Profile: CHCRLObservationCN

StructureDefinition: ch-crl-observation-cn

Formal Views of Profile Content

The official URL for this profile is:

http://fhir.ch/ig/ch-crl/StructureDefinition/ch-crl-observation-cn

Observation for the TNM clinical regional nodes category

This profile builds on Observation.

This profile was published on Fri Nov 08 00:00:00 CET 2019 as a draft by Bundesamt für Gesundheit BAG.

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

This structure is derived from Observation

Summary

Mandatory: 4 elements (9 nested mandatory elements)
Fixed Value: 1 element

Structures

This structure refers to these other structures:

This structure is derived from Observation

Name	Card.	Type	Description & Constraints
Observation	0..*	Observation	CH CRL Observation cN
code	1..1	CodeableConcept	Required Pattern: At least the following
coding	1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	1..1	code	Symbol in syntax defined by the system Fixed Value: 21906-3
display	1..1	string	Representation defined by the system Fixed Value: Regional lymph nodes.clinical [Class] Cancer
subject	1..1	Reference(CH CRL Patient Profile)	Patient
reference	1..1	string
effectiveDateTime	1..1	dateTime
performer	0..*	Reference(CH CRL Practitioner Profile \| CH CRL Organization Department Profile)	Practitioner if resident physician or Organization Department if hospital
reference	1..1	string
valueCodeableConcept	0..1	CodeableConcept	Regional lymph nodes involvement based on clinical investigation, imaging, endoscopy, biopsy or surgical exploration Binding: NKRS - cN (required)
coding	1..*	Coding
system	1..1	uri
code	1..1	code
display	1..1	string
dataAbsentReason	0..1	CodeableConcept	Regional lymph nodes involvement is not applicable or unknown
coding	1..*	Coding
system	1..1	uri	Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	1..1	code	If not applicable or TNM classification not defined for this type of cancer than 'value=not-applicable'. If not stated / not assessed than 'value=unknown'.
display	1..1	string
Documentation for this format

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation	I	0..*	Observation	CH CRL Observation cN
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	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	0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred)
code	ΣI	1..1	CodeableConcept	Type of observation (code / type) 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21906-3
display		1..1	string	Representation defined by the system Fixed Value: Regional lymph nodes.clinical [Class] Cancer
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	1..1	Reference(CH CRL Patient Profile)	Patient
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	ΣI	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
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	1..1	(Slice Definition)	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	ΣI	1..1	dateTime	Clinically relevant time/time-period for observation
issued	ΣI	0..1	instant	Date/Time this version was made available
performer	ΣI	0..*	Reference(CH CRL Practitioner Profile \| CH CRL Organization Department Profile)	Practitioner if resident physician or Organization Department if hospital
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣI	1..1	string	Literal reference, Relative, internal or absolute URL
type	ΣI	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	ΣI	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣI	0..1	string	Text alternative for the resource
value[x]	ΣI	0..1	(Slice Definition)	Actual result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	ΣI	0..1	CodeableConcept	Regional lymph nodes involvement based on clinical investigation, imaging, endoscopy, biopsy or surgical exploration Binding: NKRS - cN (required)
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
coding	ΣI	1..*	Coding	Code defined by a terminology system
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
system	ΣI	1..1	uri	Identity of the terminology system
version	ΣI	0..1	string	Version of the system - if relevant
code	ΣI	1..1	code	Symbol in syntax defined by the system
display	ΣI	1..1	string	Representation defined by the system
userSelected	ΣI	0..1	boolean	If this coding was chosen directly by the user
text	ΣI	0..1	string	Plain text representation of the concept
dataAbsentReason	I	0..1	CodeableConcept	Regional lymph nodes involvement is not applicable or unknown Binding: DataAbsentReason (extensible)
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
coding	ΣI	1..*	Coding	Code defined by a terminology system
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
system	ΣI	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
version	ΣI	0..1	string	Version of the system - if relevant
code	ΣI	1..1	code	If not applicable or TNM classification not defined for this type of cancer than 'value=not-applicable'. If not stated / not assessed than 'value=unknown'.
display	ΣI	1..1	string	Representation defined by the system
userSelected	ΣI	0..1	boolean	If this coding was chosen directly by the user
text	ΣI	0..1	string	Plain text representation of the concept
interpretation	I	0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (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	0..*	Reference(Observation \| QuestionnaireResponse \| MolecularSequence)	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)
interpretation	I	0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (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 Observation

Summary

Mandatory: 4 elements (9 nested mandatory elements)
Fixed Value: 1 element

Structures

This structure refers to these other structures:

Differential View

This structure is derived from Observation

Name	Card.	Type	Description & Constraints
Observation	0..*	Observation	CH CRL Observation cN
code	1..1	CodeableConcept	Required Pattern: At least the following
coding	1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	1..1	code	Symbol in syntax defined by the system Fixed Value: 21906-3
display	1..1	string	Representation defined by the system Fixed Value: Regional lymph nodes.clinical [Class] Cancer
subject	1..1	Reference(CH CRL Patient Profile)	Patient
reference	1..1	string
effectiveDateTime	1..1	dateTime
performer	0..*	Reference(CH CRL Practitioner Profile \| CH CRL Organization Department Profile)	Practitioner if resident physician or Organization Department if hospital
reference	1..1	string
valueCodeableConcept	0..1	CodeableConcept	Regional lymph nodes involvement based on clinical investigation, imaging, endoscopy, biopsy or surgical exploration Binding: NKRS - cN (required)
coding	1..*	Coding
system	1..1	uri
code	1..1	code
display	1..1	string
dataAbsentReason	0..1	CodeableConcept	Regional lymph nodes involvement is not applicable or unknown
coding	1..*	Coding
system	1..1	uri	Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code	1..1	code	If not applicable or TNM classification not defined for this type of cancer than 'value=not-applicable'. If not stated / not assessed than 'value=unknown'.
display	1..1	string
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	I	0..*	Observation	CH CRL Observation cN
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	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	0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred)
code	ΣI	1..1	CodeableConcept	Type of observation (code / type) 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 21906-3
display		1..1	string	Representation defined by the system Fixed Value: Regional lymph nodes.clinical [Class] Cancer
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	1..1	Reference(CH CRL Patient Profile)	Patient
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	ΣI	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
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	1..1	(Slice Definition)	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	ΣI	1..1	dateTime	Clinically relevant time/time-period for observation
issued	ΣI	0..1	instant	Date/Time this version was made available
performer	ΣI	0..*	Reference(CH CRL Practitioner Profile \| CH CRL Organization Department Profile)	Practitioner if resident physician or Organization Department if hospital
id		0..1	string	Unique id for inter-element referencing
extension	I	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣI	1..1	string	Literal reference, Relative, internal or absolute URL
type	ΣI	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	ΣI	0..1	Identifier	Logical reference, when literal reference is not known
display	ΣI	0..1	string	Text alternative for the resource
value[x]	ΣI	0..1	(Slice Definition)	Actual result Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	ΣI	0..1	CodeableConcept	Regional lymph nodes involvement based on clinical investigation, imaging, endoscopy, biopsy or surgical exploration Binding: NKRS - cN (required)
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
coding	ΣI	1..*	Coding	Code defined by a terminology system
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
system	ΣI	1..1	uri	Identity of the terminology system
version	ΣI	0..1	string	Version of the system - if relevant
code	ΣI	1..1	code	Symbol in syntax defined by the system
display	ΣI	1..1	string	Representation defined by the system
userSelected	ΣI	0..1	boolean	If this coding was chosen directly by the user
text	ΣI	0..1	string	Plain text representation of the concept
dataAbsentReason	I	0..1	CodeableConcept	Regional lymph nodes involvement is not applicable or unknown Binding: DataAbsentReason (extensible)
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
coding	ΣI	1..*	Coding	Code defined by a terminology system
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
system	ΣI	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
version	ΣI	0..1	string	Version of the system - if relevant
code	ΣI	1..1	code	If not applicable or TNM classification not defined for this type of cancer than 'value=not-applicable'. If not stated / not assessed than 'value=unknown'.
display	ΣI	1..1	string	Representation defined by the system
userSelected	ΣI	0..1	boolean	If this coding was chosen directly by the user
text	ΣI	0..1	string	Plain text representation of the concept
interpretation	I	0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (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	0..*	Reference(Observation \| QuestionnaireResponse \| MolecularSequence)	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)
interpretation	I	0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible)
referenceRange	I	0..*		Unknown reference to #Observation.referenceRange Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.language	preferred	CommonLanguages Max Binding: AllLanguages
Observation.status	required	ObservationStatus
Observation.category	preferred	ObservationCategoryCodes
Observation.code	example	Pattern: LOINC code 21906-3("Regional lymph nodes.clinical [Class] Cancer")
Observation.subject.type	extensible	ResourceType
Observation.performer.type	extensible	ResourceType
Observation.value[x]:valueCodeableConcept	required	NkrscN
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.interpretation	extensible	ObservationInterpretationCodes
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
Observation.component.interpretation	extensible	ObservationInterpretationCodes

Constraints

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.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.subject.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Observation.subject.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Observation.subject.reference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.subject.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.subject.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.subject.display	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.performer.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Observation.performer.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Observation.performer.reference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.performer.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.performer.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.performer.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.value[x].extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Observation.value[x].extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Observation.value[x].coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.value[x].coding.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Observation.value[x].coding.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Observation.value[x].coding.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.value[x].coding.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.value[x].coding.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.value[x].coding.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.value[x].coding.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.value[x].text	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.dataAbsentReason.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Observation.dataAbsentReason.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Observation.dataAbsentReason.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.dataAbsentReason.coding.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Observation.dataAbsentReason.coding.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Observation.dataAbsentReason.coding.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.dataAbsentReason.coding.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.dataAbsentReason.coding.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.dataAbsentReason.coding.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.dataAbsentReason.coding.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.dataAbsentReason.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.interpretation	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.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.interpretation	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())