HL7.FHIR.UV.IPS\Procedure (IPS)

International Patient Summary Implementation Guide
1.0.0 - STU 1

This page is part of the International Patient Summary Implementation Guide (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

StructureDefinition: ProcedureUvIps

This profile represents the constraints applied to the Procedure resource by the IPS project, which specifies an entry of the History of Procedure for the international patient summary based on the FHIR standard R4.

The official URL for this profile is:

http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips

Formal Views of Profile Content

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

Text Summary
Differential Table
Snapshot Table
All

This structure is derived from Procedure

Summary

Mandatory: 3 elements
Must-Support: 8 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

http://hl7.org/fhir/StructureDefinition/data-absent-reason

Slices

This structure defines the following Slices:

The element Procedure.code is sliced based on the value of pattern:$this

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints
Procedure	S	0..*	Procedure	An action that is being or was performed on a patient
status	S	1..1	code	preparation \| in-progress \| not-done \| on-hold \| stopped \| completed \| entered-in-error \| unknown
code	S	1..1	(Slice Definition)	Concept - reference to a terminology or just text Slice: Unordered, Open by pattern:$this Binding: Procedures - IPS (preferred)
code:absentOrUnknownProcedure	S	0..1	CodeableConceptIPS	Code for absent problem or for unknown procedure Binding: Absent or Unknown Procedures - IPS (required)
subject	S	1..1	Reference(Patient (IPS))	Who the procedure was performed on
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
performed[x]	S	1..1	dateTime, Period, string, Age, Range	When the procedure was performed
data-absent-reason	S	0..1	code	performed[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
asserter		0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole)	Person who asserts this procedure
performer		0..*	BackboneElement	The people who performed the procedure
actor		1..1	Reference(Patient (IPS) \| RelatedPerson \| Device (performer, observer) \| Practitioner (IPS) \| PractitionerRole (IPS) \| Organization (IPS))	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization (IPS))	Organization the device or practitioner was acting for
bodySite	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example)
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Procedure	SI	0..*	Procedure	An action that is being or was performed on a patient
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	Additional content defined by implementations
modifierExtension	?!I	0..*	Extension	Extensions that cannot be ignored
identifier	ΣI	0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical	ΣI	0..*	canonical(PlanDefinition \| ActivityDefinition \| Measure \| OperationDefinition \| Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	ΣI	0..*	uri	Instantiates external protocol or definition
basedOn	ΣI	0..*	Reference(CarePlan \| ServiceRequest)	A request for this procedure
partOf	ΣI	0..*	Reference(Procedure \| Observation \| MedicationAdministration)	Part of referenced event
status	?!SΣI	1..1	code	preparation \| in-progress \| not-done \| on-hold \| stopped \| completed \| entered-in-error \| unknown Binding: EventStatus (required)
statusReason	ΣI	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example)
category	ΣI	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example)
code	SΣI	1..1	(Slice Definition)	Concept - reference to a terminology or just text Slice: Unordered, Open by pattern:$this Binding: Procedures - IPS (preferred)
code:absentOrUnknownProcedure	SI	0..1	CodeableConceptIPS	Code for absent problem or for unknown procedure Binding: Absent or Unknown Procedures - IPS (required)
subject	SΣI	1..1	Reference(Patient (IPS))	Who the procedure was performed on
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣI	1..1	string	Literal reference, Relative, internal or absolute URL
type	ΣI	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	ΣI	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣI	0..1	string	Text alternative for the resource
encounter	ΣI	0..1	Reference(Encounter)	Encounter created as part of
performed[x]	SΣI	1..1		When the procedure was performed
performed[x]:All Types				Content/Rules for all Types
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
data-absent-reason	SI	0..1	code	performed[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
recorder	ΣI	0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole)	Who recorded the procedure
asserter	ΣI	0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole)	Person who asserts this procedure
performer	ΣI	0..*	BackboneElement	The people who performed the procedure
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
function	ΣI	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example)
actor	ΣI	1..1	Reference(Patient (IPS) \| RelatedPerson \| Device (performer, observer) \| Practitioner (IPS) \| PractitionerRole (IPS) \| Organization (IPS))	The reference to the practitioner
onBehalfOf	I	0..1	Reference(Organization (IPS))	Organization the device or practitioner was acting for
location	ΣI	0..1	Reference(Location)	Where the procedure happened
reasonCode	ΣI	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example)
reasonReference	ΣI	0..*	Reference(Condition \| Observation \| Procedure \| DiagnosticReport \| DocumentReference)	The justification that the procedure was performed
bodySite	SI	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example)
outcome	ΣI	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example)
report	I	0..*	Reference(DiagnosticReport \| DocumentReference \| Composition)	Any report resulting from the procedure
complication	I	0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example)
complicationDetail	I	0..*	Reference(Condition)	A condition that is a result of the procedure
followUp	I	0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example)
note	I	0..*	Annotation	Additional information about the procedure
focalDevice	I	0..*	BackboneElement	Manipulated, implanted, or removed device
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
action	I	0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred)
manipulated	I	1..1	Reference(Device)	Device that was changed
usedReference	I	0..*	Reference(Device \| Medication \| Substance)	Items used during procedure
usedCode	I	0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example)
Documentation for this format

This structure is derived from Procedure

Summary

Mandatory: 3 elements
Must-Support: 8 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

http://hl7.org/fhir/StructureDefinition/data-absent-reason

Slices

This structure defines the following Slices:

The element Procedure.code is sliced based on the value of pattern:$this

Differential View

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints
Procedure	S	0..*	Procedure	An action that is being or was performed on a patient
status	S	1..1	code	preparation \| in-progress \| not-done \| on-hold \| stopped \| completed \| entered-in-error \| unknown
code	S	1..1	(Slice Definition)	Concept - reference to a terminology or just text Slice: Unordered, Open by pattern:$this Binding: Procedures - IPS (preferred)
code:absentOrUnknownProcedure	S	0..1	CodeableConceptIPS	Code for absent problem or for unknown procedure Binding: Absent or Unknown Procedures - IPS (required)
subject	S	1..1	Reference(Patient (IPS))	Who the procedure was performed on
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
performed[x]	S	1..1	dateTime, Period, string, Age, Range	When the procedure was performed
data-absent-reason	S	0..1	code	performed[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
asserter		0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole)	Person who asserts this procedure
performer		0..*	BackboneElement	The people who performed the procedure
actor		1..1	Reference(Patient (IPS) \| RelatedPerson \| Device (performer, observer) \| Practitioner (IPS) \| PractitionerRole (IPS) \| Organization (IPS))	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization (IPS))	Organization the device or practitioner was acting for
bodySite	S	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example)
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Procedure	SI	0..*	Procedure	An action that is being or was performed on a patient
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	Additional content defined by implementations
modifierExtension	?!I	0..*	Extension	Extensions that cannot be ignored
identifier	ΣI	0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical	ΣI	0..*	canonical(PlanDefinition \| ActivityDefinition \| Measure \| OperationDefinition \| Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	ΣI	0..*	uri	Instantiates external protocol or definition
basedOn	ΣI	0..*	Reference(CarePlan \| ServiceRequest)	A request for this procedure
partOf	ΣI	0..*	Reference(Procedure \| Observation \| MedicationAdministration)	Part of referenced event
status	?!SΣI	1..1	code	preparation \| in-progress \| not-done \| on-hold \| stopped \| completed \| entered-in-error \| unknown Binding: EventStatus (required)
statusReason	ΣI	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example)
category	ΣI	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example)
code	SΣI	1..1	(Slice Definition)	Concept - reference to a terminology or just text Slice: Unordered, Open by pattern:$this Binding: Procedures - IPS (preferred)
code:absentOrUnknownProcedure	SI	0..1	CodeableConceptIPS	Code for absent problem or for unknown procedure Binding: Absent or Unknown Procedures - IPS (required)
subject	SΣI	1..1	Reference(Patient (IPS))	Who the procedure was performed on
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣI	1..1	string	Literal reference, Relative, internal or absolute URL
type	ΣI	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	ΣI	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣI	0..1	string	Text alternative for the resource
encounter	ΣI	0..1	Reference(Encounter)	Encounter created as part of
performed[x]	SΣI	1..1		When the procedure was performed
performed[x]:All Types				Content/Rules for all Types
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
data-absent-reason	SI	0..1	code	performed[x] absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
performedDateTime			dateTime
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
recorder	ΣI	0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole)	Who recorded the procedure
asserter	ΣI	0..1	Reference(Patient \| RelatedPerson \| Practitioner \| PractitionerRole)	Person who asserts this procedure
performer	ΣI	0..*	BackboneElement	The people who performed the procedure
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
function	ΣI	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example)
actor	ΣI	1..1	Reference(Patient (IPS) \| RelatedPerson \| Device (performer, observer) \| Practitioner (IPS) \| PractitionerRole (IPS) \| Organization (IPS))	The reference to the practitioner
onBehalfOf	I	0..1	Reference(Organization (IPS))	Organization the device or practitioner was acting for
location	ΣI	0..1	Reference(Location)	Where the procedure happened
reasonCode	ΣI	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example)
reasonReference	ΣI	0..*	Reference(Condition \| Observation \| Procedure \| DiagnosticReport \| DocumentReference)	The justification that the procedure was performed
bodySite	SI	0..*	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: SNOMEDCTBodyStructures (example)
outcome	ΣI	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example)
report	I	0..*	Reference(DiagnosticReport \| DocumentReference \| Composition)	Any report resulting from the procedure
complication	I	0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example)
complicationDetail	I	0..*	Reference(Condition)	A condition that is a result of the procedure
followUp	I	0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example)
note	I	0..*	Annotation	Additional information about the procedure
focalDevice	I	0..*	BackboneElement	Manipulated, implanted, or removed device
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
action	I	0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred)
manipulated	I	1..1	Reference(Device)	Device that was changed
usedReference	I	0..*	Reference(Device \| Medication \| Substance)	Items used during procedure
usedCode	I	0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example)
Documentation for this format

Other representations of profile: Schematron

Terminology Bindings

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	preferred	ProceduresUvIps
Procedure.code:absentOrUnknownProcedure	required	NoProceduresInfoUvIps
Procedure.subject.type	extensible	ResourceType
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

Constraints

Id	Path	Details	Requirements
dom-2	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	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	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	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	Procedure.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.instantiatesCanonical	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.instantiatesUri	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.basedOn	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.partOf	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.statusReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.category	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.code:absentOrUnknownProcedure	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.subject	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.subject.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.subject.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.subject.reference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.subject.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.subject.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.subject.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.encounter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.performed[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.performed[x].extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.performed[x].extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.performed[x].extension:data-absent-reason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.performed[x].extension:data-absent-reason	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.recorder	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.asserter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.performer	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.performer.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.performer.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.performer.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.performer.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.performer.function	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.performer.actor	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.performer.onBehalfOf	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.location	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.reasonCode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.reasonReference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.bodySite	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.outcome	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.report	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.complication	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.complicationDetail	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.followUp	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.note	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.focalDevice	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.focalDevice.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.focalDevice.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.focalDevice.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Procedure.focalDevice.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Procedure.focalDevice.action	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.focalDevice.manipulated	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.usedReference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Procedure.usedCode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())

IG © 2020+ Health Level Seven International - Patient Care Work Group. Package hl7.fhir.uv.ips#1.0.0 based on FHIR 4.0.1. Generated 2020-05-19
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