QI-Core Implementation Guide
4.1.1 - STU 4.1.1
US
This page is part of the Quality Improvement Core Framework (v4.1.1: STU 4) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure | Version: 4.1.1 | |||
Draft as of 2018-08-22 | Computable Name: QICoreProcedure |
Profile of Procedure for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
To create an expression specifically requesting information that a procedure intentionally did not occur for a medical, patient or system reason, use the profile QICore-Procedurenotdone.
The Procedure and ProcedureNotDone profiles represent the positive and negative statements for a procedure. To ensure instances retrieved meet positive intent, applications should check the status element as illustrated in this example:
define Procedure:
[Procedure] P
where P.status in { 'preparation', 'in-progress', 'on-hold', 'completed' }
The following example illustrates the use of the Procedure profile:
define "Flexible Sigmoidoscopy Performed":
[Procedure: "Flexible Sigmoidoscopy"] FlexibleSigmoidoscopy
where FlexibleSigmoidoscopy.status = 'completed'
and FlexibleSigmoidoscopy.performed.toInterval() ends 5 years or less on or before end of "Measurement Period"
Appendectomy Example |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreProcedureProfile
Summary
Mandatory: 1 element
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
This structure is derived from USCoreProcedureProfile
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient | |
id | Σ | 0..1 | string | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
contained | 0..* | Resource | Contained, inline Resources | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
procedure-approachBodyStructure | 0..* | Reference(BodyStructure) | The access point or points used for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure | |
procedure-incisionDateTime | 0..1 | dateTime | The first incision time URL: http://hl7.org/fhir/StructureDefinition/procedure-incisionDateTime | |
qicore-recorded | S | 1..1 | dateTime | When the procedure was first captured in the subject's record URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | External Identifiers for this procedure |
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition |
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition |
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure |
partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event |
status | ?!SΣ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required) |
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. |
category | Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. |
code | SΣ | 1..1 | CodeableConcept | Procedure codes from SNOMED CT, CPT, HCPCS II, ICD-10PC, or CDT Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure |
subject | SΣ | 1..1 | Reference(QICorePatient) | Who the procedure was performed on |
encounter | SΣ | 0..1 | Reference(QICoreEncounter) | Encounter created as part of |
performed[x] | SΣ | 1..1 | When the procedure was performed | |
performedDateTime | dateTime | |||
performedPeriod | Period | |||
recorder | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure |
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure |
performer | SΣ | 0..* | BackboneElement | The people who performed the procedure |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. |
actor | Σ | 1..1 | Reference(QICorePractitioner | QICoreOrganization | QICorePatient | QICoreRelatedPerson) | The reference to the practitioner |
onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |
location | Σ | 0..1 | Reference(QICoreLocation) | Where the procedure happened |
reasonCode | SΣ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. |
reasonReference | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed |
bodySite | SΣ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. |
report | S | 0..* | Reference(QICoreDiagnosticReportNote) | Any report resulting from the procedure |
complication | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |
complicationDetail | 0..* | Reference(Condition) | A condition that is a result of the procedure | |
followUp | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |
note | 0..* | Annotation | Additional information about the procedure | |
focalDevice | 0..* | BackboneElement | Manipulated, implanted, or removed device | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
action | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |
manipulated | 1..1 | Reference(QICoreDevice) | Device that was changed | |
usedReference | 0..* | Reference(Device | Medication | Substance) | Items used during procedure | |
usedCode | S | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient | |
qicore-recorded | 1..1 | dateTime | When the procedure was first captured in the subject's record URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded | |
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required) |
code | Σ | 1..1 | CodeableConcept | Procedure codes from SNOMED CT, CPT, HCPCS II, ICD-10PC, or CDT Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure |
subject | Σ | 1..1 | Reference(QICorePatient) | Who the procedure was performed on |
encounter | Σ | 0..1 | Reference(QICoreEncounter) | Encounter created as part of |
performed[x] | Σ | 1..1 | When the procedure was performed | |
performedDateTime | dateTime | |||
performedPeriod | Period | |||
performer | Σ | 0..* | BackboneElement | The people who performed the procedure |
reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. |
bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
report | 0..* | Reference(QICoreDiagnosticReportNote) | Any report resulting from the procedure | |
usedCode | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |
Documentation for this format |
This structure is derived from USCoreProcedureProfile
Summary
Mandatory: 1 element
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from USCoreProcedureProfile
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient | |
id | Σ | 0..1 | string | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
contained | 0..* | Resource | Contained, inline Resources | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
procedure-approachBodyStructure | 0..* | Reference(BodyStructure) | The access point or points used for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure | |
procedure-incisionDateTime | 0..1 | dateTime | The first incision time URL: http://hl7.org/fhir/StructureDefinition/procedure-incisionDateTime | |
qicore-recorded | S | 1..1 | dateTime | When the procedure was first captured in the subject's record URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | External Identifiers for this procedure |
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition |
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition |
basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure |
partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event |
status | ?!SΣ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required) |
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. |
category | Σ | 0..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. |
code | SΣ | 1..1 | CodeableConcept | Procedure codes from SNOMED CT, CPT, HCPCS II, ICD-10PC, or CDT Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure |
subject | SΣ | 1..1 | Reference(QICorePatient) | Who the procedure was performed on |
encounter | SΣ | 0..1 | Reference(QICoreEncounter) | Encounter created as part of |
performed[x] | SΣ | 1..1 | When the procedure was performed | |
performedDateTime | dateTime | |||
performedPeriod | Period | |||
recorder | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure |
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure |
performer | SΣ | 0..* | BackboneElement | The people who performed the procedure |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. |
actor | Σ | 1..1 | Reference(QICorePractitioner | QICoreOrganization | QICorePatient | QICoreRelatedPerson) | The reference to the practitioner |
onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |
location | Σ | 0..1 | Reference(QICoreLocation) | Where the procedure happened |
reasonCode | SΣ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required. |
reasonReference | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed |
bodySite | SΣ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. |
report | S | 0..* | Reference(QICoreDiagnosticReportNote) | Any report resulting from the procedure |
complication | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |
complicationDetail | 0..* | Reference(Condition) | A condition that is a result of the procedure | |
followUp | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |
note | 0..* | Annotation | Additional information about the procedure | |
focalDevice | 0..* | BackboneElement | Manipulated, implanted, or removed device | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
action | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |
manipulated | 1..1 | Reference(QICoreDevice) | Device that was changed | |
usedReference | 0..* | Reference(Device | Medication | Substance) | Items used during procedure | |
usedCode | S | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. |
Documentation for this format |
Other representations of profile: CSV, Excel, Schematron
Path | Conformance | ValueSet |
Procedure.language | preferred | CommonLanguages Max Binding: AllLanguages |
Procedure.status | required | EventStatus |
Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT) |
Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT) |
Procedure.code | extensible | USCoreProcedureCodes |
Procedure.performer.function | example | ProcedurePerformerRoleCodes |
Procedure.reasonCode | example | ProcedureReasonCodes |
Procedure.bodySite | example | SNOMEDCTBodyStructures |
Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) |
Procedure.complication | example | Condition/Problem/DiagnosisCodes |
Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT) |
Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes |
Procedure.usedCode | example | FHIRDeviceTypes |
Id | Grade | Path | Details | Requirements |
dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Procedure | If 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-4 | error | Procedure | If 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-5 | error | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | Best Practice | Procedure | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | Procedure.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | Procedure.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | Procedure.extension:approachBodyStructure | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | Procedure.extension:approachBodyStructure | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | Procedure.extension:incisionDateTime | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | Procedure.extension:incisionDateTime | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | Procedure.extension:recorded | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | Procedure.extension:recorded | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | Procedure.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | Procedure.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | Procedure.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.instantiatesCanonical | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.instantiatesUri | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.basedOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.partOf | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.statusReason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.encounter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.performed[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.recorder | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.asserter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.performer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.performer.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | Procedure.performer.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | Procedure.performer.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | Procedure.performer.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | Procedure.performer.function | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.performer.actor | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.performer.onBehalfOf | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.location | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.reasonCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.reasonReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.bodySite | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.outcome | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.report | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.complication | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.complicationDetail | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.followUp | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.focalDevice | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.focalDevice.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | Procedure.focalDevice.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | Procedure.focalDevice.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | Procedure.focalDevice.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | Procedure.focalDevice.action | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.focalDevice.manipulated | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.usedReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | Procedure.usedCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |