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "1851",
+                                          "r" : "1879",
                                           "s" : [ {
                                              "value" : [ "'Heart Rate'" ]
                                           } ]
@@ -5620,29 +5750,29 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "1944",
+                                    "r" : "1972",
                                     "s" : [ {
-                                       "r" : "1923",
+                                       "r" : "1951",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "1944",
+                                       "r" : "1972",
                                        "s" : [ {
                                           "value" : [ "ReportObservation","(" ]
                                        }, {
-                                          "r" : "1942",
+                                          "r" : "1970",
                                           "s" : [ {
-                                             "r" : "1924",
+                                             "r" : "1952",
                                              "s" : [ {
                                                 "value" : [ "VitalSigns" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "1942",
+                                             "r" : "1970",
                                              "s" : [ {
                                                 "value" : [ "OxygenSaturation" ]
                                              } ]
@@ -5650,7 +5780,7 @@
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "1943",
+                                          "r" : "1971",
                                           "s" : [ {
                                              "value" : [ "'Oxygen Saturation'" ]
                                           } ]
@@ -5661,29 +5791,29 @@
                                  }, {
                                     "value" : [ ",\n    " ]
                                  }, {
-                                    "r" : "2036",
+                                    "r" : "2064",
                                     "s" : [ {
-                                       "r" : "2015",
+                                       "r" : "2043",
                                        "s" : [ {
                                           "value" : [ "DE" ]
                                        } ]
                                     }, {
                                        "value" : [ "." ]
                                     }, {
-                                       "r" : "2036",
+                                       "r" : "2064",
                                        "s" : [ {
                                           "value" : [ "ReportObservation","(" ]
                                        }, {
-                                          "r" : "2034",
+                                          "r" : "2062",
                                           "s" : [ {
-                                             "r" : "2016",
+                                             "r" : "2044",
                                              "s" : [ {
                                                 "value" : [ "VitalSigns" ]
                                              } ]
                                           }, {
                                              "value" : [ "." ]
                                           }, {
-                                             "r" : "2034",
+                                             "r" : "2062",
                                              "s" : [ {
                                                 "value" : [ "RespiratoryRate" ]
                                              } ]
@@ -5691,7 +5821,7 @@
                                        }, {
                                           "value" : [ ", " ]
                                        }, {
-                                          "r" : "2035",
+                                          "r" : "2063",
                                           "s" : [ {
                                              "value" : [ "'Respiratory Rate'" ]
                                           } ]
@@ -5712,13 +5842,13 @@
                      }, {
                         "value" : [ " " ]
                      }, {
-                        "r" : "2252",
+                        "r" : "2280",
                         "s" : [ {
                            "value" : [ "where " ]
                         }, {
-                           "r" : "2252",
+                           "r" : "2280",
                            "s" : [ {
-                              "r" : "2215",
+                              "r" : "2243",
                               "s" : [ {
                                  "value" : [ "Result" ]
                               } ]
@@ -5731,132 +5861,132 @@
                }
             } ],
             "resultTypeSpecifier" : {
-               "localId" : "2290",
+               "localId" : "2318",
                "type" : "ListTypeSpecifier",
                "elementType" : {
-                  "localId" : "2291",
+                  "localId" : "2319",
                   "type" : "TupleTypeSpecifier",
                   "element" : [ {
-                     "localId" : "2292",
+                     "localId" : "2320",
                      "name" : "DisplayName",
                      "elementType" : {
-                        "localId" : "2293",
+                        "localId" : "2321",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2294",
+                     "localId" : "2322",
                      "name" : "ConceptName",
                      "elementType" : {
-                        "localId" : "2295",
+                        "localId" : "2323",
                         "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2296",
+                     "localId" : "2324",
                      "name" : "Date",
                      "elementType" : {
-                        "localId" : "2297",
+                        "localId" : "2325",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2298",
+                     "localId" : "2326",
                      "name" : "ResultText",
                      "elementType" : {
-                        "localId" : "2299",
+                        "localId" : "2327",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2300",
+                     "localId" : "2328",
                      "name" : "ResultValue",
                      "elementType" : {
-                        "localId" : "2301",
+                        "localId" : "2329",
                         "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2302",
+                     "localId" : "2330",
                      "name" : "ResultUnits",
                      "elementType" : {
-                        "localId" : "2303",
+                        "localId" : "2331",
                         "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2304",
+                     "localId" : "2332",
                      "name" : "ReferenceRange",
                      "elementType" : {
-                        "localId" : "2305",
+                        "localId" : "2333",
                         "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2306",
+                     "localId" : "2334",
                      "name" : "Interpretation",
                      "elementType" : {
-                        "localId" : "2307",
+                        "localId" : "2335",
                         "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2308",
+                     "localId" : "2336",
                      "name" : "Flag",
                      "elementType" : {
-                        "localId" : "2309",
+                        "localId" : "2337",
                         "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2310",
+                     "localId" : "2338",
                      "name" : "Performer",
                      "elementType" : {
-                        "localId" : "2311",
+                        "localId" : "2339",
                         "name" : "{urn:hl7-org:elm-types:r1}String",
                         "type" : "NamedTypeSpecifier"
                      }
                   }, {
-                     "localId" : "2312",
+                     "localId" : "2340",
                      "name" : "Notes",
                      "elementType" : {
-                        "localId" : "2313",
+                        "localId" : "2341",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "2314",
+                           "localId" : "2342",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }
                   }, {
-                     "localId" : "2315",
+                     "localId" : "2343",
                      "name" : "Provenance",
                      "elementType" : {
-                        "localId" : "2316",
+                        "localId" : "2344",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "2317",
+                           "localId" : "2345",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2318",
+                              "localId" : "2346",
                               "name" : "Transmitter",
                               "elementType" : {
-                                 "localId" : "2319",
+                                 "localId" : "2347",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2320",
+                                    "localId" : "2348",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2321",
+                              "localId" : "2349",
                               "name" : "Author",
                               "elementType" : {
-                                 "localId" : "2322",
+                                 "localId" : "2350",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2323",
+                                    "localId" : "2351",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
@@ -5865,10 +5995,10 @@
                         }
                      }
                   }, {
-                     "localId" : "2324",
+                     "localId" : "2352",
                      "name" : "LearnMore",
                      "elementType" : {
-                        "localId" : "2325",
+                        "localId" : "2353",
                         "name" : "{urn:hl7-org:elm-types:r1}Any",
                         "type" : "NamedTypeSpecifier"
                      }
@@ -5876,136 +6006,136 @@
                }
             },
             "expression" : {
-               "localId" : "2253",
+               "localId" : "2281",
                "locator" : "13:3-23:36",
                "type" : "Query",
                "resultTypeSpecifier" : {
-                  "localId" : "2254",
+                  "localId" : "2282",
                   "type" : "ListTypeSpecifier",
                   "elementType" : {
-                     "localId" : "2255",
+                     "localId" : "2283",
                      "type" : "TupleTypeSpecifier",
                      "element" : [ {
-                        "localId" : "2256",
+                        "localId" : "2284",
                         "name" : "DisplayName",
                         "elementType" : {
-                           "localId" : "2257",
+                           "localId" : "2285",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2258",
+                        "localId" : "2286",
                         "name" : "ConceptName",
                         "elementType" : {
-                           "localId" : "2259",
+                           "localId" : "2287",
                            "name" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2260",
+                        "localId" : "2288",
                         "name" : "Date",
                         "elementType" : {
-                           "localId" : "2261",
+                           "localId" : "2289",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2262",
+                        "localId" : "2290",
                         "name" : "ResultText",
                         "elementType" : {
-                           "localId" : "2263",
+                           "localId" : "2291",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2264",
+                        "localId" : "2292",
                         "name" : "ResultValue",
                         "elementType" : {
-                           "localId" : "2265",
+                           "localId" : "2293",
                            "name" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2266",
+                        "localId" : "2294",
                         "name" : "ResultUnits",
                         "elementType" : {
-                           "localId" : "2267",
+                           "localId" : "2295",
                            "name" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2268",
+                        "localId" : "2296",
                         "name" : "ReferenceRange",
                         "elementType" : {
-                           "localId" : "2269",
+                           "localId" : "2297",
                            "name" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2270",
+                        "localId" : "2298",
                         "name" : "Interpretation",
                         "elementType" : {
-                           "localId" : "2271",
+                           "localId" : "2299",
                            "name" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2272",
+                        "localId" : "2300",
                         "name" : "Flag",
                         "elementType" : {
-                           "localId" : "2273",
+                           "localId" : "2301",
                            "name" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2274",
+                        "localId" : "2302",
                         "name" : "Performer",
                         "elementType" : {
-                           "localId" : "2275",
+                           "localId" : "2303",
                            "name" : "{urn:hl7-org:elm-types:r1}String",
                            "type" : "NamedTypeSpecifier"
                         }
                      }, {
-                        "localId" : "2276",
+                        "localId" : "2304",
                         "name" : "Notes",
                         "elementType" : {
-                           "localId" : "2277",
+                           "localId" : "2305",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "2278",
+                              "localId" : "2306",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }
                      }, {
-                        "localId" : "2279",
+                        "localId" : "2307",
                         "name" : "Provenance",
                         "elementType" : {
-                           "localId" : "2280",
+                           "localId" : "2308",
                            "type" : "ListTypeSpecifier",
                            "elementType" : {
-                              "localId" : "2281",
+                              "localId" : "2309",
                               "type" : "TupleTypeSpecifier",
                               "element" : [ {
-                                 "localId" : "2282",
+                                 "localId" : "2310",
                                  "name" : "Transmitter",
                                  "elementType" : {
-                                    "localId" : "2283",
+                                    "localId" : "2311",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "2284",
+                                       "localId" : "2312",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }
                               }, {
-                                 "localId" : "2285",
+                                 "localId" : "2313",
                                  "name" : "Author",
                                  "elementType" : {
-                                    "localId" : "2286",
+                                    "localId" : "2314",
                                     "type" : "ListTypeSpecifier",
                                     "elementType" : {
-                                       "localId" : "2287",
+                                       "localId" : "2315",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -6014,10 +6144,10 @@
                            }
                         }
                      }, {
-                        "localId" : "2288",
+                        "localId" : "2316",
                         "name" : "LearnMore",
                         "elementType" : {
-                           "localId" : "2289",
+                           "localId" : "2317",
                            "name" : "{urn:hl7-org:elm-types:r1}Any",
                            "type" : "NamedTypeSpecifier"
                         }
@@ -6029,132 +6159,132 @@
                   "locator" : "13:3-23:11",
                   "alias" : "Result",
                   "resultTypeSpecifier" : {
-                     "localId" : "2179",
+                     "localId" : "2207",
                      "type" : "ListTypeSpecifier",
                      "elementType" : {
-                        "localId" : "2180",
+                        "localId" : "2208",
                         "type" : "TupleTypeSpecifier",
                         "element" : [ {
-                           "localId" : "2181",
+                           "localId" : "2209",
                            "name" : "DisplayName",
                            "elementType" : {
-                              "localId" : "2182",
+                              "localId" : "2210",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2183",
+                           "localId" : "2211",
                            "name" : "ConceptName",
                            "elementType" : {
-                              "localId" : "2184",
+                              "localId" : "2212",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2185",
+                           "localId" : "2213",
                            "name" : "Date",
                            "elementType" : {
-                              "localId" : "2186",
+                              "localId" : "2214",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2187",
+                           "localId" : "2215",
                            "name" : "ResultText",
                            "elementType" : {
-                              "localId" : "2188",
+                              "localId" : "2216",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2189",
+                           "localId" : "2217",
                            "name" : "ResultValue",
                            "elementType" : {
-                              "localId" : "2190",
+                              "localId" : "2218",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2191",
+                           "localId" : "2219",
                            "name" : "ResultUnits",
                            "elementType" : {
-                              "localId" : "2192",
+                              "localId" : "2220",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2193",
+                           "localId" : "2221",
                            "name" : "ReferenceRange",
                            "elementType" : {
-                              "localId" : "2194",
+                              "localId" : "2222",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2195",
+                           "localId" : "2223",
                            "name" : "Interpretation",
                            "elementType" : {
-                              "localId" : "2196",
+                              "localId" : "2224",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2197",
+                           "localId" : "2225",
                            "name" : "Flag",
                            "elementType" : {
-                              "localId" : "2198",
+                              "localId" : "2226",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2199",
+                           "localId" : "2227",
                            "name" : "Performer",
                            "elementType" : {
-                              "localId" : "2200",
+                              "localId" : "2228",
                               "name" : "{urn:hl7-org:elm-types:r1}String",
                               "type" : "NamedTypeSpecifier"
                            }
                         }, {
-                           "localId" : "2201",
+                           "localId" : "2229",
                            "name" : "Notes",
                            "elementType" : {
-                              "localId" : "2202",
+                              "localId" : "2230",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2203",
+                                 "localId" : "2231",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }
                         }, {
-                           "localId" : "2204",
+                           "localId" : "2232",
                            "name" : "Provenance",
                            "elementType" : {
-                              "localId" : "2205",
+                              "localId" : "2233",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "2206",
+                                 "localId" : "2234",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
-                                    "localId" : "2207",
+                                    "localId" : "2235",
                                     "name" : "Transmitter",
                                     "elementType" : {
-                                       "localId" : "2208",
+                                       "localId" : "2236",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "2209",
+                                          "localId" : "2237",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
                                     }
                                  }, {
-                                    "localId" : "2210",
+                                    "localId" : "2238",
                                     "name" : "Author",
                                     "elementType" : {
-                                       "localId" : "2211",
+                                       "localId" : "2239",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "2212",
+                                          "localId" : "2240",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
@@ -6163,10 +6293,10 @@
                               }
                            }
                         }, {
-                           "localId" : "2213",
+                           "localId" : "2241",
                            "name" : "LearnMore",
                            "elementType" : {
-                              "localId" : "2214",
+                              "localId" : "2242",
                               "name" : "{urn:hl7-org:elm-types:r1}Any",
                               "type" : "NamedTypeSpecifier"
                            }
@@ -6178,132 +6308,132 @@
                      "locator" : "13:3-23:4",
                      "type" : "List",
                      "resultTypeSpecifier" : {
-                        "localId" : "2143",
+                        "localId" : "2171",
                         "type" : "ListTypeSpecifier",
                         "elementType" : {
-                           "localId" : "2144",
+                           "localId" : "2172",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2145",
+                              "localId" : "2173",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "2146",
+                                 "localId" : "2174",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2147",
+                              "localId" : "2175",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "2148",
+                                 "localId" : "2176",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2149",
+                              "localId" : "2177",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "2150",
+                                 "localId" : "2178",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2151",
+                              "localId" : "2179",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "2152",
+                                 "localId" : "2180",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2153",
+                              "localId" : "2181",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "2154",
+                                 "localId" : "2182",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2155",
+                              "localId" : "2183",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "2156",
+                                 "localId" : "2184",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2157",
+                              "localId" : "2185",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "2158",
+                                 "localId" : "2186",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2159",
+                              "localId" : "2187",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "2160",
+                                 "localId" : "2188",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2161",
+                              "localId" : "2189",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "2162",
+                                 "localId" : "2190",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2163",
+                              "localId" : "2191",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "2164",
+                                 "localId" : "2192",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2165",
+                              "localId" : "2193",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "2166",
+                                 "localId" : "2194",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2167",
+                                    "localId" : "2195",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2168",
+                              "localId" : "2196",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "2169",
+                                 "localId" : "2197",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2170",
+                                    "localId" : "2198",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "2171",
+                                       "localId" : "2199",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "2172",
+                                          "localId" : "2200",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2173",
+                                             "localId" : "2201",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "2174",
+                                       "localId" : "2202",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "2175",
+                                          "localId" : "2203",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2176",
+                                             "localId" : "2204",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -6312,10 +6442,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "2177",
+                              "localId" : "2205",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "2178",
+                                 "localId" : "2206",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -6560,133 +6690,133 @@
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "1427",
+                        "localId" : "1455",
                         "locator" : "15:5-15:25",
                         "type" : "First",
                         "resultTypeSpecifier" : {
-                           "localId" : "1428",
+                           "localId" : "1456",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1429",
+                              "localId" : "1457",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1430",
+                                 "localId" : "1458",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1431",
+                              "localId" : "1459",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1432",
+                                 "localId" : "1460",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1433",
+                              "localId" : "1461",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1434",
+                                 "localId" : "1462",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1435",
+                              "localId" : "1463",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1436",
+                                 "localId" : "1464",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1437",
+                              "localId" : "1465",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1438",
+                                 "localId" : "1466",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1439",
+                              "localId" : "1467",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1440",
+                                 "localId" : "1468",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1441",
+                              "localId" : "1469",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1442",
+                                 "localId" : "1470",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1443",
+                              "localId" : "1471",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1444",
+                                 "localId" : "1472",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1445",
+                              "localId" : "1473",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1446",
+                                 "localId" : "1474",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1447",
+                              "localId" : "1475",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1448",
+                                 "localId" : "1476",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1449",
+                              "localId" : "1477",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1450",
+                                 "localId" : "1478",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1451",
+                                    "localId" : "1479",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1452",
+                              "localId" : "1480",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1453",
+                                 "localId" : "1481",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1454",
+                                    "localId" : "1482",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1455",
+                                       "localId" : "1483",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1456",
+                                          "localId" : "1484",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1457",
+                                             "localId" : "1485",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1458",
+                                       "localId" : "1486",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "1459",
+                                          "localId" : "1487",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1460",
+                                             "localId" : "1488",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -6695,10 +6825,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "1461",
+                              "localId" : "1489",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "1462",
+                                 "localId" : "1490",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -6711,132 +6841,132 @@
                            "name" : "ReportHomeBP",
                            "type" : "FunctionRef",
                            "resultTypeSpecifier" : {
-                              "localId" : "1389",
+                              "localId" : "1417",
                               "type" : "ListTypeSpecifier",
                               "elementType" : {
-                                 "localId" : "1390",
+                                 "localId" : "1418",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
-                                    "localId" : "1391",
+                                    "localId" : "1419",
                                     "name" : "DisplayName",
                                     "elementType" : {
-                                       "localId" : "1392",
+                                       "localId" : "1420",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1393",
+                                    "localId" : "1421",
                                     "name" : "ConceptName",
                                     "elementType" : {
-                                       "localId" : "1394",
+                                       "localId" : "1422",
                                        "name" : "{urn:hl7-org:elm-types:r1}Any",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1395",
+                                    "localId" : "1423",
                                     "name" : "Date",
                                     "elementType" : {
-                                       "localId" : "1396",
+                                       "localId" : "1424",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1397",
+                                    "localId" : "1425",
                                     "name" : "ResultText",
                                     "elementType" : {
-                                       "localId" : "1398",
+                                       "localId" : "1426",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1399",
+                                    "localId" : "1427",
                                     "name" : "ResultValue",
                                     "elementType" : {
-                                       "localId" : "1400",
+                                       "localId" : "1428",
                                        "name" : "{urn:hl7-org:elm-types:r1}Any",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1401",
+                                    "localId" : "1429",
                                     "name" : "ResultUnits",
                                     "elementType" : {
-                                       "localId" : "1402",
+                                       "localId" : "1430",
                                        "name" : "{urn:hl7-org:elm-types:r1}Any",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1403",
+                                    "localId" : "1431",
                                     "name" : "ReferenceRange",
                                     "elementType" : {
-                                       "localId" : "1404",
+                                       "localId" : "1432",
                                        "name" : "{urn:hl7-org:elm-types:r1}Any",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1405",
+                                    "localId" : "1433",
                                     "name" : "Interpretation",
                                     "elementType" : {
-                                       "localId" : "1406",
+                                       "localId" : "1434",
                                        "name" : "{urn:hl7-org:elm-types:r1}Any",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1407",
+                                    "localId" : "1435",
                                     "name" : "Flag",
                                     "elementType" : {
-                                       "localId" : "1408",
+                                       "localId" : "1436",
                                        "name" : "{urn:hl7-org:elm-types:r1}Any",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1409",
+                                    "localId" : "1437",
                                     "name" : "Performer",
                                     "elementType" : {
-                                       "localId" : "1410",
+                                       "localId" : "1438",
                                        "name" : "{urn:hl7-org:elm-types:r1}String",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1411",
+                                    "localId" : "1439",
                                     "name" : "Notes",
                                     "elementType" : {
-                                       "localId" : "1412",
+                                       "localId" : "1440",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "1413",
+                                          "localId" : "1441",
                                           "name" : "{urn:hl7-org:elm-types:r1}String",
                                           "type" : "NamedTypeSpecifier"
                                        }
                                     }
                                  }, {
-                                    "localId" : "1414",
+                                    "localId" : "1442",
                                     "name" : "Provenance",
                                     "elementType" : {
-                                       "localId" : "1415",
+                                       "localId" : "1443",
                                        "type" : "ListTypeSpecifier",
                                        "elementType" : {
-                                          "localId" : "1416",
+                                          "localId" : "1444",
                                           "type" : "TupleTypeSpecifier",
                                           "element" : [ {
-                                             "localId" : "1417",
+                                             "localId" : "1445",
                                              "name" : "Transmitter",
                                              "elementType" : {
-                                                "localId" : "1418",
+                                                "localId" : "1446",
                                                 "type" : "ListTypeSpecifier",
                                                 "elementType" : {
-                                                   "localId" : "1419",
+                                                   "localId" : "1447",
                                                    "name" : "{urn:hl7-org:elm-types:r1}String",
                                                    "type" : "NamedTypeSpecifier"
                                                 }
                                              }
                                           }, {
-                                             "localId" : "1420",
+                                             "localId" : "1448",
                                              "name" : "Author",
                                              "elementType" : {
-                                                "localId" : "1421",
+                                                "localId" : "1449",
                                                 "type" : "ListTypeSpecifier",
                                                 "elementType" : {
-                                                   "localId" : "1422",
+                                                   "localId" : "1450",
                                                    "name" : "{urn:hl7-org:elm-types:r1}String",
                                                    "type" : "NamedTypeSpecifier"
                                                 }
@@ -6845,10 +6975,10 @@
                                        }
                                     }
                                  }, {
-                                    "localId" : "1423",
+                                    "localId" : "1451",
                                     "name" : "LearnMore",
                                     "elementType" : {
-                                       "localId" : "1424",
+                                       "localId" : "1452",
                                        "name" : "{urn:hl7-org:elm-types:r1}Any",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -6859,135 +6989,135 @@
                            "operand" : [ ]
                         }
                      }, {
-                        "localId" : "1484",
+                        "localId" : "1512",
                         "locator" : "16:5-16:57",
                         "name" : "ReportObservation",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1520",
+                           "localId" : "1548",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1521",
+                              "localId" : "1549",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1522",
+                                 "localId" : "1550",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1523",
+                              "localId" : "1551",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1524",
+                                 "localId" : "1552",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1525",
+                              "localId" : "1553",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1526",
+                                 "localId" : "1554",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1527",
+                              "localId" : "1555",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1528",
+                                 "localId" : "1556",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1529",
+                              "localId" : "1557",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1530",
+                                 "localId" : "1558",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1531",
+                              "localId" : "1559",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1532",
+                                 "localId" : "1560",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1533",
+                              "localId" : "1561",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1534",
+                                 "localId" : "1562",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1535",
+                              "localId" : "1563",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1536",
+                                 "localId" : "1564",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1537",
+                              "localId" : "1565",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1538",
+                                 "localId" : "1566",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1539",
+                              "localId" : "1567",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1540",
+                                 "localId" : "1568",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1541",
+                              "localId" : "1569",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1542",
+                                 "localId" : "1570",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1543",
+                                    "localId" : "1571",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1544",
+                              "localId" : "1572",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1545",
+                                 "localId" : "1573",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1546",
+                                    "localId" : "1574",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1547",
+                                       "localId" : "1575",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1548",
+                                          "localId" : "1576",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1549",
+                                             "localId" : "1577",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1550",
+                                       "localId" : "1578",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "1551",
+                                          "localId" : "1579",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1552",
+                                             "localId" : "1580",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -6996,10 +7126,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "1553",
+                              "localId" : "1581",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "1554",
+                                 "localId" : "1582",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -7007,80 +7137,80 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "1482",
+                           "localId" : "1510",
                            "locator" : "16:26-16:46",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "path" : "BodyHeight",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "1464",
+                              "localId" : "1492",
                               "locator" : "16:26-16:35",
                               "name" : "VitalSigns",
                               "type" : "ExpressionRef",
                               "resultTypeSpecifier" : {
-                                 "localId" : "1465",
+                                 "localId" : "1493",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
-                                    "localId" : "1466",
+                                    "localId" : "1494",
                                     "name" : "BloodPressure",
                                     "elementType" : {
-                                       "localId" : "1467",
+                                       "localId" : "1495",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1468",
+                                    "localId" : "1496",
                                     "name" : "BodyHeight",
                                     "elementType" : {
-                                       "localId" : "1469",
+                                       "localId" : "1497",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1470",
+                                    "localId" : "1498",
                                     "name" : "BodyWeight",
                                     "elementType" : {
-                                       "localId" : "1471",
+                                       "localId" : "1499",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1472",
+                                    "localId" : "1500",
                                     "name" : "BodyMassIndex",
                                     "elementType" : {
-                                       "localId" : "1473",
+                                       "localId" : "1501",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1474",
+                                    "localId" : "1502",
                                     "name" : "BodyTemperature",
                                     "elementType" : {
-                                       "localId" : "1475",
+                                       "localId" : "1503",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1476",
+                                    "localId" : "1504",
                                     "name" : "HeartRate",
                                     "elementType" : {
-                                       "localId" : "1477",
+                                       "localId" : "1505",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1478",
+                                    "localId" : "1506",
                                     "name" : "OxygenSaturation",
                                     "elementType" : {
-                                       "localId" : "1479",
+                                       "localId" : "1507",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1480",
+                                    "localId" : "1508",
                                     "name" : "RespiratoryRate",
                                     "elementType" : {
-                                       "localId" : "1481",
+                                       "localId" : "1509",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -7088,7 +7218,7 @@
                               }
                            }
                         }, {
-                           "localId" : "1483",
+                           "localId" : "1511",
                            "locator" : "16:49-16:56",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -7096,135 +7226,135 @@
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "1576",
+                        "localId" : "1604",
                         "locator" : "17:5-17:57",
                         "name" : "ReportObservation",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1612",
+                           "localId" : "1640",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1613",
+                              "localId" : "1641",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1614",
+                                 "localId" : "1642",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1615",
+                              "localId" : "1643",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1616",
+                                 "localId" : "1644",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1617",
+                              "localId" : "1645",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1618",
+                                 "localId" : "1646",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1619",
+                              "localId" : "1647",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1620",
+                                 "localId" : "1648",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1621",
+                              "localId" : "1649",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1622",
+                                 "localId" : "1650",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1623",
+                              "localId" : "1651",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1624",
+                                 "localId" : "1652",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1625",
+                              "localId" : "1653",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1626",
+                                 "localId" : "1654",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1627",
+                              "localId" : "1655",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1628",
+                                 "localId" : "1656",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1629",
+                              "localId" : "1657",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1630",
+                                 "localId" : "1658",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1631",
+                              "localId" : "1659",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1632",
+                                 "localId" : "1660",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1633",
+                              "localId" : "1661",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1634",
+                                 "localId" : "1662",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1635",
+                                    "localId" : "1663",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1636",
+                              "localId" : "1664",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1637",
+                                 "localId" : "1665",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1638",
+                                    "localId" : "1666",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1639",
+                                       "localId" : "1667",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1640",
+                                          "localId" : "1668",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1641",
+                                             "localId" : "1669",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1642",
+                                       "localId" : "1670",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "1643",
+                                          "localId" : "1671",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1644",
+                                             "localId" : "1672",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -7233,10 +7363,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "1645",
+                              "localId" : "1673",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "1646",
+                                 "localId" : "1674",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -7244,80 +7374,80 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "1574",
+                           "localId" : "1602",
                            "locator" : "17:26-17:46",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "path" : "BodyWeight",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "1556",
+                              "localId" : "1584",
                               "locator" : "17:26-17:35",
                               "name" : "VitalSigns",
                               "type" : "ExpressionRef",
                               "resultTypeSpecifier" : {
-                                 "localId" : "1557",
+                                 "localId" : "1585",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
-                                    "localId" : "1558",
+                                    "localId" : "1586",
                                     "name" : "BloodPressure",
                                     "elementType" : {
-                                       "localId" : "1559",
+                                       "localId" : "1587",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1560",
+                                    "localId" : "1588",
                                     "name" : "BodyHeight",
                                     "elementType" : {
-                                       "localId" : "1561",
+                                       "localId" : "1589",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1562",
+                                    "localId" : "1590",
                                     "name" : "BodyWeight",
                                     "elementType" : {
-                                       "localId" : "1563",
+                                       "localId" : "1591",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1564",
+                                    "localId" : "1592",
                                     "name" : "BodyMassIndex",
                                     "elementType" : {
-                                       "localId" : "1565",
+                                       "localId" : "1593",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1566",
+                                    "localId" : "1594",
                                     "name" : "BodyTemperature",
                                     "elementType" : {
-                                       "localId" : "1567",
+                                       "localId" : "1595",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1568",
+                                    "localId" : "1596",
                                     "name" : "HeartRate",
                                     "elementType" : {
-                                       "localId" : "1569",
+                                       "localId" : "1597",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1570",
+                                    "localId" : "1598",
                                     "name" : "OxygenSaturation",
                                     "elementType" : {
-                                       "localId" : "1571",
+                                       "localId" : "1599",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1572",
+                                    "localId" : "1600",
                                     "name" : "RespiratoryRate",
                                     "elementType" : {
-                                       "localId" : "1573",
+                                       "localId" : "1601",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -7325,7 +7455,7 @@
                               }
                            }
                         }, {
-                           "localId" : "1575",
+                           "localId" : "1603",
                            "locator" : "17:49-17:56",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -7333,135 +7463,135 @@
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "1668",
+                        "localId" : "1696",
                         "locator" : "18:5-18:57",
                         "name" : "ReportObservation",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1704",
+                           "localId" : "1732",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1705",
+                              "localId" : "1733",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1706",
+                                 "localId" : "1734",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1707",
+                              "localId" : "1735",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1708",
+                                 "localId" : "1736",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1709",
+                              "localId" : "1737",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1710",
+                                 "localId" : "1738",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1711",
+                              "localId" : "1739",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1712",
+                                 "localId" : "1740",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1713",
+                              "localId" : "1741",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1714",
+                                 "localId" : "1742",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1715",
+                              "localId" : "1743",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1716",
+                                 "localId" : "1744",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1717",
+                              "localId" : "1745",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1718",
+                                 "localId" : "1746",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1719",
+                              "localId" : "1747",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1720",
+                                 "localId" : "1748",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1721",
+                              "localId" : "1749",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1722",
+                                 "localId" : "1750",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1723",
+                              "localId" : "1751",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1724",
+                                 "localId" : "1752",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1725",
+                              "localId" : "1753",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1726",
+                                 "localId" : "1754",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1727",
+                                    "localId" : "1755",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1728",
+                              "localId" : "1756",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1729",
+                                 "localId" : "1757",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1730",
+                                    "localId" : "1758",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1731",
+                                       "localId" : "1759",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1732",
+                                          "localId" : "1760",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1733",
+                                             "localId" : "1761",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1734",
+                                       "localId" : "1762",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "1735",
+                                          "localId" : "1763",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1736",
+                                             "localId" : "1764",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -7470,10 +7600,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "1737",
+                              "localId" : "1765",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "1738",
+                                 "localId" : "1766",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -7481,80 +7611,80 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "1666",
+                           "localId" : "1694",
                            "locator" : "18:26-18:49",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "path" : "BodyMassIndex",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "1648",
+                              "localId" : "1676",
                               "locator" : "18:26-18:35",
                               "name" : "VitalSigns",
                               "type" : "ExpressionRef",
                               "resultTypeSpecifier" : {
-                                 "localId" : "1649",
+                                 "localId" : "1677",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
-                                    "localId" : "1650",
+                                    "localId" : "1678",
                                     "name" : "BloodPressure",
                                     "elementType" : {
-                                       "localId" : "1651",
+                                       "localId" : "1679",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1652",
+                                    "localId" : "1680",
                                     "name" : "BodyHeight",
                                     "elementType" : {
-                                       "localId" : "1653",
+                                       "localId" : "1681",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1654",
+                                    "localId" : "1682",
                                     "name" : "BodyWeight",
                                     "elementType" : {
-                                       "localId" : "1655",
+                                       "localId" : "1683",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1656",
+                                    "localId" : "1684",
                                     "name" : "BodyMassIndex",
                                     "elementType" : {
-                                       "localId" : "1657",
+                                       "localId" : "1685",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1658",
+                                    "localId" : "1686",
                                     "name" : "BodyTemperature",
                                     "elementType" : {
-                                       "localId" : "1659",
+                                       "localId" : "1687",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1660",
+                                    "localId" : "1688",
                                     "name" : "HeartRate",
                                     "elementType" : {
-                                       "localId" : "1661",
+                                       "localId" : "1689",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1662",
+                                    "localId" : "1690",
                                     "name" : "OxygenSaturation",
                                     "elementType" : {
-                                       "localId" : "1663",
+                                       "localId" : "1691",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1664",
+                                    "localId" : "1692",
                                     "name" : "RespiratoryRate",
                                     "elementType" : {
-                                       "localId" : "1665",
+                                       "localId" : "1693",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -7562,7 +7692,7 @@
                               }
                            }
                         }, {
-                           "localId" : "1667",
+                           "localId" : "1695",
                            "locator" : "18:52-18:56",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -7570,135 +7700,135 @@
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "1760",
+                        "localId" : "1788",
                         "locator" : "19:5-19:67",
                         "name" : "ReportObservation",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1796",
+                           "localId" : "1824",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1797",
+                              "localId" : "1825",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1798",
+                                 "localId" : "1826",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1799",
+                              "localId" : "1827",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1800",
+                                 "localId" : "1828",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1801",
+                              "localId" : "1829",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1802",
+                                 "localId" : "1830",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1803",
+                              "localId" : "1831",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1804",
+                                 "localId" : "1832",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1805",
+                              "localId" : "1833",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1806",
+                                 "localId" : "1834",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1807",
+                              "localId" : "1835",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1808",
+                                 "localId" : "1836",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1809",
+                              "localId" : "1837",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1810",
+                                 "localId" : "1838",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1811",
+                              "localId" : "1839",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1812",
+                                 "localId" : "1840",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1813",
+                              "localId" : "1841",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1814",
+                                 "localId" : "1842",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1815",
+                              "localId" : "1843",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1816",
+                                 "localId" : "1844",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1817",
+                              "localId" : "1845",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1818",
+                                 "localId" : "1846",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1819",
+                                    "localId" : "1847",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1820",
+                              "localId" : "1848",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1821",
+                                 "localId" : "1849",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1822",
+                                    "localId" : "1850",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1823",
+                                       "localId" : "1851",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1824",
+                                          "localId" : "1852",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1825",
+                                             "localId" : "1853",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1826",
+                                       "localId" : "1854",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "1827",
+                                          "localId" : "1855",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1828",
+                                             "localId" : "1856",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -7707,10 +7837,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "1829",
+                              "localId" : "1857",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "1830",
+                                 "localId" : "1858",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -7718,80 +7848,80 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "1758",
+                           "localId" : "1786",
                            "locator" : "19:26-19:51",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "path" : "BodyTemperature",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "1740",
+                              "localId" : "1768",
                               "locator" : "19:26-19:35",
                               "name" : "VitalSigns",
                               "type" : "ExpressionRef",
                               "resultTypeSpecifier" : {
-                                 "localId" : "1741",
+                                 "localId" : "1769",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
-                                    "localId" : "1742",
+                                    "localId" : "1770",
                                     "name" : "BloodPressure",
                                     "elementType" : {
-                                       "localId" : "1743",
+                                       "localId" : "1771",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1744",
+                                    "localId" : "1772",
                                     "name" : "BodyHeight",
                                     "elementType" : {
-                                       "localId" : "1745",
+                                       "localId" : "1773",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1746",
+                                    "localId" : "1774",
                                     "name" : "BodyWeight",
                                     "elementType" : {
-                                       "localId" : "1747",
+                                       "localId" : "1775",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1748",
+                                    "localId" : "1776",
                                     "name" : "BodyMassIndex",
                                     "elementType" : {
-                                       "localId" : "1749",
+                                       "localId" : "1777",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1750",
+                                    "localId" : "1778",
                                     "name" : "BodyTemperature",
                                     "elementType" : {
-                                       "localId" : "1751",
+                                       "localId" : "1779",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1752",
+                                    "localId" : "1780",
                                     "name" : "HeartRate",
                                     "elementType" : {
-                                       "localId" : "1753",
+                                       "localId" : "1781",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1754",
+                                    "localId" : "1782",
                                     "name" : "OxygenSaturation",
                                     "elementType" : {
-                                       "localId" : "1755",
+                                       "localId" : "1783",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1756",
+                                    "localId" : "1784",
                                     "name" : "RespiratoryRate",
                                     "elementType" : {
-                                       "localId" : "1757",
+                                       "localId" : "1785",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -7799,7 +7929,7 @@
                               }
                            }
                         }, {
-                           "localId" : "1759",
+                           "localId" : "1787",
                            "locator" : "19:54-19:66",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -7807,135 +7937,135 @@
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "1852",
+                        "localId" : "1880",
                         "locator" : "20:5-20:60",
                         "name" : "ReportObservation",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1888",
+                           "localId" : "1916",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1889",
+                              "localId" : "1917",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1890",
+                                 "localId" : "1918",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1891",
+                              "localId" : "1919",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1892",
+                                 "localId" : "1920",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1893",
+                              "localId" : "1921",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1894",
+                                 "localId" : "1922",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1895",
+                              "localId" : "1923",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1896",
+                                 "localId" : "1924",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1897",
+                              "localId" : "1925",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1898",
+                                 "localId" : "1926",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1899",
+                              "localId" : "1927",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1900",
+                                 "localId" : "1928",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1901",
+                              "localId" : "1929",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1902",
+                                 "localId" : "1930",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1903",
+                              "localId" : "1931",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1904",
+                                 "localId" : "1932",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1905",
+                              "localId" : "1933",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1906",
+                                 "localId" : "1934",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1907",
+                              "localId" : "1935",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "1908",
+                                 "localId" : "1936",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1909",
+                              "localId" : "1937",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "1910",
+                                 "localId" : "1938",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1911",
+                                    "localId" : "1939",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "1912",
+                              "localId" : "1940",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "1913",
+                                 "localId" : "1941",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "1914",
+                                    "localId" : "1942",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "1915",
+                                       "localId" : "1943",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "1916",
+                                          "localId" : "1944",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1917",
+                                             "localId" : "1945",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "1918",
+                                       "localId" : "1946",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "1919",
+                                          "localId" : "1947",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "1920",
+                                             "localId" : "1948",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -7944,10 +8074,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "1921",
+                              "localId" : "1949",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "1922",
+                                 "localId" : "1950",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -7955,80 +8085,80 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "1850",
+                           "localId" : "1878",
                            "locator" : "20:26-20:45",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "path" : "HeartRate",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "1832",
+                              "localId" : "1860",
                               "locator" : "20:26-20:35",
                               "name" : "VitalSigns",
                               "type" : "ExpressionRef",
                               "resultTypeSpecifier" : {
-                                 "localId" : "1833",
+                                 "localId" : "1861",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
-                                    "localId" : "1834",
+                                    "localId" : "1862",
                                     "name" : "BloodPressure",
                                     "elementType" : {
-                                       "localId" : "1835",
+                                       "localId" : "1863",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1836",
+                                    "localId" : "1864",
                                     "name" : "BodyHeight",
                                     "elementType" : {
-                                       "localId" : "1837",
+                                       "localId" : "1865",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1838",
+                                    "localId" : "1866",
                                     "name" : "BodyWeight",
                                     "elementType" : {
-                                       "localId" : "1839",
+                                       "localId" : "1867",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1840",
+                                    "localId" : "1868",
                                     "name" : "BodyMassIndex",
                                     "elementType" : {
-                                       "localId" : "1841",
+                                       "localId" : "1869",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1842",
+                                    "localId" : "1870",
                                     "name" : "BodyTemperature",
                                     "elementType" : {
-                                       "localId" : "1843",
+                                       "localId" : "1871",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1844",
+                                    "localId" : "1872",
                                     "name" : "HeartRate",
                                     "elementType" : {
-                                       "localId" : "1845",
+                                       "localId" : "1873",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1846",
+                                    "localId" : "1874",
                                     "name" : "OxygenSaturation",
                                     "elementType" : {
-                                       "localId" : "1847",
+                                       "localId" : "1875",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1848",
+                                    "localId" : "1876",
                                     "name" : "RespiratoryRate",
                                     "elementType" : {
-                                       "localId" : "1849",
+                                       "localId" : "1877",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -8036,7 +8166,7 @@
                               }
                            }
                         }, {
-                           "localId" : "1851",
+                           "localId" : "1879",
                            "locator" : "20:48-20:59",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -8044,135 +8174,135 @@
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "1944",
+                        "localId" : "1972",
                         "locator" : "21:5-21:74",
                         "name" : "ReportObservation",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "1980",
+                           "localId" : "2008",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "1981",
+                              "localId" : "2009",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "1982",
+                                 "localId" : "2010",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1983",
+                              "localId" : "2011",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "1984",
+                                 "localId" : "2012",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1985",
+                              "localId" : "2013",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "1986",
+                                 "localId" : "2014",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1987",
+                              "localId" : "2015",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "1988",
+                                 "localId" : "2016",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1989",
+                              "localId" : "2017",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "1990",
+                                 "localId" : "2018",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1991",
+                              "localId" : "2019",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "1992",
+                                 "localId" : "2020",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1993",
+                              "localId" : "2021",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "1994",
+                                 "localId" : "2022",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1995",
+                              "localId" : "2023",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "1996",
+                                 "localId" : "2024",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1997",
+                              "localId" : "2025",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "1998",
+                                 "localId" : "2026",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "1999",
+                              "localId" : "2027",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "2000",
+                                 "localId" : "2028",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2001",
+                              "localId" : "2029",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "2002",
+                                 "localId" : "2030",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2003",
+                                    "localId" : "2031",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2004",
+                              "localId" : "2032",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "2005",
+                                 "localId" : "2033",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2006",
+                                    "localId" : "2034",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "2007",
+                                       "localId" : "2035",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "2008",
+                                          "localId" : "2036",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2009",
+                                             "localId" : "2037",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "2010",
+                                       "localId" : "2038",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "2011",
+                                          "localId" : "2039",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2012",
+                                             "localId" : "2040",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -8181,10 +8311,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "2013",
+                              "localId" : "2041",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "2014",
+                                 "localId" : "2042",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -8192,80 +8322,80 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "1942",
+                           "localId" : "1970",
                            "locator" : "21:26-21:52",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "path" : "OxygenSaturation",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "1924",
+                              "localId" : "1952",
                               "locator" : "21:26-21:35",
                               "name" : "VitalSigns",
                               "type" : "ExpressionRef",
                               "resultTypeSpecifier" : {
-                                 "localId" : "1925",
+                                 "localId" : "1953",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
-                                    "localId" : "1926",
+                                    "localId" : "1954",
                                     "name" : "BloodPressure",
                                     "elementType" : {
-                                       "localId" : "1927",
+                                       "localId" : "1955",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1928",
+                                    "localId" : "1956",
                                     "name" : "BodyHeight",
                                     "elementType" : {
-                                       "localId" : "1929",
+                                       "localId" : "1957",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1930",
+                                    "localId" : "1958",
                                     "name" : "BodyWeight",
                                     "elementType" : {
-                                       "localId" : "1931",
+                                       "localId" : "1959",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1932",
+                                    "localId" : "1960",
                                     "name" : "BodyMassIndex",
                                     "elementType" : {
-                                       "localId" : "1933",
+                                       "localId" : "1961",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1934",
+                                    "localId" : "1962",
                                     "name" : "BodyTemperature",
                                     "elementType" : {
-                                       "localId" : "1935",
+                                       "localId" : "1963",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1936",
+                                    "localId" : "1964",
                                     "name" : "HeartRate",
                                     "elementType" : {
-                                       "localId" : "1937",
+                                       "localId" : "1965",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1938",
+                                    "localId" : "1966",
                                     "name" : "OxygenSaturation",
                                     "elementType" : {
-                                       "localId" : "1939",
+                                       "localId" : "1967",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "1940",
+                                    "localId" : "1968",
                                     "name" : "RespiratoryRate",
                                     "elementType" : {
-                                       "localId" : "1941",
+                                       "localId" : "1969",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -8273,7 +8403,7 @@
                               }
                            }
                         }, {
-                           "localId" : "1943",
+                           "localId" : "1971",
                            "locator" : "21:55-21:73",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -8281,135 +8411,135 @@
                            "type" : "Literal"
                         } ]
                      }, {
-                        "localId" : "2036",
+                        "localId" : "2064",
                         "locator" : "22:5-22:72",
                         "name" : "ReportObservation",
                         "libraryName" : "DE",
                         "type" : "FunctionRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "2072",
+                           "localId" : "2100",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2073",
+                              "localId" : "2101",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "2074",
+                                 "localId" : "2102",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2075",
+                              "localId" : "2103",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "2076",
+                                 "localId" : "2104",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2077",
+                              "localId" : "2105",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "2078",
+                                 "localId" : "2106",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2079",
+                              "localId" : "2107",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "2080",
+                                 "localId" : "2108",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2081",
+                              "localId" : "2109",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "2082",
+                                 "localId" : "2110",
                                  "name" : "{urn:hl7-org:elm-types:r1}Decimal",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2083",
+                              "localId" : "2111",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "2084",
+                                 "localId" : "2112",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2085",
+                              "localId" : "2113",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "2086",
+                                 "localId" : "2114",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2087",
+                              "localId" : "2115",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "2088",
+                                 "localId" : "2116",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2089",
+                              "localId" : "2117",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "2090",
+                                 "localId" : "2118",
                                  "name" : "{urn:hl7-org:elm-types:r1}Boolean",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2091",
+                              "localId" : "2119",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "2092",
+                                 "localId" : "2120",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2093",
+                              "localId" : "2121",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "2094",
+                                 "localId" : "2122",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2095",
+                                    "localId" : "2123",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2096",
+                              "localId" : "2124",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "2097",
+                                 "localId" : "2125",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2098",
+                                    "localId" : "2126",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "2099",
+                                       "localId" : "2127",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "2100",
+                                          "localId" : "2128",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2101",
+                                             "localId" : "2129",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "2102",
+                                       "localId" : "2130",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "2103",
+                                          "localId" : "2131",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2104",
+                                             "localId" : "2132",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -8418,10 +8548,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "2105",
+                              "localId" : "2133",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "2106",
+                                 "localId" : "2134",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
@@ -8429,80 +8559,80 @@
                         },
                         "signature" : [ ],
                         "operand" : [ {
-                           "localId" : "2034",
+                           "localId" : "2062",
                            "locator" : "22:26-22:51",
                            "resultTypeName" : "{http://hl7.org/fhir}Observation",
                            "path" : "RespiratoryRate",
                            "type" : "Property",
                            "source" : {
-                              "localId" : "2016",
+                              "localId" : "2044",
                               "locator" : "22:26-22:35",
                               "name" : "VitalSigns",
                               "type" : "ExpressionRef",
                               "resultTypeSpecifier" : {
-                                 "localId" : "2017",
+                                 "localId" : "2045",
                                  "type" : "TupleTypeSpecifier",
                                  "element" : [ {
-                                    "localId" : "2018",
+                                    "localId" : "2046",
                                     "name" : "BloodPressure",
                                     "elementType" : {
-                                       "localId" : "2019",
+                                       "localId" : "2047",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "2020",
+                                    "localId" : "2048",
                                     "name" : "BodyHeight",
                                     "elementType" : {
-                                       "localId" : "2021",
+                                       "localId" : "2049",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "2022",
+                                    "localId" : "2050",
                                     "name" : "BodyWeight",
                                     "elementType" : {
-                                       "localId" : "2023",
+                                       "localId" : "2051",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "2024",
+                                    "localId" : "2052",
                                     "name" : "BodyMassIndex",
                                     "elementType" : {
-                                       "localId" : "2025",
+                                       "localId" : "2053",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "2026",
+                                    "localId" : "2054",
                                     "name" : "BodyTemperature",
                                     "elementType" : {
-                                       "localId" : "2027",
+                                       "localId" : "2055",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "2028",
+                                    "localId" : "2056",
                                     "name" : "HeartRate",
                                     "elementType" : {
-                                       "localId" : "2029",
+                                       "localId" : "2057",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "2030",
+                                    "localId" : "2058",
                                     "name" : "OxygenSaturation",
                                     "elementType" : {
-                                       "localId" : "2031",
+                                       "localId" : "2059",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
                                  }, {
-                                    "localId" : "2032",
+                                    "localId" : "2060",
                                     "name" : "RespiratoryRate",
                                     "elementType" : {
-                                       "localId" : "2033",
+                                       "localId" : "2061",
                                        "name" : "{http://hl7.org/fhir}Observation",
                                        "type" : "NamedTypeSpecifier"
                                     }
@@ -8510,7 +8640,7 @@
                               }
                            }
                         }, {
-                           "localId" : "2035",
+                           "localId" : "2063",
                            "locator" : "22:54-22:71",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}String",
                            "valueType" : "{urn:hl7-org:elm-types:r1}String",
@@ -8523,146 +8653,146 @@
                "let" : [ ],
                "relationship" : [ ],
                "where" : {
-                  "localId" : "2252",
+                  "localId" : "2280",
                   "locator" : "23:13-23:36",
                   "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                   "type" : "Not",
                   "signature" : [ ],
                   "operand" : {
-                     "localId" : "2251",
+                     "localId" : "2279",
                      "locator" : "23:19-23:36",
                      "resultTypeName" : "{urn:hl7-org:elm-types:r1}Boolean",
                      "type" : "IsNull",
                      "signature" : [ ],
                      "operand" : {
-                        "localId" : "2215",
+                        "localId" : "2243",
                         "locator" : "23:19-23:24",
                         "name" : "Result",
                         "type" : "AliasRef",
                         "resultTypeSpecifier" : {
-                           "localId" : "2216",
+                           "localId" : "2244",
                            "type" : "TupleTypeSpecifier",
                            "element" : [ {
-                              "localId" : "2217",
+                              "localId" : "2245",
                               "name" : "DisplayName",
                               "elementType" : {
-                                 "localId" : "2218",
+                                 "localId" : "2246",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2219",
+                              "localId" : "2247",
                               "name" : "ConceptName",
                               "elementType" : {
-                                 "localId" : "2220",
+                                 "localId" : "2248",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2221",
+                              "localId" : "2249",
                               "name" : "Date",
                               "elementType" : {
-                                 "localId" : "2222",
+                                 "localId" : "2250",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2223",
+                              "localId" : "2251",
                               "name" : "ResultText",
                               "elementType" : {
-                                 "localId" : "2224",
+                                 "localId" : "2252",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2225",
+                              "localId" : "2253",
                               "name" : "ResultValue",
                               "elementType" : {
-                                 "localId" : "2226",
+                                 "localId" : "2254",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2227",
+                              "localId" : "2255",
                               "name" : "ResultUnits",
                               "elementType" : {
-                                 "localId" : "2228",
+                                 "localId" : "2256",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2229",
+                              "localId" : "2257",
                               "name" : "ReferenceRange",
                               "elementType" : {
-                                 "localId" : "2230",
+                                 "localId" : "2258",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2231",
+                              "localId" : "2259",
                               "name" : "Interpretation",
                               "elementType" : {
-                                 "localId" : "2232",
+                                 "localId" : "2260",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2233",
+                              "localId" : "2261",
                               "name" : "Flag",
                               "elementType" : {
-                                 "localId" : "2234",
+                                 "localId" : "2262",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2235",
+                              "localId" : "2263",
                               "name" : "Performer",
                               "elementType" : {
-                                 "localId" : "2236",
+                                 "localId" : "2264",
                                  "name" : "{urn:hl7-org:elm-types:r1}String",
                                  "type" : "NamedTypeSpecifier"
                               }
                            }, {
-                              "localId" : "2237",
+                              "localId" : "2265",
                               "name" : "Notes",
                               "elementType" : {
-                                 "localId" : "2238",
+                                 "localId" : "2266",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2239",
+                                    "localId" : "2267",
                                     "name" : "{urn:hl7-org:elm-types:r1}String",
                                     "type" : "NamedTypeSpecifier"
                                  }
                               }
                            }, {
-                              "localId" : "2240",
+                              "localId" : "2268",
                               "name" : "Provenance",
                               "elementType" : {
-                                 "localId" : "2241",
+                                 "localId" : "2269",
                                  "type" : "ListTypeSpecifier",
                                  "elementType" : {
-                                    "localId" : "2242",
+                                    "localId" : "2270",
                                     "type" : "TupleTypeSpecifier",
                                     "element" : [ {
-                                       "localId" : "2243",
+                                       "localId" : "2271",
                                        "name" : "Transmitter",
                                        "elementType" : {
-                                          "localId" : "2244",
+                                          "localId" : "2272",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2245",
+                                             "localId" : "2273",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
                                        }
                                     }, {
-                                       "localId" : "2246",
+                                       "localId" : "2274",
                                        "name" : "Author",
                                        "elementType" : {
-                                          "localId" : "2247",
+                                          "localId" : "2275",
                                           "type" : "ListTypeSpecifier",
                                           "elementType" : {
-                                             "localId" : "2248",
+                                             "localId" : "2276",
                                              "name" : "{urn:hl7-org:elm-types:r1}String",
                                              "type" : "NamedTypeSpecifier"
                                           }
@@ -8671,10 +8801,10 @@
                                  }
                               }
                            }, {
-                              "localId" : "2249",
+                              "localId" : "2277",
                               "name" : "LearnMore",
                               "elementType" : {
-                                 "localId" : "2250",
+                                 "localId" : "2278",
                                  "name" : "{urn:hl7-org:elm-types:r1}Any",
                                  "type" : "NamedTypeSpecifier"
                               }

From 0a032d4709198d11f427e9989c8f0974dd8d2d2c Mon Sep 17 00:00:00 2001
From: David Carlson <dcarlson@clinicalcloud.solutions>
Date: Wed, 24 Jul 2024 16:17:46 -0600
Subject: [PATCH 16/20] Update Epic OIDs for Home Blood Pressure

---
 .../mcc-provenance-pnoelle-hypertension.json  | 46 --------------
 .../mcc-provenance-pnoelle-immunizations.json | 49 ---------------
 .../mcc-provenance-pnoelle-lipids.json        | 46 --------------
 src/data-services/cql/mcc/MCCConcepts.cql     | 12 ++--
 src/data-services/cql/mcc/MCCConcepts.json    | 60 +++++++++----------
 src/data-services/cql/mcc/MCCVitalSigns.cql   |  8 +--
 src/data-services/cql/mcc/MCCVitalSigns.json  | 48 +++++++--------
 7 files changed, 64 insertions(+), 205 deletions(-)
 delete mode 100644 dev-data-files/mcc-provenance-pnoelle-hypertension.json
 delete mode 100644 dev-data-files/mcc-provenance-pnoelle-immunizations.json
 delete mode 100644 dev-data-files/mcc-provenance-pnoelle-lipids.json

diff --git a/dev-data-files/mcc-provenance-pnoelle-hypertension.json b/dev-data-files/mcc-provenance-pnoelle-hypertension.json
deleted file mode 100644
index 806fe3d..0000000
--- a/dev-data-files/mcc-provenance-pnoelle-hypertension.json
+++ /dev/null
@@ -1,46 +0,0 @@
-{
-    "resourceType": "Provenance",
-    "id": "mcc-provenance-pnoelle-hypertension",
-    "target": [
-        {
-            "reference": "Condition/mcc-cond-pnoelle-hypertension"
-        }
-    ],
-    "recorded": "2021-07-23T21:43:09Z",
-    "agent": [
-        {
-            "type": {
-                "coding": [
-                    {
-                        "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
-                        "code": "author",
-                        "display": "Author"
-                    }
-                ],
-                "text": "Author"
-            },
-            "who": {
-                "reference":"Practitioner/mcc-prac-carlson-john",
-                "display":"Dr. John Carlson, MD"
-            },
-            "onBehalfOf": {
-                "display": "Sample Hospital A"
-            }
-        },
-        {
-            "type": {
-                "coding": [
-                    {
-                        "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type",
-                        "code": "transmitter",
-                        "display": "Transmitter"
-                    }
-                ],
-                "text": "Transmitter"
-            },
-            "who": {
-                "display": "Sample Hospital A"
-            }
-        }
-    ]
-}
\ No newline at end of file
diff --git a/dev-data-files/mcc-provenance-pnoelle-immunizations.json b/dev-data-files/mcc-provenance-pnoelle-immunizations.json
deleted file mode 100644
index a06037e..0000000
--- a/dev-data-files/mcc-provenance-pnoelle-immunizations.json
+++ /dev/null
@@ -1,49 +0,0 @@
-{
-    "resourceType": "Provenance",
-    "id": "mcc-provenance-pnoelle-servicerequest",
-    "target": [
-        {
-            "reference": "ServiceRequest/mcc-service-pnoelle-phq4"
-        },
-        {
-            "reference": "ServiceRequest/mcc-service-pnoelle-edu-diet"
-        }
-    ],
-    "recorded": "2024-07-21T21:43:09Z",
-    "agent": [
-        {
-            "type": {
-                "coding": [
-                    {
-                        "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
-                        "code": "author",
-                        "display": "Author"
-                    }
-                ],
-                "text": "Author"
-            },
-            "who": {
-                "reference":"Practitioner/mcc-prac-carlson-john",
-                "display":"Dr. John Carlson, MD"
-            },
-            "onBehalfOf": {
-                "display": "Sample Hospital A"
-            }
-        },
-        {
-            "type": {
-                "coding": [
-                    {
-                        "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type",
-                        "code": "transmitter",
-                        "display": "Transmitter"
-                    }
-                ],
-                "text": "Transmitter"
-            },
-            "who": {
-                "display": "Sample Hospital A"
-            }
-        }
-    ]
-}
\ No newline at end of file
diff --git a/dev-data-files/mcc-provenance-pnoelle-lipids.json b/dev-data-files/mcc-provenance-pnoelle-lipids.json
deleted file mode 100644
index 924cf95..0000000
--- a/dev-data-files/mcc-provenance-pnoelle-lipids.json
+++ /dev/null
@@ -1,46 +0,0 @@
-{
-    "resourceType": "Provenance",
-    "id": "mcc-provenance-pnoelle-dyslipidemia",
-    "target": [
-        {
-            "reference": "Condition/mcc-cond-pnoelle-dyslipidemia"
-        }
-    ],
-    "recorded": "2019-05-17T21:43:09Z",
-    "agent": [
-        {
-            "type": {
-                "coding": [
-                    {
-                        "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
-                        "code": "author",
-                        "display": "Author"
-                    }
-                ],
-                "text": "Author"
-            },
-            "who": {
-                "reference":"Practitioner/mcc-prac-carlson-john",
-                "display":"Dr. John Carlson, MD"
-            },
-            "onBehalfOf": {
-                "display": "Sample Hospital A"
-            }
-        },
-        {
-            "type": {
-                "coding": [
-                    {
-                        "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type",
-                        "code": "transmitter",
-                        "display": "Transmitter"
-                    }
-                ],
-                "text": "Transmitter"
-            },
-            "who": {
-                "display": "Sample Hospital A"
-            }
-        }
-    ]
-}
\ No newline at end of file
diff --git a/src/data-services/cql/mcc/MCCConcepts.cql b/src/data-services/cql/mcc/MCCConcepts.cql
index d2af236..650d698 100644
--- a/src/data-services/cql/mcc/MCCConcepts.cql
+++ b/src/data-services/cql/mcc/MCCConcepts.cql
@@ -6,8 +6,8 @@ codesystem "LOINC": 'http://loinc.org'
 codesystem "SNOMEDCT": 'http://snomed.info/sct'
 codesystem "Race": 'urn:oid:2.16.840.1.113883.6.238'
 
-codesystem "EpicPOC": 'urn:oid:1.2.840.114350.1.13.135.3.7.2.707679'
-codesystem "EpicPROD": 'urn:oid:1.2.840.114350.1.13.135.2.7.2.707679'
+codesystem "Epic POC": 'urn:oid:1.2.840.114350.1.13.135.3.7.2.707679'
+codesystem "Epic PROD": 'urn:oid:1.2.840.114350.1.13.135.2.7.2.707679'
 
 // ## Value sets ##
 
@@ -331,7 +331,7 @@ code "Body weight": '29463-7' from "LOINC" display 'Body weight'
 code "Body mass index": '39156-5' from "LOINC" display 'Body mass index'
 code "Inhaled oxygen flow rate": '3151-8' from "LOINC" display 'Inhaled oxygen flow rate'
 
-code "Epic POC Systolic blood pressure": '7585' from "EpicPOC" display 'Systolic blood pressure'
-code "Epic POC Diastolic blood pressure": '7586' from "EpicPOC" display 'Diastolic blood pressure'
-code "Epic PROD Systolic blood pressure": '7585' from "EpicPROD" display 'Systolic blood pressure'
-code "Epic PROD Diastolic blood pressure": '7586' from "EpicPROD" display 'Diastolic blood pressure'
\ No newline at end of file
+code "Epic POC Home Systolic blood pressure": '7585' from "Epic POC" display 'Systolic blood pressure'
+code "Epic POC Home Diastolic blood pressure": '7586' from "Epic POC" display 'Diastolic blood pressure'
+code "Epic PROD Home Systolic blood pressure": '7585' from "Epic PROD" display 'Systolic blood pressure'
+code "Epic PROD Home Diastolic blood pressure": '7586' from "Epic PROD" display 'Diastolic blood pressure'
\ No newline at end of file
diff --git a/src/data-services/cql/mcc/MCCConcepts.json b/src/data-services/cql/mcc/MCCConcepts.json
index e7dc948..4d0dee9 100644
--- a/src/data-services/cql/mcc/MCCConcepts.json
+++ b/src/data-services/cql/mcc/MCCConcepts.json
@@ -81,9 +81,9 @@
             } ]
          }, {
             "localId" : "209",
-            "locator" : "9:1-9:68",
+            "locator" : "9:1-9:69",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
-            "name" : "EpicPOC",
+            "name" : "Epic POC",
             "id" : "urn:oid:1.2.840.114350.1.13.135.3.7.2.707679",
             "accessLevel" : "Public",
             "annotation" : [ {
@@ -91,15 +91,15 @@
                "s" : {
                   "r" : "209",
                   "s" : [ {
-                     "value" : [ "","codesystem ","\"EpicPOC\"",": ","'urn:oid:1.2.840.114350.1.13.135.3.7.2.707679'" ]
+                     "value" : [ "","codesystem ","\"Epic POC\"",": ","'urn:oid:1.2.840.114350.1.13.135.3.7.2.707679'" ]
                   } ]
                }
             } ]
          }, {
             "localId" : "210",
-            "locator" : "10:1-10:69",
+            "locator" : "10:1-10:70",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
-            "name" : "EpicPROD",
+            "name" : "Epic PROD",
             "id" : "urn:oid:1.2.840.114350.1.13.135.2.7.2.707679",
             "accessLevel" : "Public",
             "annotation" : [ {
@@ -107,7 +107,7 @@
                "s" : {
                   "r" : "210",
                   "s" : [ {
-                     "value" : [ "","codesystem ","\"EpicPROD\"",": ","'urn:oid:1.2.840.114350.1.13.135.2.7.2.707679'" ]
+                     "value" : [ "","codesystem ","\"Epic PROD\"",": ","'urn:oid:1.2.840.114350.1.13.135.2.7.2.707679'" ]
                   } ]
                }
             } ]
@@ -4046,9 +4046,9 @@
             }
          }, {
             "localId" : "446",
-            "locator" : "334:1-334:96",
+            "locator" : "334:1-334:102",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
-            "name" : "Epic POC Systolic blood pressure",
+            "name" : "Epic POC Home Systolic blood pressure",
             "id" : "7585",
             "display" : "Systolic blood pressure",
             "accessLevel" : "Public",
@@ -4057,11 +4057,11 @@
                "s" : {
                   "r" : "446",
                   "s" : [ {
-                     "value" : [ "","code ","\"Epic POC Systolic blood pressure\"",": ","'7585'"," from " ]
+                     "value" : [ "","code ","\"Epic POC Home Systolic blood pressure\"",": ","'7585'"," from " ]
                   }, {
                      "r" : "447",
                      "s" : [ {
-                        "value" : [ "\"EpicPOC\"" ]
+                        "value" : [ "\"Epic POC\"" ]
                      } ]
                   }, {
                      "value" : [ " display ","'Systolic blood pressure'" ]
@@ -4070,15 +4070,15 @@
             } ],
             "codeSystem" : {
                "localId" : "447",
-               "locator" : "334:54-334:62",
+               "locator" : "334:59-334:68",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
-               "name" : "EpicPOC"
+               "name" : "Epic POC"
             }
          }, {
             "localId" : "448",
-            "locator" : "335:1-335:98",
+            "locator" : "335:1-335:104",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
-            "name" : "Epic POC Diastolic blood pressure",
+            "name" : "Epic POC Home Diastolic blood pressure",
             "id" : "7586",
             "display" : "Diastolic blood pressure",
             "accessLevel" : "Public",
@@ -4087,11 +4087,11 @@
                "s" : {
                   "r" : "448",
                   "s" : [ {
-                     "value" : [ "","code ","\"Epic POC Diastolic blood pressure\"",": ","'7586'"," from " ]
+                     "value" : [ "","code ","\"Epic POC Home Diastolic blood pressure\"",": ","'7586'"," from " ]
                   }, {
                      "r" : "449",
                      "s" : [ {
-                        "value" : [ "\"EpicPOC\"" ]
+                        "value" : [ "\"Epic POC\"" ]
                      } ]
                   }, {
                      "value" : [ " display ","'Diastolic blood pressure'" ]
@@ -4100,15 +4100,15 @@
             } ],
             "codeSystem" : {
                "localId" : "449",
-               "locator" : "335:55-335:63",
+               "locator" : "335:60-335:69",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
-               "name" : "EpicPOC"
+               "name" : "Epic POC"
             }
          }, {
             "localId" : "450",
-            "locator" : "336:1-336:98",
+            "locator" : "336:1-336:104",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
-            "name" : "Epic PROD Systolic blood pressure",
+            "name" : "Epic PROD Home Systolic blood pressure",
             "id" : "7585",
             "display" : "Systolic blood pressure",
             "accessLevel" : "Public",
@@ -4117,11 +4117,11 @@
                "s" : {
                   "r" : "450",
                   "s" : [ {
-                     "value" : [ "","code ","\"Epic PROD Systolic blood pressure\"",": ","'7585'"," from " ]
+                     "value" : [ "","code ","\"Epic PROD Home Systolic blood pressure\"",": ","'7585'"," from " ]
                   }, {
                      "r" : "451",
                      "s" : [ {
-                        "value" : [ "\"EpicPROD\"" ]
+                        "value" : [ "\"Epic PROD\"" ]
                      } ]
                   }, {
                      "value" : [ " display ","'Systolic blood pressure'" ]
@@ -4130,15 +4130,15 @@
             } ],
             "codeSystem" : {
                "localId" : "451",
-               "locator" : "336:55-336:64",
+               "locator" : "336:60-336:70",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
-               "name" : "EpicPROD"
+               "name" : "Epic PROD"
             }
          }, {
             "localId" : "452",
-            "locator" : "337:1-337:100",
+            "locator" : "337:1-337:106",
             "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
-            "name" : "Epic PROD Diastolic blood pressure",
+            "name" : "Epic PROD Home Diastolic blood pressure",
             "id" : "7586",
             "display" : "Diastolic blood pressure",
             "accessLevel" : "Public",
@@ -4147,11 +4147,11 @@
                "s" : {
                   "r" : "452",
                   "s" : [ {
-                     "value" : [ "","code ","\"Epic PROD Diastolic blood pressure\"",": ","'7586'"," from " ]
+                     "value" : [ "","code ","\"Epic PROD Home Diastolic blood pressure\"",": ","'7586'"," from " ]
                   }, {
                      "r" : "453",
                      "s" : [ {
-                        "value" : [ "\"EpicPROD\"" ]
+                        "value" : [ "\"Epic PROD\"" ]
                      } ]
                   }, {
                      "value" : [ " display ","'Diastolic blood pressure'" ]
@@ -4160,9 +4160,9 @@
             } ],
             "codeSystem" : {
                "localId" : "453",
-               "locator" : "337:56-337:65",
+               "locator" : "337:61-337:71",
                "resultTypeName" : "{urn:hl7-org:elm-types:r1}CodeSystem",
-               "name" : "EpicPROD"
+               "name" : "Epic PROD"
             }
          } ]
       }
diff --git a/src/data-services/cql/mcc/MCCVitalSigns.cql b/src/data-services/cql/mcc/MCCVitalSigns.cql
index b67a3a0..2331886 100644
--- a/src/data-services/cql/mcc/MCCVitalSigns.cql
+++ b/src/data-services/cql/mcc/MCCVitalSigns.cql
@@ -67,13 +67,13 @@ that are returned as separate observations.
 
 define "Systolic Blood Pressure":
   SortDescending( [Observation: Cx."Systolic blood pressure"]
-    union [Observation: Cx."Epic POC Systolic blood pressure"]
-    union [Observation: Cx."Epic PROD Systolic blood pressure"])
+    union [Observation: Cx."Epic POC Home Systolic blood pressure"]
+    union [Observation: Cx."Epic PROD Home Systolic blood pressure"])
 
 define "Diastolic Blood Pressure":
   SortDescending([Observation: Cx."Diastolic blood pressure"]
-    union [Observation: Cx."Epic POC Diastolic blood pressure"]
-    union [Observation: Cx."Epic PROD Diastolic blood pressure"])
+    union [Observation: Cx."Epic POC Home Diastolic blood pressure"]
+    union [Observation: Cx."Epic PROD Home Diastolic blood pressure"])
 
 // Use when Systolic and Diastolic BP are reported as an independent Observations (not recommended)
 define "Combined Blood Pressure Observations":
diff --git a/src/data-services/cql/mcc/MCCVitalSigns.json b/src/data-services/cql/mcc/MCCVitalSigns.json
index fae5075..72c4fcf 100644
--- a/src/data-services/cql/mcc/MCCVitalSigns.json
+++ b/src/data-services/cql/mcc/MCCVitalSigns.json
@@ -3278,7 +3278,7 @@
             } ]
          }, {
             "localId" : "562",
-            "locator" : "68:1-71:64",
+            "locator" : "68:1-71:69",
             "name" : "Systolic Blood Pressure",
             "context" : "Patient",
             "accessLevel" : "Public",
@@ -3315,7 +3315,7 @@
                                  "value" : [ "[","Observation",": " ]
                               }, {
                                  "s" : [ {
-                                    "value" : [ "Cx",".","\"Epic POC Systolic blood pressure\"" ]
+                                    "value" : [ "Cx",".","\"Epic POC Home Systolic blood pressure\"" ]
                                  } ]
                               }, {
                                  "value" : [ "]" ]
@@ -3329,7 +3329,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Epic PROD Systolic blood pressure\"" ]
+                                 "value" : [ "Cx",".","\"Epic PROD Home Systolic blood pressure\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -3352,7 +3352,7 @@
             },
             "expression" : {
                "localId" : "608",
-               "locator" : "69:3-71:64",
+               "locator" : "69:3-71:69",
                "name" : "SortDescending",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
@@ -3367,7 +3367,7 @@
                "signature" : [ ],
                "operand" : [ {
                   "localId" : "599",
-                  "locator" : "69:19-71:63",
+                  "locator" : "69:19-71:68",
                   "type" : "Union",
                   "resultTypeSpecifier" : {
                      "localId" : "600",
@@ -3381,7 +3381,7 @@
                   "signature" : [ ],
                   "operand" : [ {
                      "localId" : "585",
-                     "locator" : "69:19-70:62",
+                     "locator" : "69:19-70:67",
                      "type" : "Union",
                      "resultTypeSpecifier" : {
                         "localId" : "586",
@@ -3429,7 +3429,7 @@
                         "otherFilter" : [ ]
                      }, {
                         "localId" : "577",
-                        "locator" : "70:11-70:62",
+                        "locator" : "70:11-70:67",
                         "dataType" : "{http://hl7.org/fhir}Observation",
                         "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                         "codeProperty" : "code",
@@ -3450,9 +3450,9 @@
                            "signature" : [ ],
                            "operand" : {
                               "localId" : "576",
-                              "locator" : "70:25-70:61",
+                              "locator" : "70:25-70:66",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
-                              "name" : "Epic POC Systolic blood pressure",
+                              "name" : "Epic POC Home Systolic blood pressure",
                               "libraryName" : "Cx",
                               "type" : "CodeRef"
                            }
@@ -3464,7 +3464,7 @@
                      } ]
                   }, {
                      "localId" : "591",
-                     "locator" : "71:11-71:63",
+                     "locator" : "71:11-71:68",
                      "dataType" : "{http://hl7.org/fhir}Observation",
                      "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                      "codeProperty" : "code",
@@ -3485,9 +3485,9 @@
                         "signature" : [ ],
                         "operand" : {
                            "localId" : "590",
-                           "locator" : "71:25-71:62",
+                           "locator" : "71:25-71:67",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
-                           "name" : "Epic PROD Systolic blood pressure",
+                           "name" : "Epic PROD Home Systolic blood pressure",
                            "libraryName" : "Cx",
                            "type" : "CodeRef"
                         }
@@ -3784,7 +3784,7 @@
             } ]
          }, {
             "localId" : "724",
-            "locator" : "73:1-76:65",
+            "locator" : "73:1-76:70",
             "name" : "Diastolic Blood Pressure",
             "context" : "Patient",
             "accessLevel" : "Public",
@@ -3821,7 +3821,7 @@
                                  "value" : [ "[","Observation",": " ]
                               }, {
                                  "s" : [ {
-                                    "value" : [ "Cx",".","\"Epic POC Diastolic blood pressure\"" ]
+                                    "value" : [ "Cx",".","\"Epic POC Home Diastolic blood pressure\"" ]
                                  } ]
                               }, {
                                  "value" : [ "]" ]
@@ -3835,7 +3835,7 @@
                               "value" : [ "[","Observation",": " ]
                            }, {
                               "s" : [ {
-                                 "value" : [ "Cx",".","\"Epic PROD Diastolic blood pressure\"" ]
+                                 "value" : [ "Cx",".","\"Epic PROD Home Diastolic blood pressure\"" ]
                               } ]
                            }, {
                               "value" : [ "]" ]
@@ -3858,7 +3858,7 @@
             },
             "expression" : {
                "localId" : "764",
-               "locator" : "74:3-76:65",
+               "locator" : "74:3-76:70",
                "name" : "SortDescending",
                "type" : "FunctionRef",
                "resultTypeSpecifier" : {
@@ -3873,7 +3873,7 @@
                "signature" : [ ],
                "operand" : [ {
                   "localId" : "761",
-                  "locator" : "74:18-76:64",
+                  "locator" : "74:18-76:69",
                   "type" : "Union",
                   "resultTypeSpecifier" : {
                      "localId" : "762",
@@ -3887,7 +3887,7 @@
                   "signature" : [ ],
                   "operand" : [ {
                      "localId" : "747",
-                     "locator" : "74:18-75:63",
+                     "locator" : "74:18-75:68",
                      "type" : "Union",
                      "resultTypeSpecifier" : {
                         "localId" : "748",
@@ -3935,7 +3935,7 @@
                         "otherFilter" : [ ]
                      }, {
                         "localId" : "739",
-                        "locator" : "75:11-75:63",
+                        "locator" : "75:11-75:68",
                         "dataType" : "{http://hl7.org/fhir}Observation",
                         "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                         "codeProperty" : "code",
@@ -3956,9 +3956,9 @@
                            "signature" : [ ],
                            "operand" : {
                               "localId" : "738",
-                              "locator" : "75:25-75:62",
+                              "locator" : "75:25-75:67",
                               "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
-                              "name" : "Epic POC Diastolic blood pressure",
+                              "name" : "Epic POC Home Diastolic blood pressure",
                               "libraryName" : "Cx",
                               "type" : "CodeRef"
                            }
@@ -3970,7 +3970,7 @@
                      } ]
                   }, {
                      "localId" : "753",
-                     "locator" : "76:11-76:64",
+                     "locator" : "76:11-76:69",
                      "dataType" : "{http://hl7.org/fhir}Observation",
                      "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                      "codeProperty" : "code",
@@ -3991,9 +3991,9 @@
                         "signature" : [ ],
                         "operand" : {
                            "localId" : "752",
-                           "locator" : "76:25-76:63",
+                           "locator" : "76:25-76:68",
                            "resultTypeName" : "{urn:hl7-org:elm-types:r1}Code",
-                           "name" : "Epic PROD Diastolic blood pressure",
+                           "name" : "Epic PROD Home Diastolic blood pressure",
                            "libraryName" : "Cx",
                            "type" : "CodeRef"
                         }

From 3524a234c78091f15c8cc5dc55eaaf9090c1d08e Mon Sep 17 00:00:00 2001
From: Dan Brown <dbrown.se@gmail.com>
Date: Thu, 25 Jul 2024 13:55:15 -0400
Subject: [PATCH 17/20] Update Goal Edit to support reloading GoalList

---
 src/components/edit-forms/GoalEditForm.tsx | 16 ++++++++---
 src/components/summaries/GoalList.tsx      | 18 ++++++++++--
 src/data-services/endpoints/providers.json | 33 ++++++++--------------
 3 files changed, 40 insertions(+), 27 deletions(-)

diff --git a/src/components/edit-forms/GoalEditForm.tsx b/src/components/edit-forms/GoalEditForm.tsx
index 13ffeed..bf65bb2 100644
--- a/src/components/edit-forms/GoalEditForm.tsx
+++ b/src/components/edit-forms/GoalEditForm.tsx
@@ -18,19 +18,25 @@ import { createSharedDataResource } from '../../data-services/fhirService';
 
 export default function GoalEditForm(formData?: EditFormData) {
   let history = useHistory()
-  const location = useLocation(); 
+  const location = useLocation();
   const prepopulatedDescription = (location.state as { prepopulatedDescription?: string })?.prepopulatedDescription ?? '';
-  const prepopulatedDate = (location.state as { prepopulatedDate?: Date })?.prepopulatedDate ?? null; 
-  const prepopulatedDueDate = (location.state as {prepopulatedDueDate?: Date})?.prepopulatedDueDate ?? null;
+  const prepopulatedDate = (location.state as { prepopulatedDate?: Date })?.prepopulatedDate ?? null;
+  const prepopulatedDueDate = (location.state as { prepopulatedDueDate?: Date })?.prepopulatedDueDate ?? null;
+  const incrementGoalCount = (location.state as { incrementGoalCount?: Function })?.incrementGoalCount ?? null;
   const [description, setDescription] = React.useState<string>(prepopulatedDescription);
   const [startDate, setStartDate] = React.useState<Date | null>(
     prepopulatedDate ? moment(prepopulatedDate).add(0, 'day').toDate() : null
   );
-  
+
   const [dueDate, setDueDate] = React.useState<Date | null>(
     prepopulatedDueDate ? moment(prepopulatedDueDate).add(0, 'day').toDate() : null
   );
 
+  // useEffect(() => {
+  // save should update this
+  //   incrementGoalCount()
+  // }, [?if WHAT changes, we increment above ?])
+
   const patientID = formData?.supplementalDataClient?.getPatientId()
   const patientName: string | null = null   // TODO: find patient with matching ID from formData?patientSummaries
   const fhirUser = formData?.supplementalDataClient?.getFhirUser()
@@ -79,6 +85,8 @@ export default function GoalEditForm(formData?: EditFormData) {
 
     createSharedDataResource(goal)
 
+    incrementGoalCount && incrementGoalCount()
+
     // update FHIRData shared state
 
     history.goBack()
diff --git a/src/components/summaries/GoalList.tsx b/src/components/summaries/GoalList.tsx
index 163d614..d8ffed3 100644
--- a/src/components/summaries/GoalList.tsx
+++ b/src/components/summaries/GoalList.tsx
@@ -26,6 +26,19 @@ export const GoalList: FC<GoalListProps> = ({ fhirDataCollection, goalSummaryMat
   const [sortedAndFilteredGoals, setSortedAndFilteredGoals] = useState<{ goal: GoalSummary, provider: string }[]>([]);
   const [filteringOptions, setFilteringOptions] = useState<{ value: string; label: string }[]>([]);
 
+  const [goalCount, setGoalCount] = useState<number>(0)
+  // callback for GoalEditForm
+  const incrementGoalCount = () => {
+    let newCount: number = goalCount
+    newCount++
+    setGoalCount(newCount)
+  }
+
+  useEffect(() => {
+    console.log("if goalCount was updated by GoalEditForm via save...reload the data")
+    applySortingAndFiltering();
+  }, [goalCount])
+
   useEffect(() => {
     applySortingAndFiltering();
   }, [goalSummaryMatrix, sortingOption, filteringOption]);
@@ -115,7 +128,8 @@ export const GoalList: FC<GoalListProps> = ({ fhirDataCollection, goalSummaryMat
         goalData: goal,
         prepopulatedDescription: goal.Description,
         prepopulatedDate: goal.StartDate || null,
-        prepopulatedDueDate: goal?.Target?.[0]?.DueDate || null
+        prepopulatedDueDate: goal?.Target?.[0]?.DueDate || null,
+        incrementGoalCount: incrementGoalCount
       }
     });
   };
@@ -339,4 +353,4 @@ const buildTargetValueAndDueDate = (curTarget: GoalTarget): SummaryRowItem => {
     data1: curTarget.TargetValue === null ? '' : 'Target: ' + curTarget.TargetValue,
     data2: curTarget.DueDate === null ? '' : 'Due: ' + curTarget.DueDate,
   };
-};
\ No newline at end of file
+};
diff --git a/src/data-services/endpoints/providers.json b/src/data-services/endpoints/providers.json
index 7d0de04..220f638 100644
--- a/src/data-services/endpoints/providers.json
+++ b/src/data-services/endpoints/providers.json
@@ -1,37 +1,28 @@
  [
     {
-      "name": "MCC Develop Sandbox",
-      "config": {
-        "iss": "https://gw.interop.community/MCCDevelopment/data",
-        "redirectUri": "./index.html",
-        "clientId": "5fa54c47-ed80-405b-a0b7-611eee5d0159",
-        "scope": "launch launch/patient openid fhirUser patient/Patient.read patient/Practitioner.read patient/RelatedPerson.read patient/Condition.read patient/DiagnosticReport.read patient/Observation.read patient/Procedure.read patient/CarePlan.read patient/CareTeam.read patient/Goal.read patient/Immunization.read patient/MedicationRequest.read patient/ServiceRequest.read patient/Task.read patient/Questionnaire.read patient/QuestionnaireResponse.write patient/Goal.write patient/MedicationRequest.write patient/Condition.write patient/Provenance.read"
-      }
-    },
-    {
-      "name": "MCC Testing Sandbox",
+      "name": "SDS: eCare Shared Data",
       "config": {
-        "iss": "https://gw.interop.community/MCCTesting/data",
+        "iss": "https://gw.interop.community/eCareSharedData/open/",
         "redirectUri": "./index.html",
-        "clientId": "5fa54c47-ed80-405b-a0b7-611eee5d0159",
-        "scope": "launch launch/patient openid fhirUser patient/Patient.read patient/Practitioner.read patient/RelatedPerson.read patient/Condition.read patient/DiagnosticReport.read patient/Observation.read patient/Procedure.read patient/CarePlan.read patient/CareTeam.read patient/Goal.read patient/Immunization.read patient/MedicationRequest.read patient/ServiceRequest.read patient/Task.read patient/Questionnaire.read patient/QuestionnaireResponse.write patient/Goal.write patient/MedicationRequest.write patient/Condition.write patient/Provenance.read"
+        "scope": "launch/patient openid fhirUser patient/*.read patient/*.write"
       }
     },
     {
-      "name": "MCC Staging Sandbox",
+      "name": "Test Data: Epic Sandbox",
       "config": {
-        "iss": "https://gw.interop.community/MCCStaging/data",
+        "iss": "https://fhir.epic.com/interconnect-fhir-oauth/api/FHIR/R4",
         "redirectUri": "./index.html",
-        "clientId": "5fa54c47-ed80-405b-a0b7-611eee5d0159",
-        "scope": "launch launch/patient openid fhirUser patient/Patient.read patient/Practitioner.read patient/RelatedPerson.read patient/Condition.read patient/DiagnosticReport.read patient/Observation.read patient/Procedure.read patient/CarePlan.read patient/CareTeam.read patient/Goal.read patient/Immunization.read patient/MedicationRequest.read patient/ServiceRequest.read patient/Task.read patient/Questionnaire.read patient/QuestionnaireResponse.write patient/Goal.write patient/MedicationRequest.write patient/Condition.write patient/Provenance.read"
+        "clientId": "821ea3c1-011f-4f70-a8ae-299043b7e0be",
+        "scope": "launch launch/patient openid fhirUser patient/Patient.read patient/Practitioner.read patient/RelatedPerson.read patient/Condition.read patient/DiagnosticReport.read patient/Observation.read patient/Procedure.read patient/CarePlan.read patient/CareTeam.read patient/Goal.read patient/Immunization.read patient/MedicationRequest.read patient/Medication.read patient/Provenance.read patient/Organization.read"
       }
     },
     {
-      "name": "SDS: eCare Shared Data",
+      "name": "Test Data: Cerner Sandbox",
       "config": {
-        "iss": "https://gw.interop.community/eCareSharedData/open/",
+        "iss": "https://fhir-myrecord.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d",
         "redirectUri": "./index.html",
-        "scope": "launch/patient openid fhirUser patient/*.read patient/*.write"
+        "clientId": "3992b136-a2d8-47e5-9ea3-62663c0dc7dc",
+        "scope": "launch/patient openid fhirUser offline_access patient/Patient.read user/Practitioner.read user/Location.read user/Organization.read patient/CarePlan.read patient/CareTeam.read patient/Condition.read patient/Goal.read patient/Immunization.read patient/Observation.read patient/Procedure.read patient/MedicationRequest.read patient/RelatedPerson.read patient/ServiceRequest.read patient/Provenance.read"
       }
-    }
+  }
 ]

From e886a59b7f8fde2884c344abc94a535b199a1966 Mon Sep 17 00:00:00 2001
From: Dan Brown <dbrown.se@gmail.com>
Date: Thu, 25 Jul 2024 19:55:02 -0400
Subject: [PATCH 18/20] Revert providers.json

---
 src/data-services/endpoints/providers.json | 33 ++++++++++++++--------
 1 file changed, 21 insertions(+), 12 deletions(-)

diff --git a/src/data-services/endpoints/providers.json b/src/data-services/endpoints/providers.json
index 220f638..7d0de04 100644
--- a/src/data-services/endpoints/providers.json
+++ b/src/data-services/endpoints/providers.json
@@ -1,28 +1,37 @@
  [
     {
-      "name": "SDS: eCare Shared Data",
+      "name": "MCC Develop Sandbox",
       "config": {
-        "iss": "https://gw.interop.community/eCareSharedData/open/",
+        "iss": "https://gw.interop.community/MCCDevelopment/data",
         "redirectUri": "./index.html",
-        "scope": "launch/patient openid fhirUser patient/*.read patient/*.write"
+        "clientId": "5fa54c47-ed80-405b-a0b7-611eee5d0159",
+        "scope": "launch launch/patient openid fhirUser patient/Patient.read patient/Practitioner.read patient/RelatedPerson.read patient/Condition.read patient/DiagnosticReport.read patient/Observation.read patient/Procedure.read patient/CarePlan.read patient/CareTeam.read patient/Goal.read patient/Immunization.read patient/MedicationRequest.read patient/ServiceRequest.read patient/Task.read patient/Questionnaire.read patient/QuestionnaireResponse.write patient/Goal.write patient/MedicationRequest.write patient/Condition.write patient/Provenance.read"
       }
     },
     {
-      "name": "Test Data: Epic Sandbox",
+      "name": "MCC Testing Sandbox",
       "config": {
-        "iss": "https://fhir.epic.com/interconnect-fhir-oauth/api/FHIR/R4",
+        "iss": "https://gw.interop.community/MCCTesting/data",
         "redirectUri": "./index.html",
-        "clientId": "821ea3c1-011f-4f70-a8ae-299043b7e0be",
-        "scope": "launch launch/patient openid fhirUser patient/Patient.read patient/Practitioner.read patient/RelatedPerson.read patient/Condition.read patient/DiagnosticReport.read patient/Observation.read patient/Procedure.read patient/CarePlan.read patient/CareTeam.read patient/Goal.read patient/Immunization.read patient/MedicationRequest.read patient/Medication.read patient/Provenance.read patient/Organization.read"
+        "clientId": "5fa54c47-ed80-405b-a0b7-611eee5d0159",
+        "scope": "launch launch/patient openid fhirUser patient/Patient.read patient/Practitioner.read patient/RelatedPerson.read patient/Condition.read patient/DiagnosticReport.read patient/Observation.read patient/Procedure.read patient/CarePlan.read patient/CareTeam.read patient/Goal.read patient/Immunization.read patient/MedicationRequest.read patient/ServiceRequest.read patient/Task.read patient/Questionnaire.read patient/QuestionnaireResponse.write patient/Goal.write patient/MedicationRequest.write patient/Condition.write patient/Provenance.read"
       }
     },
     {
-      "name": "Test Data: Cerner Sandbox",
+      "name": "MCC Staging Sandbox",
       "config": {
-        "iss": "https://fhir-myrecord.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d",
+        "iss": "https://gw.interop.community/MCCStaging/data",
         "redirectUri": "./index.html",
-        "clientId": "3992b136-a2d8-47e5-9ea3-62663c0dc7dc",
-        "scope": "launch/patient openid fhirUser offline_access patient/Patient.read user/Practitioner.read user/Location.read user/Organization.read patient/CarePlan.read patient/CareTeam.read patient/Condition.read patient/Goal.read patient/Immunization.read patient/Observation.read patient/Procedure.read patient/MedicationRequest.read patient/RelatedPerson.read patient/ServiceRequest.read patient/Provenance.read"
+        "clientId": "5fa54c47-ed80-405b-a0b7-611eee5d0159",
+        "scope": "launch launch/patient openid fhirUser patient/Patient.read patient/Practitioner.read patient/RelatedPerson.read patient/Condition.read patient/DiagnosticReport.read patient/Observation.read patient/Procedure.read patient/CarePlan.read patient/CareTeam.read patient/Goal.read patient/Immunization.read patient/MedicationRequest.read patient/ServiceRequest.read patient/Task.read patient/Questionnaire.read patient/QuestionnaireResponse.write patient/Goal.write patient/MedicationRequest.write patient/Condition.write patient/Provenance.read"
+      }
+    },
+    {
+      "name": "SDS: eCare Shared Data",
+      "config": {
+        "iss": "https://gw.interop.community/eCareSharedData/open/",
+        "redirectUri": "./index.html",
+        "scope": "launch/patient openid fhirUser patient/*.read patient/*.write"
       }
-  }
+    }
 ]

From af2d3c78187d2c5dc060c2ca397c28927587968c Mon Sep 17 00:00:00 2001
From: Sean <>
Date: Fri, 26 Jul 2024 09:31:19 -0400
Subject: [PATCH 19/20] Updates for 2.2.3

Update version
add logic wait for sds on start up
Rolled back goal refresh updates
---
 .env                                       |  2 +-
 package.json                               |  2 +-
 src/App.tsx                                | 10 ++++++++++
 src/components/edit-forms/GoalEditForm.tsx | 16 ++++------------
 src/components/summaries/GoalList.tsx      | 18 ++----------------
 5 files changed, 18 insertions(+), 30 deletions(-)

diff --git a/.env b/.env
index e157071..8c275eb 100644
--- a/.env
+++ b/.env
@@ -89,6 +89,6 @@ REACT_APP_LOG_ENABLED=false
 REACT_APP_LOG_API_KEY=<...>
 REACT_APP_LOG_ENDPOINT_URI="http://localhost:8085"
 
-REACT_APP_VERSION="version -  SDS Beta"
+REACT_APP_VERSION="version - 2.2.3"
 # Set to have HHS Banner
 REACT_APP_HHS_BANNER=false
\ No newline at end of file
diff --git a/package.json b/package.json
index 4e030db..6f93753 100644
--- a/package.json
+++ b/package.json
@@ -1,6 +1,6 @@
 {
     "name": "mycareplanner",
-    "version": "2.0.0",
+    "version": "2.2.3",
     "private": true,
     "homepage": "https://chronic-care.github.io/mycareplanner",
     "dependencies": {
diff --git a/src/App.tsx b/src/App.tsx
index 499142d..03e2098 100644
--- a/src/App.tsx
+++ b/src/App.tsx
@@ -625,6 +625,16 @@ class App extends React.Component<AppProps, AppState> {
         console.log('setSupplementalDataClient()')
         let client = await getSupplementalDataClient(patientId)
 
+        // wait for client to get online to fix refresh issue
+        var attempts = 0
+        while (!client) {
+            client = await getSupplementalDataClient(patientId);
+            attempts++;
+            if (attempts < 10) {
+            break;
+            }
+        }
+
         if (client) {
             // We have a valid client for the SDS, but, we don't know if it has any data yet
             // (or a valid patient / patient with data)
diff --git a/src/components/edit-forms/GoalEditForm.tsx b/src/components/edit-forms/GoalEditForm.tsx
index bf65bb2..13ffeed 100644
--- a/src/components/edit-forms/GoalEditForm.tsx
+++ b/src/components/edit-forms/GoalEditForm.tsx
@@ -18,25 +18,19 @@ import { createSharedDataResource } from '../../data-services/fhirService';
 
 export default function GoalEditForm(formData?: EditFormData) {
   let history = useHistory()
-  const location = useLocation();
+  const location = useLocation(); 
   const prepopulatedDescription = (location.state as { prepopulatedDescription?: string })?.prepopulatedDescription ?? '';
-  const prepopulatedDate = (location.state as { prepopulatedDate?: Date })?.prepopulatedDate ?? null;
-  const prepopulatedDueDate = (location.state as { prepopulatedDueDate?: Date })?.prepopulatedDueDate ?? null;
-  const incrementGoalCount = (location.state as { incrementGoalCount?: Function })?.incrementGoalCount ?? null;
+  const prepopulatedDate = (location.state as { prepopulatedDate?: Date })?.prepopulatedDate ?? null; 
+  const prepopulatedDueDate = (location.state as {prepopulatedDueDate?: Date})?.prepopulatedDueDate ?? null;
   const [description, setDescription] = React.useState<string>(prepopulatedDescription);
   const [startDate, setStartDate] = React.useState<Date | null>(
     prepopulatedDate ? moment(prepopulatedDate).add(0, 'day').toDate() : null
   );
-
+  
   const [dueDate, setDueDate] = React.useState<Date | null>(
     prepopulatedDueDate ? moment(prepopulatedDueDate).add(0, 'day').toDate() : null
   );
 
-  // useEffect(() => {
-  // save should update this
-  //   incrementGoalCount()
-  // }, [?if WHAT changes, we increment above ?])
-
   const patientID = formData?.supplementalDataClient?.getPatientId()
   const patientName: string | null = null   // TODO: find patient with matching ID from formData?patientSummaries
   const fhirUser = formData?.supplementalDataClient?.getFhirUser()
@@ -85,8 +79,6 @@ export default function GoalEditForm(formData?: EditFormData) {
 
     createSharedDataResource(goal)
 
-    incrementGoalCount && incrementGoalCount()
-
     // update FHIRData shared state
 
     history.goBack()
diff --git a/src/components/summaries/GoalList.tsx b/src/components/summaries/GoalList.tsx
index d8ffed3..163d614 100644
--- a/src/components/summaries/GoalList.tsx
+++ b/src/components/summaries/GoalList.tsx
@@ -26,19 +26,6 @@ export const GoalList: FC<GoalListProps> = ({ fhirDataCollection, goalSummaryMat
   const [sortedAndFilteredGoals, setSortedAndFilteredGoals] = useState<{ goal: GoalSummary, provider: string }[]>([]);
   const [filteringOptions, setFilteringOptions] = useState<{ value: string; label: string }[]>([]);
 
-  const [goalCount, setGoalCount] = useState<number>(0)
-  // callback for GoalEditForm
-  const incrementGoalCount = () => {
-    let newCount: number = goalCount
-    newCount++
-    setGoalCount(newCount)
-  }
-
-  useEffect(() => {
-    console.log("if goalCount was updated by GoalEditForm via save...reload the data")
-    applySortingAndFiltering();
-  }, [goalCount])
-
   useEffect(() => {
     applySortingAndFiltering();
   }, [goalSummaryMatrix, sortingOption, filteringOption]);
@@ -128,8 +115,7 @@ export const GoalList: FC<GoalListProps> = ({ fhirDataCollection, goalSummaryMat
         goalData: goal,
         prepopulatedDescription: goal.Description,
         prepopulatedDate: goal.StartDate || null,
-        prepopulatedDueDate: goal?.Target?.[0]?.DueDate || null,
-        incrementGoalCount: incrementGoalCount
+        prepopulatedDueDate: goal?.Target?.[0]?.DueDate || null
       }
     });
   };
@@ -353,4 +339,4 @@ const buildTargetValueAndDueDate = (curTarget: GoalTarget): SummaryRowItem => {
     data1: curTarget.TargetValue === null ? '' : 'Target: ' + curTarget.TargetValue,
     data2: curTarget.DueDate === null ? '' : 'Due: ' + curTarget.DueDate,
   };
-};
+};
\ No newline at end of file

From 9d6017a977eaa9f64c506277a799ac51d0de5624 Mon Sep 17 00:00:00 2001
From: Sean <>
Date: Mon, 29 Jul 2024 11:08:46 -0400
Subject: [PATCH 20/20] Updates for goal processing

Rolled back initial version of useeffect
---
 .env                                       |  7 +++-
 src/components/edit-forms/GoalEditForm.tsx |  5 ++-
 src/components/summaries/GoalList.tsx      |  4 +++
 src/data-services/fhirService.ts           | 41 ++++++++++++++++++++--
 4 files changed, 51 insertions(+), 6 deletions(-)

diff --git a/.env b/.env
index 8c275eb..fe27b8b 100644
--- a/.env
+++ b/.env
@@ -11,13 +11,18 @@ GENERATE_SOURCEMAP=false
 # REACT_APP_SHARED_DATA_AUTH_ENDPOINT=
 # REACT_APP_SHARED_DATA_SCOPE="launch/patient openid fhirUser patient/*.read patient/*.write"
 
+REACT_APP_SHARED_DATA_ENDPOINT=http://localhost:8080/fhir
+REACT_APP_SHARED_DATA_AUTH_ENDPOINT=https://gw.interop.community/MCCDevelopment/data
+REACT_APP_SHARED_DATA_SCOPE="launch/patient openid fhirUser patient/* user/*.cruds	patient/*.cruds"
+
+
 # These 2 parameters are only used when Shared Data is a separate FHIR server with its own SMART launch flow.
 REACT_APP_SHARED_DATA_CLIENT_ID=
 REACT_APP_SHARED_DATA_REDIRECT_URI="./index.html"
 
 
 REACT_APP_MELD_SANDBOX_NAME=MCCDevelopment
-REACT_APP_MELD_SANDBOX_CLIENT_ID=<...>
+REACT_APP_MELD_SANDBOX_CLIENT_ID=5fa54c47-ed80-405b-a0b7-611eee5d0159
 
 # Logica sandbox
 REACT_APP_CLIENT_ID_logica=<...>
diff --git a/src/components/edit-forms/GoalEditForm.tsx b/src/components/edit-forms/GoalEditForm.tsx
index 13ffeed..4e4d6d7 100644
--- a/src/components/edit-forms/GoalEditForm.tsx
+++ b/src/components/edit-forms/GoalEditForm.tsx
@@ -77,9 +77,7 @@ export default function GoalEditForm(formData?: EditFormData) {
     }
     console.log('New Goal: ' + JSON.stringify(goal))
 
-    createSharedDataResource(goal)
-
-    // update FHIRData shared state
+    createSharedDataResource(goal,formData?.fhirDataCollection)
 
     history.goBack()
   };
@@ -155,3 +153,4 @@ export default function GoalEditForm(formData?: EditFormData) {
     </React.Fragment>
   );
 }
+
diff --git a/src/components/summaries/GoalList.tsx b/src/components/summaries/GoalList.tsx
index 163d614..155a534 100644
--- a/src/components/summaries/GoalList.tsx
+++ b/src/components/summaries/GoalList.tsx
@@ -10,6 +10,7 @@ import { SortModal } from '../sort-modal/sortModal';
 import { SortOnlyModal } from '../sort-only-modal/sortOnlyModal';
 import EditIcon from '@mui/icons-material/Edit';
 import Button from '@mui/material/Button';
+import GoalEditForm from '../edit-forms/GoalEditForm';
 
 interface GoalListProps {
   fhirDataCollection?: FHIRData[];
@@ -121,7 +122,10 @@ export const GoalList: FC<GoalListProps> = ({ fhirDataCollection, goalSummaryMat
   };
 
   return (
+   
+
     <div className="home-view">
+    
       <div className="welcome">
         <h4 className="title">Health Goals</h4>
 
diff --git a/src/data-services/fhirService.ts b/src/data-services/fhirService.ts
index aa4ae67..a30aead 100644
--- a/src/data-services/fhirService.ts
+++ b/src/data-services/fhirService.ts
@@ -851,14 +851,51 @@ const setAndLogNonTerminatingErrorMessageStateForResource = async (
   setAndLogErrorMessageState('Non-terminating', message.replaceAll('<RESOURCE_NAME>', resourceName),
     `Failure in getFHIRData retrieving ${resourceName} data.`, errorCaught)
 }
-
-export function createSharedDataResource(resource: Resource) {
+export function createSharedDataResource(resource: Resource, fhirDataCollection?: FHIRData[]) {
   return getSupplementalDataClient(null)
     .then((client: Client | undefined) => {
       // console.log('SDS client: ' + JSON.stringify(client))
       return client?.create(resource as fhirclient.FHIR.Resource)
     })
     .then((response) => {
+
+
+      if (resource.resourceType === "Goal") {
+          fhirDataCollection?.forEach(fhirData => {
+
+            console.error('fhirData : ' + fhirData.serverUrl) ;
+            console.error('fhirData : ' + fhirData.isSDS) ;
+            console.error('fhirData : ' + fhirData.serverUrl) ;
+            console.error('fhirData : ' + fhirData.isSDS) ;
+            console.error('fhirData : ' + fhirData.serverUrl) ;
+            console.error('fhirData : ' + fhirData.isSDS) ;
+            console.error('fhirData : ' + fhirData.serverUrl) ;
+            console.error('fhirData : ' + fhirData.isSDS) ;
+            console.error('fhirData : ' + fhirData.serverUrl) ;
+            console.error('fhirData : ' + fhirData.isSDS) ;
+            console.error('fhirData : ' + fhirData.serverUrl) ;
+            console.error('fhirData : ' + fhirData.isSDS) ;
+            console.error('fhirData : ' + fhirData.serverUrl) ;
+            console.error('fhirData : ' + fhirData.isSDS) ;
+            console.error('fhirData : ' + fhirData.serverUrl) ;
+            console.error('fhirData : ' + fhirData.isSDS) ;
+            if (fhirData.isSDS) {
+              fhirData.goals?.push(resource as Goal);
+
+              console.error('fhirData : ' + JSON.stringify(fhirData.goals)) ;
+            }
+            // let index = selected.indexOf(value)
+            // if (index > -1) {
+            //     selected.splice(index, 1)
+            // }
+            // else {
+            //     selected.push(value)
+            // }
+        })
+        // this.setState({selectedOptions: selected})
+    // }    
+      }
+      console.error('SDS client: ' + JSON.stringify(fhirDataCollection)) ;
       return response
     }).catch(error => {
       console.log('Cannot create shared data resource: ' + resource.resourceType + '/' + resource.id + ' error: ', error)