Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5
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Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5 - Downloaded Version null See the Directory of published versions

Extension: ExtensionClinicalImpression_RuledOut - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

Definitions for the ext-R2-ClinicalImpression.ruledOut extension.

Guidance on how to interpret the contents of this table can be foundhere

0. Extension
Definition

DSTU2: ClinicalImpression.ruledOut (new:BackboneElement)


Optional Extension Element - found in all resources.

ShortDSTU2: Diagnosis considered not possible (new)Optional Extensions Element
Comments

Element ClinicalImpression.ruledOut has a context of ClinicalImpression based on following the parent source element upwards and mapping to ClinicalImpression. Element ClinicalImpression.ruledOut has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

Control0..*
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2. Extension.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control10..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 4. Extension.extension:item
    Slice Nameitem
    Definition

    DSTU2: ClinicalImpression.ruledOut.item (new:CodeableConcept)

    ShortDSTU2: Specific text of code for diagnosis (new)Additional content defined by implementations
    Comments

    Element ClinicalImpression.ruledOut.item is part of an existing definition because parent element ClinicalImpression.ruledOut requires a cross-version extension. Element ClinicalImpression.ruledOut.item has a context of ClinicalImpression based on following the parent source element upwards and mapping to ClinicalImpression. Element ClinicalImpression.ruledOut.item has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

    Control10..1*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Requirements

    Element ClinicalImpression.ruledOut.item is part of an existing definition because parent element ClinicalImpression.ruledOut requires a cross-version extension. Element ClinicalImpression.ruledOut.item has a context of ClinicalImpression based on following the parent source element upwards and mapping to ClinicalImpression. Element ClinicalImpression.ruledOut.item has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    6. Extension.extension:item.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Valueitem
    8. Extension.extension:item.value[x]
    Definition

    Specific text of code for diagnosis.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortSpecific text of code for diagnosisValue of extension
    Control10..1
    This element is affected by the following invariants: ext-1
    TypeCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, ParameterDefinition, dateTime, code, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. Extension.extension:reason
    Slice Namereason
    Definition

    DSTU2: ClinicalImpression.ruledOut.reason (new:string)

    ShortDSTU2: Grounds for elimination (new)Additional content defined by implementations
    Comments

    Element ClinicalImpression.ruledOut.reason is part of an existing definition because parent element ClinicalImpression.ruledOut requires a cross-version extension. Element ClinicalImpression.ruledOut.reason has a context of ClinicalImpression based on following the parent source element upwards and mapping to ClinicalImpression. Element ClinicalImpression.ruledOut.reason has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

    Control0..1*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Requirements

    Element ClinicalImpression.ruledOut.reason is part of an existing definition because parent element ClinicalImpression.ruledOut requires a cross-version extension. Element ClinicalImpression.ruledOut.reason has a context of ClinicalImpression based on following the parent source element upwards and mapping to ClinicalImpression. Element ClinicalImpression.ruledOut.reason has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. Extension.extension:reason.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Valuereason
    14. Extension.extension:reason.value[x]
    Definition

    Grounds for elimination.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortGrounds for eliminationValue of extension
    Control0..1
    This element is affected by the following invariants: ext-1
    Typestring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, CodeableConcept, ParameterDefinition, dateTime, code, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Extension.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    Fixed Valuehttp://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.ruledOut
    18. Extension.value[x]
    Definition

    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    ShortValue of extension
    Control0..01
    This element is affected by the following invariants: ext-1
    TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, RatioRange, Reference, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, Dosage, Meta
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    Guidance on how to interpret the contents of this table can be foundhere

    0. Extension
    Definition

    DSTU2: ClinicalImpression.ruledOut (new:BackboneElement)

    ShortDSTU2: Diagnosis considered not possible (new)
    Comments

    Element ClinicalImpression.ruledOut has a context of ClinicalImpression based on following the parent source element upwards and mapping to ClinicalImpression. Element ClinicalImpression.ruledOut has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

    Control0..*
    Is Modifierfalse
    2. Extension.extension
    Control1..*
    SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 4. Extension.extension:item
      Slice Nameitem
      Definition

      DSTU2: ClinicalImpression.ruledOut.item (new:CodeableConcept)

      ShortDSTU2: Specific text of code for diagnosis (new)
      Comments

      Element ClinicalImpression.ruledOut.item is part of an existing definition because parent element ClinicalImpression.ruledOut requires a cross-version extension. Element ClinicalImpression.ruledOut.item has a context of ClinicalImpression based on following the parent source element upwards and mapping to ClinicalImpression. Element ClinicalImpression.ruledOut.item has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

      Control1..1
      Requirements

      Element ClinicalImpression.ruledOut.item is part of an existing definition because parent element ClinicalImpression.ruledOut requires a cross-version extension. Element ClinicalImpression.ruledOut.item has a context of ClinicalImpression based on following the parent source element upwards and mapping to ClinicalImpression. Element ClinicalImpression.ruledOut.item has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

      6. Extension.extension:item.url
      Control1..1
      Fixed Valueitem
      8. Extension.extension:item.value[x]
      Definition

      Specific text of code for diagnosis.

      ShortSpecific text of code for diagnosis
      Control1..1
      TypeCodeableConcept
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      10. Extension.extension:reason
      Slice Namereason
      Definition

      DSTU2: ClinicalImpression.ruledOut.reason (new:string)

      ShortDSTU2: Grounds for elimination (new)
      Comments

      Element ClinicalImpression.ruledOut.reason is part of an existing definition because parent element ClinicalImpression.ruledOut requires a cross-version extension. Element ClinicalImpression.ruledOut.reason has a context of ClinicalImpression based on following the parent source element upwards and mapping to ClinicalImpression. Element ClinicalImpression.ruledOut.reason has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

      Control0..1
      Requirements

      Element ClinicalImpression.ruledOut.reason is part of an existing definition because parent element ClinicalImpression.ruledOut requires a cross-version extension. Element ClinicalImpression.ruledOut.reason has a context of ClinicalImpression based on following the parent source element upwards and mapping to ClinicalImpression. Element ClinicalImpression.ruledOut.reason has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

      12. Extension.extension:reason.url
      Control1..1
      Fixed Valuereason
      14. Extension.extension:reason.value[x]
      Definition

      Grounds for elimination.

      ShortGrounds for elimination
      Control0..1
      Typestring
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      16. Extension.url
      Control1..1
      Fixed Valuehttp://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.ruledOut
      18. Extension.value[x]
      Control0..0

      Guidance on how to interpret the contents of this table can be foundhere

      0. Extension
      Definition

      DSTU2: ClinicalImpression.ruledOut (new:BackboneElement)

      ShortDSTU2: Diagnosis considered not possible (new)
      Comments

      Element ClinicalImpression.ruledOut has a context of ClinicalImpression based on following the parent source element upwards and mapping to ClinicalImpression. Element ClinicalImpression.ruledOut has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

      Control0..*
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      2. Extension.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      This element is affected by the following invariants: ele-1
      Typeid
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      4. Extension.extension
      Definition

      An Extension

      ShortExtension
      Control1..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 6. Extension.extension:item
        Slice Nameitem
        Definition

        DSTU2: ClinicalImpression.ruledOut.item (new:CodeableConcept)

        ShortDSTU2: Specific text of code for diagnosis (new)
        Comments

        Element ClinicalImpression.ruledOut.item is part of an existing definition because parent element ClinicalImpression.ruledOut requires a cross-version extension. Element ClinicalImpression.ruledOut.item has a context of ClinicalImpression based on following the parent source element upwards and mapping to ClinicalImpression. Element ClinicalImpression.ruledOut.item has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

        Control1..1
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Requirements

        Element ClinicalImpression.ruledOut.item is part of an existing definition because parent element ClinicalImpression.ruledOut requires a cross-version extension. Element ClinicalImpression.ruledOut.item has a context of ClinicalImpression based on following the parent source element upwards and mapping to ClinicalImpression. Element ClinicalImpression.ruledOut.item has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        8. Extension.extension:item.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        This element is affected by the following invariants: ele-1
        Typeid
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        10. Extension.extension:item.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 12. Extension.extension:item.url
          Definition

          Source of the definition for the extension code - a logical name or a URL.

          Shortidentifies the meaning of the extension
          Comments

          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

          Control1..1
          Typeuri
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          Fixed Valueitem
          14. Extension.extension:item.value[x]
          Definition

          Specific text of code for diagnosis.

          ShortSpecific text of code for diagnosis
          Control1..1
          This element is affected by the following invariants: ext-1
          TypeCodeableConcept
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          16. Extension.extension:reason
          Slice Namereason
          Definition

          DSTU2: ClinicalImpression.ruledOut.reason (new:string)

          ShortDSTU2: Grounds for elimination (new)
          Comments

          Element ClinicalImpression.ruledOut.reason is part of an existing definition because parent element ClinicalImpression.ruledOut requires a cross-version extension. Element ClinicalImpression.ruledOut.reason has a context of ClinicalImpression based on following the parent source element upwards and mapping to ClinicalImpression. Element ClinicalImpression.ruledOut.reason has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

          Control0..1
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Requirements

          Element ClinicalImpression.ruledOut.reason is part of an existing definition because parent element ClinicalImpression.ruledOut requires a cross-version extension. Element ClinicalImpression.ruledOut.reason has a context of ClinicalImpression based on following the parent source element upwards and mapping to ClinicalImpression. Element ClinicalImpression.ruledOut.reason has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          18. Extension.extension:reason.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          This element is affected by the following invariants: ele-1
          Typeid
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          20. Extension.extension:reason.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 22. Extension.extension:reason.url
            Definition

            Source of the definition for the extension code - a logical name or a URL.

            Shortidentifies the meaning of the extension
            Comments

            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

            Control1..1
            Typeuri
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            Fixed Valuereason
            24. Extension.extension:reason.value[x]
            Definition

            Grounds for elimination.

            ShortGrounds for elimination
            Control0..1
            This element is affected by the following invariants: ext-1
            Typestring
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. Extension.url
            Definition

            Source of the definition for the extension code - a logical name or a URL.

            Shortidentifies the meaning of the extension
            Comments

            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

            Control1..1
            Typeuri
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            Fixed Valuehttp://hl7.org/fhir/1.0/StructureDefinition/extension-ClinicalImpression.ruledOut
            28. Extension.value[x]
            Definition

            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

            ShortValue of extension
            Control0..0
            This element is affected by the following invariants: ext-1
            TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, RatioRange, Reference, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, Dosage, Meta
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))