Breast Radiology Reporting - 1st STU ballot
0.2.0 - STU 1 Ballot 2020May

Breast Radiology Reporting - 1st STU ballot - Local Development build (v0.2.0). See the Directory of published versions

StructureDefinition: AbnormalityMass

Mass Abnormality Observation

This resource and referenced child resources contain information about a mass abnormality observation

The official URL for this profile is: 

http://hl7.org/fhir/us/breast-radiology/StructureDefinition/AbnormalityMass

ACR Mass Definition

"MASS" is three dimensional and occupies space. It is seen on two different mammographic projections. It has completely or partially convex-outward borders and (when radiodense) appears denser in the center than at the periphery. If a potential mass is seen only on a single projection, it should be called an "ASYMMETRY" until 3-dimensionality is confirmed

Graphical Overview

This graph provides an overview of:

  • what resources reference Mass
  • what resources Mass references

Click on any of the elements of the graph to go to a section describing that element.

image/svg+xml

Member Fields

The following parts of this observation are contained within this resource.

Each field contains one data item and is stored as an item (slice) in the Observation.component element.

Member Observations

The following parts of this observation are stored in seperate observation resources.

The reference to each external observation is stored as an item in the Observation.hasMember element.

Profile Fragments

The following are the fragments that are included in this profile.

This section is included primarily for developers to understand the hierarchy and commonality of each profile.

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Observation

Summary

Mandatory: 5 elements (28 nested mandatory elements)
Prohibited: 12 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.category is sliced based on the value of type:$this
  • The element Observation.hasMember is sliced based on the value of value:url (ordered, Open at End)
  • The element Observation.component is sliced based on the value of pattern:code
  • The element Observation.component.value[x] is sliced based on the value of type:$this (Closed)

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationMass Abnormality Observation
... contained 0..0
... basedOn 0..0
... partOf 0..0
.... category:categoryImaging 1..1CodeableConceptClassification of type of observation

Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
... code 1..1CodeableConceptType of observation (code / type)
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationCodes
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: abnormalityMassObservation
... focus 0..0
... value[x] 0..0
... dataAbsentReason 0..0
... interpretation 0..0
... bodySite 1..1CodeableConceptObserved body part
.... extension 0..*ExtensionExtension
Slice: Ordered, Open At End by value:url
.... BreastBodyLocationExtension 1..1(Complex)breastBodyLocation extension.
URL: http://hl7.org/fhir/us/breast-radiology/StructureDefinition/BreastBodyLocationExtension
... specimen 0..0
... device 0..0
... referenceRange 0..0
... hasMember 0..0(Slice Definition)
.... hasMember:tumorSatellite 0..*Reference(Tumor Satellite)'Tumor Satellite' reference.
.... hasMember:associatedFeature 0..*Reference(Associated Feature)'Associated Feature' reference.
.... hasMember:consistentWith 0..*Reference(Consistent With)'Consistent With' reference.
... component 0..0(Slice Definition)
.... component:massType ΣI0..1BackboneElementMass Type component.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptMass Type component code
Binding: LOINCCodes (example)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: abnormalityMassType
..... value[x] Σ1..1CodeableConceptMass Type component value
Binding: Mass Type ValueSet (required)
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:obsChanges 0..*BackboneElementObserved Change In Abnormality component.
..... code 1..1CodeableConceptObserved Change In Abnormality component code
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: obsChanges
..... value[x] 1..1CodeableConceptObserved Change In Abnormality component value
Binding: Observed Changes ValueSet (required)
.... component:biRadsAssessmentCategory 0..1BackboneElementBiRads Assessment Category component.
..... code 1..1CodeableConceptBiRads Assessment Category component code
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: targetBiRads
..... value[x] 1..1CodeableConceptBiRads Assessment Category component value
Binding: BiRads(r) Assessment Category ValueSet (required)
.... component:orientation ΣI0..1BackboneElementOrientation component.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptOrientation component code
Binding: LOINCCodes (example)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: orientation
..... value[x] Σ1..1CodeableConceptOrientation component value
Binding: Orientation ValueSet (required)
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:shape ΣI0..1BackboneElementShape component.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptShape component code
Binding: LOINCCodes (example)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: shape
..... value[x] Σ1..1CodeableConceptShape component value
Binding: Shape ValueSet (required)
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:margin ΣI0..1BackboneElementMargin component.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptMargin component code
Binding: LOINCCodes (example)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: margin
..... value[x] Σ1..1CodeableConceptMargin component value
Binding: Margin ValueSet (required)
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:mgDensity ΣI0..1BackboneElementDensity component.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptDensity component code
Binding: LOINCCodes (example)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: mgDensity
..... value[x] Σ1..1CodeableConceptDensity component value
Binding: Mammography Density ValueSet (required)
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:obsCount 0..1BackboneElementObserved Count component.
..... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: obsCount
..... value[x] 1..1(Slice Definition)Actual component result
Slice: Unordered, Closed by type:$this
...... valueQuantityQuantity
...... valueRangeRange
.... component:obsSize 0..3BackboneElementObserved Size component.
..... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: obsSize
..... value[x] 1..1(Slice Definition)Actual component result
Slice: Unordered, Closed by type:$this
...... valueQuantityQuantity
...... valueRangeRange
...... value[x]:valueQuantity 0..1QuantityActual component result
Required Pattern: At least the following
....... system1..1uriSystem that defines coded unit form
Fixed Value: http://hl7.org/fhir/us/breast-radiology/ValueSet/UnitsOfLengthVS
...... value[x]:valueRange 0..1RangeActual component result
Required Pattern: At least the following
....... low1..1QuantityLow limit
Fixed Value: (complex)
........ system1..1uriSystem that defines coded unit form
Fixed Value: http://hl7.org/fhir/us/breast-radiology/ValueSet/UnitsOfLengthVS
....... high1..1QuantityHigh limit
Fixed Value: (complex)
........ system1..1uriSystem that defines coded unit form
Fixed Value: http://hl7.org/fhir/us/breast-radiology/ValueSet/UnitsOfLengthVS
.... component:obsDistribution 0..*BackboneElementObserved distribution of abnormalities component.
..... code 1..1CodeableConceptObserved distribution of abnormalities component code
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: obsDistribution
..... value[x] 1..1CodeableConceptObserved distribution of abnormalities component value
Binding: Calcification Distribution ValueSet (required)
.... component:obsDistRegionSize 0..3BackboneElementObserved Distribution Region Size component.
..... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: obsSize
..... value[x] 1..1(Slice Definition)Actual component result
Slice: Unordered, Closed by type:$this
...... valueQuantityQuantity
...... valueRangeRange
...... value[x]:valueQuantity 0..1QuantityActual component result
Required Pattern: At least the following
....... system1..1uriSystem that defines coded unit form
Fixed Value: http://hl7.org/fhir/us/breast-radiology/ValueSet/UnitsOfLengthVS
...... value[x]:valueRange 0..1RangeActual component result
Required Pattern: At least the following
....... low1..1QuantityLow limit
Fixed Value: (complex)
........ system1..1uriSystem that defines coded unit form
Fixed Value: http://hl7.org/fhir/us/breast-radiology/ValueSet/UnitsOfLengthVS
....... high1..1QuantityHigh limit
Fixed Value: (complex)
........ system1..1uriSystem that defines coded unit form
Fixed Value: http://hl7.org/fhir/us/breast-radiology/ValueSet/UnitsOfLengthVS
.... component:notPreviouslySeen ΣI0..*BackboneElementNot Previously Seen component.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptNot Previously Seen component code
Binding: LOINCCodes (example)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: notPreviouslySeen
..... value[x] Σ1..1CodeableConceptNot Previously Seen component value
Binding: NotPreviouslySeen ValueSet (required)
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:correspondsWith 0..*BackboneElementCorresponds With component.
..... code 1..1CodeableConceptCorresponds With component code
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: correspondsWith
..... value[x] 1..1CodeableConceptCorresponds With component value
Binding: CorrespondsWith ValueSet (extensible)
.... component:PreviouslyDemonstratedBy 0..*BackboneElementPreviously Demonstrated By component.
..... code 1..1CodeableConceptPreviously Demonstrated By component code
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: prevDemBy
..... value[x] 1..1CodeableConceptPreviously Demonstrated By component value
Binding: PreviouslyDemonstratedBy ValueSet (extensible)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*ObservationMass Abnormality Observation
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... text I0..1NarrativeText summary of the resource, for human interpretation
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierBusiness Identifier for observation
... status ?!ΣI1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category I1..*(Slice Definition)Classification of type of observation
Slice: Unordered, Open by type:$this
Binding: ObservationCategoryCodes (preferred)
.... category:categoryImaging I1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... code ΣI1..1CodeableConceptType of observation (code / type)
Binding: LOINCCodes (example)
Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationCodes
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: abnormalityMassObservation
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject ΣI0..1Reference(Patient | Group | Device | Location)Who and/or what the observation is about
... encounter ΣI0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] ΣI0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued ΣI0..1instantDate/Time this version was made available
... performer ΣI0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... note I0..*AnnotationComments about the observation
... bodySite I1..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionExtension
Slice: Ordered, Open At End by value:url
.... BreastBodyLocationExtension I1..1(Complex)breastBodyLocation extension.
URL: http://hl7.org/fhir/us/breast-radiology/StructureDefinition/BreastBodyLocationExtension
.... coding ΣI0..*CodingCode defined by a terminology system
.... text ΣI0..1stringPlain text representation of the concept
... method I0..1CodeableConceptHow it was done
Binding: ObservationMethods (example)
... derivedFrom ΣI0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from

doco Documentation for this format

This structure is derived from Observation

Summary

Mandatory: 5 elements (28 nested mandatory elements)
Prohibited: 12 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.category is sliced based on the value of type:$this
  • The element Observation.hasMember is sliced based on the value of value:url (ordered, Open at End)
  • The element Observation.component is sliced based on the value of pattern:code
  • The element Observation.component.value[x] is sliced based on the value of type:$this (Closed)

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationMass Abnormality Observation
... contained 0..0
... basedOn 0..0
... partOf 0..0
.... category:categoryImaging 1..1CodeableConceptClassification of type of observation

Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
... code 1..1CodeableConceptType of observation (code / type)
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationCodes
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: abnormalityMassObservation
... focus 0..0
... value[x] 0..0
... dataAbsentReason 0..0
... interpretation 0..0
... bodySite 1..1CodeableConceptObserved body part
.... extension 0..*ExtensionExtension
Slice: Ordered, Open At End by value:url
.... BreastBodyLocationExtension 1..1(Complex)breastBodyLocation extension.
URL: http://hl7.org/fhir/us/breast-radiology/StructureDefinition/BreastBodyLocationExtension
... specimen 0..0
... device 0..0
... referenceRange 0..0
... hasMember 0..0(Slice Definition)
.... hasMember:tumorSatellite 0..*Reference(Tumor Satellite)'Tumor Satellite' reference.
.... hasMember:associatedFeature 0..*Reference(Associated Feature)'Associated Feature' reference.
.... hasMember:consistentWith 0..*Reference(Consistent With)'Consistent With' reference.
... component 0..0(Slice Definition)
.... component:massType ΣI0..1BackboneElementMass Type component.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptMass Type component code
Binding: LOINCCodes (example)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: abnormalityMassType
..... value[x] Σ1..1CodeableConceptMass Type component value
Binding: Mass Type ValueSet (required)
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:obsChanges 0..*BackboneElementObserved Change In Abnormality component.
..... code 1..1CodeableConceptObserved Change In Abnormality component code
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: obsChanges
..... value[x] 1..1CodeableConceptObserved Change In Abnormality component value
Binding: Observed Changes ValueSet (required)
.... component:biRadsAssessmentCategory 0..1BackboneElementBiRads Assessment Category component.
..... code 1..1CodeableConceptBiRads Assessment Category component code
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: targetBiRads
..... value[x] 1..1CodeableConceptBiRads Assessment Category component value
Binding: BiRads(r) Assessment Category ValueSet (required)
.... component:orientation ΣI0..1BackboneElementOrientation component.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptOrientation component code
Binding: LOINCCodes (example)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: orientation
..... value[x] Σ1..1CodeableConceptOrientation component value
Binding: Orientation ValueSet (required)
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:shape ΣI0..1BackboneElementShape component.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptShape component code
Binding: LOINCCodes (example)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: shape
..... value[x] Σ1..1CodeableConceptShape component value
Binding: Shape ValueSet (required)
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:margin ΣI0..1BackboneElementMargin component.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptMargin component code
Binding: LOINCCodes (example)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: margin
..... value[x] Σ1..1CodeableConceptMargin component value
Binding: Margin ValueSet (required)
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:mgDensity ΣI0..1BackboneElementDensity component.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptDensity component code
Binding: LOINCCodes (example)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: mgDensity
..... value[x] Σ1..1CodeableConceptDensity component value
Binding: Mammography Density ValueSet (required)
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:obsCount 0..1BackboneElementObserved Count component.
..... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: obsCount
..... value[x] 1..1(Slice Definition)Actual component result
Slice: Unordered, Closed by type:$this
...... valueQuantityQuantity
...... valueRangeRange
.... component:obsSize 0..3BackboneElementObserved Size component.
..... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: obsSize
..... value[x] 1..1(Slice Definition)Actual component result
Slice: Unordered, Closed by type:$this
...... valueQuantityQuantity
...... valueRangeRange
...... value[x]:valueQuantity 0..1QuantityActual component result
Required Pattern: At least the following
....... system1..1uriSystem that defines coded unit form
Fixed Value: http://hl7.org/fhir/us/breast-radiology/ValueSet/UnitsOfLengthVS
...... value[x]:valueRange 0..1RangeActual component result
Required Pattern: At least the following
....... low1..1QuantityLow limit
Fixed Value: (complex)
........ system1..1uriSystem that defines coded unit form
Fixed Value: http://hl7.org/fhir/us/breast-radiology/ValueSet/UnitsOfLengthVS
....... high1..1QuantityHigh limit
Fixed Value: (complex)
........ system1..1uriSystem that defines coded unit form
Fixed Value: http://hl7.org/fhir/us/breast-radiology/ValueSet/UnitsOfLengthVS
.... component:obsDistribution 0..*BackboneElementObserved distribution of abnormalities component.
..... code 1..1CodeableConceptObserved distribution of abnormalities component code
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: obsDistribution
..... value[x] 1..1CodeableConceptObserved distribution of abnormalities component value
Binding: Calcification Distribution ValueSet (required)
.... component:obsDistRegionSize 0..3BackboneElementObserved Distribution Region Size component.
..... code 1..1CodeableConceptType of component observation (code / type)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: obsSize
..... value[x] 1..1(Slice Definition)Actual component result
Slice: Unordered, Closed by type:$this
...... valueQuantityQuantity
...... valueRangeRange
...... value[x]:valueQuantity 0..1QuantityActual component result
Required Pattern: At least the following
....... system1..1uriSystem that defines coded unit form
Fixed Value: http://hl7.org/fhir/us/breast-radiology/ValueSet/UnitsOfLengthVS
...... value[x]:valueRange 0..1RangeActual component result
Required Pattern: At least the following
....... low1..1QuantityLow limit
Fixed Value: (complex)
........ system1..1uriSystem that defines coded unit form
Fixed Value: http://hl7.org/fhir/us/breast-radiology/ValueSet/UnitsOfLengthVS
....... high1..1QuantityHigh limit
Fixed Value: (complex)
........ system1..1uriSystem that defines coded unit form
Fixed Value: http://hl7.org/fhir/us/breast-radiology/ValueSet/UnitsOfLengthVS
.... component:notPreviouslySeen ΣI0..*BackboneElementNot Previously Seen component.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptNot Previously Seen component code
Binding: LOINCCodes (example)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: notPreviouslySeen
..... value[x] Σ1..1CodeableConceptNot Previously Seen component value
Binding: NotPreviouslySeen ValueSet (required)
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:correspondsWith 0..*BackboneElementCorresponds With component.
..... code 1..1CodeableConceptCorresponds With component code
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: correspondsWith
..... value[x] 1..1CodeableConceptCorresponds With component value
Binding: CorrespondsWith ValueSet (extensible)
.... component:PreviouslyDemonstratedBy 0..*BackboneElementPreviously Demonstrated By component.
..... code 1..1CodeableConceptPreviously Demonstrated By component code
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationComponentSliceCodes
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: prevDemBy
..... value[x] 1..1CodeableConceptPreviously Demonstrated By component value
Binding: PreviouslyDemonstratedBy ValueSet (extensible)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*ObservationMass Abnormality Observation
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... text I0..1NarrativeText summary of the resource, for human interpretation
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierBusiness Identifier for observation
... status ?!ΣI1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category I1..*(Slice Definition)Classification of type of observation
Slice: Unordered, Open by type:$this
Binding: ObservationCategoryCodes (preferred)
.... category:categoryImaging I1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: imaging
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... code ΣI1..1CodeableConceptType of observation (code / type)
Binding: LOINCCodes (example)
Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ObservationCodes
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: abnormalityMassObservation
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject ΣI0..1Reference(Patient | Group | Device | Location)Who and/or what the observation is about
... encounter ΣI0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] ΣI0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effectiveTimingTiming
.... effectiveInstantinstant
... issued ΣI0..1instantDate/Time this version was made available
... performer ΣI0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... note I0..*AnnotationComments about the observation
... bodySite I1..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionExtension
Slice: Ordered, Open At End by value:url
.... BreastBodyLocationExtension I1..1(Complex)breastBodyLocation extension.
URL: http://hl7.org/fhir/us/breast-radiology/StructureDefinition/BreastBodyLocationExtension
.... coding ΣI0..*CodingCode defined by a terminology system
.... text ΣI0..1stringPlain text representation of the concept
... method I0..1CodeableConceptHow it was done
Binding: ObservationMethods (example)
... derivedFrom ΣI0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

Terminology Bindings

PathConformanceValueSet / Code
Observation.languagepreferredCommonLanguages
Max Binding: AllLanguages
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:categoryImagingpreferredPattern: imaging
Observation.codeexamplePattern: abnormalityMassObservation
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodexampleObservationMethods
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeexampleLOINCCodes
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes
Observation.component:massType.codeexamplePattern: abnormalityMassType
Observation.component:massType.value[x]requiredMassTypeValueSetVS
Observation.component:massType.dataAbsentReasonextensibleDataAbsentReason
Observation.component:massType.interpretationextensibleObservationInterpretationCodes
Observation.component:obsChanges.codeexamplePattern: obsChanges
Observation.component:obsChanges.value[x]requiredObservedChangesVS
Observation.component:obsChanges.dataAbsentReasonextensibleDataAbsentReason
Observation.component:obsChanges.interpretationextensibleObservationInterpretationCodes
Observation.component:biRadsAssessmentCategory.codeexamplePattern: targetBiRads
Observation.component:biRadsAssessmentCategory.value[x]requiredBiRadsAssessmentCategoriesVS
Observation.component:biRadsAssessmentCategory.dataAbsentReasonextensibleDataAbsentReason
Observation.component:biRadsAssessmentCategory.interpretationextensibleObservationInterpretationCodes
Observation.component:orientation.codeexamplePattern: orientation
Observation.component:orientation.value[x]requiredOrientationVS
Observation.component:orientation.dataAbsentReasonextensibleDataAbsentReason
Observation.component:orientation.interpretationextensibleObservationInterpretationCodes
Observation.component:shape.codeexamplePattern: shape
Observation.component:shape.value[x]requiredShapeVS
Observation.component:shape.dataAbsentReasonextensibleDataAbsentReason
Observation.component:shape.interpretationextensibleObservationInterpretationCodes
Observation.component:margin.codeexamplePattern: margin
Observation.component:margin.value[x]requiredMarginVS
Observation.component:margin.dataAbsentReasonextensibleDataAbsentReason
Observation.component:margin.interpretationextensibleObservationInterpretationCodes
Observation.component:mgDensity.codeexamplePattern: mgDensity
Observation.component:mgDensity.value[x]requiredMGDensityVS
Observation.component:mgDensity.dataAbsentReasonextensibleDataAbsentReason
Observation.component:mgDensity.interpretationextensibleObservationInterpretationCodes
Observation.component:obsCount.codeexamplePattern: obsCount
Observation.component:obsCount.dataAbsentReasonextensibleDataAbsentReason
Observation.component:obsCount.interpretationextensibleObservationInterpretationCodes
Observation.component:obsSize.codeexamplePattern: obsSize
Observation.component:obsSize.dataAbsentReasonextensibleDataAbsentReason
Observation.component:obsSize.interpretationextensibleObservationInterpretationCodes
Observation.component:obsDistribution.codeexamplePattern: obsDistribution
Observation.component:obsDistribution.value[x]requiredCalcificationDistributionVS
Observation.component:obsDistribution.dataAbsentReasonextensibleDataAbsentReason
Observation.component:obsDistribution.interpretationextensibleObservationInterpretationCodes
Observation.component:obsDistRegionSize.codeexamplePattern: obsSize
Observation.component:obsDistRegionSize.dataAbsentReasonextensibleDataAbsentReason
Observation.component:obsDistRegionSize.interpretationextensibleObservationInterpretationCodes
Observation.component:notPreviouslySeen.codeexamplePattern: notPreviouslySeen
Observation.component:notPreviouslySeen.value[x]requiredNotPreviouslySeenVS
Observation.component:notPreviouslySeen.dataAbsentReasonextensibleDataAbsentReason
Observation.component:notPreviouslySeen.interpretationextensibleObservationInterpretationCodes
Observation.component:correspondsWith.codeexamplePattern: correspondsWith
Observation.component:correspondsWith.value[x]extensibleCorrespondsWithVS
Observation.component:correspondsWith.dataAbsentReasonextensibleDataAbsentReason
Observation.component:correspondsWith.interpretationextensibleObservationInterpretationCodes
Observation.component:PreviouslyDemonstratedBy.codeexamplePattern: prevDemBy
Observation.component:PreviouslyDemonstratedBy.value[x]extensiblePreviouslyDemonstratedByVS
Observation.component:PreviouslyDemonstratedBy.dataAbsentReasonextensibleDataAbsentReason
Observation.component:PreviouslyDemonstratedBy.interpretationextensibleObservationInterpretationCodes

Constraints

Constraints

IdPathDetailsRequirements
dom-2ObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3ObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4ObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5ObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6ObservationA resource should have narrative for robust management
: text.`div`.exists()
obs-6ObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7ObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
ele-1Observation.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.category:categoryImagingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.effective[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.issuedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.performerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.bodySiteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.bodySite.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.bodySite.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.bodySite.extension:breastBodyLocationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.bodySite.extension:breastBodyLocationMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.bodySite.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.bodySite.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.methodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.referenceRange.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.referenceRange.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.referenceRange.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.referenceRange.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.referenceRange.lowAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.referenceRange.highAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.referenceRange.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.referenceRange.appliesToAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.referenceRange.ageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.referenceRange.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.hasMember:tumorSatelliteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.hasMember:associatedFeatureAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.hasMember:consistentWithAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.derivedFromAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:massTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:massType.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:massType.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:massType.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:massType.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:massType.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:massType.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:massType.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:massType.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:massType.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsChangesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsChanges.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:obsChanges.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:obsChanges.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:obsChanges.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:obsChanges.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsChanges.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsChanges.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsChanges.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsChanges.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:biRadsAssessmentCategoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:biRadsAssessmentCategory.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:biRadsAssessmentCategory.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:biRadsAssessmentCategory.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:biRadsAssessmentCategory.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:biRadsAssessmentCategory.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:biRadsAssessmentCategory.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:biRadsAssessmentCategory.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:biRadsAssessmentCategory.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:biRadsAssessmentCategory.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:orientationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:orientation.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:orientation.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:orientation.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:orientation.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:orientation.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:orientation.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:orientation.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:orientation.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:orientation.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:shapeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:shape.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:shape.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:shape.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:shape.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:shape.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:shape.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:shape.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:shape.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:shape.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:marginAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:margin.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:margin.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:margin.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:margin.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:margin.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:margin.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:margin.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:margin.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:margin.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:mgDensityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:mgDensity.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:mgDensity.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:mgDensity.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:mgDensity.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:mgDensity.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:mgDensity.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:mgDensity.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:mgDensity.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:mgDensity.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsCountAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsCount.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:obsCount.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:obsCount.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:obsCount.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:obsCount.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsCount.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsCount.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsCount.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsCount.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsSizeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsSize.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:obsSize.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:obsSize.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:obsSize.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:obsSize.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsSize.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsSize.value[x]:valueQuantityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsSize.value[x]:valueRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsSize.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsSize.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsSize.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsDistributionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsDistribution.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:obsDistribution.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:obsDistribution.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:obsDistribution.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:obsDistribution.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsDistribution.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsDistribution.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsDistribution.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsDistribution.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsDistRegionSizeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsDistRegionSize.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:obsDistRegionSize.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:obsDistRegionSize.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:obsDistRegionSize.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:obsDistRegionSize.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsDistRegionSize.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsDistRegionSize.value[x]:valueQuantityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsDistRegionSize.value[x]:valueRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsDistRegionSize.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsDistRegionSize.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:obsDistRegionSize.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:notPreviouslySeenAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:notPreviouslySeen.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:notPreviouslySeen.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:notPreviouslySeen.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:notPreviouslySeen.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:notPreviouslySeen.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:notPreviouslySeen.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:notPreviouslySeen.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:notPreviouslySeen.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:notPreviouslySeen.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:correspondsWithAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:correspondsWith.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:correspondsWith.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:correspondsWith.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:correspondsWith.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:correspondsWith.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:correspondsWith.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:correspondsWith.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:correspondsWith.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:correspondsWith.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:PreviouslyDemonstratedByAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:PreviouslyDemonstratedBy.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:PreviouslyDemonstratedBy.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:PreviouslyDemonstratedBy.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component:PreviouslyDemonstratedBy.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component:PreviouslyDemonstratedBy.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:PreviouslyDemonstratedBy.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:PreviouslyDemonstratedBy.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:PreviouslyDemonstratedBy.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component:PreviouslyDemonstratedBy.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())