基于FHIR标准的健康档案共享文档实施指南-腰围结构定义

基于FHIR的健康档案共享文档实施时必须严格遵循本实施指南的规定。

Resource Profile: 腰围结构定义

Defining URL:

http://hl7.org.cn/fhir/sd/ehr/StructureDefinition/profile-vital-signs-waistcircum

Version:

0.8.0.2022705

Name:

VitalSignWaistCircum

Title:

腰围结构定义

Status:

Active as of 2022-07-05T13:46:42+08:00

Definition:

生命体征-腰围资源本地化定义。

Publisher:

CHIMA&HL7中国委员会

Source Resource:

XML / JSON / Turtle

腰围结构定义的正式唯一标识为:

http://hl7.org.cn/fhir/sd/ehr/StructureDefinition/profile-vital-signs-waistcircum

简介

腰围使用Observation资源进行表示。该资源的本地化结构定义声明了对适用于健康医疗信息平台中腰围的最低要求。它确定在使用此资源时应包含哪些核心元素、扩展和术语。

快速实施指导

定义内容的视图

腰围结构定义是在FHIR标准的GeneralObservation基础上进行更加详细的规则约束，下表展示了腰围结构定义的结构表示。

关于定义、差异、快照以及如何解读这些表示法。

这种结构源自 GeneralObservation

Summary

Mandatory: 4 elements

Slices

This structure defines the following Slices:

The element Observation.value[x] is sliced based on the value of type:$this

这种结构源自 GeneralObservation

Name	Card.	Type	Description & Constraints
Observation	0..*	GeneralObservation	Measurements and simple assertions
status	1..1	code	观察的状态，默认值可以设为final Required Pattern: final
code	1..1	CodeableConcept	观察的编码 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://hl7.org.cn/fhir/sd/ehr/CodeSystem/ws363-2011
code	1..1	code	Symbol in syntax defined by the system Fixed Value: DE04.10.218.00
display	1..1	string	Representation defined by the system Fixed Value: 腰围
value[x]	1..1	(Slice Definition)	记录腰围取值 Slice: Unordered, Open by type:$this
valueQuantity	1..1	Quantity	Actual result
value	1..1	decimal	Numerical value (with implicit precision)
unit	1..1	string	Unit representation Required Pattern: cm
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Observation	I	0..*	GeneralObservation	Measurements and simple assertions
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan \| DeviceRequest \| ImmunizationRecommendation \| MedicationRequest \| NutritionOrder \| ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration \| MedicationDispense \| MedicationStatement \| Procedure \| Immunization \| ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	观察的状态，默认值可以设为final Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	Σ	1..1	CodeableConcept	观察的编码 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir/sd/ehr/CodeSystem/ws363-2011
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DE04.10.218.00
display		1..1	string	Representation defined by the system Fixed Value: 腰围
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	(Slice Definition)	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:Local	SΣ	0..1	Coding	编码限定为卫生行业标准定义的数据元标准 Binding: 卫生标准数据元代码表 (required)
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient \| Group \| Device \| Location)	指向患者的引用
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	1..1	Reference(Encounter)	指向诊疗或健康活动资源
effective[x]	Σ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| RelatedPerson)	Who is responsible for the observation
value[x]	ΣI	1..1	(Slice Definition)	记录腰围取值 Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	ΣI	1..1	Quantity	Actual result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< \| <= \| >= \| > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	1..1	string	Unit representation Required Pattern: cm
system	ΣI	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
dataAbsentReason	I	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		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		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	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		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation \| QuestionnaireResponse \| MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference \| ImagingStudy \| Media \| QuestionnaireResponse \| Observation \| MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	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): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Observation	I	0..*	GeneralObservation	Measurements and simple assertions
code	Σ	1..1	CodeableConcept	观察的编码 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://hl7.org.cn/fhir/sd/ehr/CodeSystem/ws363-2011
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DE04.10.218.00
display		1..1	string	Representation defined by the system Fixed Value: 腰围
coding:Local	Σ	0..1	Coding	编码限定为卫生行业标准定义的数据元标准 Binding: 卫生标准数据元代码表 (required)
Documentation for this format

这种结构源自 GeneralObservation

Summary

Mandatory: 4 elements

Slices

This structure defines the following Slices:

The element Observation.value[x] is sliced based on the value of type:$this

差异视图

这种结构源自 GeneralObservation

Name	Card.	Type	Description & Constraints
Observation	0..*	GeneralObservation	Measurements and simple assertions
status	1..1	code	观察的状态，默认值可以设为final Required Pattern: final
code	1..1	CodeableConcept	观察的编码 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://hl7.org.cn/fhir/sd/ehr/CodeSystem/ws363-2011
code	1..1	code	Symbol in syntax defined by the system Fixed Value: DE04.10.218.00
display	1..1	string	Representation defined by the system Fixed Value: 腰围
value[x]	1..1	(Slice Definition)	记录腰围取值 Slice: Unordered, Open by type:$this
valueQuantity	1..1	Quantity	Actual result
value	1..1	decimal	Numerical value (with implicit precision)
unit	1..1	string	Unit representation Required Pattern: cm
Documentation for this format

快照视图

Name	Flags	Card.	Type	Description & Constraints
Observation	I	0..*	GeneralObservation	Measurements and simple assertions
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan \| DeviceRequest \| ImmunizationRecommendation \| MedicationRequest \| NutritionOrder \| ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration \| MedicationDispense \| MedicationStatement \| Procedure \| Immunization \| ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	观察的状态，默认值可以设为final Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	Σ	1..1	CodeableConcept	观察的编码 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org.cn/fhir/sd/ehr/CodeSystem/ws363-2011
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: DE04.10.218.00
display		1..1	string	Representation defined by the system Fixed Value: 腰围
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	(Slice Definition)	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:Local	SΣ	0..1	Coding	编码限定为卫生行业标准定义的数据元标准 Binding: 卫生标准数据元代码表 (required)
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient \| Group \| Device \| Location)	指向患者的引用
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	1..1	Reference(Encounter)	指向诊疗或健康活动资源
effective[x]	Σ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| RelatedPerson)	Who is responsible for the observation
value[x]	ΣI	1..1	(Slice Definition)	记录腰围取值 Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	ΣI	1..1	Quantity	Actual result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< \| <= \| >= \| > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	1..1	string	Unit representation Required Pattern: cm
system	ΣI	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
dataAbsentReason	I	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		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		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	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		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation \| QuestionnaireResponse \| MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference \| ImagingStudy \| Media \| QuestionnaireResponse \| Observation \| MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	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): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

本定义的其它表示法: Schematron

Terminology Bindings

Path	Conformance	ValueSet / Code
Observation.language	preferred	CommonLanguages Max Binding: AllLanguages
Observation.status	required	Pattern: final
Observation.category	preferred	ObservationCategoryCodes
Observation.code	example	Pattern: DE04.10.218.00("腰围")
Observation.code.coding:Local	required	WSDE
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator
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.code.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Observation.code.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Observation.code.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.code.coding:Local	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.code.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.subject	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.focus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.encounter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.effective[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.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.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.value[x]:valueQuantity	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.value[x]:valueQuantity.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Observation.value[x]:valueQuantity.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Observation.value[x]:valueQuantity.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.value[x]:valueQuantity.comparator	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.value[x]:valueQuantity.unit	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.value[x]:valueQuantity.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Observation.value[x]:valueQuantity.code	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.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())