This page is part of the Genetic Reporting Implementation Guide (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
The official URL for this profile is:
http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/grouper
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from GenomicsBase
Summary
Mandatory: 2 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
This structure is derived from GenomicsBase
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | I | 0..* | Grouper | |
id | Σ | 0..1 | string | Logical id of this artifact |
meta | ΣI | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
extension | I | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
bodySite | I | 0..1 | Reference(BodyStructure) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite |
observation-secondaryFinding | I | 0..1 | CodeableConcept | Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when [Whole Exome Sequencing (WES)](https://en.wikipedia.org/wiki/Exome_sequencing) or [Whole Genome Sequencing (WGS)](https://en.wikipedia.org/wiki/Whole_genome_sequencing) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement.
For more detail, please see:
https://ghr.nlm.nih.gov/primer/testing/secondaryfindings URL: http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding Binding: ObservationCategoryCodes (extensible) |
RecommendedAction | I | 0..* | Reference(Task | ServiceRequest | MedicationRequest | RequestGroup | CarePlan | DeviceRequest | NutritionOrder | SupplyRequest) | RecommendedAction URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/RecommendedAction |
modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
identifier | ΣI | 0..* | Identifier | Business Identifier for observation |
basedOn | ΣI | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order |
partOf | ΣI | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
status | ?!ΣI | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) |
category | I | 1..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
code | ΣI | 1..1 | CodeableConcept | Grouper Binding: LOINCCodes (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: grouper | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
subject | ΣI | 0..1 | Reference(Patient | Group | Location) | Who and/or what the observation is about |
focus | ΣI | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
encounter | ΣI | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made |
effective[x] | ΣI | 0..1 | (Slice Definition) | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this |
effective[x]:effectiveDateTime | ΣI | 0..1 | dateTime | Clinically relevant time/time-period for observation |
issued | ΣI | 0..1 | instant | Date/Time this version was made available |
performer | ΣI | 0..1 | Reference(Practitioner | Organization | Patient | RelatedPerson) | Who is responsible for the observation |
dataAbsentReason | I | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible) |
note | I | 0..* | Annotation | Comments about the observation |
bodySite | I | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example) |
method | I | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example) |
specimen | I | 0..1 | Reference(Specimen) | Specimen used for this observation |
device | I | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |
referenceRange | I | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
low | I | 0..1 | SimpleQuantity | Low Range, if relevant |
high | I | 0..1 | SimpleQuantity | High Range, if relevant |
type | I | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred) |
appliesTo | I | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example) |
age | I | 0..1 | Range | Applicable age range, if relevant |
text | I | 0..1 | string | Text based reference range in an observation |
hasMember | ΣI | 1..* | (Slice Definition) | Related resource that belongs to the Observation group Slice: Unordered, Open by pattern:resolve().code |
hasMember:grouper-ref | ΣI | 0..* | Reference(Grouper) | Other Grouper |
hasMember:overall | ΣI | 0..1 | Reference(Overall Interpretation) | Assessment of overall results |
hasMember:inh-dis-path | ΣI | 0..* | Reference(Inherited Disease Pathogenicity) | Inherited Disease Pathology |
hasMember:som-diagnostic | ΣI | 0..* | Reference(Somatic Diagnostic) | Somatic Diagnostic |
hasMember:som-prognostic | ΣI | 0..* | Reference(Somatic Prognostic) | Somatic Prognostic |
hasMember:som-predictive | ΣI | 0..* | Reference(Somatic Predictive) | Somatic Predictive |
hasMember:med-metabolism | ΣI | 0..* | Reference(Medication Metabolism) | Metabolism Implication |
hasMember:med-efficacy | ΣI | 0..* | Reference(Medication Efficacy) | Efficacy Implication |
hasMember:med-transporter | ΣI | 0..* | Reference(Medication Transporter) | Related resource that belongs to the Observation group |
hasMember:med-high-risk | ΣI | 0..* | Reference(Medication High Risk) | High-Risk Medication implication |
hasMember:genotype | ΣI | 0..* | Reference(Genotype) | Genotype |
hasMember:haplotype | ΣI | 0..* | Reference(Haplotype) | Haplotype |
hasMember:variant | ΣI | 0..* | Reference(Variant) | Variant |
hasMember:region-studied | ΣI | 0..* | Reference(Region Studied) | Related resource that belongs to the Observation group |
hasMember:sequence-phase-relation | ΣI | 0..* | Reference(Sequence Phase Reltionship) | Related resource that belongs to the Observation group |
derivedFrom | ΣI | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from |
component | ΣI | 0..* | BackboneElement | Component results |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | ΣI | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example) |
value[x] | ΣI | 0..1 | Actual component result | |
valueQuantity | Quantity | |||
valueCodeableConcept | CodeableConcept | |||
valueString | string | |||
valueBoolean | boolean | |||
valueInteger | integer | |||
valueRange | Range | |||
valueRatio | Ratio | |||
valueSampledData | SampledData | |||
valueTime | time | |||
valueDateTime | dateTime | |||
valuePeriod | Period | |||
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible) |
referenceRange | I | 0..* | Unknown reference to #Observation.referenceRange Provides guide for interpretation of component result | |
Documentation for this format |
This structure is derived from GenomicsBase
Summary
Mandatory: 2 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from GenomicsBase
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | I | 0..* | Grouper | |
id | Σ | 0..1 | string | Logical id of this artifact |
meta | ΣI | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
extension | I | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
bodySite | I | 0..1 | Reference(BodyStructure) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite |
observation-secondaryFinding | I | 0..1 | CodeableConcept | Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when [Whole Exome Sequencing (WES)](https://en.wikipedia.org/wiki/Exome_sequencing) or [Whole Genome Sequencing (WGS)](https://en.wikipedia.org/wiki/Whole_genome_sequencing) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement.
For more detail, please see:
https://ghr.nlm.nih.gov/primer/testing/secondaryfindings URL: http://hl7.org/fhir/StructureDefinition/observation-secondaryFinding Binding: ObservationCategoryCodes (extensible) |
RecommendedAction | I | 0..* | Reference(Task | ServiceRequest | MedicationRequest | RequestGroup | CarePlan | DeviceRequest | NutritionOrder | SupplyRequest) | RecommendedAction URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/RecommendedAction |
modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
identifier | ΣI | 0..* | Identifier | Business Identifier for observation |
basedOn | ΣI | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order |
partOf | ΣI | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
status | ?!ΣI | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) |
category | I | 1..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
code | ΣI | 1..1 | CodeableConcept | Grouper Binding: LOINCCodes (example) Required Pattern: At least the following |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/uv/genomics-reporting/CodeSystem/tbd-codes | |
version | 0..1 | string | Version of the system - if relevant | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: grouper | |
display | 0..1 | string | Representation defined by the system | |
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
text | 0..1 | string | Plain text representation of the concept | |
subject | ΣI | 0..1 | Reference(Patient | Group | Location) | Who and/or what the observation is about |
focus | ΣI | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
encounter | ΣI | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made |
effective[x] | ΣI | 0..1 | (Slice Definition) | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this |
effective[x]:effectiveDateTime | ΣI | 0..1 | dateTime | Clinically relevant time/time-period for observation |
issued | ΣI | 0..1 | instant | Date/Time this version was made available |
performer | ΣI | 0..1 | Reference(Practitioner | Organization | Patient | RelatedPerson) | Who is responsible for the observation |
dataAbsentReason | I | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible) |
note | I | 0..* | Annotation | Comments about the observation |
bodySite | I | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example) |
method | I | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example) |
specimen | I | 0..1 | Reference(Specimen) | Specimen used for this observation |
device | I | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |
referenceRange | I | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
low | I | 0..1 | SimpleQuantity | Low Range, if relevant |
high | I | 0..1 | SimpleQuantity | High Range, if relevant |
type | I | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred) |
appliesTo | I | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example) |
age | I | 0..1 | Range | Applicable age range, if relevant |
text | I | 0..1 | string | Text based reference range in an observation |
hasMember | ΣI | 1..* | (Slice Definition) | Related resource that belongs to the Observation group Slice: Unordered, Open by pattern:resolve().code |
hasMember:grouper-ref | ΣI | 0..* | Reference(Grouper) | Other Grouper |
hasMember:overall | ΣI | 0..1 | Reference(Overall Interpretation) | Assessment of overall results |
hasMember:inh-dis-path | ΣI | 0..* | Reference(Inherited Disease Pathogenicity) | Inherited Disease Pathology |
hasMember:som-diagnostic | ΣI | 0..* | Reference(Somatic Diagnostic) | Somatic Diagnostic |
hasMember:som-prognostic | ΣI | 0..* | Reference(Somatic Prognostic) | Somatic Prognostic |
hasMember:som-predictive | ΣI | 0..* | Reference(Somatic Predictive) | Somatic Predictive |
hasMember:med-metabolism | ΣI | 0..* | Reference(Medication Metabolism) | Metabolism Implication |
hasMember:med-efficacy | ΣI | 0..* | Reference(Medication Efficacy) | Efficacy Implication |
hasMember:med-transporter | ΣI | 0..* | Reference(Medication Transporter) | Related resource that belongs to the Observation group |
hasMember:med-high-risk | ΣI | 0..* | Reference(Medication High Risk) | High-Risk Medication implication |
hasMember:genotype | ΣI | 0..* | Reference(Genotype) | Genotype |
hasMember:haplotype | ΣI | 0..* | Reference(Haplotype) | Haplotype |
hasMember:variant | ΣI | 0..* | Reference(Variant) | Variant |
hasMember:region-studied | ΣI | 0..* | Reference(Region Studied) | Related resource that belongs to the Observation group |
hasMember:sequence-phase-relation | ΣI | 0..* | Reference(Sequence Phase Reltionship) | Related resource that belongs to the Observation group |
derivedFrom | ΣI | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from |
component | ΣI | 0..* | BackboneElement | Component results |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | ΣI | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example) |
value[x] | ΣI | 0..1 | Actual component result | |
valueQuantity | Quantity | |||
valueCodeableConcept | CodeableConcept | |||
valueString | string | |||
valueBoolean | boolean | |||
valueInteger | integer | |||
valueRange | Range | |||
valueRatio | Ratio | |||
valueSampledData | SampledData | |||
valueTime | time | |||
valueDateTime | dateTime | |||
valuePeriod | Period | |||
dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible) |
referenceRange | I | 0..* | Unknown reference to #Observation.referenceRange Provides guide for interpretation of component result | |
Documentation for this format |
Other representations of profile: Schematron
Path | Conformance | ValueSet / Code |
Observation.language | preferred | CommonLanguages Max Binding: AllLanguages |
Observation.status | required | ObservationStatus |
Observation.category | preferred | Pattern: laboratory |
Observation.code | example | Pattern: grouper |
Observation.dataAbsentReason | extensible | DataAbsentReason |
Observation.bodySite | example | SNOMEDCTBodyStructures |
Observation.method | example | ObservationMethods |
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes |
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes |
Observation.component.code | example | LOINCCodes |
Observation.component.dataAbsentReason | extensible | DataAbsentReason |
Id | Path | Details | Requirements |
dom-2 | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | Observation | 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 | Observation | 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 | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
obs-6 | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | Observation | If 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-1 | Observation.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | Observation.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | Observation.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | Observation.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | Observation.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | Observation.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | Observation.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | Observation.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | Observation.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | Observation.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | Observation.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.basedOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.partOf | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.focus | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.encounter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.effective[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.effective[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.issued | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.performer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.dataAbsentReason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.bodySite | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.method | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.specimen | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.device | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.referenceRange | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
obs-3 | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
ele-1 | Observation.referenceRange.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | Observation.referenceRange.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | Observation.referenceRange.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | Observation.referenceRange.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | Observation.referenceRange.low | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.referenceRange.high | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.referenceRange.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.referenceRange.appliesTo | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.referenceRange.age | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.referenceRange.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.hasMember | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.derivedFrom | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.component | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.component.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | Observation.component.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | Observation.component.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | Observation.component.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | Observation.component.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.component.value[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.component.dataAbsentReason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | Observation.component.referenceRange | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |